Older Americans Act:
FY2015 Appropriations Overview
Angela Napili
Information Research Specialist
Kirsten J. Colello
Specialist in Health and Aging Policy
January 30, 2015
Congressional Research Service
7-5700
www.crs.gov
R43887

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Older Americans Act: FY2015 Appropriations Overview

Summary
The Older Americans Act (OAA) is the major federal vehicle for the delivery of social and
nutrition services for individuals aged 60 and older. These include supportive services, congregate
nutrition services (i.e., meals served at group sites such as senior centers, schools, churches, or
senior housing complexes), home-delivered nutrition services, family caregiver support,
community service employment, the long-term care ombudsman program, and services to prevent
the abuse, neglect, and exploitation of older persons. The OAA also supports grants to older
Native Americans and research, training, and demonstration activities.
The Administration on Aging (AOA), which is a program office under the Administration for
Community Living (ACL) within the U.S. Department of Health and Human Services (HHS),
administers most OAA programs. The exception is the Community Service Employment for
Older Americans (CSEOA) program, which is administered by the U.S. Department of Labor
(DOL). Funding for OAA programs is provided through the annual Departments of Labor, Health
and Human Services, and Education, and Related Agencies (Labor-HHS-Education)
Appropriations Act.
Since the enactment of OAA in 1965, Congress has reauthorized and amended the act numerous
times. The last OAA reauthorization occurred in 2006, when Congress enacted the Older
Americans Act Amendments of 2006 (P.L. 109-365), which extended the act’s authorizations of
appropriations for FY2007 through FY2011. The authorizations of appropriations for most OAA
programs expired at the end of FY2011. However, Congress has continued to appropriate funding
for OAA-authorized activities.
The FY2015 Consolidated and Further Continuing Appropriations Act (P.L. 113-235) funded
OAA programs at $1.878 billion, which was $6.5 million (0.3%) more than FY2014 funding. The
increase was due to new OAA funding for supportive services for Holocaust survivors ($2.5
million) and an Elder Justice Initiative ($4.0 million).
Title III programs received the largest proportion of OAA funding, with 70.7% of funding
appropriated to congregate and home-delivered nutrition programs (commonly referred to as
“meals on wheels”), supportive services, family caregivers, and health promotion activities.
Almost one-fourth of OAA funding (23.1%) was allocated to Title V, the CSEOA Program. The
remainder was allocated to AOA-administered activities under Titles II (Administration on
Aging), IV (Activities for Health, Independence, and Longevity), VI (Grants for Native
Americans), and VII (Vulnerable Elder Rights Protection Activities).

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Older Americans Act: FY2015 Appropriations Overview

Contents
Introduction ...................................................................................................................................... 1
FY2015 Overview ........................................................................................................................... 2
OAA Funding History ...................................................................................................................... 4
FY2015 Legislative Activity ............................................................................................................ 5
Continuing Resolutions ............................................................................................................. 6
House Action, 113th Congress .................................................................................................... 6
Senate Action, 113th Congress ................................................................................................... 6
President’s Budget Request ....................................................................................................... 7
FY2015 Funding: Selected OAA Programs and Issues ................................................................... 7
Community Service Employment for Older Americans ............................................................ 7
Holocaust Survivors Assistance................................................................................................. 9
Aging and Disability Resource Centers ..................................................................................... 9
White House Conference on Aging ......................................................................................... 10

Figures
Figure 1. Older Americans Act, FY2015 Funding ........................................................................... 2
Figure 2. Total Funding for Older Americans Act Programs, FY2001-FY2015 ............................. 5

Tables
Table 1. Funding for Older Americans Act (OAA) Programs: FY2013-FY2015 ............................ 3
Table A-1. Authorizations of Appropriations for Older Americans Act Programs ........................ 11
Table B-1. Funding for the Older Americans Act (OAA) Programs: FY2006-FY2015 ................ 14

Appendixes
Appendix A. Older Americans Act: Authorizations of Appropriations ......................................... 11
Appendix B. Older Americans Act Programs: FY2006-FY2015 Funding .................................... 13

Contacts
Author Contact Information........................................................................................................... 19

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Older Americans Act: FY2015 Appropriations Overview

Introduction
Originally enacted in 1965, the Older Americans Act (OAA) supports a wide range of social
services and programs for individuals aged 60 years and older. These services include supportive
services, congregate nutrition services (i.e., meals served at group sites such as senior centers,
community centers, schools, churches, senior housing complexes), home-delivered nutrition
services, family caregiver support, community service employment, the long-term care
ombudsman program, and services to prevent the abuse, neglect, and exploitation of older
persons.
The OAA contains seven titles. Except for Title V, Community Service Employment for Older
Americans (CSEOA), all programs are administered by the Administration on Aging (AOA) in
the Administration for Community Living (ACL) within the Department of Health and Human
Services (HHS).1 Title V is administered by the Department of Labor’s (DOL’s) Employment and
Training Administration. As such, discretionary funding for OAA Titles II, III, IV, VI, and VII is
provided in annual HHS appropriations; OAA Title V funding is provided in the annual DOL
appropriations. Title I does not authorize appropriations.
Since the enactment of OAA, Congress has reauthorized and amended the act numerous times. In
the past, OAA reauthorization has included extending the act’s authorizations of appropriations
for a five-year period. The last OAA reauthorization occurred in 2006, when Congress enacted
the Older Americans Act Amendments of 2006 (P.L. 109-365), which authorized appropriations
through FY2011. Although the authorizations of appropriations under the act expired at the end of
FY2011, Congress has continued to appropriate funding for OAA-authorized programs and
activities.
This report discusses OAA funding. It begins with an overview of OAA’s FY2015 funding and
provides a detailed breakdown of current-year funding for each of the act’s programs and
activities. The report then reviews OAA’s funding history since FY2001. Next, it summarizes
FY2015 legislative activity with respect to OAA appropriations. It concludes with a discussion of
FY2015 funding decisions for selected OAA programs. The following appendixes provide more
detailed OAA funding information and funding history.
• Appendix A shows the authorizations of appropriations for each title of the act as
stipulated by the 2006 Older Americans Act Amendments (P.L. 109-365).
• Appendix B provides funding levels for OAA programs from FY2006 through
FY2015.
For general background on DOL and HHS appropriations, see CRS Report R43236, Labor,
Health and Human Services, and Education: FY2014 Appropriations. For more information
about the Older Americans Act, see CRS Report R43414, Older Americans Act (OAA): In Brief.

