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This file contains materials relating to H.R. 3922, the "Older Americans Act."

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352356391
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Aging - Older Americans Act Amendments of 1975 (2)
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352356391
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Aging - Older Americans Act Amendments of 1975 (2)
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This file contains materials relating to H.R. 3922, the "Older Americans Act."
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Sarah C. Massengale Files (Ford Administration)
Sarah Massengale's Health, Social Security and Welfare Files
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352356391
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1976-03-31
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1976
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1972-03-01
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1972
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The original documents are located in Box 3, folder "Aging - Older Americans Act Amendments 1975 (2)" of the Sarah C. Massengale Files at the Gerald R. Ford Presidential Library. Copyright Notice The copyright law of the United States (Title 17, United States Code) governs the making of photocopies or other reproductions of copyrighted material. Gerald R. Ford donated to the United States of America her copyrights in all of her husband's unpublished writings in National Archives collections. Works prepared by U.S. Government employees as part of their official duties are in the public domain. The copyrights to materials written by other individuals or organizations are presumed to remain with them. If you think any of the information displayed in the PDF is subject to a valid copyright claim, please contact the Gerald R. Ford Presidential Library. Some items in this folder were not digitized because it contains copyrighted materials. Please contact the Gerald R. Ford Presidential Library for access to these materials. ROUGH STAFF DRAFT Naomi MEMORANDUM FOR THE PRESIDENT Subject: Enrolled Bill II.. 3922 - Older Americans Amendments of 1975 Sponsor - Rep. Brademas (D) Indiana and 24 others Last Day for Action December 3, 1975 - Wednesday Purpose andamends Extends through fiscal year 1978A the appropriation authorizations for the Older Americans Act of 1965; amends progrems under that Act, adds a new Age Discrimination Act of 1975; extends including the older American Community Service Employment Act, authorizations under other Acts, which provide service programs for the elderly. Agency Recommendations Office of Management and Budget Department of Health, Education, and Welfare Approval Department of Labor Department of Justice FORD LIBRARY is GERALD No objection to Title i Department of the Interior Department of Transportation - No.objection Department of Housing and Urban Development - Defers to HEW Labor Department of Agriculture Disapproval Department of the Treasury Narecommendates ACTION No recommendation General Services Administration Does not oppose enactmen Commission on Civil Rights Approval FORD LIBRARY & GERALD Background The 1971 White House Conference on Aging generated the 1973 amendments to the Older Americans Act (OAA) of 196 5. as amended Prior to these amendments, the OAA provided services designed to respond to particular needs of older persons in local communities. Title III (OAA) G Grants for State and Community Programs on Aging was designed to develop a national initiative toward providing comprehensive systems of services which would coordinate, at the intra- state level, available and potential services and resources on behalf of older persons. The 1973 amendments required the establishment of a nationwide network of State Agencies on Aging working with and through Area Agencies on Aging to coordinate necessary services for the general welfare of older Americans. In addition to State and Community programs, Title VII the OAA provides a Nutrition program for the elderly which in conjunction with necessary ancillary services provides approximately 250,000 daily meals primarily to the low income. These programs and associated Federal support programs are administered through the Administration on Aging, Department of Health, Education, and Welfare. 11/24/75 Appropriations authorizations in the Older Americans Act (OAA) of 1965, with the exception of the authorizations for Title VII, expired on June 30, 1975. On January 30, 1975 the Department of Health, Education, and Welfare submitted a draft bill to the Congress which would have extended appropriations authorizations for most Titles of the OAA through fiscal year 1977. Total authorizations of 103.2 million for each of fiscal years 1976 and 1977 were included in the Administration's bill, consistent with the 1975 and 1976 Budgets. Authorizations for programs which duplicate existing authorities and those for which the Administration has never requested funding would have been allowed to expire. [To direct funds to those most in need, the Administration's proposal provided statutory preference for low-income, minority, and limited English-speaking individuals in the Title III, State grants program.] Other amendments of a technical nature were included. The enrolled bill represents a compromise between the House and Senate versions of the legislation. The conferees have taken into account some of the Administration's objections, although the conference version still contains objectionable provisions. HEW believes that "the bill is in consonance in most respects with the Administration's proposals in this area. " The legislation is very popular with the Congress which is evidenced by the fact that the conference report was adopted in the House 404-6 and in the Senate 89-0. Main Amendments to the Older Americans Act of 1965 would: Extende appropriations authorizations for the Act specific through FY 1973. The major, dollar authorizations are for : (1) grants for State and community programs on aging under Title III: $180 million for fiscal year 1976, $57.75 million for the transition quarter, $231 million for fiscal year 1977 and $287.2 million for fiscal year 1978. The Administration requested authorizationgof $91 million for fiscal years 1976 and 1977. (2) the elderly nutrition program under Title VII additional authorizations are provided of which is presently authorized through fiscal year 1977:A $62.5 million for the transition quarter and $275 million for fiscal year 1978. The Administration's bill only covered fiscal years 1976 and 1977 so it did not request an authorization for this program for fiscal year 1978. Extend through fiscal year 1978 such sums authorization$ for: National Information and Resource Clearing House for the Aging, model projects, training and research, and acquisition or modernization of multipurpose senior centers. The authoriza- tions for transportation projects and for initial staffing of multipurpose senior centers would not be extended. The Admininstration did not propose to extend authorizations trainings for:, transportation projects, acquisition, modernization or initial staffing of multipurpose senior centers, training and multidisciplinary centers of gerontology -- add a new Title to the OAA, the Older Americans Community Service Employment Act, which amends the formula for distributing assistance and extends the present law of the same name. It would authorize appropriations of $100 million for fiscal year 1976; $37.5 million for the transition quarter; $150 million for fiscal year 1977 and $200 million for fiscal year 1978. The pending fiscal year 1976 Budget does not request funds for this account. The 1976 continuing resolution appropriated $30 million. This, plus carryover funds provides 1976 outlays of $43 million. --- require that States plan to use at least 20% of their Title III grants for services for some or all of four new services (2) including related training: (1) transportation services; home services designed to assist older persons to continue living in a home (and other connsiling services, including environment; (3)legal services, tax and financial counseling; and (4) residential repair and renovation programs. -- increase from the present 10¢ per meal to 15¢ during fiscal year 1976 and to 25¢ during fiscal year 1977 the amount per meal which the Secretary of Agriculture must maintain as an annually programmed level of assistance in donating commodities. The Secretary's discretionary authority to donate commodities to Title VII projects would be amended to require that he do so. The USDA estimates this will cost $14 million for fiscal year 1976 and $20 million for fiscal year 1977. amends the nutrition program for the elderly by requiring 6 the Secretary of Agriculture in fiscal year 1976 and the transition quarter to purchase and distribute to Title VII projects high protein foods, meat and meat alternates. Such sums as. may be necessary are authorized to be appropriated for this purpose. -- exempts programs and activities under the OAA from provisions of the Joint Funding Simplification Act of 1974, P.L. 93-510. --increases the minimum allotment for States for planning, coordination, evaluation, and administration of State plans; & 7 Age Discrimination Act of 1975 It would prohibit unreasonable discrimination on the basis of age in all programs or activities receiving Federal financial assistance including Revenue Sharing, (funds] The Commissioner on Civil Rights would be directed to study the through public hearings the subject and specifically identify Authorization of such Sum as may benecessay would be provided, discriminatory programs and activities. ^ Within eighteen (June,1977) months of enactment of H.R. 3922, the Commission would report its findings and make any recommendations for statutory change to the Congress, the President and affected heads of departments and agencies. Within 45 working days of receipt of the report each affected head of a department or agency would have to submit comments and recommendations on the report to the President and the Senate Committee on Labor and Public Welfare and the House Committee on Education and Labor. Congressional committees with jurisdiction over the subject matter of the report and agency recommendations could conduct hearings. (June 1978) Within one year of the completion of the report, but no more than two and a half years after enactment of H.R. 3922 (June 1978) the Secretary of HEW would have to publish proposed general regulations to prohibit discrimination based on age in Federally assisted programs. The regulations would have to be appropriate submitted to interested congressional committees prior to publica- tion. P Each Federal department and agency which extends financial assistance to a program or activity would have to publish regulations covering its programs consistent with the HEW regulations The regulations would have to provide investigative, conciliation and enforcement procedures. The sanction for noncompliance with the regulations would be terminating or withholding financial assistance after due process procedures. enforcement NoAaction could be taken until 30 days after a written report was submitted to the committees of the House and Senate having appropriate jurisdiction. A standard provision for judicial review of the agency action is included. The regulations and enforcement would not take effect before January 1, 1979. These provisions would not affect the Age Discrimination in Employment Act of 1967 nor apply to employment practices (except for federally assisted public service employment), and would not apply to any action which "reasonably takes into account age as a factor necessary to the normal operation or the achievenemt of any statutory objective" of any activity, differentiates "based upon reasonable factors other than age", or is part of an activity established under authority of any law which provides benefits based on age, or "established criteria for participation in age-related terms or describes intended beneficiaries or target groupts in such terms." Amendments to Other Laws The Domestic Volunteer Service Act would be amended to: - extend the appropriation authorizations for ACTION's Retired Senior Volunteer Program (RSVP) authorizing $6 million for the transition quarter and $22 million for each of fiscal years 1977 and 1978. The Fiscal year 1975 authorization was for $20 million and current funding is 17.5 million (fy 76 Bivilegi P 1 -- extend the appropriation authorizations for ACTION's Senior Companions Foster Grandparent Program and Older American Community Service Program$ authorizing $10.75 million for the transition quarter and $43 million for each of fiscal years 1977 and 1978 with a requirement that of these amounts $8.75 million for the transition quarter and $35 million for each of fiscal years 1977 and 1978 be available for grants and contracts for the Foster Grandparent and other programs for children and $2 million for the transition quarter and $8 million for each of fiscal years 1977 and 1978 be available for grants and contracts for Senior Companions and other programs for persons, other than children, who have exceptional needs. The fiscal year 1975 authorization was 40 and current funding is $28.5 million (Fris budget) -- require the Director of ACTION to designate an aging resource specialist to coordinate ACTION's Older American programs and programs carried out under Titles III and VII of the Older Americans Act of 1965 in each State in which such ACTION are carried out. ACTION is concerned that it may have to place brethan1 aging programs resorrce speciality in ACTION offices which serve more than one state, -- replace the word "volunteer" in certain sections with the word "individual" to reflect the fact that participants do not serve without compensation or reimbursement of expenses. The lligher Education Act of 1965 would be amended to extend from fiscal year 1977 through fiscal year 1978 the authorizations of such sums as may be necessary for Section 110 grants to institutions of higher education to assist them in programs to solve the problems of the elderly. ACTION'S envolled bill letter expenses concern about directions in the Conference Report faster grandparent Services continue to be provided to persons who reach age 21 that until a replacement service can be provided by another program, Thismay not be possible under the limited funding available for this program, The Adult Education Act would be amended to extend from fiscal year 1975 through fiscal year 1978 the authorization of such sums as may be necessary for section 310 grants for education programs for elderly persons with limited English language skills and who live in an area with a culture different than their own. The Older Americans Comprehensive Services Amendmets of 1973 would be amended to extend from fiscal year 1974, through fiscal year 1979 the authorization of such sums as may be necessary for the Senior Opportunities and Services program administered by the Community Services administration. The Vocational Education Act of 1963 would be amended to require that consumer and homemaking education programs give special consideration to programs for older persons whom the afEducation Commissioner determines need these services. The Public Health Service Act would be amended to extend from May 31, 1975 to May 31, 1976 the date by which the Secretary of HEW is required to develop a research program on aging. Other Amendments to the OAA would, -- adds three new categories of model projects which would receive special consideration from the Commissioners in making grants and contracts--development of ombudsman services for residents of nursing homes; assisting older persons to remain out of institutions; focusing delivery of services on the needs of low-income, minority, Indian, limited-English speaking individuals and the rural elderly. -- provides that the Commissioner of Aging could reserve a pation ofa State's funds and grant them directly to Indian tribal organi- if both zations in States in which he determines that (1) Indians are not receiving benefits equivalent to those provided to other older persons in a State or area and (2) members of the tribe would be better served by direct grants -- would expand the types of courses and training for could which the Commissioner may- make grants and would authorize the Commissioner to make grants to assist in the training of lawyers and professionals to provide legal services and monitor the Administration of service programs; authorize the training of persons who will identify and solve legal problems of older persons -- add$ to the list of social services to be provided by State and local agencies to selve older persons--legal services, tax counseling and financial counseling and programs of regular physical activity and exercise. FORD LIBRARY & 02RALD 12 --- amends the area plan requirements of the OAA by authorizing area agencies on aging or State agencies where there is no other agency to enter into agreements with rehabilitation agencies and social service agencies to plan for meeting transportation needs of older persons. Funds under Title III and VII of the Act could be used to purchase transportation services for older persons. --- extends from November 3 to January 1, 1976 the date on which the President is required to submit recommendations to the Congress and Governors and legislatures of the States recommendations based on studies conducted by the Federal Council on Aging on the impact of taxes on the elderly and the interrelationships of benefit programs for the elderly operated by Federal, State and local government agencies. This time extension was requested by the Administration. Arguments for Approval 13 1. The elderly population, which consumes a disproportionately large amount of Government services, will grow faster than the general population. By 1990 the age group over age 64 will increase by 7.1 million or 32.6% over 1974. Therefore, this legislation is necessary because it would expand the services available to the elderly. 2. A wide array of State and local services, many federally funded, can be coordinated through the planning and referral network established in the OAA and strengthened by this bill. These functions will maintain the existing delivery of services rather than create a separate age segregated service delivery system. 3. Provision of services through the aging network reduces Federal outlays by delaying or avoiding institutionalization which is more costly. 4. Although the authorization levels are much higher than the Administration requested, the amounts appropriated may be more in line with Administration requests. HEW feels that the authorizations are sufficiently reasonable that the budgetary problems can be dealth with through the appropriations process. 