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Griselda Oliveros

SWRK 360

WORKSHEET KARGER AND STOESZ POLICY ANALYSIS ELEMENTS AND CRITERIA


For Analysis of an Existing Federal Law Impacting Elders

Using www.thomas.gov or www.congress.gov select an existing federal legislative policy (public law) that directly
impacts people over the age of 65. Using the Karger and Stoesz policy analysis model (model is explained in chapter 2
of the text), provide supportive evidence for each of the criteria in the four elements of policy analysis for your selected
legislative policy (public law).

Cite at least four references on a separate page after the completed worksheet. References must be from credible
sources and may include the text and the law itself. The worksheet's references list must follow APA guidelines. Here is
a link to information about APA style: https://owl.english.purdue.edu/owl/resource/583/03/.

NAME OF THE PUBLIC LAW: Older Americans Act Reauthorization Act of 2016

NUMBER OF THE PUBLIC LAW: S.192 or Public Law 114-144

YEAR THAT THE BILL WAS SIGNED INTO LAW BY THE PRESIDENT: 1965. Then reauthorized in 2016.

KARGER AND STOESZ INFORMATION FROM THE LAW OR OTHER ANALYTICAL AUTHOR'S LAST NAME AND YEAR OF
ANALYSIS CRITERIA RESEARCH PUBLICATION FOR EACH STATEMENT
THAT SUPPORTS EACH ANALYSIS CRITERION OF SUPPORTIVE EVIDENCE

(This evidence may be written as bullet points)

ELEMENT #1: Description of historical background of the policy

Problems that led to the Congress passed the Older Americans Act (OAA) in Government Relations and
original creation of the 1965 in response to concern by policymakers about Policy, April 2016.
policy a lack of community social services for older
persons.

The law also established the Administration on


Aging (AoA).
Importance of the The Older Americans Act was passed in the Againg.dhs.georgia.go
problems historically same year as Medicare and established the v
primary vehicle for organizing and delivering Aoa.acl.gov
community-based services through a
coordinated system at the state level.
Because people are now living longer, and with
the growing rate of elderly baby boomers, this
generation needs help in having the services
they need.
As well as having a good standard of care.

Original management of Originally It had 7 titles: #1 Declaration of objects, OShaughnessy.2010

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the problems #2 Establishment of the Administration on Aging
(AoA), #3 Grants for state and community programs
on aging, #4 Activities for health, independence, and
longevity (program innovations). #5 Community
service senior opportunities act, #6 Grants for
services for Native
Americans, #7 Vulnerable elder rights protection
activities.

These titles are what helped this broad bill some


room for explaining what the exact needs of the
elderly are.
Historical background of The act was originally passed in 1965. OShaughnessy.2010
policy including original In 2011 congress reviewed it for
date of the establishment reauthorization.
of the policy (passage of
law)

Legislative history Because this law was passed the AOA was Aoa.acl.gov
established and gave the elderly population
advocates so they would receive more
services.
The2016OAAAct
reauthorizesprogramsforFY
2017throughFY2019.
Itincludesprovisionsthataim
toprotectvulnerableeldersby
strengtheningtheLongTerm
CareOmbudsmanprogram
andelderabusescreeningand
preventionefforts.
Italsopromotesthedeliveryof
evidencebasedprograms,such
asfallspreventionandchronic
diseaseselfmanagement
programs.

ELEMENT #2: Description of the problem(s) that necessitated the policy

The parameters of the Aoa.acl.gov


problem As the elderly population was growing the
services for them were not. (funding)
The AOA makes sure to promote the well-
being of older individuals by providing services
and programs designed to help them live
independently in their homes and
communities.
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Nature, scope and Although the law was passed the funding for
magnitude of the problem these programs was not enough and it needed
to be revised.
With the revisions the elderly were able to
receive more benefits and the agencies could
serve more people.
Populations affected by The elderly population, specifically, those who are Aoa.acl.gov
policy - Numbers? Who? over the age of 65. Congress.gov
How? Other revisions have added those who:
(1) Have behavioral health shall be
included in programs for mental health.
(Section 9)
(2) The Administration shall issue
guidance to states on serving Holocaust
survivors. (Section 10)

Causes of the problem Concern by policymakers about a lack of community Fas.org


social services for older individuals.
Prior to this act the elderly were no eligible for the
proper amount of assistance that they needed.