1 On April 16, 2012, HHS Secretary Sebelius announced the creation of the Administration for Community Living
(ACL), which brought together the Administration on Aging, the Office of Disability, and the Administration on
Developmental Disabilities (renamed the Administration on Intellectual and Developmental Disabilities) into one
agency, http://www.hhs.gov/news/press/2012pres/04/20120416a.html. For more information on the ACL, see
http://www.acl.gov.
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Older Americans Act: FY2015 Appropriations Overview

FY2015 Overview
The FY2015 Consolidated and Further Continuing Appropriations Act (P.L. 113-235) funded
OAA programs at $1.878 billion, which is $6.5 million (0.3%) more than FY2014 funding.
Figure 1 shows the distribution of FY2015 OAA funding by title, with program level detail for
Title III State and Community Programs on Aging. Title III programs received the largest
proportion of OAA funding, with 70.7% of funding appropriated to nutrition, supportive services,
family caregivers, and health promotion activities. Almost one-fourth of OAA funding (23.1%)
was allocated to Title V, the CSEOA Program. The remaining funds were allocated to AOA-
administered activities under Titles II (2.7%) and IV (0.7%), grants to Native Americans under
Title VI (1.7%), and vulnerable elder rights protection activities under Title VII (1.1%).
Figure 1. Older Americans Act, FY2015 Funding
(funding in millions of dol ars and as a percentage of total OAA funding, $1.878 billion)

Source: “Explanatory Statement Submitted by Mr. Rogers of Kentucky, Chairman of the House Committee on
Appropriations Regarding Amendment to the Senate Amendment on H.R 83, Consolidated and Further
Continuing Appropriations Act, 2015,” House of Representatives, Congressional Record, vol. 160, no. 151, Book II
(December 11, 2014), pp. H9838, H9846, H9878-H9880; personal communication with G. Steven Hagy, director,
ACL Office of Budget and Finance, January 13, 2015.
Note: Sums may not total due to rounding.
For most OAA programs, FY2015 funding was the same as in FY2014, with two exceptions.
Under Title IV, Aging Network Support Activities received $2.5 million in new FY2015 funding
for supportive services for Holocaust survivors living in the United States. Also under Title IV,
Elder Rights Support Activities received $4.0 million in new FY2015 funding for an Elder Justice
Initiative.2

2 For simplicity, this report includes FY2015 funding for the new Elder Justice Initiative under Title IV elder rights
support activities; however, these funds are also authorized under OAA Section 751 and the Elder Justice Act (Sec.
2042(a) of the Social Security Act). For more information, see CRS Report R43707, The Elder Justice Act:
Background and Issues for Congress.
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Table 1 provides details of FY2013, FY2014, and FY2015 funding for OAA programs, as well as
changes from FY2014 to FY2015. Changes are shown in millions of dollars and as a percentage
(not adjusted for inflation).
Table 1. Funding for Older Americans Act (OAA) Programs: FY2013-FY2015
($ in millions, not adjusted for inflation)
+/- FY2014
FY2013a FY2014 FY2015 to FY2015
Title II: Administration on Aging
$40.741
$50.007
$50.007
0
Program Administration
21.771b 30.035c 30.035c 0
Senior Medicare Patrold 8.875
8.910
8.910
0
Aging Network Support Activities (Title II)e,f 2.724
3.661
3.661 0
Elder Rights Support Activities (Title II)g 1.277
1.282
1.282
0
Aging and Disability Resource Centersh 6.095
6.119
6.119
0
Title III: Grants for State and Community
$1,281.470 $1,327.815 $1,327.815
0
Programs on Aging
Congregate meals
416.104
438.191
438.191
0
Home-delivered meals
205.489
216.397
216.397
0
Nutrition services incentive grants
146.718
160.069
160.069
0
Supportive services and centers
347.724
347.724
347.724
0
Family caregivers
145.586
145.586
145.586
0
Disease prevention/health promotion
19.849
19.848
19.848
0
Title IV: Activities for Health,
$7.291 $6.392 $12.892
+$6.500
Independence, and Longevity
+101.7%
Aging Network Support Activities (Title IV)e,f 4.708
3.800
6.300
+2.500
+65.8%
Elder Rights Support Activities (Title IV)g
2.582
2.592
6.592
+4.000
+154.3%
Title V: Community Service Employment
$424.805
$434.371
$434.371 0
for Older Americans
Title VI: Grants for Native Americans
$32.188
$32.189
$32.189
0
Supportive and nutrition services
26.157
26.158
26.158 0
Native American family caregivers
6.031
6.031
6.031
0
Title VII: Vulnerable Elder Rights
$20.658
$20.658
$20.658 $0
Protection Activities
Long-term care ombudsman program
15.885
15.885 15.885
0
Elder abuse prevention
4.773
4.773
4.773
0
Total: Older Americans Act Programs
$1,807.153
$1,871.432 $1,877.932
+$6.500
+0.3%
Source: House Rules Committee Print 113-32, Division H of the Joint Explanatory Statement accompanying House
Amendment to the Senate Amendment on H.R. 3457, Consolidated Appropriations Act, 2014, January 13, 2014, pp.
88, 128-130, http://docs.house.gov/billsthisweek/20140113/113-HR3547-JSOM-G-I.pdf#page=104; HHS, ACL, Final FY
2013 ACL Funding Budget Information, May 23, 2013, http://www.acl.gov/About_ACL/Budget/
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ACLFundingBudget2013.aspx; HHS, ACL, Fiscal Year 2014 Justification of Estimates for Appropriations Committees, April
10, 2013, pp. 23-24, 31-32, http://www.acl.gov/About_ACL/Budget/docs/FY2014_ACL_CJ.pdf; DOL, FY2013
Operating Plan, http://www.dol.gov/dol/budget/2014/PDF/2013OperatingPlanTable.pdf; “Explanatory Statement
Submitted by Mr. Rogers of Kentucky, Chairman of the House Committee on Appropriations Regarding Amendment
to the Senate Amendment on H.R 83, Consolidated and Further Continuing Appropriations Act, 2015,” House of
Representatives, Congressional Record, vol. 160, no. 151, Book II (December 11, 2014), pp. H9838, H9846, H9878-
H9880; personal communication with G. Steven Hagy, Director, Office of Budget and Finance, ACL, February 13 and
14, 2014, January 13, 2015.
a. FY2013 amounts are the final year funding amounts after rescissions, sequestration, and transfers.
b. Amount reflects program administration for al aging services programs administered by AOA, not just OAA
programs.
c. FY2014 and FY2015 amounts reflect program administration costs for aging and disability services programs
administered by ACL, not just aging services programs administered by AOA as in prior years.
d. In addition to OAA Title II funds, Health Care Fraud and Abuse Control (HCFAC) funds have historical y been
provided to the Senior Medicare Patrol. HCFAC funds are distributed to anti-fraud activities from the Medicare
Trust Fund at the joint discretion of the HHS Secretary and Attorney General. HCFAC funds to the Senior
Medicare Patrol totaled $10.548 mil ion in FY2013 and $6.591 million in FY2014.
e. Title II Aging Network Support Activities include the National Eldercare Locator and the Pension Counseling and
Information Program. Title IV Aging Network Support Activities include the National Alzheimer’s Call Center,
the National Education & Resource Center on Women & Retirement Planning, National Resource Centers on
Native Americans, National Minority Aging Organizations, Multigenerational Civic Engagement, Program
Performance and Technical Assistance, and (starting in FY2015) Holocaust Survivors Assistance.
f.
FY2014 and FY2015 Budget documents provide funds for the National Eldercare Locator (authorized under
OAA Title II Sec. 216(b)) and Multigenerational Civic Engagement (authorized under OAA Title IV Sec. 417)
together under a new “National Eldercare Locator and Engagement” line item. For simplicity, this report includes
funds for “National Eldercare Locator and Engagement” under Title II Aging Network Support Activities.
g. Title II Elder Rights Support Activities include the National Long-Term Care Ombudsman Resource Center and
the National Center on Elder Abuse. Title IV Elder Rights Support Activities include Model Approaches to
Statewide Legal Systems, National Legal Assistance and Support Projects, and (starting in FY2015) the new Elder
Justice Initiative. FY2015 funding for a new Elder Justice Initiative may also be used for activities authorized under
OAA Section 751 and the Elder Justice Act (Sec. 2042(a) of the Social Security Act).
h. In addition to discretionary OAA Title II funds, Sec. 2405 of the Patient Protection and Affordable Care Act
(ACA, P.L. 111-148, as amended) provided mandatory appropriations for ADRCs of $10.0 million for each year
from FY2010 to FY2014.
OAA Funding History
Total discretionary funding for OAA programs increased slightly from FY2001 to FY2002, and
remained relatively flat through FY2006. Annual increases in OAA program funding occurred
from FY2006 to FY2010. Since then, overall OAA funding levels have remained below the
FY2010 level (see Figure 2). OAA funding increased steadily from $1.783 billion in FY2006 to
$2.328 billion in FY2010, an overall increase of 31% over this time period (not adjusted for
inflation). Additional funding was provided in FY2009 under the American Recovery and
Reinvestment Act (ARRA; P.L. 111-5). For FY2010, a one-time special appropriation funded the
CSEOA Program to serve low-income seniors affected by the recession.
Total discretionary funding for OAA programs declined in FY2011 through FY2013, with
FY2013 funding falling below the FY2007 level ($1.807 billion in FY2013 compared with
$1.855 billion in FY2007). Most of the 5.5% reduction from FY2012 to FY2013 is attributable to
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sequestration.3 For FY2014 and FY2015, total OAA funding was above the FY2013 level but
slightly below the FY2012 level. (Amounts in this discussion are not adjusted for inflation). For
more details on funding for OAA programs for FY2006 through FY2015, see Appendix B.
Figure 2. Total Funding for Older Americans Act Programs, FY2001-FY2015
($ billions)

