. "Appendix A: Older Americans Act: A Staff Summary (A Publication of the Select Committee on Aging)." Real People Real Problems: An Evaluation of the Long-Term Care Ombudsman Programs of the Older Americans Act. Washington, DC: The National Academies Press, 1995.
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Real People Real Problems: An Evaluation of the Long-Term Care Ombudsman Programs of the Older Americans Act
statewide programs and services to assure that older persons have access to, and assistance in securing and maintaining, benefits available to them, and their rights. Title VII contains four components: the long-term care ombudsman program; the program for the prevention of elder abuse, neglect, and exploitation; the state elder rights and legal assistance development program; and outreach, counseling, and assistance programs. The title also contains a separate authorization of appropriations for a Native Americans elder rights program.
Funds appropriated for Title VII activities are awarded to state agencies on aging based on a formula that takes into account the state’s population aged 60 years or over compared to all states. The law requires that states be allotted funds for the long-term care ombudsman and elder abuse prevention programs (previously funded under Title III) in an amount no less than they received in FY 1991. It also requires that certain minimum funding levels be maintained for all Title VII programs.4
State agencies on aging are given discretion as to how they distribute Title VII funds within the state. States may implement the program directly, or through contracts or agreements with public or nonprofit private agencies or organizations, such as other state agencies, area agencies on aging, county governments, institutions of higher education, Indian tribes, or nonprofit service providers or volunteer organizations.
For all states, the District of Columbia, and Puerto Rico, the minimum funding level is equal to one-half of 1 percent of the total Title VII appropriation; for Guam, the U.S. Virgin Islands, and the Trust Territories of the Pacific, the minimum is equal to one-fourth of 1 percent of the appropriation; and for American Samoa and the Northern Mariana Islands, the minimum level is equal to one-sixteenth of 1 percent of the appropriation.