The Older Americans Act and the Aging Network: The Importance of Home and Community-based Long-term Care : Hearing Before the Subcommittee on Aging of the Committee on Labor and Human Resources, United States Senate, One Hundred Second Congress, First Session, on Examining Home and Community-based Long-term Care, Focusing on Current Roles and Contributions of the Older Americans Act and State and Local Aging Networks, April 26, 1991, Volume 4

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Page 59 - States to foster the development of comprehensive and coordinated service systems to serve older individuals, to " . . . (1) secure and maintain maximum independence and dignity in a home environment for older individuals capable of self care with appropriate supportive services; (2) remove individual and social barriers to economic and personal independence for older individuals; and (3) provide a continuum of care for the vulnerable elderly.
Page 59 - ... manner in which Title III of the amendments is implemented. The overall objective of the Title III program is to strengthen or to develop at the sub-state or area level a system of coordinated and comprehensive services for older persons — services which will enable older persons to live in their own homes or other places of residence as long as possible. — from "Grants for State and Community Programs on Aging.
Page 143 - Office of the Assistant Secretary for Planning and Evaluation in the Department of Health and Human Services are providing funding for this initiative in 2002.
Page 59 - SEC. 301. It is the purpose of this title to encourage and assist State and local agencies to concentrate resources in order to develop greater capacity and foster the development of comprehensive and coordinated service systems to serve older persons by entering into new cooperative arrangements with each other and with providers of social services for planning for the provision...
Page 131 - Health Care Financing Administration (HCFA) , US Department of Health and Human Services, are certified as well.
Page 119 - ... object and indeed I believe every one of America's 18 million persons over age 65 has a right to resent this official action by the Federal Government announcing to the nation that — the Independence, dignity and usefulness of our older Americans will hereinafter be regarded as welfare problems. This is contrary to everything that has been researched and recommended to change the image of aging from a sickly, indigent individual to a dignified, responsible person. The welfare setting has wiped...
Page 25 - Senator ADAMS. Without objection, your entire statement will appear in the record as though given.
Page 76 - Act; and (5) provide staff and other technical assistance to the Federal Council on the Aging. (b) In administering his functions under this Act, the Commissioner may utilize the services and facilities of any agency of the Federal Government and of any other public or nonprofit agency or organization, in accordance with agreements between the Commissioner and the head thereof, and is authorized to pay therefor, in advance or by way of reimbursement, as may be provided in the agreement.
Page 124 - ... (B) furnish appropriate technical assistance to providers of supportive services, nutrition services, or multipurpose senior centers in the planning and service area covered by the area plan; (C) take into account in connection with matters of general policy arising in the development and administration of the area plan, the views of recipients of services under such plan; (D) serve as the advocate and focal point for the elderly within the community by monitoring, evaluating, and commenting...
Page 130 - ... For similar reasons, Medicare pays for only limited amounts of community-based long-term care services, primarily through the program's home health benefit. To qualify for home health services, the person must be in need of skilled nursing care on an intermittent basis, or physical or speech therapy. Most chronically impaired persons do not need skilled care to remain in their homes, but rather nonmedical supportive care and assistance with basic self-care functions and daily routines that do...

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