5. Prohibition of age discrimination in Federal programs is a Federal responsibility which must be addressed by every agency and department to ensure compliance. Arguments for disapproval --- Mandatory set asides for priority elderly services (transportation, legal services, home repairs and home services) could grow into substantial categorical and They programs, reduce State flexibility. and duplicate older Community service Employment Act which duplicates existing authoritiesas do training authorities and the authority American Under the Comprehensive Employment and Training Act (CETA). -- None of the OAA programs are income tested so limited federal resources are not targetted on the needy. -- Increased authorization level for Titles III and VII will generate pressure for higher appropriations. -- The Age Discrimination provision requires the Executive branche to interpret a vague prohibition against "unreasonable discrimination" on account of age. The Act presupposes unreasonable age discrimination in Federal programs although no evidence has been presented. A complicated new series of Federal regulations would have to be issued and enforced. -- Increasing the Department of Agriculture's level of assistance for donating commodities to elderly nutrition programs and requiring the Department to purchase and q distribute high protein food, meat and meat alter- natives expands the Federal role in elderly nutrition. The provisions would divide program responsibility and oversight between USDA and HEW adding to the administra- tive complexing of the program. Increased donation of foods by USDA is less efficient than an expanded cash grant program entirely administered by HEW. The Older Americans Community Service Employment Act was enacted in 1973 over the Administration S objections and no funding has ever been requested. Authority and adequate funding for this type of activity are available under the Comprehensive Employment and Training Act (CETA) -- The exemption of programs under the OAA from the Joint Funding Simplification Act would set an undesirable precedent by precluding grantees from consolidating various programs to assist the elderly in a single application. It would undermine the Administration's efforts to simplify the Federal grant system and to improve coordination of OAA programs with other closely related programs. --- Exempting OAA activities from the Joint Funding Simplification act will prevent the coordination of OAA programs with other state and local services. Agency Recommendations HEW recommends approval of H.R. 3922 and issuance of a signing statement criticizing Congress for passing age discrimination legislation without hearings or guidance. to the public or executive branch which will have to enforce the law. HEW notes that "the bill is in consonance in most respects with the Administration's proposals in this area, although we have some reservations as to the age discrimination provisions." HEW feels that the authorizations are sufficiently reasonable that budgetary problems can be dealt with through the appropriation process. Agriculture recommends disapproval. The Department objects to the provisions increasing the annually programmed per meal level of commodity assistance for elderly nutrition programs which it estimates will cost $14 million in fiscal year 1976 and $20 million in fiscal year 1977, and requiring the Secretary to purchase on the open market high protein foods, meat and meat alternates, for distribution in elderly nutrition programs. The provisions would add to the administrative complexities of the program by further dividing program responsibility and oversight between Agriculture and HEW. has DOT 1 no objection to approval but notes that care must be exercised in implementing the transportation provisions to "assure that they do not result in a multiplicity of duplicative transportation services. " ACTION makes no recommendation on H.R. 3922. Concerning the amendments to the Domestic Volunteer Service Act of 1973, ACTION has no objection to the authorizations. ACTION expresses concern that it may have to assign more than one aging resource specialist to a single ACTION State office serving more than one State. ACTION is concerned about the conference report language directing ACTION to continue to provide foster grandparent services to persons who readh age 21 until the service can be replaced by another program. It may not be possible for ACTION to meet this direction within present funding. The Comiission on Civil Rights recommends approval. It states that it will not be able to begin its study of age discrimination until funds appropriated for that purpose are available. Labor makes no recommendasion but expresses opposition to extension of the Older American Community Service Employment program for a group of persons who should be served under the Comprehensive Employment and Training Act. (CETA). OMB Recommendation Although the bill contains several objectionable provisions notably the Age Discrimination Act and continuance of duplicative programs, it will provide for continued planning and coordination of fabils of the wide array of State, local, and private resourcès, many are federally funded and administered by a number of Federal depart- ments and agencies. These resources make available necessary services which enable older persons to have the opportunity of living as long as possible in their own homes or other places of residence and avoid or delay institutionalization and the resultant high costs associated therewith On II balance, we The 1077 budeet recommend that you sign the bill, and indicate that you will not seek funding for duplicative and unnecessary programs and propose to take administrative steps to target available resources on meeting the priority needs of the low-income elderly. A proposed signing statement is attached for your consideration. The but provides c/imes The 6.11 provides for a Commission on Civil Rights study of the problem of age discrimination and allows time for a more carefiand thorough deliberation by the Congress and ^ appropriate should action a by problem the Adush of ^ age discommination be identified. Highlights of Legislation ADMINISTRATION ON AGING U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE Dolly Outler Office of Planning and Evaluation - AoA SPECIAL REPORT Conference Committee Agreement on H.R. 3922, "Older Americans Amendments of 1975" Section-by Section Analysis NOTE: H.R. 3922 passed the U.S. House of Representatives on April 8, 1975; and passed the Senate, amended, on June 26. After deliberations by a conference committee of House and Senate Members, appointed to iron out differences between the two versions, a compromise version was reported by that committee on November 17, 1975. The bill passed the House of Representatives on November 19, 1975 by a vote of 406 to 6.* Following is a section by section analysis of the measure: Sec. 101. Would extend from November 3, 1975 to January 1, 1976, the time by which the President is directed to make recommendations: (1) for bringing about greater uniformity of eligibility standards of benefit programs for the elderly operated by Federal, State, and local government agencies; (2) for eliminating the negative impact that one program's standards may have on another; and (3) with reference to the combined impact of all taxes on the elderly. These recommendations are to be made after the Federal Council on the Aging has conducted studies of these subjects and transmitted the results of its studies to the President. Sec. 102. Provides that the provisions and requirement of the Joint Funding Simplification Act of 1974 (P.L. 93-510) shall not apply to the administration of the provisions of the Older Americans Act of 1965, as Amended, or to any program or activity under that Act. Sec. 103. Would add to "the definition of "social services", as that term is used in Title III of the Older Americans Act: (1) "services de-- signed to provide legal and other counseling services and assistance, including tax counseling and assistance and financial counseling to older persons"; and (2) "services designed to enable older persons to attain and maintain physical and mental well being through programs of regular physical activity and exercise." *On November 20, the Senate passed the bill by a vote of 89-0. FORD is LIBRARY GERALD Section-by-Section Analysis of H.R. 3922 Conference Report Page 2 Sec. 104. Would amend the Title III allotment provision (Sec. 303(b)) to permit direct allotment of Title III funds of a State to an Indian tribal organization serving Indians of that State, where the Commissioner on Aging determines that the members of that tribe in that State are not receiving Title III funds equivalent to benefits provided to other older persons in the State and that members of that tribe would be better served by grants made directly to the tribal organization. If he decides to make such direct grants, he would take from the amounts which would otherwise be allotted to the State under the Title III Area Planning and Social Services formula, not less than 100 percent nor more than 150 percent of an amount which bears the same ratio to the State's allotment for that fiscal year as the population of all Indians aged 60 or over in the State for which he made such determinations bears to the total aged 60+ population of that State; and he would allot the amount thus taken out of that State's allotment, directly to the Indian tribal organizations of the Indians as to which these determinations were made. For purposes of this provision, the terms, "indian", "indian tribe", and "tribal organization" are defined. Sec. 105. Would amend the area plan requirements of the Older Americans Act, Title III, by deleting the requirement that the area plan include a provision that the Area Agency on Aging will, "where necessary and feasible, enter into arrangements" for using Title III funds to provide legal services to older persons, and by authorizing Area or State agencies (as to areas in which no Area Agency has been designated) to enter into agreements with rehabilitation agencies and those administering the social service provisions of the Social Security Act to develop and implement plans for meeting the common needs for transportation services of their clients and older persons served by Titles III and VII of the Older Americans Act. Sec. 106. Would include a new requirement for State plans under Title III, that they provide for use of not less than certain percentages of the State's Title III allotment for four new "national priority serv- ices": (1) transportation; (2) home services designed to assist older persons to continue living independently in a home environment; (3) legal services, including tax counseling and assistance and financial counseling for older persons; and (4) residential repair and renovation programs. Requires area plans to give priority to these services in providing for social services in their areas. The State plan must provide assurances that not less than 50 percent of the increase the State receives in its Title III allotment for a year over the amount received in the previous year will be Section-by-Section Analysis of H.R. 3922 Conference Report Page 3 devoted to these purposes, unless the State provides assurances that not less than 33-1/3 percent of its total allotment for that year will be used for those purposes (in which event, the State will be excused from devoting a minimum of 50% of the increase for them.) However, it is also provided that in any event, the State must use at least 20 percent of its Title III allotment for each year for those purposes. Sec. 107. Would increase from $160,000 to $200,000 the minimum allotment to each State for planning, coordination, evaluation, and administra- tion of State plans (and increase the minimum for territories from $50,000 to $62,500), but also provides that each State is entitled to an allotment for this purpose for any fiscal year which is not less than its allotment for FY 1975. Also provides that any State which desires to receive more for this purpose than its allotment, can apply for more funds to the Commissioner, who, upon making certain findings could provide a limited additional amount. Sec. 108. Contains new model project requirements. Would require the Commissioner, in making model project grants and contracts, to give special consideration to projects designed to meet three needs (in addition to those meeting special needs, as required by present law). The three are: (1) projects to enable State agencies on aging and other public and private nonprofit organizations to assist in the promotion and development of ombudsman services for residents of nursing homes; (2) those to meet the special needs of, and improve the delivery of services to, older persons who are not receiving adequate services under other provisions of the Act, with emphasis on the needs of low-income, minority, Indian, and limited- English speaking individuals, and the rural elderly; and (3) those to assist older persons to remain out of institutions and to maintain independent living. Sec. 109. Would amend Sec. 403 of the Older Americans Act to define the term "institutions of higher education" (to which the Commissioner may make grants for the purpose of attracting qualified persons to the field of aging) as having the meaning attributed to this phrase by the Higher Education Act of 1965 (thereby assuring that the term, as used in Sec. 403, will be given a broad interpreta- tion). Section-by-Section Analysis of H.R. 3922 Conference Report Page 3a Sec. 110. Would amend Sec. 404 of the Act (relating to "training programs for personnel in the field of aging") to clearly state an intent that of short-term and inservice training courses, workshops, institutes, and other activities designed to improve the capabilities of participants to provide services to older persons and to administer programs related to the purposes of the Act, and that such funds may be used to assist in paying the costs of postsecondary education courses of training or study related to the purpose of the Act, including the payment of stipends to students in the courses. Also authorizes the Commissioner to make grants to assist in the training of lawyers and paraprofessionals to provide legal counseling and services to older persons, or monitor the administration of aging programs, including nursing home programs and similar programs, and to make grants for training of employees of public or private agencies or organizations, who will identify legal problems affecting older persons, develop solutions to such problems, and mobilize the resources of the community to respond to the legal needs of older persons. Section-by-Section Analysis of H.R. 3922 Conference Report Page 4 ing and services to older persons, or monitor the administration of aging programs, including nursing home programs and similar programs, and to make grants for training of employees of public or private agencies or organizations, who will identify legal problems affect- ing older persons, develop solutions to such problems, and mobilize the resources of the community to respond to the legal needs of older persons. Sec. 111. Would require the Secretary of Agriculture, until Sept. 30, 1976, to purchase on the open market, high protein foods, meat, and meat alternates, for distribution to Title VII projects, but provides that such foods purchased for this purpose will not be considered donated commodities for purposes of meeting requirements of annually programed level of assistance; would authorize "such sums as may be necessary" to implement this requirement. Would increase from 10¢ per meal to 15c during the fiscal year ending Sept. 30, 1976, and to 25¢ during FY 1977 the amount which the Secretary of Agriculture is required to maintain as an annually programed level of assistance in donating commodities. Would make it mandatory, rather than permissive (as in present law), that surplus commodities be donated to Title VII projects. Would allow a State which had phased out its commodity distribution fa- cilities before June 30, 1974, to elect to receive cash in lieu of donated commodities, which cash the State would have to disburse to recipients of grants or contracts for Title VII projects, which would, in turn, use the cash to purchase domestic agricultural commodities and other foods for their projects. Sec. 112. Would extend authorizations of appropriations for most Older Americans Act programs through Sept. 30, 1978, as follows: Sec. 204, National Information and Resource Clearing House for the Aged - "...such sums as may be necessary 11 for fiscal periods between July 1, 1975 and Sept. 30, 1978. Sec. 303, Grants for State and community programs on aging - $ 180,000,000 for FY 1976, $ 57,750,000 for July 1 - Sept. 30, 1976, $ 231,000,000 for FY 1977, and $ 287,200,000 for FY 1978. Sec. 308, Model Projects - " such sums as may be necessary.. " for fiscal periods between July 1, 1975 and Sept. 30, 1978. Sec. 431, Training and research - such sums as may be necessary. " for fiscal periods between July 1, 1975 and Sept. 30, 1978. Section-by-Section Analysis of H.R. 3922 Conference Report Page 5 Sec. 505, Acquisition, alteration, or renovation of multipurpose senior centers - such sums as may be necessary " for fiscal periods between July 1, 1975 and Sept. 30, 1978. Sec. 708, Nutrition program for the elderly - $ 62,500,000 for the period July 1 - - Sept. 30, 1976; and $ 275,000,000 for FY 1978. (Authorizations for fiscal years 1975, 1976, and 1977 were made by P. L. 93-351, July 12, 1974). Sec. 113. Would add a new Title IX to the Older Americans Act, entitled "Community Service Employment for Older Americans", to supercede a similar Title IX of the Older Americans Comprehensive Services Amendments of 1973, which is proposed to be repealed. Authorizations for fiscal periods between July 1, 1975 and Sept. 30, 1978, are provided in the following amounts: FY 1976, $ 100,000,000 July 1 - Sept. 30, 1976, $ 37,500,000 FY 1977, $ 150,000,000 FY 1978, $ 200,000,000 Other than providing authorizations for the above periods, the new Title IX is only slightly different from the Title IX which it would supercede. Sec. 114. Would make various technical amendments to the Older Americans Act, with little, if any, substantive significance. TITLE II Sec. 201. Would extend from July 1, 1977 through Sept. 30, 1978 the authoriza- tion in Sec. 110, Higher Education Act of 1965, of grants to institu- tions of higher education (or combinations thereof) to assist them in planning, developing, and carrying out programs specifically designed to apply the resources of higher education to the problems of the elderly, particularly with regard to transportation and housing problems of elderly persons living in rural and isolated areas. Would make applicable to the transition period July 1 - - Sept. 30, 1976 and to FY 1978 the authorization of " such sums as may be necessary now provided for fiscal years through June 30, 1977. Sec. 202. Would extend from June 30, 1975 through Sept. 30, 1978, the authoriza- tion of " such sums as may be necessary " for Sec. 310, Adult Education Act, for grants to provide educational programs for elderly persons whose ability to speak and read the English language is limited and who live in an area with a culture different than their own. Sec. 203. Would extend from June 30, 1974 through Sept. 30, 1979, the authoriza- tion in the Older Americans Comprehensive Services Amendments of 1973 of "such sums as may be necessary" for the Senior Opportunities and Section-by-Section Analysis of H.R. 3922 Conference Report Page 6 Services program administered by the Community Services Adminis- tration (formerly the Office of Economic Opportunity). Sec. 204. Would require that in consumer and homemaking education programs authorized by-the Vocational Education Act of 1963, special con- sideration be given to special consumer and homemaking programs for persons aged 60 or older who need services provided by such programs, and that these programs be designed to assist them to live independently in their own homes and to alleviate the ad- verse effects of loneliness and isolation. Sec. 205. Would amend the Domestic Volunteer Service Act of 1973 (P.L. 93-113, Oct. 1, 1973) as follows: (1) by providing additional authorizations for the Retired Senior Volunteer Program; $ 6,000,000 for the trans- itional period July 1 - Sept. 30, 1976, and $ 22,000,000 each for FY 1977 and FY 1978 would be