This chart shows the projected fiscal impact for FY2013 on Older Americans Act programs (such as HCBS Supportive Services, Home-Delivered Nutrition, Long-Term Care Ombudsman Program, and Preventive Health Services) after the passage of the Budget Control Act (BCA) of 2011. The chart displays calculated estimates of fiscal impact from both the Congressional Budget Office (CBO) and the Center on Budget and Policy Priorities (CBPP). Both the CBO and the CBPP estimates show cuts to all programs.

The debate surrounding the deficit reduction and the debt ceiling for FY 2012 has many implications for aging and disability policies, especially Older Americans Act (OAA) services. This brief outlines the current negotiations and proposals put forth to reach a long-term, bipartisan budget reduction agreement, including the McConnell Plan; the McConnell-Reid Plan; the Gang of Six; the Coburn Plan; and the Senate Budget Resolution. The Congressional Appropriations process is also discussed.

Bowles and Simpson, the co-chairs of the National Commission on Fiscal Responsibility and Reform drafted their recommendations to achieve fiscal sustainability. This analysis provides an overview of the commission’s formation, its structure and recommendations, and its potential impact on the aging and disability networks. The report’s legislative recommendations have implications for Medicaid, Medicare, Social Security, Community Living Assistance Services and Supports (CLASS), and more.

This analysis of the President’s $3.73 trillion proposed budget for FY12 includes an outline of each funding recommendation for discretionary, appropriated programs. Included in the analysis is a comparison of HR1, the GOP-backed budget resolution that reduces spending via broad cuts, with the President’s proposed budget; a good indicator of what sorts of budgetary windows may be necessary for bipartisan support and how the budget may affect the fiscal health of aging and disabilities programs.

Governors’ State of the State addresses reveal policy and programmatic trends. This document tracks those comments made in such addresses that indicate wider policy initiatives that impact older adults and people with disabilities. A state-by-state analysis of 43 State addresses and budgets helps to illuminate overall trends in aging and disability policies, such as Medicaid changes and the restructuring of state departments and programs affecting long-term services and supports (LTSS).

Centers for Medicare and Medicaid Services (CMS) has provided funding and technical assistance to states to develop state plans' to coordinate care for dual eligibles, persons eligible for both Medicare and Medicaid. This chart shows the status of those states selected for the Dual Demonstration grants, the model chosen, and target implementation. It also includes links to each state's plan.

The Older Americans Act of 1965 created the National Aging Network with many states adopting Area Agencies on Aging at the local level. This brief is a summary of two surveys regarding states’ monitoring practices of their Area Agencies on Aging (AAAs) and states’ spending rules for their AAAs. All states with Area Agencies on Aging which were surveyed reported that they conduct some monitoring, and most differed in their rules concerning excess funds.

Review a comprehensive list of existing performance measures on long-term services and supports (LTSS) systems in the US. It can serve as a valuable pool of resources regarding LTSS performance standards available from federal and state initiatives, as well as valuable projects undergone in private sector and academia. The list also covers measurement tools targeting specific beneficiary groups and programs, including dual eligibles and adults with disabilities.

Published monthly, this report and website tool focuses on state actions in managed care for people who receive Medicaid-funded LTSS and on state initiatives relating to services and costs. The Tracker includes updates on State Demonstrations to Integrate Care for Dual Eligible Individuals, the Balancing Incentives Payment Program (BIPP), states developing or implementing Medicaid State Plan amendments under §1915(i), and states pursuing the Communities First Choice Option under §1915(k).

State aging & disability agencies are operating in an era of state agency reorganization, re-conceptualization of state government, & restructuring of long-term services & supports delivery systems & financing. Key elements driving continued change include the economic environment, ACA implementation, uncertainty in the federal budget particularly with the failure of the Congressional Super Committee, changes in state level leadership, & the 2012 elections.