Source: Prepared by CRS based on appropriations legislation, committee reports, and agency operating plans.
Amounts are nominal dollars (not adjusted for inflation).
Note: ARRA = American Recovery and Reinvestment Act (P.L. 111-5).
FY2015 Legislative Activity
President Obama signed the Consolidated and Further Continuing Appropriations Act, 2015 (P.L.
113-235), on December 16, 2014, which provided $1.878 billion in FY2015 funding for OAA
programs and activities. As with the FY2014 Consolidated Appropriations Act, the FY2015
appropriations law reflected the new consolidated ACL account structure, rather than the previous
AOA account structure. Consequently, in this report, FY2014 and FY2015 funding for OAA Title
II “Program Administration” now reflect program administration costs for aging and disability
services programs administered by ACL, not just aging services programs administered by AOA
as in prior years.

3 The Budget Control Act of 2011 (BCA, P.L. 112-25) tasked a Joint Select Committee on Deficit Reduction with
developing a deficit reduction plan for Congress and the President to enact by January 15, 2012. The failure of
Congress and the President to enact deficit reduction legislation by that date triggered an automatic spending reduction
process that included sequestration. This sequestration affected OAA programs through a 5% reduction in non-exempt
nondefense discretionary funding in FY2013. In addition, the Consolidated and Further Continuing Appropriations Act,
2013 (P.L. 113-6), which generally funded discretionary HHS and DOL programs for FY2013 at their FY2012 levels,
also included an across-the-board rescission of 0.2% per Section 3004, as interpreted by the Office of Management and
Budget (OMB).
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Continuing Resolutions
Prior to P.L. 113-235, FY2015 discretionary funding for most federal government agencies and
activities (including OAA programs) was provided through three continuing resolutions (CRs):
• The Continuing Appropriations Resolution, 2015 (P.L. 113-164), signed
September 19, 2014, provided temporary government-wide funding through
December 11, 2014.
• P.L. 113-202, signed December 12, 2014, continued the temporary funding
through December 13, 2014.
• P.L. 113-203, signed December 13, 2014, continued the temporary funding
through December 17, 2014.
These CRs generally funded discretionary Labor-HHS-Education programs (including OAA
programs) at the same rate and under the same conditions as in the FY2014 Consolidated
Appropriations Act (P.L. 113-76), minus an across-the-board reduction of 0.0554%.
House Action, 113th Congress
The House Appropriations Committee did not hold a subcommittee or full committee markup for
a FY2015 Labor-HHS-Education appropriations bill. However, on September 15, 2014, the
ranking Member of the House Appropriations Labor-HHS-Education Subcommittee introduced
H.R. 5464, Departments of Labor, Health and Human Services, and Education, and Related
Agencies Appropriations Act, 2015. The bill would have provided $448.3 million for OAA Title
V (CSEOA), $13.9 million (3.2%) more than FY2014 funding. It would have funded OAA Title
III senior nutrition programs at $816 million, an increase of $1.6 million, restoring those
programs’ funding to FY2012 levels.4 The bill did not delineate specific dollar amounts for other
OAA programs and activities. It was referred to the House Appropriations Committee and did not
see further legislative action.
Senate Action, 113th Congress
On June 10, 2014, the Senate Appropriations Labor-HHS-Education Subcommittee approved an
FY2015 appropriations bill by voice vote.5 It would have funded OAA programs at $1.871
billion, similar to the FY2014 funding level. For most OAA programs, the bill proposed to fund
OAA programs relative to their FY2014 levels, with two exceptions. The bill proposed a $5.5
million (3.8%) increase in family caregiver funding under Title III and a $5.9 million (3.7%)
decrease in funding for the Nutrition Services Incentive Program.6 The subcommittee also