authorized; (2) as additional authori- zations for the Foster Grandparent Program and Other Older American Community Service Programs, $ 10,750,000 would be authorized for the transitional period July 1 - Sept. 30, 1976, and $ 43,000,000 would be authorized each for FY 1977 and FY 1978, with a require- ment that of these sums, $ 8,750,000 for the transitional period and $ 35,000,000 each for FY 1977 and FY 1978 be available for grants and contracts for Foster Grandparent and other programs for children, and $ 2,000,000 for the transitional period and $ 8,000,000 each for FY 1977 and FY 1978 be available for grants and contracts for Senior Companions and other programs for persons (other than children) having exceptional needs; (3) by striking the word "volunteer" in various provisions of the Domestic Volunteer Service Act, and substituting the word "individual", to reflect the fact that participants do not serve without compensation or reimbursement of expenses; (4) by requiring that the Director of ACTION, in order to provide maximum coordination between ACTION's older American programs and those carried out under Titles III and VII of the Older Americans Act of 1965, designate an aging resource specialist in each State in which such ACTION programs are carried out. Sec. 206. Extends from May 31, 1975 to May 31, 1976, the date by which the Secretary of HEW, in consultation with the National Institute on Aging and the National Advisory Council on Aging and others, is required by the Research on Aging Act of 1974 (P. L. 93-296) to develop a plan for a research program on aging. TITLE III Sec. 301. Gives the provisions of this title the short title, "Age Discrimi- nation Act of 1975". Section-by-Section Analysis of H.R. 3922 Conference Report Page 7 Sec. 302. States the purpose of this title to prohibit unreasonable dis- crimination on the basis of age in programs or activities re- ceiving Federal financial assistance, including revenue sharing. Sec. 303. With limited exceptions (stated in Sec. 304), prohibits exclusion of any person in the U.S., on the basis of age, from participation in, or denial of the benefits of, or from being discriminated against under, any program or activity receiving Federal financial assistance. Sec. 304. Requires the Secretary of HEW, not later than one year after the transmission of the report of the U.S. Civil Rights Commission's report on age discrimination in federally-assisted programs or two and one-half years after this Act is enacted, whichever occurs first, to publish in the Federal Register proposed general regula- tions to carry out the provis of Sec. 303. Not later than 90 days after publication of the proposed regulations, the Secretary is required to publish in the Federal Register final regulations. Not later than 90 days after that, the heads of all Federal departments or agencies which extend Federal financial assistance would be required to publish regulations of their own to carry out the pro- visions of that section. However, it would be provided that no regulation issued under this section will be effective before January 1, 1979. Would provide that it will not be a violation of this Act if the differentiation based upon age reasonably takes into account age as a factor necessary to the normal operation or the achievement of any statutory objective of the program or activity; if the differentiation is based upon reasonable factors other than age; or if the program or activity was established under a law which provides benefits or assistance based upon the age of the recipients, or establishes criteria for participation in age-related terms. Would specifically provide that this Act does not amend or modify the Age Discrimination in Employment Act of 1967, and does not apply to employment practices (except with regard to providing employment assistance under the Comprehensive Employment and Training Act of 1974). Sec. 305. Would provide the means of enforcing the age discrimination prohi- bitions of this Act. Would permit the head of a Federal department or agency to seek to achieve compliance with the Act's prohibitions and those of regulations under the Act, by terminating or refusing Section-by-Section Analysis of H.R. 3922 Conference Report Page 8 to grant or to continue Federal financial assistance. However, provides that this punitary action must be limited to the political entity or other recipient which discriminated, and must be limited to the program or activity or part of a program or activity with respect to which the finding of discrimination was made. In addition, a finding of discrimination would not be based on a finding with respect to any program or activity which does not receive Federal financial assistance. Would provide that such suspension of Federal assistance would not be carried out without an effort to secure compliance by voluntary means, and that even if such efforts fail, the suspension could not take effect until 30 days after the head of the department or agency transmits a written report to the committees of the House and Senate having legislative jurisdiction over the program or activity involved. Provides that the prohibition against discrimination could be enforced "by any other means authorized by law," but that "the provisions of this section shall be the exclusive remedy for enforcement " Sec. 306. Provides for judicial review of a department's or agency's actions taken to enforce this Act, and clearly states an intent that such agency determinations are not intended to be "committed to unre- viewable agency discretion." Sec. 307. Requires the U. S. Civil Rights Commission to undertake a study of unreasonable discrimination based on *age in Federally-assisted pro- grams and activities, and to identify any Federally-assisted program or activity in which there is found evidence of discrimination based upon age. Requires the Commission, not later than 18 months after enactment of this Act, to transmit to the Congress and to the Presi- dent a report of its findings and recommendations for statutory changes and administrative action, and to send a copy of the report to the head of each department or agency with respect to which the Commission makes findings and recommendations. Not later than 45 working days after receiving a copy of the report, each of these departments and agencies would be required to submit its comments and recommendations regarding the report to the President and to the Senate Committee on Labor and Public Welfare and the House Committee on Education and Labor. Would authorize "such sums as may be necessary" to carry out this section. Sec. 308. For purposes of this Act, defines the terms, "Commission", "Secretary", and "Federal department or agency". HEALTH. OF EDUCATION DEPARTMENT MELIVERY AND DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE OFFICE OF THE SECRETARY U.S.A. WASHINGTON, D.C. 20201 SEP 11 1975 MEMORANDUM FOR HONORABLE SARAH MASSENGALE Per your request for a brief analysis of the bills under consideration for extending the Older Americans Act, I have attached at Tab A - - A letter signed on May 9, 1975, by Acting Secretary Kurzman to Senator Harrison Williams which outlined the provisions of the Adminis- tration's bill (S. 599) and pointed out some serious concerns about the House passed bill (H.R. 3922); Tab B -- Excerpt from the June 26, 1975, Congressional Record (pages S. 11736 - 11752) which contains S. 1425, a bill to extend the Older Americans Act, and the text of former Secretary Weinberger's letter of objection to the Age Discrimination Act. Tab C - - A letter signed on July 11, 1975, by former Secretary Weinberger to Senator Eagleton which repeated many of the statements made in the May 9 letter to Senator Williams but which provided a more detailed critique of the bills passed by both Houses of Congress. It is expected that the conference session on the bills to extend the Older Americans Act will resume in a week or two. I have been informed that the House and Senate conferees have resolved most of the issues. One notable exception is the Age Discrimination Act which is evidently still being hotly debated. If you find that you need additional information, do not hesitate to let me know. Frank Stewart FORD i LIBRARY 9ERALD for, David H. Lissy Executive Secretary to the Department Attachments TAB A E DEPARTMENT OF HEALTH. EDUCATION. AND WELFARE MAY 9 1975 Honorable Harrison A. Williams, Jr. Chairman, Senate Committee on Labor and Public Welfare United States Senate Washington, D. C. 20510 Dear Mr. Chairman: This letter outlines a number of serious concerns that the Department of Health, Education, and Welfare has regarding certain provisions of H.R. 3922, a bill "To amend the Older Americans Act of 1965 to establish certain social services programs for older Americans and to extend the authorizations of appropriations contained in such Act, to prohibit discrimination on the basis of age, and for other purposes", currently under consideration by your Committee. As you know, on January 30, the Administration transmitted to the Congress a draft Older Americans Act extension bill introduced as S. 599, under which: 1. Authorizations for most titles of the Act would be extended for two years, to September 30, 1977, making them coterminous with title VII, the food and nutrition program; 2. Title V and section 309--authorizing grants for purchase, renovation and initial staffing of senior citizen centers and grants for transportation projects--would be permitted to expire on the ground that they are duplicative of existing authorities available to the Departments of Housing and Urban Development and Transportation and have never been funded; 3. Parts A and C of title IV--dealing with training programs in the aging field and establishment of gerontology centers-- would also be permitted to expire since the Administration has never requested funds for these parts; FORD LIBRARY is 938839 Honorable Harrison A. Williams, Jr. 2 4. The statutory preference for low-income, minority and limited English-speaking persons now given in the title VII nutrition programs would be extended to those benefiting from State and Community Programs on Aging funded under title III; and, 5. Authorizations would be granted for a reasonable extension of the deadline for submission to the Congress of two major studies now being conducted by the Federal Council on the Aging--an extension which we had sought in the Ninety-third Congress. Following are the Department's specific concerns with respect to H.R. 3922 as passed by the House of Representatives, along with our suggestions for necessary amendments: 1. Authorizations: We believe it would be irresponsible to authorize a total of $2.8 billion for programs under the Older Americans Act and related laws at a time when all Americans are looking to the Congress to help curb the inflation eroding their wages, pensions and savings. We urge that the Congress authorize no more than requested in the Department's proposed bill. 2. Extension: We urge that the extension of those titles of the Act expiring on June 30 of this year be limited to two years, to September 30, 1977, making them coterminous with the title VII nutrition authorization. We are particularly concerned over the proposed four-year extension of the title III grants for State and Community Programs on Aging and the title VII nutrition program, both of which are now in only their second year of operation. We believe the Congress should await the availability of definitive data on the effectiveness of these massive programs rather than act to extend them as currently structured for another four years. 3. New Title VIII: H.R. 3922 establishes a new range of programs (homemaker and other home services; legal and other counseling services and assistance; residential repairs and renovations; mortgage interest reduction and insurance activities; and transportation), each duplicative of services Honorable Harrison A. Williams, Jr. 3 which can be funded under other existing statutes. Moreover, under this bill, States would be forced to expend on these specific programs no less than 20 percent of the funds now available under section 303 of title III of the Act for aging programs to meet priorities the States establish. Thus, if enacted, H.R. 3922 would violate the spirit and intent of the 1973 Title III Amendments, which gave the States long-sought authority to marshall available Federal, State, local and voluntary funds and resources to mount programs specifically designed to meet locally-established priorities. To tie the States' hands in this manner, after less than two years' experience under the 1973 Amendments, would be a major step backward. 4. Direct Funding for Indians: H.R. 3922 would authorize direct funding of Indian tribes' aging programs and would set aside a portion of funds available under title III equivalent to the proportion of Indians aged 60 or over to the total U.S. population of that age and specify the amount of such funds available for Indian tribes within each State. We urge that this provision be deleted and that the Congress rely upon existing enforcement authority to ensure that Indians receive their proper share of services under the Act. 5. Age Discrimination Act: This provision of the bill would bar discrimination based on age in any program or activity receiving Federal assistance except where age is "reasonably" taken into account or where "reasonable" factors other than age are taken into account in limiting participation in any such program. While we fully agree that the issue of age discrimination should be resolved with respect to all programs operated under the aegis of Federal law, H.R. 3922, as written, raises certain questions which we believe should be examined before it is formally considered. We have not had sufficient time to explore the potential ramifications of the Age Discrimination Act provisions. However, after preliminary review, we believe that, if enacted, these provisions would raise administrative issues and questions similar to those raised by the sex discrimination provisions of title IX of the Education Amendments of 1972. Honorable Harrison A. Williams, Jr. 4 We urge that the Congress not act precipitously but instead seek the views of the Justice Department and other knowledgeable agencies. 6. Special Training: H.R. 3922 would amend title IV of the Act to authorize grants to train lawyers, lay advocates, and paraprofessionals to provide legal counseling and services to the aged. This proposal, if enacted, would run directly counter to our goal to end the proliferation of programs designed to grant institutions specific funds to train specific types of personnel. As in the case of the existing training program referred to above, we believe this approach is inflexible and inequitable and should be addressed through the higher education student aid proposals which the Department is making to the Congress. On three other major amendments contained in H.R. 3922--one affecting the operation and funding levels of programs under the Older American Community Service Employment Act; one authorizing the spending of $18 million over two years for high protein and other foods for use in title VII nutrition programs; and the third authorizing mortgage interest reduction, insurance and housing repair activities--we defer to the Departments of Labor, Agriculture, and Housing and Urban Development, respectively. We applaud those provisions of the bill which retain the National Older Americans Service Programs in ACTION and which extend the deadline for completion of two major studies by the Federal Council on the Aging to January 1, 1976. In view of the foregoing, the Department is opposed to H.R. 3922 and urges that the Committee report favorably the Administration's proposal, S. 599. We are advised by the Office of Management and Budget that there is no objection to the submission of this communication from the standpoint of the Administration's program, and that enactment of H.R. 3922 as it is presently written would not be consistent with the Administration's objectives. Sincerely, /s/ Stephen Kurzman Acting Secretary TAB B June 26, 1975 CONGRESSIONAL RECORD- S 11735 Senate. The purpose of this scorekeeping inability so far to deal constructively ing, increase taxes, or accept a larger de- report is to enable Senators to under- with the oil price increase. ficit and debt. In the latter case the stand how their spending and taxing To help work toward a constructive American people should be better able decisions on individual bills compare to solution to the present impasse, last week than in previous years to determine the spending and taxing targets in the our Budget Committee created a new which of their representatives should be budget resolution. This scorekeeping energy task force. I have asked the dis- held accountable for the increases. sheet, soon to be published for the first tinguished senior Senator from Utah, On a more positive note, Mr. President. time, will be a valuable tool to help Con- Senator Moss, to chair that task force, I am pleased to note that the House Ways gress hold the line on the spending ceil- to explore all facets of the energy prob- and Means Committee in developing the ings. lem, and to report to our committee on debt ceiling bill took careful account not Despite all our plans, however, a new possible solutions. only of the first concurrent resolution on round of oil price increases threatens to The Budget Committee will work as the budget but also of the data generated destroy both the economic recovery we closely and constructively as possible by the Budget Committees. This is the are setting in motion and to drag us back with the President and his administra- kind of coordination and cooperation en- next year into an even deeper inflation- tion to find solutions which limit the visioned in the 1974 Budget Reform Act. recession-deficit cycle. If the price of oil damage which past price increases have We are making progress toward bringing goes up as now is predicted, much greater caused to our economy and our citizens, spending, revénue and debt measures into inflation, recession, and an even more and deal with the present energy crisis a coherent pattern. staggering deficit may be ahead for us. without the inflation and joblessness Mr. FANNIN. Mr. President, my vote As Dr. Charles Schultze, the respected which the President's program and the against passage of the debt ceiling exten- former Director of the Bureau of the threatened producing nations' price in- sion bill was based on a continuing be- Budget recently stated, a significant part crease will create. lief that Congress has failed to meet its of our present recession can be traced As this first fiscal year of the new duty to the American people of fiscal re- to the $35 billion drain imposed on our budget reform process begins, there is sponsibility in Government. Despite the citizens' purchasing power by oil price little good economic or fiscal news. The establishment of a more sophisticated increases since 1974. This loss of buying Budget Committees have begun their budgetary process within the legislative power meant people had to buy less, work in the worst economic period of the branch, Congress continues to pass many business could sell less, and workers lost last 40 years. But while the economic bills which exceed the dictates of reason. jobs. As much as one third of our present news is bad, T\ think we can be cautiously Congress has established the practice unemployment may be attributable to optimistic that the budget reform proc- of voting several times a year on the size these oil price increases. ess itself is succeeding. of the legal public debt. This sham If we are now hit with a new and should