ELEMENT #3: Description of the policy

How the policy is expected The main idea of this policy is to be able to connect people with Acl.gov
to work the information about available resources and assistance Aoa.acl.gov
accessing those resources.
SeekstoimproveADRCcoordinationwith
areaagenciesonagingandother
communitybasedentitiesindisseminating
informationregardingavailablehomeand
communitybasedservicesforindividuals
whoareatriskfor,orcurrentlyresidingin,
institutionalsettings.
Resources or opportunities Grants
the policy will provide Separate grants for Native Americans
(power, cash, economic
opportunity, in-kind
FundingFormulaforTitlesIIIB,C&D:
services, status Nostateshallbeallottedlessthan:99%ofthe
redistribution, goods and allotmentforthepreviousyearforeachof
services, etc.)
FY2017FY2019,or100%oftheFY2019
allotmentforFY2020andeachsubsequent
fiscalyear.304(a)(3)(D)

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HealthandEconomicNeeds:
ClarifiestheAssistantSecretarys
responsibilitiesforthedevelopmentof
plans,programimplementation,and
preparationanddisseminationof
educationalmaterialsonthehealthand
economicneedsofolderindividuals.202(a)
(5)&(7)

Who is covered by the Those 65 and older. Congress.gov


policy and how (universal Native Americans
versus selective Holocaust survivors
entitlement, means testing,
The elderly with mental health problems
etc.)
Long term Care programs

How the policy is By providing community agencies with the funds, people, and
implemented, including information necessary.
coordination

Expected short and long Through the AoA and the aging network, the nation helps realize Acl.gov
term goals and outcomes the vision President Johnson articulated for the OAA: to clearly
of the policy affirm our Nations sense of responsibility toward the well-being
of all of our older citizens and expand our opportunities for
enriching the lives of all of our citizens in this country, now and in
the years to come.

The administrative CareCoordination Aoa.acl.gov


auspices under which the
policy is lodged, including ClarifiestheAssistantSecretarys
the roles of the private responsibilitiestoprovidetechnicalassistanceto,
sector and of local, state
and federal governments in andcoordinatesharingofbestpracticeswith,
its development states,areaagenciesonaging,andservice
providersregardingcoordinationwithhealthcare
entities,inordertoimprovecarecoordinationfor
individualswithmultiplechronicillnesses.202(a)
(31)

DemonstrationAuthority
AuthorizestheSeniorMedicarePatrol(SMP)
programinTitleIV.411(a)(13)

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EliminatesthreeTitleIVdemonstration
programs:ComputerTraining;Multidisciplinary
Centers&MultidisciplinarySystems;and
Ombudsman&AdvocacyDemonstration
Projects.
The funding mechanism for
the policy, including short
Title III authorizes grants to 56 SUAs and
and long term funding over 600 AAAs to act as advocates on
commitments
behalf of, and to coordinate programs for,
older persons.
Title III accounted for 71%of the OAAs
total FY2016 funding ($1.353 billion out of
$1.915 billion). States receive separate
allotments of funds based on a statutory
funding formula for supportive services
and centers, family caregiver support,
congregate nutrition, home - delivered
nutrition, the nutrition services incentive
grant program, and disease prevention
and health promotion services.
The OAA allows states some flexibility to
transfer funds among Title III programs.
For example, in FY2013, states
collectively transferred an et total of $73.8
million from congregate nutrition to either
supportive services or home-delivered
nutrition.
The agencies or Requires the Assistant Secretary for Aging of the AOA
organizations with overall to focus:
responsibility (1) on the health and economic needs and welfare of older
individuals

(2) ensure that authorized programs include appropriate


training in the prevention of abuse, neglect, and
exploitation and provision of services that address
elder justice and the exploitation of older individuals.