4 Representative Rosa L. DeLauro, “Highlights of DeLauro FY15 Labor-HHS-Education Appropriations Bill,” press
release, September 15, 2014, http://delauro.house.gov/images/pdf/
09.12.14%20FY15%20Approps%20summary%20.pdf.
5 The bill was posted at http://www.appropriations.senate.gov/sites/default/files/LHHS%20Bill%2087259.pdf. On July
23, 2014, the Senate Appropriations Committee released the subcommittee-approved bill and draft subcommittee
report, which was posted at http://www.appropriations.senate.gov/sites/default/files/
LHHS%20Report%20w%20Chart%2007REPT.PDF.
6 According to the draft subcommittee report, the amount is consistent with the FY2014 comparable level after
accounting for the HHS transfer to the U.S. Department of Agriculture for the Nutrition Services Incentive Program for
(continued...)
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proposed $10.0 million for a new Elder Justice Initiative, noting that this program was
“authorized in the Elder Justice Act” (thus, the $10.0 million is excluded from the OAA total
above). The bill was not considered by the full committee and saw no further legislative action.
President’s Budget Request
On March 4, 2014, President Obama released the Administration’s FY2015 budget request, which
proposed $1.819 billion for OAA programs ($52.5 million, or 2.8%, less than the FY2014
funding level). The budget proposed that most OAA programs continue to be funded at their
FY2014 levels, with the following exceptions:
• $20.0 million in new mandatory funding for Aging and Disability Resource
Centers (ADRCs), and no discretionary funding.
• $380.0 million in discretionary funding (a $54.4 million decrease from FY2014)
for the CSEOA Program;
• $5.0 million in new discretionary funding for a Holocaust Survivor Assistance
Fund; and
• $3.0 million in new discretionary funding for the White House Conference on
Aging.
The FY2015 budget also requested $25.0 million in new discretionary funding for an “Elder
Justice Initiative” authorized jointly under OAA Sections 451 and 751 and the Elder Justice Act
(Sec. 2042(a) of the Social Security Act). The ACL Budget Justification did not specify funding
amounts under OAA authority; thus this figure is not included in the OAA total above. The
FY2015 budget also proposed transferring the administration of the CSEOA program from DOL
to ACL.
FY2015 Funding: Selected OAA Programs and Issues
The following section highlights differences for selected OAA programs and issues among the
FY2015 President’s budget request, the Senate subcommittee-approved FY2015 Labor-HHS-
Education appropriations bill (Senate bill), the House minority FY2015 Labor-HHS-Education
appropriations bill (H.R. 5464), and final FY2015 funding enacted under P.L. 113-235. These
programs and issues include funding for the CSEOA program, Holocaust survivors’ support,
Aging and Disability Resource Centers (ADRCs), and the White House Conference on Aging.
Community Service Employment for Older Americans
Title V, Community Service Employment for Older Americans (CSEOA), also known as the
Senior Community Service Employment Program (SCSEP), was established to promote useful
part-time opportunities in community service activities for unemployed low-income persons aged

(...continued)
the purchase of commodities and related expenses (p. 161).
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55 and older who have poor employment prospects.7 The FY2015 budget request proposed to
transfer responsibility for administering the CSEOA program from DOL to ACL, stating that
participants would benefit from CSEOA’s integration with other aging services programs
administered by ACL. It also proposed $380.0 million in funding for FY2015, which would be
13% less than FY2014.8
Of the 56 state and territorial grantees operating CSEOA programs, 17 are in state labor
departments, whereas the remainder are in aging, senior services, or health and human services
departments.9 The FY2015 proposal noted that ACL shared CSEOA’s mission of “helping older
Americans maintain their independence (both economic independence and living arrangements)
and active participation in communities” and that the transfer to ACL “would consolidate Federal
oversight of the OAA under one department, streamlining operations and putting Federal
administration of CSEOA in alignment with operations in the field.”10 Current law does not
provide for such a transfer through administrative action alone; Congress would have to pass
legislation authorizing such a transfer to take effect. The FY2012, FY2013, and FY2014
President’s budget requests similarly proposed transferring CSEOA to ACL.
If placed in HHS, ACL would target the program to persons with the greatest need, to consider
“all sources of income” in determining the eligibility of future enrollees, and to target funds to
areas “where performance data indicate the potential for the largest impact.” ACL also proposed
restructuring CSEOA as a community service program, stating that in the past, CSEOA was
administered alongside Workforce Investment Act programs designed to meet the needs of
businesses and workers looking to advance in their careers. ACL found that the CSEOA program
did not “fit well” in the Workforce Investment Act framework, because “the older SCSEP worker
is not looking to build a resume but rather to increase his or her income and contribute to the
community.”11
The Senate bill would have funded CSEOA at the FY2014 level. In its draft report, the
subcommittee recommended keeping CSEOA in DOL, similar to previous recommendations
given in Labor-HHS-Education committee reports in each of FY2012 to FY2014.12 H.R. 5464
would have funded CSEOA under the DOL account at $448.3 million ($13.9 million more than
FY2014 funding). Final FY2015-enacted funding made no changes to CSEOA program
administration. Thus, for FY2015 the program remains funded and administered under DOL, with
the same appropriations as in FY2014. P.L. 113-235 also allowed the Secretary of Labor to
reserve not more than 0.5% of the CSEOA appropriation for evaluation of the program.13

7 A directory of CSEOA programs is at U.S. Department of Labor, CareerOneStop, Employment Training – Older
Worker Program – SCSEP, http://www.servicelocator.org/olderworkers.
8 HHS, ACL, Fiscal Year 2015 Justification of Estimates for Appropriations Committees, p. 81.
9 DOL, FY2015 Congressional Budget Justification, Employment and Training Administration, Community Service
Employment for Older Americans, p. CSEOA-11, http://www.dol.gov/dol/budget/2015/PDF/CBJ-2015-V1-07.pdf.
10 HHS, ACL, Fiscal Year 2015 Justification of Estimates for Appropriations Committees, p. 81; DOL, FY2015
Congressional Budget Justification, Employment and Training Administration, Community Service Employment for
Older Americans, p. CSEOA-11
11 HHS, ACL, Fiscal Year 2015 Justification of Estimates for Appropriations Committees, pp. 38, 81-82.
12 S.Rept. 112-176, p. 23. S.Rept. 112-84, pp. 18-19.
13 P.L. 113-235, Division G, Section 107.
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Holocaust Survivors Assistance
ACL estimates that approximately 130,000 Holocaust survivors live in the United States, and of
those, 25% live in poverty.14 The President’s FY2015 budget proposed $5.0 million in OAA Title
IV funding to establish a Holocaust Survivor Assistance Fund (the Fund), which would also
receive matching dollars from private philanthropy. The Fund would have provided supportive
services for Holocaust survivors, such as legal assistance and case management.15 The Senate bill
did not propose funding for the Holocaust Survivor Assistance Fund “due to budget constraints.”
However, the draft report urged ACL to prioritize this population within its existing programs.16
Similarly, H.R. 5464 did not specify funding for Holocaust survivors.17 Although FY2015 final
funding did not establish the budget’s proposed Holocaust Survivor Assistance Fund, it did
include $2.5 million in new discretionary funding to provide supportive services for aging
Holocaust survivors in FY2015.
Aging and Disability Resource Centers
The aim of Aging and Disability Resource Centers (ADRCs) is to create “one-stop shop” single
entry points for information about the range of public and private long-term services and supports
(LTSS) available to consumers. ADRCs may provide counseling regarding public and private
LTSS options, as well as access to public programs such as Medicaid and Department of Veterans
Affairs programs. ADRCs also provide discharge planning and care transition services to help
individuals remain in their own homes after a hospitalization, rehabilitation, or skilled nursing
facility visit. There are currently more than 500 ADRC sites nationwide, operating in 50 states,
two territories, and the District of Columbia. In FY2012, ADRCs had 5.2 million contacts with
clients.18 From FY2010 through FY2014, ADRCs received $10 million in mandatory funding
enacted under the Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended),
in addition to discretionary funding authorized under OAA Title II ($6.1 million in FY2014).
The President’s FY2015 budget proposed no FY2015 discretionary funding for ADRCs, and
$20.0 million each year for five years in renewed mandatory funding.19 The budget justification
noted that since 2003, AOA and the Centers for Medicare & Medicaid Services (CMS) have
provided $100 million “to develop the foundational infrastructure” for ADRC services. It also
noted that with additional funding, some ADRC programs could assist states in meeting
requirements for an enhanced federal matching rate under the Medicaid Balancing Incentive