cease. It makes no sense whatso- The Budget Committee is beginning its equally staggering round of oil price in- work now toward establishing the firm ever to pass judgment on how many red- creases, we have little reason to hope ink dollars the Federal Government spending target ceilings Congress will that a new wave of general price in- enact this fall. We will report those ceil- should be allowed to spend after they creases, job losses, lost taxes, and deep ings to the Senate and any necessary have been committed or spent through deficits will not result again. Pursuing other legislative measures. action to change spending and taxing what I believe is a counterproductive en- My concern also extends to the fact legislation to conform to those ceilings ergy policy, the President has already as soon as the appropriations process is that this Nation will be spending $32.8 raised oil prices by $2 a barrel. The for- substantially completed, and before the billion in fiscal year 1975 and approxi- eign oil producing countries indicate pending debt ceiling legislation expires mately $36 billion in fiscal year 1976 to they intend to increase oil prices by an- November 15. This debt ceiling legisla- service the Federal public debt. I sincere- other $2 a barrel this fall. Additionally, tion, therefore, is consistent with the ly hope these figures are found to be dis- the President wants Congress to agree to Budget Reform Act. turbing by others as well. a rapid decontrol of the price of oil pro- duced in our own country, further in- Mr. HRUSKA. My. President, the only flating the average per barrel cost of oil favorable comment/I can make about the ORDER FOR RECESS UNTIL 10 A.M. proposed increase in the debt ceiling to TOMORROW to U.S. citizens. Dr. Schultze estimates the effect of these actions will be to boost $577 billion is that it is keyed to the de- the price of oil in the United States from ficit level of $68.8 billion established last Mr. ROBERT C. BYRD. Mr. President, I ask unanimous consent that when the the $9.50 a barrel which was paid earlier May by the first concurrent resolution on the budget. The decision to extend the Senate completes its business today it this year to an average of $12 by this stand in recess until the hour of 10 a.m. September and to $16 within 3 years. ceiling to November 15, 1975, rather than tomorrow. As the effect of this oil price explosion to June 30, 1976, will provide an oppor- The PRESIDING OFFICER. Without moves through the economy, we must tunity to consider deficit and debt ceiling objection; it is so ordered. anticipate a further $13 billion loss in levels in September during action on the second concurrent resolution on the consumer purchasing power in the first half of next year, and $30 to $35 billion budget. EXECUTIVE SESSION by the end of the following year. If we Before the Senate voted on May 1 on Mr. ROBERT C. BYRD. Mr. Presi- cannot prevent or counteract these price the budget resolution, I noted my support\ dent, I ask unanimous consent that the increases, Dr. Schultze says a further re- for much lower deficit levels. Much to my Senate go into executive session to con- cession is a virtual certainty. He predicts regret these lower levels had been re- sider a nomination. an unemployment stagnating at between jected during action on amendments to The PRESIDING OFFICER. Without 8½ and 9 percent for a long period and the resolution. I then stated that I would objection, it is so ordered. easily sliding over 10 percent. At the same vote for the resolution because it rep- Mr CURTIS. Mr. President, I ask time, the oil price increases would add resented the best compromise obtainable unanimous consent that the Committee 2½ to 3 percent to the cost of living, with and to give the new budget reform pro- on Finance be discharged from further resulting wage demands which could cedures a fair test. consideration of the nomination of raise the cost of living to a full 3½ to 4 Recent action on appropriation bills Christopher U. Sylvester, of North percent by late 1977. and other spending measures suggests Dakota, who has been nominated to be a Under these circumstances, the pro- that Congress is unlikely to reduce the member of the Renegotiation Board. posed oil price increase by the producing deficit level set in May. Indeed, we will be The PRESIDING OFFICER. Without nations, as President Ford said yester- hard put to stay at $68.8 billion. When objection, it is\so ordered. day, is unacceptable. In my view, the oil we act this September on the second con- tariff imposed unilaterally by the Presi- current resolution, we will give the Na- dent is equally unacceptable. tion clear signals on the debt ceiling to be NOMINATION OF CHRISTOPHER U. Our problems will not be solved, how- voted in mid-November. SYLVESTER OF NORTH DAKOTA ever, by stalemate or by the Congress By September action will be completed TO BE A MEMBER OF THE RENE- and the President engaging in partisan on appropriation bills. If they call for in- GOTIATION BOARD political accusations. There is plenty of creases in the deficit and thus in the debt Mr. CURTIS. Mr. President, I call up blame to go around for our Government's ceiling, our choices will be to cut spend- the nomination for Senate approval. HR 3922 S 11736 CONGRESSIONAL RECORD-SENATE June 26, 1975 Mr. LONG. Mr. President, I shall not INCREASE IN THE TEMPORARY unanimous consent that the order for oppose the nomination. I understand why DEBT LIMITATION the quorum call be rescinded. the Senator has sought to expedite this The Senate continued with the con- The PRESIDING OFFICER. Without matter. I simply wish to have it under- sideration of the bill (H.R. 8030) to in- objection, it is so ordered. stood that when we vote the nomination crease the temporary debt limitation. through, no motion to reconsider will be The PRESIDING OFFICER. The bill made at that point in the event that OLDER AMERICANS AMENDMENTS someone may come in and say he was having been read the third time, the OF 1975 question is, Shall the bill pass? not aware of the fact that we were plan- The yeas and nays have been ordered, Mr. MANSFIELD. Mr. President, I ask ning to vote on it. and the clerk will call the roll. unanimous consent that the Senate pro- Mr. CURTIS. Very well. The legislative clerk called the roll. ceed to the consideration of Calendar No. Mr. LONG. If there is some objection, Mr. ROBERT C. BYRD of West Vir- 249, S. 1425. of which I am totally unaware, any Sena- ginia. I announce that the Senator from The PRESIDING OFFICER. The bill tor reading the record may come in and Wyoming (Mr. McGEE), the Senator will be stated by title. ask that it be reconsidered, and we would. from Illinois (Mr. STEVENSON), and the The legislative clerk read as follows: reconsider it. Senator from California (Mr. TUNNEY), A bill (S. 1425) to amend the Older Ameri- Mr. CURTIS. Very well. are necessarily absent. cans Act of 1965 to extend the authoriza- The PRESIDING OFFICER. Without I also announce that the Senator from tions of appropriations contained in such objection, the nomination will be stated. Act, and for other purposes. The assistant legislative clerk read the New Mexico (Mr. MONTOYA), is absent because of death in the family. The PRESIDING OFFICER. Is there nomination of Christopher U. Sylvester I further announce that, if present and objection to the present consideration of to be a member of the Renegotiation voting, the Senator from Illinois (Mr. the bill? Board. The PRESIDING OFFICER. Without STEVENSON), would vote "yea." There being no objection, the Senate Mr. GRIFFIN. I announce that the proceeded to consider the bill which had objection, the nomination is considered Senator from Arizona (Mr. GOLDWATER) been reported from the Committee on and confirmed. and the Senator from Oregon (Mr. HAT- Labor and Public Welfare, with an Mr. CURTIS subsequently said: Mr. FIELD), are necessarily absent. amendment to strike out all after the President, I wish to report that the nomi- I further announce that, if present enacting clause and insert: nation of Christopher U. Sylvester, of and voting, the Senator from Oregon That this Act may be cited as the "Older North Dakota, to be a member of the (Mr. HATFIELD) and the Senator from Americans Amendments of 1975". Renegotiation Board was approved sub- Arizona (Mr. GOLDWATER) would each TITLE I-AMENDMENTS TO OLDER AMERI- ject to the nominee's commitment to re- vote "nay." CANS ACT OF 1965 spond to requests to appear and testify The result was announced-yeas 72, TRANSMISSION OF CERTAIN RECOMMENDATIONS before any duly constituted committee of nays 21, as follows: RELATING TO FEDERAL COUNCIL ON AGING the Senate. Mr. Sylvester has made such a commitment. He has also written a let- [Rollcall Vote No. 256 Leg.] SEC. 101. (a) Section 205(g) of the Older Americans Act of 1965, as amended (42 U.S.C. ter to the chairman of the Committee on YEAS-72 3015(g)) (hereinafter in this title referred Finance complying with that ruling. Abourezk Glenn Mondale to as the "Act") is amended by striking out Baker Gravel Muskie "eighteen months after enactment of this Bayh Griffin Nelson Act" and inserting in lieu thereof "January Beall Hart, Gary W. Packwood LEGISLATIVE SESSION 1, 1976,". Bentsen Hart, Philip A. Pastore Biden Hartke Pearson (b) Section 205(h) of the Act (42 U.S.C. Mr. ROBERT C. BYRD. Mr. President, Brock Haskell Pell 3015(h)) is amended by striking out I ask unanimous consent that the Senate Brooke Hathaway Percy "eighteen months after enactment of this return to the consideration of legisla- Buckley Hruska Proxmire Act," and inserting in lieu thereof "January Bumpers Huddleston tive business. Randolph 1, 1976,". Burdick Humphrey Ribicoff The PRESIDING OFFICER. Without Case Inouye Roth APPLICATION OF OTHER LAWS objection, it is so ordered. Chiles Jackson Schweiker SEC. 102. Title II of the Act (42 U.S.C. 3011 Church Javits Scott, Hugh Clark et seq.) is amended by adding at the end Johnston Sparkman Cranston Kennedy thereof the following new section: Stafford DETERMINATION OF SENATE ELEC- Culver Leahy Stennis "APPLICATION OF OTHER LAWS TION IN NEW HAMPSHIRE Curtis Long Stevens Dole "SEC. 211. The provisions and requirements Magnuson Stone The Senate continued with the con- Domenici Mathias Taft of the Act of December 5, 1974 (Public Law sideration of the resolution (S. Res. 166) Eagleton McClellan Tower 93-510; 88 Stat. 1604) shall not apply to the Eastland McGovern Welcker administration of the provisions of this Act relating to the determination of the con- Fong McIntyre Williams or to the administration of any program or tested election for a seat in the U.S. Ford Metcalf Young activity under this Act.". Senate from the State of New Hamp- NAYS-21 DEFINITION OF SOCIAL SERVICES shire. Allen Garn Moss SEC. 103. Section 302(1) of the Act (42 ORDER FOR 1 HOUR OF DEBATE ON CLOTURE MO- Bartlett Hansen Nunn U.S.C. 3022(1)) is amended- TION TO BEGIN AT 10:45 A.M. TOMORROW Bellmon Helms Scott, (1) in subparagraph (E) thereof, by strik- Byrd, Hollings William L. Mr. ROBERT C. BYRD. Mr. Presi- Harry F., Jr. Laxalt Symington ing out "or" at the end thereof; and dent, I ask unanimous consent that the Byrd, Robert C. Mansfield Talmadge (2) by redesignating subparagraph (F) as Cannon 1 hour on cloture tomorrow begin run- McClure Thurmond subparagraph (H) and by inserting imme- Fannin Morgan diately after subparagraph (E) the following ning at the hour of 10:45 a.m. Mr. HUGH SCOTT. Mr. President, if NOT VOTING-6 new subparagraphs: "(F) services designed to provide legal the Senator will yield, that is, I take it, Goldwater McGee Stevenson Hatfield Montoya (including tax and financial) counseling and as I understand it, will be preceded by Tunney services to older persons; a quorum call, not necessarily an auto- So the bill (H.R. 8030) was passed. "(G) services designed to enable older matic, but a quorum call. In other words, persons to attain and maintain physical and Mr. MANSFIELD. Mr. President, I we can expect the vote to occur by 12 mental well being through programs of reg- suggest the absence of a quorum. ular physical activity and exercise; or". noon in the way in which the Senator's The PRESIDING OFFICER (Mr. GRANTS TO INDIAN TRIBES request is framed. Mr. ROBERT C. BYRD. Yes. DOLE). The clerk will call the roll. Sec. 104. (a) Section 303(b) of the Act The PRESIDING OFFICER. Is there The second assistant legislative clerk (42 U.S.C. 3023(b)) is amended by redesig- proceeded to call the roll. nating paragraph (3) as paragraph (4) and objection? The Chair hears none, and it by inserting immediately after paragraph is so ordered. Mr. MANSFIELD. Mr. President, I ask (2) the following new paragraph: Nate esp. Secty's letter re Age Discrimination Act P. 511741 GLEASE FORD LIBRARY June 26, 1975 CONGRESSIONAL RECORD SENATE S11737 "(3) (A) In any State in which the Com- (F) and by inserting immediately following amount equal to 25 per centum of such al- missioner determines (after having taken subparagraph (D) the following new sub- lotments for fiscal year 1974, but in any case into account the amount of funds available paragraph: an amount not to exceed $25,000. to the State agency or to an appropriate area "(E) in conjunction with the agency desig- whichever is greater. agency on aging to carry out the purposes nated pursuant to section 2003 (1) (C) of "(3) For fiscal year 1977 and for each suc- of this title) that the members of an Indian the Social Security Act (42 U.S.C. 1397b), and ceeding fiscal year each State agency speci- tribe are not receiving benefits under this as required by section 2004(2) (H) of such fied in clause (A) of paragraph (2) may re- title that are equivalent to benefits provided Act, coordinate activities under the State tain an amount equal to an amount not to to other older persons in the State or appro- plan developed pursuant to section 305(a) exceed 8 per centum of the amount by which priate area, and if he further determines with the provision of services to older Amer- the allotment for that State under section that the members of such tribe would be icans under part A of title XX of the Social 303 plus the allotment for the State under better served by means of grants made di- Security Act;" section 703 for the fiscal year exceeds the rectly to provide such benefits, he shall (b) Section 304(c) (4) of the Act (42 U.S.C. sum of such allotments for fiscal year reserve from sums that would otherwise be 3024(c) (4)) is amended by striking out sub- 1976, but in any case an amount not to ex- allotted to such State under paragraph (2) paragraph (C) and by redesignating sub- ceed $100,000. not less than 100 per centum nor more than paragraph (D) through subparagraph (F) as "(4) For fiscal year 1977 and for each suc- 150 per centum of an amount which bears subparagraph (C) through subparagraph ceeding fiscal year, each State agency speci- the same ratio to the State's allotment for (E), respectively. fied in clause (B) of paragraph (2) may re- the fiscal year involved as the population (c) Section 304 of the Act (42 U.S.C. 3024) tain an amount equal to an amount not to of all Indians aged sixty or over for whom is amended by inserting after subsection (c) exceed 8 per centum of the amount by which a determination under this paragraph has the following new subsection: the allotment for that State under section been made bears to the population of all "(d) (1) Subject to regulations issued by 303 plus the allotment of that State under persons aged sixty or over in such State. the Secretary of Health, Education, and Wel- section 703 for the fiscal year exceeds the sum "(B) The sums reserved by the Commis- fare, an area agency on aging designated un- of such allotments for fiscal year 1974 but in sioner on the basis of his determination der subsection (a) or, in areas of a State any case an amount not to exceed $100,000. under this paragraph shall be granted to the where no such agency has been designated, "(5) Notwithstanding any other provision tribal organization serving the individuals the State agency, is authorized to enter into of this subsection, no State shall receive less for whom such a determination has been agreements with agencies administering pro- than that State received under this sub- made, or where there is no tribal organiza- grams under the Rehabilitation Act of 1973, section for fiscal year 1975. tion, to such other entity as he determines as amended, and titles VI, XIX, and XX of "(6) Amounts received under this para- has the capacity to provide services pursu- the Social Security Act for the purpose of graph shall be used for administration of ant to this title. developing and implementing plans for meet- programs under this title and title VII of "(C) In order for a tribal organization or ing the common need for transportation serv- this Act.". other entity to be eligible for a grant for a ices of persons receiving benefits under such MODEL PROJECT REQUIREMENTS fiscal year under this paragraph, it shall sub- Acts and older Americans participating in mit to the Commissioner a plan for such programs authorized by titles III and VII of SEC. 108. Section 308(a) of the Act (42 fiscal year which meets such criteria as the this Act. U.S.C. 3028(a)) is amended by striking out Commissioner may prescribe by regulation "(2) Pursuant to an agreement entered the word "or" at the end of paragraph (3) and which meets criteria established by sec- into under paragraph (1), funds appropriated and inserting immediately after paragraph tion 305(a), to the extent the Commissioner under titles III and VII of this Act may be (4) the following new paragraphs: determines such criteria to be appropriate. used to purchase transportation services for "(5) enable State agencies on aging and "(D) Recipients of grants under this para- older persons and may be pooled with funds other public and private nonprofit organiza- made available for the provision of trans- tions to assist in the promotion and devel- graph may retain for administrative purposes portation services under the Rehabilitation opment of ombudsmen services for residents an amount equal to the amount available for the cost of the administration of area plans Act of 1978, as amended, and titles VI, XIX, of nursing homes; under section (1) and XX of the Social Security Act.". "(6) meet the special needs of, and im- prove the delivery of services to, older (b) Section 102 of the Act (42 U.S.C. 3002) LOW-INCOME INDIVIDUALS AND RURAL ELDERLY is amended by adding at the end thereof the Americans who are not receiving adequate SEC. 106. Section of the Act (42 services under other provisions of the Act, following new paragraphs: U.S.C. 3024) is amended by renumbering with emphasis on the needs of low-income "(4) 'Indian' means a person who is a paragraphs 6, 7, 8, and 9 as paragraphs 8, member of an Indian tribe. minority, Indian, and limited-English indi- 9, 10, and 11, respectively, and inserting the viduals, and the rural elderly; "(5) 'Indian tribe' means any tribe, band, following new paragraphs: "(7) encourage the participation of older nation, or other organized group or com- "(6) provides that the needs of low-in- persons in activities connected with the munity of Indians (including any Alaska come elderly persons will be taken into ac- celebration of the American Bicentennial; Native village or regional or village corpora- count in developing and implementing the or tion as defined in or established pursuant to State plan; "(8) assist older persons to remain within the Alaska Native Claims Settlement Act "(7) provides that the relative distribu- their communities and out of institutions (85 Stat. 683)) (A) which is recognized as tion of older persons residing in rural and and to maintain their independent living by eligible for