Older Americans’ Services At Risk or Eliminated in Trump Proposed Budget

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Washington, DC, April 21, 2025 (GLOBE NEWSWIRE) — USAging is gravely concerned by early reports of President Trump’s Fiscal Year (FY) 2026 budget plan to break apart the coordination and delivery of Older Americans Act (OAA) programs and services upon which millions of older adults and caregivers rely. These include crucial supports and services such as in-home help with chores, dressing and bathing; rides to the doctor; home-delivered and community-served meals; and caregiver respite, among others.“The recent Department of Health and Human Services (HHS) reorganization eliminated the umbrella agency under which the OAA has been administered for 13 years,” said USAging CEO Sandy Markwood. “Last week, we learned that the Trump Administration plans to move just one portion of the OAA’s coordinated and interconnected services—the meals programs—to the Administration for Children and Families (ACF) but will cast the rest of the OAA activities to the Centers for Medicare & Medicaid Services (CMS).“USAging is extremely concerned about the breaking apart of one Act, which was developed to create a comprehensive system of home and community-based options for older adults, and the inappropriate placement of some of those key services in CMS,” Markwood stated. “These two actions would severely affect our members—the Area Agencies on Aging (AAAs) that coordinate and deliver these services—and older adults who depend upon the coordinated delivery of these life-sustaining services.“By breaking apart and moving pieces of this vital program to different HHS agencies, the Trump Administration is damaging the efficiency and the effectiveness of a successful 60-year-old Act and undermining the federal commitment to assist older Americans in aging well at home,” Markwood explained. “We hope they will reconsider this decision immediately and reunify all the OAA under ACF, which is a more appropriate fit than CMS.“The leaked budget also made clear that the Trump Administration will be proposing to zero out several key OAA programs as well as other federal efforts to help older adults remain heathy, prevent falls, manage their chronic diseases, navigate Medicare, find aging and disability resources, and stay safe if they are living in nursing homes, as well as efforts to prevent or address elder abuse,” she noted. “We will be working with our AAA and Title VI Native American A...

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