14 HHS, ACL, Fiscal Year 2015 Justification of Estimates for Appropriations Committees, p. 223.
15 HHS, ACL, Fiscal Year 2015 Justification of Estimates for Appropriations Committees, p. 223.
16 Senate Appropriations Committee, Draft report for Departments of Labor, Health and Human Services, and
Education, and Related Agencies Appropriations Bill, 2015, pp. 159 and 165, http://www.appropriations.senate.gov/
sites/default/files/LHHS%20Report%20w%20Chart%2007REPT.PDF.
17 H.R. 5464 specified a total amount for ACL but did not break out amounts for ACL’s OAA activities. Because the
bill did not have an accompanying committee report or funding table, it is not clear whether Holocaust survivors’
assistance would have been funded.
18 HHS, ACL, Fiscal Year 2015 Justification of Estimates for Appropriations Committees, pp. 195, 197. A directory of
ADRCs is available at the Aging and Disability Resource Center Technical Assistance Exchange website,
http://www.adrc-tae.org/tiki-index.php?page=ADRCLocator.
19 The FY2014 budget also proposed to eliminate discretionary OAA funding to ADRCs. For more background, see
CRS Report R43423, Older Americans Act: FY2014 Appropriations Overview.
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Payments Program.20 The Senate bill would have provided $6.1 million in discretionary funding
for ADRCs. The Senate subcommittee also urged ACL to improve coordination among ADRCs,
Area Agencies on Aging (AAAs), and Centers for Independent Living (CILs) to ensure that there
is “no wrong door” for consumer access to long-term services and supports.21 H.R. 5464 did not
specify a particular dollar amount for ADRCs. Final FY2015-enacted funding provided $6.1
million in discretionary funding to ADRCs, the same as the FY2014 discretionary amount.22 It did
not fulfill the President’s budget request for additional mandatory funding.
White House Conference on Aging
In the past, the White House Conferences on Aging have offered an opportunity to focus national,
state, and local attention on concerns of older individuals and have provided direction to federal
policy makers. The precursor to the decennial White House conferences was the National
Conference on Aging held in 1950 during the Truman Administration. Eleven years after this first
national conference, the first White House Conference on Aging was held in 1961. Subsequent
White House Conferences on Aging were held in every decade (in 1971, 1981, 1995, and 2005.)23
The President’s FY2015 budget request proposed $3.0 million, to be made available through
FY2016, to hold a White House Conference on Aging in 2015. The Senate bill provided no
dedicated funding for the conference, citing budget constraints. However, the draft report
encouraged ACL to support the conference with existing resources from HHS, the White House,
and across the federal government.24 H.R. 5464 did not specify funding for the White House
Conference on Aging.25 Furthermore, no dedicated funding for the conference was provided in
final FY2015-enacted appropriations.
The White House plans to hold the conference in 2015 in Washington, DC. The conference
website notes that “without direct appropriations, the scale and scope of the Conference will
differ from previous Conferences. However, as we go forward, we expect to use technology and
other tools not available in the past to reach and engage more people than was previously
possible.” The White House Conference on Aging will recognize the 80th anniversary of Social
Security and the 50th anniversary of Medicare, Medicaid, and the Older Americans Act.26 Policy
areas highlighted include retirement security, healthy aging, long-term services and supports, and
elder justice. Conference organizers have also announced regional forums and listening sessions
to be held through the year to obtain input for the conference. For further information about
conference activities, see www.whitehouseconferenceonaging.gov.

20 HHS, ACL, Fiscal Year 2015 Justification of Estimates for Appropriations Committees, pp. 193-194. For
background on the Medicaid Balancing Incentives Payments Program, see CRS Report R43328, Medicaid Coverage of
Long-Term Services and Supports.
21 Senate Appropriations Committee, Draft report for Departments of Labor, Health and Human Services, and
Education, and Related Agencies Appropriations Bill, 2015, p. 163.
22 In addition, ADRCs received $10 million in annual mandatory funds from ACA for FY2014, subject to a 7.2%
sequestration. Thus, for FY2014, total annual ADRC funding was $15.4 million.
23 HHS, ACL, Administration on Aging (AoA) Historical Evolution of Programs for Older Americans,
http://www.aoa.gov/AOA_programs/OAA/resources/History.aspx.
24 Senate Appropriations Committee, Draft report for Departments of Labor, Health and Human Services, and
Education, and Related Agencies Appropriations Bill, 2015, p. 165.
25 H.R. 5464 did not mention the conference. Because the bill did not have an accompanying committee report or
funding table, it is not clear whether the conference would have been funded.
26 2015 White House Conference on Aging, http://www.whitehouseconferenceonaging.gov/about/index.html.
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Appendix A. Older Americans Act: Authorizations
of Appropriations
Table A-1 shows the authorizations of appropriations for each title of the act as stipulated by the
2006 Older Americans Act Amendments (P.L. 109-365).
Table A-1. Authorizations of Appropriations for Older Americans Act Programs
Older Americans Act
OAA Section /
Programs
Authorizations of Appropriations
U.S. Code Section
Title II, Administration on Aginga
Administration of the Act,
Such sums as may be necessary.
Sec. 205(c) /
Authority of Assistant Secretary
42 U.S.C. 3016(c)
Administration on Aging
FY2007-FY2011, such sums as may be necessary.
Sec. 216(a) /
42 U.S.C. 3020f(a)
Eldercare Locator
FY2007-FY2011, such sums as may be necessary.
Sec. 216(b) /
42 U.S.C. 3020f(b)
Pension counseling and
FY2007-FY2011, such sums as may be necessary.
Sec. 216(c) /
information program
42 U.S.C. 3020f(c)
Title III, State and Community Programs on Aging
Supportive services and centers
FY2007-FY2011, such sums as may be necessary.
Sec. 303(a) /
42 U.S.C. 3023(a)
Congregate nutrition services
FY2007-FY2011, such sums as may be necessary.
Sec. 303(b)(1) /
42 U.S.C. 3023(b)(1)
Home-delivered nutrition
FY2007-FY2011, such sums as may be necessary.
Sec. 303(b)(2) /
services
42 U.S.C. 3023(b)(2)
Disease prevention and health
FY2007-FY2011, such sums as may be necessary.
Sec. 303(d) /
promotion
42 U.S.C. 3023(d)
Family caregiver support
FY2007, $160 million; FY2008, $165.5 million;
Sec. 303(e) /
FY2009, $173 million; FY2010, $180 million;
42 U.S.C. 3023(e)
FY2011, $187 million.
Nutrition services incentive
FY2007-FY2011, such sums as may be necessary.
Sec. 311(e) /
program
42 U.S.C. 3030a(e)
Title IV, Activities for Health, Independence, and Longevity