the special programs and services urban areas within the State will be taken (A) providing financial assistance for the provided by the United States to Indians be- into account in developing and implement- establishment and operation of senior ambu- cause of their status as Indians; or (B) ing the State plan;". latory care day centers (providing a planned which is located on, or in proximity to, a ADMINISTRATION OF STATE PLANS schedule of health, therapeutic, educational, Federal or State reservation or rancheria. "(6) "Tribal organization' means the recog- SEC. 107. (a) Section 306(b) (1) of the nutritional, recreational, and social services nized governing body of any Indian tribe, Act (42 U.S.C. 3026(b) (1)) is amended by at least twenty-four hours per week, trans- striking out "$160,000" in clause (A) and portation arrangements at low or no cost for or any legally established organization of inserting in lieu thereof "$200,000", and by participants to and from the center, a hot Indians which is controlled, sanctioned, or striking out "$50,000" in clause (B) and in- mid-day meal, outreach and public informa- chartered by such governing body: Provided, That in any case where a contract is let or serting in lieu thereof "$62,500". tion programs, and opportunities for maxi- (b) Section 306(b) of the Act is amended mum participation of senior participants and grant made to an organization to perform services benefiting more than one Indian by redesignating paragraph (2) as paragraph senior volunteers in the planning and oper- (7) and by inserting immediately after par- ation of the center), and (B) maintaining or tribe, the approval of each such Indian tribe shall be a prerequisite to the letting or mak- agraph (1) the following new paragraphs: initiating, or providing reasonable assur- "(2) For fiscal year 1976, and for the period ances of doing so, arrangements with the ing of such contract or grant.". (c) The first sentence of section 303(b) (2) beginning July 1, 1976, and ending Septem- agency of the State concerned which ad- of the Act (42 U.S.C. 3023(b) (2)) is amended ber 30, 1976, each State agency may retain ministers or supervises the administration of by striking out "From" and inserting in lieu an amount equal to- a State plan approved under title XIX of the "(A) the increase in the minimum amount Social Security Act, and with other appro- thereof "Subject to the provisions of para- specified in clause (A) of the first sentence priate social services agencies receiving or graph (3), from". of this paragraph enacted by section 107(a) reimbursed through Federal financial assist- (d) Section 303(b) (4) of the Act (42 U.S.C. 3023(b) (4)), as so redesignated by of the Older Americans Amendments of 1975, ance, for the payment of all or a part of the center's costs in providing services to eligible subsection (a), is amended by inserting im- or mediately after "States" the following: ", "(B) an amount not to exceed 8 per cen- persons.". and the number of Indians aged sixty or tum of the amount by which the allotment TRANSPORTATION, HOME SERVICE, AND LEGAL over on, or in proximity to, any Federal or for that State under section 303 plus the COUNSELING PROJECTS State reservation or rancheria.". allotment for that State under section 703 SEC. 109 Section 309 of the Act (42 U.S.C. (1) for that fiscal year exceeds the sum of 3029) is amended to read as follows: STATE AND AREA PLAN REQUIREMENTS such allotments for fiscal year 1974, but in "SEC. 309. (a) There are authorized to be SEC. 105. (a) Section 304(a) (1) of the Act any case an amount not to exceed $100,000, appropriated $50,000,000 for the fiscal year (42 U.S.C. 3024(a)) is amended by redesig- and (ii) for the period beginning July 1, 1976, ending June 30, 1976, $12,500,000 for the pe- nating subparagraph (E) as subparagraph and ending September 30, 1976, exceeds an riod beginning July 1, 1976, and ending Sep- S11738 CONGRESSIONAL RECORD June 26, 1975 tember 30, 1976, and $50,000,000 for the fiscal the capacity of public and private agencies (d) Section 431 of the Act (42 U.S.C. year ending September 30, 1977, to be allotted entrusted with administrative responsibili- 3037) is amended by striking out "and" to the States in accordance with the allot- ties under this Act, and to clarify the roles immediately after "1974," and by inserting ment formula contained in section 303 in and relationships between and among pub- immediately after "1975" the following: order to carry out the purposes of this sec- lic and private agencies which administer ", the fiscal year ending June 30, 1976, the tion. From sums appropriated under this sec- programs essential to fulfill the purposes of period beginning July 1, 1976, and ending tion, the Commissioner is authorized to make this Act, including but not limited to such September 30, 1976, and the fiscal year end- grants to each State having a State plan short-term training activities as workshops, ing September 30, 1977." approved under section 305 for the purpose of technical-assistance, and organizational de- (e) Section 505(a) of the Act (42 U.S.C. paying up to 90 per centum of the costs of velopment support,". 3041d(a)) is amended by striking out "and" the following: (c) Section 404 of the Act (42 U.S.C. 3034) immediately after "1974," and by inserting "(1) Projects designed to meet the trans- is amended by adding at the end thereof immediately after "1975" the following: "the portation needs of older persons, with special the following new subsection: fiscal year ending June 30, 1976, the period emphasis on (A) providing supportive trans- "(c) The Commissioner may make beginning July 1, 1976, and ending Septem- portation in connection with nutrition proj- grants under subsection (a) to assist in (A) ber 30, 1976, and the fiscal year ending Sep- ects operated pursuant to title VII of this the training of lawyers and paraprofessional tember 30, 1977.". Act, and (B) providing transportation for the persons who will (1) provide legal (including (f) Section 708 of the Act (42 U.S.C. 3045g) purpose of enabling older persons to obtain tax and financial) counseling and services is amended in the first sentence thereof by medical services; to older persons; or (2) monitor the admin- striking out: "$200,000,000" and inserting in "(2) Projects designed to meet the needs istration of any program by any public or lieu thereof "$225,000,000", and by striking of older persons for home services including private nonprofit institution, organization, or out "$250,000,000" and inserting in lieu homemaker services, home health services, agency, or any State or political subdivision thereof "$275,000,000.". shopping services, escort services, reader serv- of a State, designed to provide assistance or services to older persons, including nursing COMMUNITY SERVICE EMPLOYMENT FOR ices, letter writing services, and other serv- ices designed to assist such persons to con- home programs and other similar programs; OLDER AMERICANS tinue living independently in a home en- and (B) the training of persons employed by SEC. 115. (a) The Act is amended by adding vironment; and or associated with public or private nonprofit at the end thereof the following new title: "(3) Projects to establish or support legal agencies or organizations, including a State "TITLE IX-COMMUNITY SERVICE EM- (including tax and financial) counseling and or political subdivision of a State, who will PLOYMENT FOR OLDER AMERICANS services programs for older persons, including identify legal problems affecting older per- "SHORT TITLE the training of lawyers and paraprofessional sons, develop solutions for these problems, persons where the provision of such training and mobilize the resources of the commu- "SEC. 901. This title may be cited as the is necessary for the successful operation of a nity to respond to the legal needs of older 'Older American Community Service Employ- persons.". ment Act'. program authorized by this paragraph. "(b) The allotment to a State under this STATE PLANS "OLDER AMERICAN COMMUNITY SERVICE section shall be available for grants and SEC. 112. Section 705(a) (4) of the Act (42 EMPLOYMENT PROGRAM contracts to area agencies on aging, desig- U.S.C. 3045d(a (4)) is amended by changing "SEC. 902. (a) In order to foster and pro- nated under section 304(a) (2) or, where the period to a comma and inserting the mote useful part-time work opportunities there is no area agency, to other public or following immediately after the comma: "and in community service activities for unem- nonprofit private agencies that the State that the relative distribution of older per- ployed low-income persons who are fifty-five agency determines have the capacity to meet sons residing in rural urban areas in such years old or older and who have poor em- the transportation, home service, or legal State will be taken into account in award- ployment prospects, the Secretary of Labor counseling and services needs of older per- ing grants.". (hereinafter in this title referred to as the sons. In making grants and contracts for PURCHASE OF CERTAIN PRODUCTS BY THE 'Secretary') is authorized to establish an the provision of transportation, home serv- SECRETARY OF AGRICULTURE older American community service employ- toes or legal counseling and services under ment program." this section, State agencies shall give prior- SEO. 113. (a) Section 707(d) of the Act (42 U.S.C. 3045f) is amended by striking out "10 "(b) (1) In order to carry out the pro- ity to applicants proposing to serve areas visions of this title, the Secretary is author- in which the supply of such services is in- cents per meal:" and inserting in lieu thereof adequate to meet the needs of older persons. "25 cents per meal during the fiscal year end- ized to enter into agreements with public or ing September 30, 1976, and 50 cents per meal private nonprofit agencies or organizations, "(c) Within 120 days following the enact- during the fiscal year ending September 30, including national organizations, agencies of ment of legislation appropriating funds as 1977:". a State government or a political subdivision authorized by this section, the Commissioner shall issue final regulations for implementa- (b) Section 707 of the Act is amended in of a State (having elected or duly appointed governing officials), or a combination of tion of the program herein authorized. paragraphs (a), (b), and (c) by striking out "may" each time it appears and inserting in such political subdivision, or tribal orga- "(d) The Commissioner is authorized and lieu thereof "shall". nizations in order to further the purposes directed to request the technical assistance and goals of the program. Such agreements and cooperation of the Secretary of Trans- AUTHORIZATION OF APPROPRIATIONS may include provisions for the payment of portation and such other departments and SEC. 114. (a) Section 204(c) of the Act (42 costs, as provided in subsection (0), of proj- agencies of the Federal Government as may U.S.C. 3014(c)) is amended by striking out ects developed by such organizations and be appropriate for the proper and effective "and" immediately after "1974," and by in- agencies in cooperation with the Secretary administration of this section.". serting immediately after "1975," the follow- in order to make the program effective or to ATTRACTING QUALIFIED PERSONS TO THE ing: "the fiscal year ending June 30, 1976, the supplement the program. No payment shall FIELD OF AGING period beginning July 1, 1976, and ending be made by the Secretary toward the cost September 30, 1976, and the fiscal year end- of any project established or administered SEC. 110. Section 403 of the Act (42 U.S.C. 3033) is amended by inserting "two or four ing September 30, 1977,". by any such organization or agencies unless (b) (1) Section 303(a) of the Act (42 U.S.C. he determines that such project- year" before "institutions" the first time it appears in such section. 3023(a)) is amended by striking out "and" "(A) will provide employment only for immediately after "1974," and by inserting eligible individuals, except for necessary TRAINING PERSONNEL TO PERFORM COUN- immediately after "1975," the following: technical, administrative, and supervisory SELING AND MONITORING FUNCTIONS $200,000,000 for the fiscal year ending June personnel, but such personnel shall, to the SEC. 111. (a) Section 404(a) (1) of the Act 30, 1976, $60,000,000 for the period beginning fullest extent possible, be recruited from (42 U.S.C. 3034(a) (1)) is amended to read July 1, 1976, and ending September 30, 1976, among eligible individuals; as follows: and $240,000,000 for the fiscal year ending "(B) will provide employment for eligible (1) to assist in covering the cost of train- September 30, 1977,". individuals in the community in which such ing or study for two-year or four-year college (2) Section 303(b) (2) of the Act (42 U.S.C. individuals reside, or in nearby communities; or university-based programs including but 3023(b) (2)) is amended by striking out "(C) will employ eligible individuals in not limited to the coverage of such costs as "and" immediately after "1974," and by in- services related to publicly owned and op- faculty support, student support (in class- serting immediately after "1975," the fol- erated facilities and projects, or projects room and field learning exercises, includ- lowing: "for the fiscal year ending June 30, sponsored by organizations, other than po- ing workshops, seminars, and professional 1976, the period beginning July 1, 1976, and litical parties, exempt from taxation under meetings), courses within the appropriate ending September 30, 1976, and for the fis- the provisions of section 501(c) (3) of the curricula, and such costs as technical assist- cal year ending September 30, 1977,". Internal Revenue Code of 1954, except proj- ance and program development in working (c) Section 308(b) of the Act (42 U.S.C. ects involving the construction, operation, with older persons.". 3028(b)) is amended by striking out "and" or maintenance of any facility used or to (b) Section 404(a)(3) of the Act (42 immediately after "1974," and by inserting be used as a place for sectarian religious IN- U.S.C. 3034(a) (3)) is amended to read as immediately after "1975" the following: struction or worship; follows: ", the fiscal year ending June 30, 1976, the "(D) will contribute to the general wel- "(8) for short-term or inservice training period beginning July 1, 1976, and ending fare of the community; to support program operational activities, September 30, 1976, and the fiscal year end- "(E) will provide employment for eligible strengthen program management, improve ing September 30, 1977." individuals whose opportunities for other June 26, 1975 CONGRESSIONAL RECORD S11739 suitable public or private paid employment services and facilities contributed from non- mal coordination with such other programs. are poor; Federal sources. In carrying out the provisions of this sec- "(F) (1) will result in an increase in em- "ADMINISTRATION tion, the Secretary shall promote programs ployment opportunities over those oppor- tunities which would otherwise be available, "SEC. 903. (a) In order to effectively carry or projects of a similar nature. Each Federal (ii) will not result in the displacement of out the purposes of this title, the Secretary agency shall cooperate with the Secretary in currently employed workers (including par- shall, through the Commissioner, of the Ad- disseminating information about the avail- ministration on Aging, consult with the ability of assistance under this title and in tial displacement such as a reduction in the State agency on aging designated under sec- promoting the identification and interests of hours of nonovertime work or wages or em- tion 304(a) (1) and the appropriate area individuals eligible for employment in proj- ployment benefits), and (iii) will not im- ects assisted under this title. pair existing contracts or result in the sub- agencies on aging established under section statution of Federal for other funds in con- 304(a) (2) with regard to- "EQUITABLE DISTRIBUTION OF ASSISTANCE nection with work that would otherwise be "(1) the localities in which community "SEC. 906. (a) (1) From sums appropriated performed; service projects of the type authorized by under this title for each fiscal year, the Sec- "(G) will not employ or continue to em- this title are most needed; retary shall first reserve such sums as may play any eligible individual to perform work "(2) consideration of the employment sit- be necessary, and such additional sums as the same or substantially the same as that uations and the type of skills possessed by he may deem advisable, for national grants performed by any other person who is on available local individuals who are eligible to or contracts with public agencies and public laydif; particapate; and or private nonprofit organizations for the (FI) will utilize methods of recruitment "(3) potential projects and the number administration of programs under this title and selection (including listing of job vacan- and percentage of eligible individuals in the in an aggregate amount equal to the pay- cies with the employment agency operated by local population. ments made for such contracts in fiscal year any State or political subdivision thereof) "(b) If the Secretary determines that to 1975 from funds appropriated under title IX which will assure that the maximum number do so would increase job opportunities avail- of the Older Americans Comprehensive Serv- of eligible individuals will have an oppor- able to individuals under this title, the Sec- ices Amendments of 1973 and under title III tunity to participate in the project; retary is authorized to coordinate the pro- of the Comprehensive Employment and "(I) will include such training as may be gram assisted under this title with programs Training Act of 1973 for community service necessary to make the most effective use of authorized under the Emergency Jobs and employment programs for older Americans. the skills and talents of those individuals Unemployment Assistance Act of 1974, the Preference in awarding such grants or con- who are participating, and will provide for the Comprehensive Employment and Training tracts shall be given to national organiza- payment of the reasonable expenses of indi- Act of 1973, the Community Services Act of tions of proven ability in providing employ- viduals being trained, including a reasonable 1974, and the Emergency Employment Act of ment services to older people under this and subsistence allowance; 1971. Appropriations under this Act may not similar programs. Each such grant or con- "(J) will assure that safe and healthy con- be used to carry out any program under the tract shall contain provisions to assure that ditions of work will be provided, and will Emergency Jobs and Unemployment Assist- projects conducted pursuant to such con- assure that persons employed in community ance Act of 1974, Comprehensive Employ- tracts during fiscal year 1975 will be con- service jobs assisted under this title shall be ment and Training Act of 1973, the Com- tinued if the Secretary determines that such paid wages which shall not be lower than munity Services Act of 1974, or the Emer- projects are successfully carrying out the whichever is the highest of (1) the minimum gency Employment Act of 1971. purposes of this title. wage which would be applicable to the em- "(c) In carrying out the provisions of this "(2) The Secretary shall allot for projects ployee under the Fair Labor Standards Act title, the Secretary is authorized to use, with within each State the remainder of the sums of 1938, if section 6(a) (1) of such Act applied their consent, the services, equipment, per- appropriated for any