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Directs the Assistant Secretary to issue guidance to
applicable to states, area agencies on aging, and
providers of services for older individuals, with
respect to serving Holocaust survivors.

Requires an area agency on aging plan to:


(1) support modernization of multipurpose senior centers
(including a plan to use the skills and services of older
individuals in paid and unpaid work, including
multigenerational and older individual to older individual
work).
(2) arrange to increase public awareness of elder abuse,
neglect, and exploitation, and remove barriers to education,
prevention, investigation, and treatment of elder abuse,
neglect, and exploitation.

Formal or informal criteria


to be used to determine
effectiveness of the policy

Expected duration of policy At first it was only reauthorized for three years at a time, which is Ncpssm.org
- Sunset laws helpful to makes improvements.

Knowledge base or The AoA has special reports made. Aoa.acl.gov


scientific grounding on Aging into the 21st Century is a good one because it
which the policy rests talks about the factors that lead into each aspect of
elderly health conditions and their involvement in these
programs.

ELEMENT #4: Policy analysis

Indications that goals of They are trying to provide services for the elderly.
the policy (law) are legal. With each revision lawmakers are defining more
clearly who can get services. Which allow more
people to benefit from the programs. (Long Term
Care programs for example for current revision)
Indications that goals of The goals of the policy are just because they keep
the policy (law) are just and on adding the different types of agencies that can
democratic benefit from the funding for the elderly.

Indications that the policy With this current revision the benefits for holocaust
(law) will contribute to survivors and those with mental health problems
greater social equality has increased.
This proves that they are increasing the different
kinds of benefits for different groups of people in this

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population.
Indications that the policy
(law) will positively affect
Title III services are available to
the redistribution of all persons aged 60 and older,
income, resources, rights,
entitlements, rewards, but are targeted at those with the
opportunities and status of greatest economic or social need,
people
particularly low-income and
minority persons, older
individuals with limited English
proficiency, and older persons
residing in rural areas.
Means testing is prohibited.
Participants are encouraged to
make voluntary contributions for
services they receive.
States are allowed to implement
cost-sharing policies for certain
services on a sliding -scale fee
basis, but older persons must not
be denied services due to failure
to make cost -sharing payments.
State, local, and private funding
sources also supplement federal
OAA funds for these services.
Indications that the policy It gives those who are eligible more services to have
(law) will contribute to a Long Term Care and In home
better quality of life for the
target population

Indications that the goals TitleV,sometimesreferredtoas Hadpg.org


of the policy (law) will
SCSEP(theSeniorCommunityService
adversely affect the quality
of life of the target group EmploymentProgram),providespart
timejobsforunemployedlowincome
peopleage55andolderwhohavepoor
employmentprospects
AoAawardsTitleVIgrantstoIndian
tribalorganizations,AlaskanNative
organizations,andnonprofitgroups
representingNativeHawaiians.Grants
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areusedtofundsupportiveand
nutritionservicesforolderNative
Americans.InFY2009,grantswere
awardedto244Indiantribal
organizationsand2NativeHawaiian
organizations.

Indications that the policy It helps families to find help to care for their elderly
(law) will contribute to loved ones.
positive social relations Gives a peace of mind because the care providers
between the target have certain goals and standards that they have to
population and the overall meet.
society

Indications that the goals Through the AoA and the aging network, the nation Acl.gov
of the policy (law) are helps realize the vision President Johnson
consistent with the values articulated for the OAA: to clearly affirm our
of professional social work Nations sense of responsibility toward the well-
(self-determination, client being of all of our older citizens and expand our
rights, self-realization, etc.) opportunities for enriching the lives of all of our
citizens in this country, now and in the years to
come.
Indications that the policy The law has helped many elderly people receive the
(law) is politically feasible services they need.
With each revision it has added more and more
diverse groups of people within the elderly
population (Native American, Hispanics, mental
health, and Holocaust survivors).
Indications that the policy Title lll and V
(law) is economically
feasible

Indications that the policy The law gives certain duties to each of the directors,
(law) is administratively secretaries, and assistants. They enable each one
feasible of them to focus on certain aspects and in turn
divide the work in the same way to those who will
carry out different aspects of the work.
Indications that the policy It doesnt just provide services for the elderly. The
(law) is effective law also makes it possible for the agencies to help
them get jobs and educate them. They also teach
about death and how they can best carry out their
wishes up to and past that point.
Indications that the policy The work is divided amongst the directors,
(law) is efficient secretaries, and assistants.