FY2007-FY2011, such sums as may be necessary.
Sec. 411(b) /
42 U.S.C. 3032(b)
Title V, Community Service Senior Opportunities Act
Community Service Employment
FY2007-FY2011, such sums as may be necessary.
Sec. 517(a) /
for Older Americans
42 U.S.C. 3056o(a)
Title VI, Grants for Native Americans
Indian and Native Hawaiian
FY2007 and subsequent fiscal years, such sums
Sec. 643(1) /
programs
as may be necessary.
42 U.S.C. 3057n(1)
Native American caregiver
FY2007, $6.5 million; FY2008, $6.8 million;
Sec. 643(2) /
support program
FY2009, $7.2 million; FY2010, $7.5 million;
42 U.S.C. 3057n(2)
FY2011, $7.9 million.
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Older Americans Act
OAA Section /
Programs
Authorizations of Appropriations
U.S. Code Section
Title VII, Vulnerable Elder Rights Protection Activities
Subtitle A—State Programs
Long-term care ombudsman
FY2007 and subsequent fiscal years, such sums
Sec. 702(a) /
program
as may be necessary.
42 U.S.C. 3058a(a)
Elder abuse, neglect, and
FY2007 and subsequent fiscal years, such sums
Sec. 702(b) /
exploitation prevention program
as may be necessary.
42 U.S.C. 3058a(b)
Legal assistance development
FY2007 and subsequent fiscal years, such sums
Sec. 702(c) /
program
as may be necessary.
42 U.S.C. 3058a(c)
Subtitle B—Native American Organization and Elder Justice Provisions
Native American elder rights
FY2007 and subsequent fiscal years, such sums
Sec. 751(d) /
programa
as may be necessary.
42 U.S.C. 3058aa(d)
Grants for state elder justice
FY2007 and subsequent fiscal years, such sums
Sec. 751(d) /
systemsb
as may be necessary.
42 U.S.C. 3058aa(d)
Source: The Older Americans Act of 1965, P.L. 89-73, as amended. Includes the most recent amendments to
the act, under the Older Americans Act Amendments of 2006 (P.L. 109-365).
a. Two provisions in the act require the Assistant Secretary to make certain amounts available for certain
activities: Sec. 202(a)(18)(B) makes available to the National Long-Term Care Ombudsman Resource
Center not less than the amount of resources made available to the National Long-Term Care Ombudsman
Resource Center for FY2000. Sec. 202(d)(4) states that the Assistant Secretary shal make available to the
National Center on Elder Abuse such resources as are necessary for the Center to carry out effectively the
functions of the Center under this act and not less than the amount of resources made available to the
Resource Center on Elder Abuse for FY2000.
b. The act authorizes appropriations for Subtitle B, which includes the Native American elder rights program
and grants for state elder justice systems.

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Appendix B. Older Americans Act Programs:
FY2006-FY2015 Funding
Table B-1 shows the funding history for OAA programs for FY2006 through FY2015. Amounts
are not adjusted for inflation. The table includes several non-add lines—in italicized font with
funding amounts in parentheses—for specific programs within a larger budget account (i.e.,
Nutrition Services).