fiscal year under section sonnel, and facilities of Federal and other to the participant and if he were not exempt 908 so that equal proportions are distributed under section 13 thereof, (11) the State or agencies with or without reimbursement, and on the basis of an amount which bears the local minimum wage for the most nearly on a similar basis to cooperate with other same ratio to such sums as the number of comparable covered employment, or (iii) the public and private agencies, and instrumen- persons aged fifty-five or over in the State prevailing rates of pay for persons employed talities in the use of services, equipment, involved bears to the number of such persons and facilities. in similar public occupations by the same in all States, except that (A) the Secretary "(d) Payments under this title may be shall reduce the allotment made to each State employer; "(K) will be established or administered made in advance or by way of reimbursement under this paragraph by the amount reserved with the advice of persons competent in the and in such installments as the Secretary under paragraph (1) of this subsection and field of service in which employment is being may determine. available for expenditure in that State for the "(e) The Secretary shall not delegate any fiscal year for which the determination is provided, and of persons who are knowledge- able with regard to the needs of older persons; function of the Secretary under this title made, (B) no State shall be allotted any to any other department or agency of the sums under this paragraph for any fiscal "(L) will authorize pay for necessary transportation costs of eligible individuals Federal Government. year until the Secretary determines that the amount to be allotted to that State in the which may be incurred in employment in "PARTICIPANTS NOT FEDERAL EMPLOYEES fiscal year for which the determination is any project funded under this title in ac- "SEC. 904. (a) Eligible individuals who are made is equal to the amount reserved under cordance with regulations promulgated by employed in any project funded under this paragraph (1) of this subsection and avail- the Secretary; title shall not be considered to be Federal able for expenditure in that State for that "(M) will assure that, to the extent employees as a result of such employment fiscal year, (C) no State shall be allotted less feasible, such project will serve the needs and shall not be subject to the provisions of than one-half of 1 per centum of the sum of minority, Indian, and limited English- part III of title 5, United States Code. appropriated for the fiscal year for which the speaking eligible individuals in proportion "(b) No contract shall be entered into determination is made, or $100,000, whichever to their numbers in the State; and under this title with a contractor who is, or is greater, and (D) Guam, American Samoa, "(N) will authorize funds to be used, ito whose employees are, under State law, ex- the Virgin Islands, and the Trust Territory the extent feasible, to include individuals empted from operation of the State work- of the Pacific Islands shall each be allotted participating in such project under any State men's compensation law, generally applicable an amount equal to one-fourth of 1 per unemployment insurance plan. to employees, unless the contractor shall centum of the sum appropriated for the fiscal "(2) The Secretary is authorized to estab- undertake to provide either through insur- year for which the determination is made, or lish, issue, and amend such regulations as ance by a recognized carrier, or by self-in- $50,000, which is greater. For the purpose of may be necessary to effectively carry out the surance, as authorized by State law, that the exception contained in this paragraph, provisions of this title. the persons employed under the contract the term 'State' does not include Guam, "(c) (1) The Secretary is authorized to pay shall enjoy workmen's compensation cover- American Samoa, the Virgin Islands, and not to exceed 90 per centum of the cost of age equal to that provided by law for covered the Trust Territory of the Pacific Islands. any project which is the subject of an agree- employment. "(3) The number of persons aged fifty- ment entered into under subsection (b), "INTERAGENCY COOPERATION five or over in any State and for all States, except that the Secretary is authorized to shall be determined by the Secretary on the "SEC. 905. (a) The Secretary shall con- pay all of the costs of any such project which basis of the most satisfactory data available sult with, and obtain the written views of, to him. is (A) an emergency or disaster project, or the Commissioner of the Administration on (B) a project located in an economically "(b) The amount allotted for projects Aging prior to the establishment of rules or depressed area as determined in consultation within any State under subsection (a) for the establishment of general policy in the with the Secretary of Commerce and the Di- any fiscal year which the Secretary deter- administration of this title. rector of the Community Services Adminis- mines will not be required for such year "(b) The Secretary shall consult and CO- tration. shall be reallotted, from time to time and on operate with the Director of the Community such dates during such year as the Secre- "(2) The non-Federal share shall be in Services Administration, the Secretary of tary may fix, to projects within other States cash or in kind. In determining the amount Health, Education, and Welfare, and the in proportion to the original allotments to of the non-Federal share, the Secretary is heads of other Federal agencies carrying out projects within such States under subsection authorized to attribute fair market value to related programs, in order to achieve opti- (a) for such year, but with such proportion- S11740 CONGRESSIONAL RECORD-SENATE June 26, 1975 ate amount for any of such other States be- striking out "Commissioners'" and inserting amended by inserting "(1)" immediately be- ing reduced to the extent it exceeds the sum in lieu thereof "Commissioner's". fore "At least one-third" and by adding at the the Secretary estimates that projects within (f) Section 432(b) of the Act (42 U.S.C. end thereof the following new paragraph: such State need and will be able to use for 3037a(b)) is amended by striking out "part" "(2) From funds made available under this such year; and the total of such reductions and inserting in lieu thereof "title". section, special consideration shall be given shall be similarly reallotted among the States (g) The last sentence of section 507(b) of to special consumer and homemaking pro- whose proportionate amounts were not so the Act (42 U.S.C. 3041f(b)) is amended by grams for persons aged sixty or older who reduced. Any amount reallotted to a State striking out "or" the second place it appears are in need of services provided by such pro. under this subsection during a year shall be therein and inserting in lieu thereof "of". grams, as determined by the Commissioner deemed part of its allotment under subsec- (h) The heading for section 703 of the Such programs shall be designed to assist tion (a) for such year. Act (42 U.S.C. 3045b) is amended by strik- such persons to live independently in their "(c) The amount apportioned for projects ing out "ALLOTTMENT" and inserting in lieu own homes and to alleviate the adverse efflects within each State under subsection (a) shall thereof "ALLOTMENT". of loneliness and-isolation.". be apportioned among areas within each such (1) The last sentence of section 703(c) of AMENDMENT TO RESEARCH ON AGING ACT OF 1974 State in an equitable manner, taking into the Act (42 U.S.C. 3045b(c)) is amended by consideration (1) the proportion which striking out "in kind" and inserting in lieu SEC. 205. Section 464 of the Public He/alth eligible individuals in each such area bears thereof "in-kind". Service Act (42 U.S.C. 289k-5) is amended to such total number of such individuals, (j) The last sentence of section 703 (d) of by striking out "one year" and inserting in respectively, in that State, and (2) the rela- the Act (42 U.S.C. 3045b is amended by. lieu thereof "two years". tive distribution of such individuals residing striking out "in kind" and inserting in lieu TITLE III-STUDY OF DISCRIMINATION in rural and urban areas within the State thereof "in-kind". BASED ON AGE "DEFINITIONS (k) Section 705(a) (2) of the Act (42 U.S.C. SEC. 301. (a) The Commission on Civil "SEC. 907. As used in this title- 3045d(a) (2)) is amended by striking out Rights (hereinafter called the "Commis- "(1) the term 'State' means any of the "sets" and inserting in lieu thereof "set". sion") is directed to undertake a study to several States of the United States, the Dis- (1) Section 705(a) (2) (B) of the Act (42 determine whether persons who are other- trict of Columbia, Puerto Rico, the Virgin U.S.C. 3045d(a) (2) (B)) is amended by strik- wise qualified are, because of their age, ex- Islands, American Samoa, Guam, and the ing out "cost, for the fiscal year ending June cluded from participation in, denied the Trust Territory of the Pacific Islands: 30, 1973," and all that follows through "1973, benefits of, or subjected to discrimination "(2) the term 'eligible individual' means funds" and inserting in lieu thereof "cost. under any program or activity receiving Fed- an individual who is fifty-five years old or Funds". eral financial assistance. If the Commission over, who has a low income, and who has or (m) Section 705(a) (5) of the Act (42 finds substantial evidence of such exclusion, would have difficulty in securing employ- U.S.C. 3045d(a) (5)) is amended by striking denial, or discrimination on account of age, ment except that pursuant to regulations out "areas" and inserting in lieu thereof the Commission shall seek to determine the prescribed by the Secretary any such indi- "area". nature, extent, and causes of such exclusion, vidual who is sixty years old or over shall (n) The last sentence of section 705(c) of denial, or discrimination and shall identify have priority for the work opportunities pro- the Act (42 U.S.C. 3045d is amended by with particularity the federally assisted pro- vided for under this Act; inserting a comma immediately after "fail- grams or activities concerned. "(3) the term 'community service' means ure" the first place it appears therein and (b) No later than one year following the social, health, welfare, educational, legal such sentence is further amended by striking date on which legislation is enacted to ap- counseling, library, recreational, and other out the word "part" and inserting in lieu propriate funds for the conduct of the study similar services; conservation, maintenance thereof "title". herein provided, the Commission shall make or restoration of natural resources; commu- (o) Section 706(a) (5) of the Act (42 a report of its findings to the Congress and nity betterment or beautification; antipol- U.S.C. 3045e(a) (5)) is amended by inserting the President, together with its recommenda- lution and environmental quality efforts; a comma immediately after "requirements" tions regarding the legislative and adminis- economic development; and such other serv- the second place it appears therein. trative measures necessary for corrective ac- ices essential and necessary to the commu- (p) Section 706(a) (8) of the Act (42 tion, if any. nity as the Secretary, by regulation, may U.S.C. 3045e(a) (8)) is amended by inserting a comma immediately after "program" the (c) There are authorized to be appropri- prescribe; and second place it appears therein. ated such sums as may be necessary to carry "(4) the term 'program' means the Older out the purposes of this section. American Community Service Employment TITLE I-AMENDMENTS TO OTHER Program established under this title. LAWS The PRESIDING OFFICER (Mr. "AUTHORIZATION OF APPROPRIATIONS HIGHER EDUCATION ACT OF 1965 BAKER). The Senate will be in order. Sen- SEC. 201. Section 110(b) of the Higher ators will please take their seats. "SEC. 908. There are authorized to be ap- propriated $100,000,000 for the fiscal year Education Act of 1965 (20 U.S.C. 1008a(b)) Mr. EAGLETON. Mr. President, I shall ending June 30, 1976, $37,500,000 for the is amended by striking out "July 1, 1977" be very brief. The distinguished Senator period beginning July 1, 1976, and ending and inserting in lieu thereof "October 1, from Kansas (Mr. DOLE) has an amend- September 30, 1976, $150,000,000 for the fiscal 1977", by striking out "and" immediately ment which he will offer, which I am sure year ending September 30, 1977, and $200,- after "1973," and inserting in lieu thereof "for", and by inserting immediately before will be accepted-it is acceptable to my- 000,000 for the fiscal year ending September 30, 1978.". the period at the end thereof the following: self as manager of the bill and to the (b) Title IX of the Older Americans Com- ", and for the period beginning July 1, 1976, ranking Republican member, the Sen- prehensive Services Amendments of 1973 (42 and ending September 30, 1976". ator from Maryland (Mr. BEALL) U.S.C. 3061 et seq.) is hereby repealed. ADULT EDUCATION ACT Mr. President, programs authorized (c) Notwithstanding any other provision SEC. 202. Section 310(b) of the Adult Edu- under the Older Americans Act have be- of law, sums appropriated to carry out title cation Act (20 U.S.C. 1208a(b)) is amended come vital elements in the range of IX of the Older Americans Comprehensive by striking out "July 1, 1975" and inserting measures through which we seek to im- Services Amendments of 1973 for fiscal year in lieu thereof "October 1, 1977", by strik- prove the lives of older people in this 1975 may be used for older American com- ing out "and" immediately after "1973," and munity service employment projects con- Nation. Under title III of the act which inserting in lieu thereof "for", and by in- ducted as part of the Operation Mainstream serting immediately before the period at the authorizes grants to the States for the program under title III of the Comprehensive end thereof the following: ", and for the provision of social, educational, and re- Employment and Training Act of 1973. period beginning July 1, 1976, and ending lated services, and entire new network of TECHNICAL AMENDMENTS September 30, 1976". area agencies on aging has been estab- SEC. 116. (a) Section 102(1) of the Act OLDER AMERICANS COMPREHENSIVE SERVICES lished-more than 400 of them in com- (42 U.S.C. 3002(1)) is amended by striking AMENDMENTS OF 1973 munities across the Nation. Today's bill out the semicolon at the end thereof and SEC. 203. Section 805 of the Older Ameri- authorizes the continuation of this pro- inserting in lieu thereof a period. cans Comprehensive Services Amendments of gram for an additional 2 years through (b) The heading for section 202 of the Act 1973 (42 U.S.C. 2809 note) is amended- September 30, 1977, at somewhat in- (42 U.S.C. 3012) is amended by striking out (1) by striking out "fiscal year" the second creased levels of authorization. "OFFICE" and inserting in lieu thereof place it appears therein and inserting in lieu "ADMINISTRATION". thereof "four fiscal years and the period be- In addition, the bill developed by our (c) Section 202(a) (8) of the Act (42 U.S.C. ginning July 1, 1976, and ending Septem- Subcommittee on Aging contains a new 3012(a) (8) is amended by striking out ber 30, 1976"; and program of special emphasis grants to "and" at the end thereof. (2) by striking out "Economic Opportuni- the States for activities in three areas (d) Section 303(b) (1) of the Act (42 U.S.C. ty Act of 1964" and inserting in lieu thereof that Congress has identified to be of 3023 (b) (1)) is amended by striking out "Community Services Act of 1974". critical importance to older citizens: "authorized to be". VOCATIONAL EDUCATION ACT OF 1963 Transportation, home services, and legal (e) The last sentence of section 305(e) of SEC. 204. Section 161(d) of the Vocational counseling and services. The need for im- the Act (42 U.S.C. 3025(e)) is amended by Education Act of 1963 (20 U.S.C. 1341 (d)) is proved transportation services for the June 26, 1975 CONGRESSIONAL RECORD SENATE 11741 elderly has been thoroughly documented, Another major program that is con- provisions barring age discrimination in most recently in a study by HEW's Ad- tinued and expanded by this legislation, federally assisted programs much the ministration on Aging entitled, "Trans- Mr. President, is the Older Americans same as those included in the House bill. portation for the Elderly: The State of Community Service Employment Act However, after our subcommittee execu- Art." This report points up the inade- which is included as title IX of the tive session, the following letter was re- quacy of present public and private Older Americans Act. Under this pro- ceived from the Honorable Caspar Wein- transportation services for older people gram, more than 12,000 retired individ- berger, Secretary of the Department of and makes the cases for special trans- uals, aged 55 and older, are performing Health, Education, and Welfare, pointing portation arrangements for the elderly useful work in their local communities up a number of difficulties which the ad- where féasible. The new title III pro- on a part-time basis. Funds under this ministration had with the antiage dis- gram contained in this bill will help to program are provided to the Department crimination language; which I ask unan- make that possible by authorizing grants of Labor for grants to create these part- imous consent to have printed in the to the States, which will in turn provide time public service job opportunities for RECORD. the money to local agencies, to establish older persons. The program is adminis- There being no objection, the letter was new transportation services and improve tered primarily through contracts with ordered to be printed in the RECORD, as existing ones. I should add, Mr. Presi- four major national aging organiza- follows: dent, that one of the inspirations for tions and the U.S. Forest Service. The WASHINGTON, D.C., this program has been the OATS-older record of this program-known various- June 18, 1975. Americans transportation system-proj- ly as senior aides and green thumb-is Hon. HARRISON A. WILLIAMS, Jr., ect in my home State of Missouri. This Chairman, Committee on Labor and Public a splendid one, Mr. President, and an Welfare, U.S. Senate, Washington, D.C. system operates in three-fourths of outstanding record has been established DEAR MR. CHAIRMAN: This is to expand on Missouri counties on regular routes to in its administration by the national one of the central points made in our letter meet the needs of older persons-par- contractors. The committee bill would to you of May 9 outlining a number of con- ticularly the rural elderly-for trans- enable the continuation of this program cerns that the Department of Health, Edu- portation into town, to the doctor's office, for 3 years at an expanded rate. We cal- cation and Welfare has regarding certain to go shopping, or for the multitude of culate that if this title were fully fund- provisions of the House-passed H.R. 3922, a other purposes that help older persons ed, there would be available 33,000 older bill to Amend the Older Americans Act of avoid the social isolation that so often workers jobs in fiscal year 1976, 45,000 1965, now under consideration by your Com- mittee. afflicts old age. in fiscal year 1977, and 59,000 in fiscal While we have not had an opportunity to The value of various kinds of home year 1978. review the bill as reported by the Subcom- services has been equally well demon- There are a number of other provisions mittee on Aging and thus do not know to strated. Far too