Indications of alternative When I tried looking for competing policies I didnt


policies competing with this find any.
policy There may be some but for the most part since it
has been around for 51 years it is a law that keeps
on helping more and more people.
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If anything there is just a lot of advocacy being done
to make sure the AOA gets more funding and
services for their clients.

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REFERENCES

Congress.gov. (2016). S.192 - Older Americans Act Reauthorization Act of 2016. Retrieved from:
https://www.congress.gov/bill/114th-congress/senatebill/192/summary/00?q=%7B%22search%22%3A
%5B%22%5C%22elder%5C%22+or+%5C%22aging%5C%22%22%5D%7D%3Fq%3D%7B
%22search%22%3A%5B%22%5C%22elder%5C%22+or+%5C%22aging%5C%22%22%5D%7D
%3Fq%3D%7B%22search%22%3A%5B%22%5C%22elder%5C%22+or+%5C%22aging%5C
%22%22%5D%7D%3Fq%3D%7B%22search%22%3A%5B%22%5C%22elder%5C%22+or+%5C
%22aging%5C%22%22%5D%7D?q=%7B%22search%22%3A%5B%22%5C%22elder%5C
%22+or+%5C%22aging%5C%22%22%5D%7D%3Fq%3D%7B%22search%22%3A%5B%22%5C
%22elder%5C%22+or+%5C%22aging%5C%22%22%5D%7D%3Fq%3D%7B%22search%22%3A
%5B%22%5C%22elder%5C%22+or+%5C%22aging%5C%22%22%5D%7D%3Fq%3D%7B
%22search%22%3A%5B%22%5C%22elder%5C%22+or+%5C%22aging%5C%22%22%5D
%7D&r=1

Administration on Aging (AOA). (2015). Historical Evolution of Programs for Older Americans.
Retrieved from:
https://aoa.acl.gov/AoA_Programs/OAA/resources/History.aspx

Government Relations and Policy. (2016) Older Americans Act. Retrieved from:
http://www.ncpssm.org/PublicPolicy/OlderAmericans/Documents/ArticleID/1171/Older-Americans-
Act

Oshaughnessy, Carol. Erhardt, Amy. (2010). The Basics: Older Americans Act of 1965. National Health
Policy Forum. Retrieved from:
http://www.hadpg.org/docs/Policy/Basics_OlderAmericansAct_07-09-10.pdf

National Aging Information Center. (2014). Aging into the 21st Centrury. Retrieved from:
https://aoa.acl.gov/Aging_Statistics/future_growth/aging21/aging_21.aspx

National Council on Aging. (2017). OAA Basics. Retrieved from:


https://www.ncoa.org/public-policy-action/older-americans-act/oaa-basics/

Administration for Community Living. (2015). Administration on Aging. Retrieved from:


https://aoa.acl.gov/

Colello, Kristien J. Napili, Angela. (2016). Older Americans Act: Background and Overview. Congressional
Research Service. Retrieved from:
https://fas.org/sgp/crs/misc/R43414.pdf

Administration for Community Living. (n.d.) The older American Act: Aging Well Since 1965. Retrieved
from:
https://acl.gov/newsroom/observances/OAA50/docs/OAA-Brief-Final.pdf

Administration for Community Living. (2016). 2016 Older Americans Act (OAA) Reauthorization Act (P.L.
114-144) Retrieved from:
https://aoa.acl.gov/aoa_programs/oaa/Reauthorization/2016/docs/OAA-Summary-Final.pdf

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