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Table B-1. Funding for the Older Americans Act (OAA) Programs: FY2006-FY2015
($ in millions)
OAA Programs
FY2006a
FY2007b FY2008c
FY2009d
FY2010e FY2011f FY2012g FY2013h FY2014 FY2015
Title II: Administration on
$30.812 $31.518 $49.653 $60.390 $64.252 $40.075 $43.160 $40.741 $50.007 $50.007
Aging
Program
administration
17.688 18.385 18.064 18.696 19.976 19.939 23.063 21.771i 30.035j 30.035j
Aging network support
13.124 13.133 31.589k 41.694l 44.276 2.891m 2.886m
2.274m 3.661m,n
3.661m,n
activities
Senior Medicare Patrolo — — — — — 9.420
9.402
8.875 8.910 8.910
Aging and Disability Resource
— — — — — 6.469
6.457
6.095 6.119 6.119
Centerso
Elder rights support activitiesp
— — — — — 1.355
1.352
1.277 1.282 1.282
Title III: Grants for State
$1,242.378 $1,263.232 $1,283.816 $1,443.337q $1,362.866 $1,360.342 $1,357.770 $1,281.470 $1,327.815 $1,327.815
and Community Programs
on Aging
Supportive
services
and
centers
350.354 350.595 351.348 361.348 368.290 367.611 366.916 347.724 347.724 347.724
Family caregiversr
156.060 156.167 153.439 154.220 154.197 153.912 153.621 145.586 145.586 145.586
Disease prevention/health
21.385 21.400 21.026 21.026 21.026 20.984 20.944 19.849 19.848 19.848
promotion
Nutrition
services
714.579 735.070 758.003 906.743s 819.353 817.835 816.289 768.311 814.657 814.657
Congregate meals (non-add) (385.054) (398.919)t (410.716) (499.269)u (440.718) (439.901) (439.070) (416.104) (438.191) (438.191)
Home-delivered meals (non-
(181.781) (188.305)t (193.858) (246.459)v (217.644) (217.241) (216.830) (205.489) (216.397) (216.397)
add)
Nutrition services incentive
(147.744) (147.846) (153.429) (161.015) (160.991) (160.693) (160.389) (146.718) (160.069) (160.069)
grants (non-add)
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OAA Programs
FY2006a
FY2007b FY2008c
FY2009d
FY2010e FY2011f FY2012g FY2013h FY2014 FY2015
Title IV: Activities for
$24.578 $24.058 $14.655 $18.172
$19.020 $27.102 $7.723 $7.291 $6.392 $12.892
Health, Independence, and
Longevityw
Program
Innovations
24.578 24.058 14.655 18.172
19.020 19.069 0
0
0
0
Elder rights support activitiesp
—
—
—
—
—
2.741 2.736 2.582 2.592 6.300
Aging network support
—
—
—
—
—
5.292 4.988 4.708 3.800n 6.592
activitiesx
Title V: Community
$432.311 $483.611t $521.625 $691.925y $825.425z $449.100 $448.251 $424.805 $434.371 $434.371
Service Employment for
Older Americans
Title VI: Grants to Native
$32.353 $32.375 $33.214 $36.597aa
$34.092 $34.029 $33.965 $32.188 $32.189 $32.189
Americans
Supportive and nutrition
26.116 26.134 26.898 30.208bb
27.704 27.653 27.601 26.157 26.158 26.158
services
Native
American
caregivers 6.237 6.241 6.316 6.389
6.388 6.376 6.364 6.031 6.031 6.031
Title VII: Vulnerable Elder
$20.142 $20.156 $20.633 $21.383
$21.880 $21.839 $21.797 $20.658 $20.658 $20.658
Rights Protection Activities
Long-term care ombudsman
15.000 15.010 15.577cc
16.327
16.825 16.793 16.761 15.885 15.885 15.885
program
Elder
abuse
prevention
5.142 5.146 5.056 5.056
5.055 5.046 5.036 4.773 4.773 4.773
Legal
assistance
0 0 0 0
0 0 0 0 0 0
Native Americans elder rights
0 0 0 0
0 0 0 0 0 0
program
TOTAL Older Americans
$1,782.574 $1,854.950 $1,923.596 $2,271.804dd $2,327.535 $1,932.487 $1,912.666 $1,807.153 $1,871.432 $1,877.932
Act Programs
Source: FY2006: Appropriations legislation and committee reports, various years. FY2007-FY2008: Consolidated Appropriations Act, 2008, Committee Print of the
Committee on Appropriations, U.S. House of Representatives, on H.R. 2764/P.L. 110-161, January, 2008, pp. 1776, 1809-1810, http://www.gpo.gov/fdsys/granule/CPRT-
110HPRT39564/CPRT-110HPRT39564-DivisionA/content-detail.html. FY2009: “Explanatory Statement Submitted by Mr. Obey, Chairman of the House Committee on
Appropriations, Regarding H.R. 1105, Omnibus Appropriations Act, 2009,” Congressional Record, February 23, 2009, pp. H2372, H2385; H.Rept. 111-16, Conference Report
to Accompany H.R. 1, pp. 449, 455. FY2010-FY2013: HHS, Department of Health and Human Services – FY2011 Operating Plans; DOL, Department of Labor, FY2011 Operating
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Plan, http://www.dol.gov/dol/budget/2012/PDF/2011OperatingPlanTable.pdf; personal communication with G. Steven Hagy, director, AOA/ACL Office of Budget and
Finance, March 18 and May 16, 2011, April 4, 2012, May 30, 2013; HHS, AOA, Fiscal Year 2013 Justification of Estimates for Appropriations Committees, February 13,
2012, http://acl.gov/About_ACL/Budget/docs/FY_2013_AoA_CJ_Feb_2012.pdf; personal communication with Michael Bernier, HHS Budget Office, May 16, 2012; HHS,
ACL, Final FY 2013 ACL Funding Budget Information, May 23, 2013, http://www.acl.gov/About_ACL/Budget/ACLFundingBudget2013.aspx; DOL, FY2013 Operating Plan,
http://www.dol.gov/dol/budget/2014/PDF/2013OperatingPlanTable.pdf. Senior Medicare Patrol Program (HCFAC): U.S. Department of Health and Human Services and
U.S. Department of Justice, Health Care Fraud and Abuse Control Program, Annual Report, http://oig.hhs.gov/reports-and-publications/hcfac/index.asp. FY2014: House Rules
Committee Print 113-32, Division H of the Joint Explanatory Statement accompanying House Amendment to the Senate Amendment on H.R. 3457, Consolidated
Appropriations Act, 2014, January 13, 2014, pp. 88, 128-130, http://docs.house.gov/billsthisweek/20140113/113-HR3547-JSOM-G-I.pdf#page=104; personal
communication with G. Steven Hagy, director, ACL Office of Budget and Finance, February 13 and 14, 2014. FY2015: “Explanatory Statement Submitted by Mr. Rogers of
Kentucky, Chairman of the House Committee on Appropriations Regarding Amendment to the Senate Amendment on H.R 83, Consolidated and Further Continuing
Appropriations Act, 2015,” House of Representatives, Congressional Record, vol. 160, no. 151, Book II (December 11, 2014), pp. H9838, H9846, H9878-H9880; personal
communication with G. Steven Hagy, director, ACL Office of Budget and Finance, January 13, 2015.
a. FY2006 amounts reflect two rescissions. (1) A 1% across-the-board reduction required by P.L. 109-148, Division B, Title III, Chapter 8, Sec. 3801. (2) On June 14,
2006, the HHS Secretary notified the Appropriations Committees that he would transfer funds among HHS programs to finance activities related to the Medicare
drug benefit call center. This transfer was a 0.069% across-the-board reduction and it reduced AOA funds by $0.9 million. It was authorized by Sec. 208 of P.L. 109-
149.
b. For FY2007, P.L. 110-5 specified dollar amounts for some, but not all, programs. Agencies had some flexibility to determine program amounts based on FY2006
appropriations.
c. P.L. 110-161, the FY2008 Consolidated Appropriations Act, applied an across-the-board reduction of 1.747% to figures in the bil text and Explanatory Statement
narrative (Division G, Title V, Sec. 528). The table reflects this reduction.
d. FY2009 figures include funds from both the FY2009 Omnibus Appropriations Act (P.L. 111-8) and the American Recovery and Reinvestment Act (ARRA, P.L. 111-
5). OAA Programs received $220.000 million from ARRA ($100 mil ion for AOA and $120 million for DOL).
e. FY2010 amounts reflect both appropriations and transferred funds, including the HHS Secretary’s transfer of $224,298 from AOA to assist states with AIDS Drug
Assistance Programs (ADAP). This was part of $25 million that the Secretary reallocated and transferred in total from various HHS agencies to assist state ADAP
programs with wait lists and cost containment. For more background on the transfer, see HHS, “Statement from Secretary Sebelius on Reallocating $25 million for
AIDS Drug Assistance,” press release, July 9, 2010, http://wayback.archive-it.org/3926/20131018160659/http://www.hhs.gov/news/press/2010pres/07/
20100709c.html, and HHS, Health Resources and Services Administration, Fiscal Year 2012 Justification of Estimates for Appropriations Committees, p. 261,
http://www.hrsa.gov/about/budget/budgetjustification2012.pdf.
f.
FY2011 full-year continuing resolution (CR) P.L. 112-10 specified funding levels for some, but not al , OAA and other AOA-administered programs. For programs
not specifical y mentioned in the CR, AOA had some discretion in how to al ocate FY2011 funds. The CR required agencies, within 30 days of enactment, to submit
expenditure and operating plans to congressional appropriations committees, at a level of detail below the account level. FY2011 amounts reflect the 0.2% across-
the-board rescission required by Sec. 1119. See HHS, Department of Health and Human Services – FY2011 Operating Plans.
g. P.L. 112-74, the FY2012 Consolidated Appropriations Act, Division F, Sec. 527, applied a 0.189% across-the-board rescission to most Labor-HHS-Education