often, older people are contained in this bill which amend vari- what extent the concerns outlined in our warehoused in institutions simply be- ous sections of the Older Americans Act. May 9 letter may have been accommodated, cause there is not available the kind of For the most part they do not make we understand that Title III of the bill-the minimal health care or homemaker as- major changes in the act since we "Age Discrimination Act of 1975"-has been enacted a complete revision only 2 years reported substantially in the form passed by sistance or shopping assistance that the House, and that the only significant would enable them to stay in heir own ago. More time is needed to evaluate the change from the House-passed Title III is a homes. It is always risky to claim that a results of that work. However, this legis- specific exemption of employment practices new program will actually result in cost lation addresses itself to several areas in of employers, employment agencies or labor savings, yet it is the fact that respected which problems have arisen, including organizations which are subject to the Age medical and gerontological authorities the provision of services to the rural el- Distrimination in Employment Act. are convinced that many of the more derly, who are so often left out of pro- As noted in my earlier letter, we fully than 1 million older Americans con- grams because of the difficulty in reach- agree that the issue of age discrimination ing them, and special arrangements are should be addressed with respect to all pro- fined at great expense in nursing homes grams operated under aegis of Federal law. could be treated more cheaply at home. made to insure that members of Indian However, Title III of H.R. 3922 still raises And, more importantly, the availability tribes are not ignored by agencies having questions which we believe have not been of home care would enable them to live responsibilities under this act. The sec- sufficiently explored. fuller, richer lives. tion-by-section analysis which I shall ap- Since neither the Congress nor the Admin- The third special emphasis program pend to the conclusion of my statement istration have had sufficient time to explore provides a more detailed statement of the potential ramifications of the Age Dis- covered by the new authority in this legislation deals with legal services to the provisions of this bill. criminaiton Act, its enactment at this time the elderly. Perhaps more than any oth- Finally, Mr. President, there is one in the form passed by the House would leave unresolved a host of issues comparable er group, old people rely upon complex additional matter to which I wish to in gravity and complexity to those raised in public and private programs for their call the attention of my colleagues, the the sex discrimination provisions of Title IX daily subsistence. Many have no experi- subject of age discrimination. In the of the Education Amendments of 1972 and ence at dealing with governmental pro- companion bill passed by the House of the prohibitions of discrimination against grams and they are often confused by Representatives (H.R. 3922) there is in- the handicapped contained in Section 504 of cluded as one title the proposed "Age the 1973 Rehabilitation Act. Thus, for the the bureaucracies administering the Discrimination Act of 1975." The purpose Congress to enact Title III of H.R. 3922 as programs upon which they are depend- of this act is to bar discrimination on written would leave to the Executive Branch ent. If they meet poverty guidelines, the formulation of momentous policy deci- they may be able to get some assistance account of age in the administration of sions in wholly uncharted areas without the under the legal services program. How- any federally assisted program. The benefit of any specific legislative guidance. ever, there is clearly a need for funds effect is to create a new system to en- In one key respect the Title III language to stimulate the growth of legal pro- force the sanction against age discrim- before your Committee is even vaguer than grams for the aging and particularly ination that is generally parallel to the that of Title IX and Section 504: It bars only to serve those who, while not falling be- system embodied in title VI of the Civil "unreasonable" discrimination on account of low the poverty line, do not have suffi- Rights Act. Any entity operating a pro- age. The proposed Act would prohibit dis- gram assisted with Federal funds would crimination based on age in any program or cient means to employ lawyers to assist activity receiving Federal financial assistance them in the conduct of their affairs. be subject to termination of funding if except where age is "reasonably" taken into The new special emphasis program a finding were made that individuals account as & factor necessary to the normal contained in S. 1425 authorizes $50 mil- were denied the benefits of, or participa- operation of a program of activity, or where lion a year in grants to the States for tion in, the program because of their age. "reasonable" factors other than age are the the development of services in these In addition, the Attorney General would basis of differentiation by age, or where an- be empowered to sue to enjoin a pattern other law provides for benefits or assistance three priority areas, Mr. President. I or practice of age discrimination. to persons on the basis of age. hope that we will be able to convince Mr. President, our Subcommittee on Neither the bill nor its legislative history our colleagues of the need for appropri- indicates what factors would be "reason- Aging shares the concern expressed by ating funds 80 that the promise that able." Even & very preliminary review of the the House on the subject of age discrim- potential ramifications suggests a myriad of these new programs hold will become ination. For that reason, we included in unexplored issues such as the following: reality. the bill reported by our subcommittee Is it "reasonable" for school systems to ex- S11742 CONGRESSIONAL RECORD-SENATE June 26, 1975 clude three-year-olds from kindergarten act. The Joint Funding Simplification Act This section revises the present section 309 classes? Or eleven-year-olds from high school allows the transfer of programs from one of the Older Americans Act and authorizes classes? agency or department to another agency or the appropriation of $50 million in each, Can a medical or dental school bar a 50- department. Fiscal Year 1976 and Fiscal Year 1977, to be year-old person from taking one of its lim- Section 103-Definition of Social Services: distributed to the states under the formula ited classroom seats because his or her life This section amends section 302(1) of the contained in present section 303 of the Act expectancy suggests a practice of relatively act to include within the definition of the for the purpose of paying up to 90% of the brief duration? term "social services," legal counseling and cost of the following projects: Is it "reasonable" to limit reduced-fare or services to older persons and programs de- (1) Transportation projects, with special free public transportation to those age 65 or signed to maintain and improve the physical emphasis on those providing transportation over? fitness of older persons. in connection with Title VII nutrition proj- Can existing guaranteed housing loans and Section 104-Allotments to Indian Tribes: ects and on projects providing transportation senior citizens housing programs be limited This section amends Section 303 (b) of the to older persons to enable them to obtain to specific age groups? act by adding a new paragraph which per- medical services; At what age would a person be deemed to mits the Commissioner to provide direct (2) Home service projects, including those be sufficently mature to consent to steriliza- funding to an Indian tribal organization which provide homemaker, home health, es- tion, to receive family planning information when he finds that members of such tribe cort, shopping, and other services designed or to elect specific medical treatment? are not receiving benefits equivalent to those to assist older persons in avoiding institu- We are also greatly concerned over the provided to other older persons in the state tionalization; immense workload that implementation of or appropriate area (taking into account the (3) Projects to provide legal counseling Title III as proposed would add to this De- amount of funds made available to the state and services to older persons. partment's Office for Civil Rights, which is or area agency for such purposes) and when Funds under this section are made avail- now responsible for dealing with the issues he further finds that members of the tribe able to the states for grants to area agencies flowing from the 1972 Education Act Amend- would be better served through such direct on aging or, in areas where no such agency ments, the 1973 Rehabilitation Act and Title funding. Funds so provided through direct has been designated, to other public or pri- VI of the Civil Rights Act of 1964. funding are to be reserved from the allot- vate non-profit agencies to carry out such We suggest that the Congress not act pre- ment to the state. projects. Priority must be given to applicants cipitously on this matter but instead give Section 105-State and Area Plan Require- that will serve areas where the supply of such itself and the Executive Branch a reasonable ments: services is inadequate. The Commissioner on interval to explore and resolve such issues as Subsection (a) amends section 304(a) of Aging is required to issue regulations for I have outlined above before formulating an the act by adding a new paragraph author- implementation of these provisions within 90 Age Discrimination Act. izing the state agency on aging to coordinate days after legislation appropriating funds is Sincerely, activities under the state plan with activi- enacted and the Commissioner is authorized CASPER W. WEINBERGER, ties conducted under Title XX of the Social to request the technical assistance and co- Secretary. Security Act. operation of the Secretary of Transportation Subsections (b) and (c) amend section in administering this program. Mr. EAGLETON. This subject was con- 304 of the act by adding a new paragraph Section 110-Gerontology Training: sidered by the full Committee on Labor permitting state and area agencies on aging Amends Section 403 of the Act to make and Public Welfare and we determined to enter into agreements with agencies ad- clear that both two year and four year insti- that, in view of the seriousness of the ministering programs under the Rehabilita- tutions of higher education are eligible for concerns expressed by Secretary Wein- tion Act of 1973 and Titles VI, XIX, and XX grants and contracts for the purpose of at- berger, a study of the problem of age of the Social Security Act for the purpose of tracting qualified persons to the field of jointly funding transportation programs to discrimination should be conducted by aging. meet the common needs of persons receiving Section 111-New Training Authorities: the agency that has had the broadest benefits under such acts and persons partici- Amends Section 404 of the Act to authorize experience in analyzing discriminatory pating in programs under Titles III and VII training grants in two new categories: situations in federally assisted programs. of this Act. (1) To assist in the training of lawyers, lay Therefore, the bill assigns to the Civil Section 106-Low Income Individuals and advocates, and paraprofessional persons to Rights Commission the task of making Rural Elderly: provide legal (including tax and financial) a study of the nature, scope, and causes Amends Section 305(a) to provide that, in counseling and services to older persons and developing and implementing their state of such age discrimination as may exist to monitor the administration of programs plans, states must take into account: in the administration of federally assist- intended for their benefit, including nursing The needs of low income elderly persons, home programs; and ed programs with a mandate to report The relative distribution of older persons (2) Grants for university based training in back to Congress and the President with- residing in rural and urban areas of the gerontology in addition to currently author- in 1 year after the date on which funds state. ized short-term and in-service training. are appropriated for the conduct of the Section 107-Administration of State Section 112-State Plans: study. We will then be able to assess the Plans: This section amends Section 306 to in- Amends Section 705(a) to require that in question of age discrimination with the crease the minimum allotment for state ad- awarding grants for nutrition projects, the necessary data in hand and determine ministrative funds for each state from relative distribution of older persons between whether or not legislation of the kind $160,000 to $200,000 and to allow states, other rural and urban areas of the state must be I have described is called for. taken into account. than those benefiting by the increase in the minimum allotment, to retain for state ad- Section 113-Provision of Certain Products Mr. President, I urge my colleagues to lend their support to the adoption of S. ministration 8% of Title III and Title VII by Secretary of Agriculture: 1425, the Older Americans Amendments funds granted them in excess of FY 74 levels. Amends section 707 of the Act, relating to The states benefiting by the increased mini- the availability of surplus commodities for of 1975. mum would be allowed to retain 8% of the nutrition projects for the elderly, in the fol- Mr. President, I ask unanimous con- amount by which Title III and Title VII lowing respects: sent to have printed in the RECORD a funds exceed their Fiscal Year 1976 allot- (1) Changes "may" to "shall" in setting section-by-section analysis of S. 1425, ments under these titles. out the Secretary of Agriculture's authority the Older American Amendments of 1975 Section 108-Model Projects: to provide such commodities for nutrition There being no objection, the material Section 308 of the Act is amended by add- projects for the elderly, and was ordered to be printed in the RECORD, ing the following new categories of model (2) Increases the level of assistance to be projects: as follows: provided by the Secretary of Agriculture in (1) Projects which enable the state agen- donated commodities from 10¢ to 25 d per SECTION-BY-SECTION ANALYSIS: Tr I- cies on aging and other public and private meal in Fiscal Year 1976 and to 50e per meal AMENDMENTS TO THE OLDER AMERICANS non-profit organizations to establish om- in Fiscal Year 1977. ACT OF 1965 budsmen programs on behalf of nursing home Section 114-Authorization of Appropria- Section 101-Federal Council on Aging: residents. tions: This section extends until January 1, 1976 (2) Authorize the Commissioner on Aging the deadline for completion of studies to be to make grants to improve the level of serv- Extends the authorization for appropila- conducted by the Federal Council on Aging. ices to low income, minority, Indian and tions for two years in the following amounts Section 102-Application of Other Laws: limited English-speaking individuals and to (in millions of dollars) : This section amends title II of the Act by the rural elderly. Program: FY 76 FY77 adding a new section 211. Section 211 states (3) Encourage the participation of older Title II-National Informa- that the provisions and requirements of the persons in-Bicentennial activities. tion and Resource Clearing- Joint Funding Simplification Act of 1974 (4) Assist in the establishment of senior house S/S shall not apply to the administration of the ambulatory care day centers. Title III-Grants for state provisions of this act or to the administra- Section 109-Transportation, home serv- and area activities $260 $240 tion of any program or activity under this ices and legal counseling projects: Model Project Grants 8/8 June 26, 1975 CONGRESSIONAL RECORD-SENATE S11743 Special Emphasis Grants for under the title. The Secretary may coordi- special consideration be given to special transportation, home nate programs with: the Emergency Jobs and consumer and homemaker education pro- services and legal serv- Unemployment Assistance Act of 1974, the grams under the Vocational Education Act ices $62.5 $50 Comprehensive Employment and Training for persons aged 60 and over. Title IV-Training and Re- Act of 1973, the Community Services Act of search S/S s/s 1974, and the Emergency Employment Act of TITLE III-STUDY OF DISCRIMINATION Title V-Multipurpose Senior 1971. BASED ON AGE Centers s/s s/s Subsection (e) provides that the Secretary Section 301(a). The Commission on Civil Title VII-Nutrition Projects_ $225 $275 shall not delegate any functions given to him Rights is directed to undertake a study to FY 76 figure includes transitional period under this title to any other department or determine whether otherwise eligible per- from July 1, 1976 to September 30, 1976. agency of the Federal Government. sons are, because of their age, discriminated Section 904. Participants Not Federal Em- against in the administration of federally as- 3 Such sums as may be appropriated. ployees-Subsection (a) requires that in- sisted programs. In the event that the Com- Section 115(a)-Community Service Em- dividuals employed in programs under this mission finds that such discriminatory ployment for Older Americans: title shall not be considered Federal em- practices do exist, it is to seek to determine This subsection amends the Older Ameri- ployees and generally shall not be subject their causes and extent and identify the fed- cans Act by adding a new title: Title IX- to laws related to Federal employment. erally assisted programs involved. The Com- Community Service Employment for Older Subsection (b) forbids contracts to be en- mission's report is due within one year after Americans. tered into under this title with a contractor the date on which appropriations are made Section 901. This title may be cited as the who is, or whose employees are, exempted for the conduct of the study. Older American Community Service Em- from State workmen's compensation law, (b) Such sums as may be necessary to ployment Act. unless the contractor makes alternative pro- carry out this section are authorized to be Section 902(a). In order to foster and pro- visions so that employees enjoy coverage appropriated. mote useful part-time work opportunities in equal to that provided by law for covered community service activities for unemployed employment. The PRESIDING OFFICER. The low-income persons who are 55 years old Section 905. Interagency Cooperation- question is on agreeing to the com- and older and who have poor employment Subsection (a) directs the Secretary to con- mittee amendment in the nature of a prospects, the Secretary of Labor is author- sult with and obtain the written views of substitute. ized to establish an Older American Com- the Commissioner of the Administration on munity Service Employment Program. Aging prior to the establishment of rules or The committee amendment in the na- Subsection (b) (1) authorizes the Secretary general policy concerning the administration ture of a substitute was agreed to. to enter into agreements with public or pri- of this title. The PRESIDING OFFICER (Mr. vate nonprofit agencies or organizations, in- Subsection (b) directs the Secretary to BAKER). Without objection, the bill as cluding national organizations, State or local consult and cooperate with the Secretary of now amended will be considered as governmental agencies and Indian tribes in Health, Education, and Welfare and the order to carry