accounts, including OAA and AOA accounts. The table reflects this rescission.
h. FY2013 amounts reflect sequestration pursuant to the Budget Control Act of 2011 (P.L. 112-25) and the American Taxpayer Relief Act of 2012 (ATRA; P.L. 112-
240); the across-the-board rescission of 0.2% required by the Consolidated and Further Continuing Appropriations Act, 2013 (P.L. 113-6, Sec. 3004), and transfers.
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i.
This is the amount for AOA program administration. In addition to several OAA programs, AOA administers several programs under non-OAA authorities, such as
the Public Health Service Act (PHSA) and the Medicare Improvements for Patients and Providers Act (MIPPA). This amount reflects program administration for all
those programs, not just OAA programs. (Personal communication with G. Steven Hagy, Director, ACL Office of Budget and Finance, May 30, 2013.)
j.
FY2014 and FY2015 amounts reflect program administration costs for aging and disability services programs administered by ACL, not just aging services programs
administered by AOA as in prior years.
k. The FY2008 Consolidated Appropriations Act (P.L. 110-161) provided $16.2 million in Title II funds under Aging Network support for the Choices for
Independence Initiative (after a 1.747% across-the-board reduction). This initiative included newly authorized provisions of the OAA Amendments of 2006 (P.L. 109-
365) related to “aging and disability resource centers (ADRCs), evidence-based prevention programs, and consumer-directed services targeted at individuals who
are at high risk of nursing home placement and spend-down to Medicaid” (H.Rept. 110-231, p. 207). The Bush Administration’s FY2008 budget requested Choices
for Independence funds under Title IV, which authorizes funds for training, research, and demonstration projects.
l.
The Omnibus Appropriations Act, 2009 (P.L. 111-8) provided $28.0 million for the Choices for Independence Initiative under Title II Aging Network Support
Activities. The Bush Administration’s FY2009 budget request would have similarly funded Choices for Independence under Title IV. Choices for Independence was
subsequently renamed “Health and Long-Term Care Programs” in the Obama Administration’s FY2010 budget request.
m. Several activities that were previously included under Aging Network Support Activities are listed under separate line items starting in FY2011. These activities
include the Senior Medicare Patrol Program, ADRCs, the National Center on Elder Abuse (now under Elder rights support activities), and the National Long-Term
Care Ombudsman Resource Center (now under Elder rights support activities). For FY2011through FY2015, Title II Aging Network Support Activities include only
the National Eldercare Locator and the Pension Counseling and Information Program.
n. FY2014 and FY2015 Budget documents provide funds for the National Eldercare Locator (authorized under OAA Title II Sec. 216(b)) and Multigenerational Civic
Engagement (authorized under OAA Title IV Sec. 417) together under a new “National Eldercare Locator and Engagement” line item. For simplicity, this table
includes funds for “National Eldercare Locator and Engagement” under Title II Aging Network Support Activities.
o. Prior to FY2011, Title II funds to Senior Medicare Patrol and ADRCs were included in the total for Aging Network Support Activities. In addition to discretionary
funding, the Senior Medicare Patrol Program receives Health Care Fraud and Abuse Control (HCFAC) funds, which are distributed for anti-fraud activities from the
Medicare Trust Fund at the joint discretion of the HHS Secretary and Attorney General. In addition to ADRC discretionary funding under Title II, Sec. 2405 of the
Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended) provided mandatory appropriations for ADRCs of $10.0 million for each year from
FY2010 to FY2014.
p. Elder rights support activities include the National Center on Elder Abuse (authorized under Title II), the National Long-Term Care Ombudsman Resource Center
(authorized under Title II), Model Approaches to Statewide Legal Assistance (authorized under Title IV), and National Legal Assistance and Support Projects
(authorized under Title IV). Prior to FY2011, funding for these programs was included in totals for Aging Network Support Activities and Program Innovations.
Starting in FY2015, elder rights support activities also include the new Elder Justice Initiative. For simplicity, this table counts FY2015 funding for the new Elder
Justice Initiative under Title IV elder rights support activities; however, these funds may also be used for activities authorized under OAA Section 751 and the Elder
Justice Act (Sec. 2042(a) of the Social Security Act).
q. Total FY2009 funding for Title III was $1,443.337 million. This includes $1,346.337 million from the FY2009 Omnibus Appropriations Act (P.L. 111-8) and $97.000
million from ARRA.
r. Funding for Native American family caregiving is shown in Title VI.
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s. Total FY2009 funding for Title III-C Nutrition Services was $906.743 million. This includes $809.743 million from the FY2009 Omnibus Appropriations Act (P.L.
111-8) and $97.000 million from ARRA.
t.
Funding level was specified in P.L. 110-5, Revised Continuing Appropriations Resolution, 2007.
u. Total FY2009 funding for congregate meals was $499.269 million. This includes $434.269 million from the FY2009 Omnibus Appropriations Act (P.L. 111-8) and
$65.000 million from ARRA.
v. Total FY2009 funding for home-delivered meals was $246.459 million. This includes $214.459 million from the FY2009 Omnibus Appropriations Act (P.L. 111-8) and
$32.000 million from ARRA.
w. The Older Americans Act Amendments of 2006 (P.L. 109-365) renamed Title IV, formerly titled “Training, Research, and Discretionary Projects and Programs.”
Many activities under Title IV are, at times, also referred to as “Program Innovations.”
x. Title IV Aging Network Support Activities include the National Alzheimer’s Cal Center; the National Education & Resource Center on Women & Retirement
Planning; National Resource Centers on Native Americans; National Minority Aging Organizations and National Technical Assistance Resource Center for Lesbian,
Gay, Bisexual, and Transgender Elders; Multigenerational Civic Engagement; and Program Performance and Technical Assistance. In AOA budget documents prior to
FY2012, funding for these programs was provided under Program Innovations. (In this report, for comparability, the FY2011-FY2013 columns reflect the
categorizations in FY2012 and FY2013 appropriations documents.) Starting in FY2015, Title IV Aging Network Support Activities also includes Holocaust Survivors
Assistance.
y. Total FY2009 funding for Title V was $691.925 million. This includes $571.925 million from the FY2009 Omnibus Appropriations Act (P.L. 111-8) and $120.000
million from ARRA.
z. The FY2010 Title V funding level included $225 million that, according to the Department of Labor (DOL), “was intended as a one-time provision related to current
economic conditions. The additional funding was provided as a short-term program expansion to support temporary job opportunities for low-income elderly
individuals while the nation recovers from the economic downturn.” DOL, FY2011 Congressional Budget Justification, Employment and Training Administration, Community
Service Employment for Older Americans (CSEOA), p. CSEOA-2.
aa. Total FY2009 funding for Title VI was $36.597 million. This includes $33.597 million from the FY2009 Omnibus Appropriations Act (P.L. 111-8) and $3.000 million
from ARRA.
bb. Total FY2009 funding for supportive and nutrition services to Native Americans was $30.208 million. This includes $27.208 million from the FY2009 Omnibus
Appropriations Act (P.L. 111-8) and $3.000 million from ARRA.
cc. Separate amounts not specified in FY2008 Consolidated Appropriations Act tables. These figures were calculated by CRS by applying the 1.747% across-the-board
reduction to figures in the Explanatory Statement narrative in the Congressional Record, December 17, 2007, p. H16242.
dd. Total FY2009 funding for OAA programs was $2,271.804 million. This includes $2,051.804 million from the FY2009 Omnibus Appropriations Act (P.L. 111-8) and
$220.000 million from ARRA.
CRS-18

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Older Americans Act: FY2015 Appropriations Overview

Author Contact Information

Angela Napili
Kirsten J. Colello
Information Research Specialist
Specialist in Health and Aging Policy
anapili@crs.loc.gov, 7-0135
kcolello@crs.loc.gov, 7-7839


Congressional Research Service
19

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