out the purposes of this title. original text for the purpose of further heads of other Federal agencies carrying out However, no payments may be made toward amendment. related programs in order to achieve optimal the cost of any project unless certain con- coordination with other programs. Mr. EAGLETON. Mr. President, I ditions are met. These conditions include: Section 906. Equitable Distribution of As- yield to the distinguished Senator from (1) providing employment only for eligible sistance-The existing formula for distribu- Maryland (Mr. BEALL). individuals, including administrative per- tion of funds among the states is retained, sonnel when feasible; Mr. BEALL. Mr. President, it is a however, the Secretary is directed to reserve (2) providing projects in the community from each year's appropriation funds to enter pleasure to join with my distinguished in which project participants reside; into grants and contracts with national ag- colleague from Missouri (Mr. EAGLETON), (2) employing eligible individuals in serv- ing organizations to conduct older workers the chairman of the Labor and Public ices related to publicly owned and operated employment programs before allotting the Welfare Committee's Subcommittee on facilities or projects sponsored by organiza- balance of the appropriation to the states. Aging, during the Senate's consideration tions other than political groups and reli- The amount reserved will be equal to the of the 1975 amendments to the Older glous organizations; level of funding of such national contracts (4) providing employment to individuals in Fiscal Year 1975 plus such additional sums Americans Act. As a ranking minority whose opportunities for regular employment as the Secretary deems advisable. Expendi- member on the Subcommittee on Aging, are poor; tures in a state for an older workers program and a member on the Special Committee (5) providing such training as may be nec- conducted under a national contract must on Aging, I have a deep and abiding inte- essary as well as payment of reasonable ex- be charged against the state's allotment, thus est in the welfare of our Nation's 20 mil- penses to enrolled individuals during the reducing the allotment to each state in a lion senior citizens. I have always con- training period; given fiscal year by the amount spent in the tended that America's elderly citizens (6) assuring safe and healthy working con- state in that fiscal year for an older workers deserve a great deal more attention than ditions and a minimum wage which will not program conducted pursuant to a national be lower than the higher of: contract. they have previously received. They have (a) the minimum wage established under Section 907. Definitions-This section de- certainly earned the right to live their the Fair Labor Standards Act; fines terms used in this title. "Eligible Indi- retirement years in security, dignity, and (b) the State or local minimum wage for vidual" is a person who is 55 years old or independence. I believe that we owe our comparable employment; or over with low income, and who has or would senior citizens a great debt of gratitude, (c) the prevailing rates of pay for persons have difficulty in securing employment. for they are primarily responsible for performing similar work for the same em- Section 908. The authorization for appro- ployers; the prosperity and the greatness our Na- priations is extended through September 30, (7) assuring that, to the extent feasible, tion enjoys today. 1978 in the amount of $137.5 million for FY projects will serve the needs of minority, In- 76, $150 million for FY 77, and $200 million Mr. President, during the past 6 dian, and limited English speaking eligible for FY 78. Funds appropriated under Title IX months the members of the Subcommit- individuals in proportion to their numbers. in FY 75 are to remain available for use to tee on Aging have worked to shape a bill Subsection (c) (1) directs the Secretary to continue similar programs conducted under that would extend, expand, and build pay not in excess of 90 percent of the cost of Title III of the Comprehensive Employ- upon the substantial progress we made any project which meets the conditions spec- ment and Training Act of 1973. with the enactment of the Older Amer- ified in subsections (b) (1). However, the Section 115(b) repeals title IX of the Older Secretary is authorized to pay the full cost of icans Comprehensive Services Act of Americans Comprehensive Services Amend- emergency or disaster projects, or projects ments of 1973. 1973 (Public Law 93-29). The 1973 located in economically depressed areas. The amendments to the Older Americans Section 116. Technical Amendments: non-Federal share shall be in cash or in kind. Makes numerous minor technical amend- Act achieved three basic goals: First, Section 903. Administration-This section ments in the Act. strengthened and increased the visibility requires the Secretary to consult with State of the Administration on Aging within and local agencies concerning the areas in TITLE II-AMENDMENTS TO OTHER LAWS the Department of Health, Education, which community service programs are most Sections 201 and 202. These sections ex- and Welfare: second, established, within needed, the types of skills possessed by local tend through fiscal year 1977 provisions au- thorizing funds for programs for the elderly the frameword of title III, a comprehen- individuals who are eligible to participate, and the number of eligible individuals in the under the Adult Education Act and the sive and coordinated system for the local population. Higher Education Act of 1965. delivery of social services to the elderly, Subsection (b) provides that the Secretary Section 203. This section extends through and third, title VII, established a nation- may coordinate programs assisted by this fiscal year 1977 authorizations for the Senior wide nutrition program for needy senior title with other Federal employment legisla- Opportunities and Services Programs under citizens which is currently serving over tion, if such coordination would increase the Community Services Act. 200,000 hot meals per day. S. 1425 rep- job opportunities available to individuals Section 204. This section requires that resents a refinement and a reaffirmation S11744 CONGRESSIONAL RECORD-SENATE June 26, 1975 of the basic goals contained in Public the Governor is ultimately responsible whether it has been ordered that the Law 93-29. for both plans the task of coordinating committee amendment be treated as One can hardly comment on the prog- the services provided pursuant to each original text for purposes of amendment ress we have made in recent years in our logically falls on his shoulders. Both the so that the Senate may consider an effort to meet the needs of the elderly bill and the report seek to maximize the amendment to be offered by the Senator without mentioning the role of Dr. participation by senior citizens in the Bi- from Kansas? Arthur S. Fleming. Dr. Fleming is a centennial Celebration. When I was The PRESIDING OFFICER. The pre- distinguished public servant and acad- chairman of the sesquicentennial cele- vious order was that the bill as amended emician who has served his nation in a bration in my hometown-Frostburg, be considered as original text for the variety of capacities in the last four dec- Md.-I found that retired persons had purpose of further amendment. ades. As the Chairman of the 1971 White the skill, the dedication, and the time to Mr. EAGLETON. Thank you. House Conference on Aging, Dr. Flem- successfully plan and execute such a cele- The PRESIDING OFFICER. The Sen- ming brought together thousands of dele- bration. I believe that the Bicentennial ator from Missouri has the floor. gates and experts from all across the Na- Celebration desperately needs such an Mr. EAGLETON. I yield to the distin- tion. He foresaw a highly productive infusion of talent and conversely the Bi- guished Senator from West Virginia. White House conference which helped to centennial grants to many retired per- Mr. RANDOLPH. Mr. President, I generate the momentum that was needed sons a golden opportunity to actively commend the Senator from Missouri to enact the kind of progressive legisla- participate in a meaningful national un- (Mr. EAGLETON) and the Senator from tiion we have before us today. Since the dertaking. Maryland (Mr. BEALL), who have given White House Conference on Aging, Dr. Last year, the Congress passed and the much time to this subject matter. Flemming has served, first, as Special President signed into law Public Law Certainly the Older Americans Act was Consultant to the President on aging, 93-351. This legislation extended the title legislation which had as its purpose and, since 1973, as Commissioner on VII nutrition program for 3 additional equity for the older citizens of the United Aging, Dr. Flemming is an able adminis- years. During the debate on that legisla- States of America. It has worked well. trator, an advocate of the needs of senior tion I proposed an amendment which It has had a productive record. The ac- citizens, and a man dedicated to the required the Secretary of Agriculture to tion being taken here today is not only cause of coordinating and making more donate agricultural commodities to the in the interest of our aging population, effective the various governmental pro- title VII nutrition program. The annual but in the interest of the American peo- grams affecting senior citizens. level of support was 10 cents per meal. ple as a whole. I again commend my able I believe that S. 1425 will continue the Mr. President, I would like to commend colleagues, Senator EAGLETON and Sen- progress we have made in the last 2 years Secretary Butz, Juan Del Castillo, the ator BEALL, for their effective efforts in and further strengthen and solidify the Director of the Food Distribution Divi- bringing this vital measure to the Sen- administrative structure on the State sion, and the other officials at USDA who ate. and area agency level. so promptly implemented the provisions Mr. President, it is my privilege to Last November I chaired a subcommit- of Public Law 93-351. I am especially serve as a member of the Special Com- tee hearing in Salisbury, Md. which ex- pleased that the Department of Agricul- mittee on Aging and the Subcommittee amined the area agency on aging con- ture implemented this program in the on Aging of the Committee on Labor and cept in considerable depth. The lower same positive spirit which brought about Public Welfare. In these capacities I have four counties of Maryland's eastern shore its enactment by the 93d Congress. I a deep interest and concern for the well- have been included in an "area agency" am equally pleased that the committee being of the "senior citizens" of America. which was established as a demonstration has accepted my recommendation to In these cruel times of inflation and project 3 years ago. Thus, this particu- raise the support level to 25 cents per recession, the elderly have great need- lar areawide model project gave the meal during fiscal year 1976 and 50 a need perhaps greater than in any other subcommittee a chance to study the area cents per meal in fiscal year 1977. I pro- segment of society-for Federal, State, agency concept in a more fully developed posed this increase in the level of agri- and local assistance, both from a finan- mode. This hearing, which was the first cultural commodities support for several cial and from a services standpoint. in the five part series conducted by the basic reasons: Programs under the Older Americans subcommittee in the preparation of this First. The infusion of USDA com- Act need to be improved. Notwithstand- legislation reaffirmed my personal con- modities has allowed the title VII pro- ing steady, congressionally mandated in- fidence in the area agency approach to gram to expand in a significant manner creases in the level of social security, delivering services to the elderly. even during a period of rapid inflation the increases have been eroded virtually Mr. President, S. 1425 extends the older and necessarily tight budgetary restric- to nothing by inflation. Fundamental Americans Act for 2 additional years. In tions. prerequisites to survival-food, shelter, doing so, it places emphasis on deliver- Second. The huge purchasing power warmth-are becoming more and more ing several additional types of services: of the Department of Agriculture makes difficult to retain for those on low and First, transportation; second, home serv- these commodities available to the nu- fixed incomes. Millions of older people ices; third, legal and counseling services; trition projects at a far lower cost than suffer silently as these problems take and fourth, services designed to improve they could expect to find if they pur- their toll. and maintain the physical fitness of older chased the same goods on the local In expressing my support for the pend- persons. In addition, this legislation market. ing measure, I note that the executive would require the Civil Rights Commis- Third. This type of program helps the director of the West Virginia Commis- sion to undertake a comprehensive study agricultural sector of our economy by sion on Aging, Dr. Louise Gerrard, testi- of age discrimination. I believe that the enabling the Secretary to stabilize farm fied before the Aging Subcommittee. She Congress should enact legislation to pro- prices by purchasing the items he makes is a diligent, effective, and capable direc- hibit unreasonable and unwarranted dis- available to the school lunch program, tor of our West Virginia program, and crimination against senior citizens. At the title VII program, and so forth. she is President of a new organization the present time, however, the committee In closing, Mr. President, I would also known as the National Association of did not feel that a sufficient body of data note that S. 1425 extends and expands State Units on Aging, on whose behalf was available for us to adequately struc- the title IV training and research pro- she testified. Dr. Gerrard contributed ture effective legislation to address this gram, the title V senior citizen center significantly to our committee considera- problem. The 1-year study by the Civil provisions, and the title IX community tion of this bill. Rights Commission should remedy this service employment program. These Mr. President, I urge adoption by the situation and enable us to address our- three provisions were originally in- Senate of this legislation to extend and selves to this pressing social problem. cluded in Public Law 93-29 and each is expand the Older Americans Act of 1965. In addition, we have sought to insure retained and/or expanded in this legis- Mr. DOLE. Mr. President, I send an that the Governors will coordinate State lation. amendment to the desk and ask for its plans drafted pursuant to title III of the Mr. President, I urge the Senate to immediate consideration. Older Americans Act with the State plans give prompt and favorable considera- The PRESIDING OFFICER. The contained in the title XX social service tion to this vital legislation. amendment will be stated: program in the Social Security Act. Since Mr. EAGLETON. Mr. President, I ask The legislative clerk read as follows: June 26, 1975 CONGRESSIONAL RECORDSENATE 11745 The Senator from Kansas (Mr. DOLE) pro- Act. It simply assures that the State's Mr. WILLIAMS. Mr. President, today poses an amendment as follows: older citizens receive their fair share we consider legislation which extends Amend section 113 of S. 1425 by inserting of Federal assistance. and strengthens the Older Americans a new subsection immediately after subsec- T 9 PRESIDING OFFICER. The Act. S. 1425 is a measure which I believe tion (b). question is on agreeing to the amend- every Member of the Senate can support. Mr. DOLE. Mr. President, I ask unan- ment of the Senator from Kansas. Let me commend the distinguished imous consent that further reading of The amendment was agreed to. chairman of the Senate Subcommittee on the amendment be dispensed with. Mr. EAGLETON. Mr. President, I Aging (Mr. EAGLETON) for the unanim- The PRESIDING OFFICER. Without yield to the Senator from Washington. ity of support developed for this meas- objection, it is so ordered. Mr. MAGNUSON. Mr. President, ure. The Senate Labor and Public Wel- Mr. DOLE's amendment is as follows: I would like to inquire, so that the record fare Committee has a long and active Amend Section 113 of S. 1425 by inserting will be clear, what is the amount of the history of concern for older Americans a new subsection immediately after subsec- authorization? and this support is a fine tribute to their tion (b) Mr. EAGLETON. Over 3 years, a total needs. "(c) Sec. 707 of the Act is amended by of $1.6 billion. Older Americans are waging a daily redesignating subsection (e) as subsection Mr. MAGNUSON. The Senator from (f) and inserting the following new subsec- struggle against the high cost of living. tion immediately following subsection (d) Washington has the responsibility over The social and economic problems which (d) (1) Notwithstanding any other pro- the appropriation for this bill. Does the plague America have a special impact on vision of law, where a State phased out its Senator from Missouri expect to receive her 20 million older citizens. commodity distribution facilities prior to full funding? Inflation remains the No. 1 problem. June 30, 1974, such State may, for purposes Mr. EAGLETON. It is my anticipa- Twenty percent of all Americans over the of the programs authorized by this Act, elect tion-I serve with the distinguished age of 65 live in poverty. Many others live to receive cash payments in lieu of donated Senator from Washington on the com- foods. Where such an election is made, the dangerously close to the poverty level. Secretary of Agriculture shall make cash mittee, and it is my expectation that we Rapidly rising food, fuel, and medical payments to such State in an amount equiv- will appropriate something less than costs put a severe economic squeeze on alent in value to the donated foods that the $1.6 billion. their budgets. Increasing property taxes State would otherwise have received if it Mr. MAGNUSON. Which will meet the often drive them from their lifelong had retained its commodity distribution needs of a given year. homes. facilities. Mr. EAGLETON. We had hoped to Unemployment, like other social prob- '(d) (2) When such payments are made, meet the needs of fiscal year 1976. lems, takes a higher toll among older the State agency shall promptly and equi- tably disburse any cash it receives in lieu of Mr. MAGNUSON. Not all the needs, workers. Among persons 55 and older, commodities to recipients of grants or con- but the reasonable needs. unemployment jumped nearly 70 per- tracts and such disbursements shall be used Mr. EAGLETON. Yes. cent in the last 8 months. by such recipients of grants or contracts to Mr. BEALL. Mr. President, if the Sen- But these economic threats are not the purchase United States agricultural commod- ator will yield, I do not serve on the Ap- the only assaults on the elderly budget. ities and other foods for their nutrition propriations Committee but I will say The Ford administration has demon- projects." that the Appropriations Committee has strated a definite lack of concern for Mr. DOLE. Mr. President, this amend- been very generous with these programs their plight. ment has been discussed with the Sena- in the past; and, on the other hand, the The President's proposed cutbacks in tor from Missouri and the Senator from Subcommittee on Aging has been con- the elderly manpower and nutrition pro- Maryland, and is acceptable to both. servative in the requests we have in- grams were especially shortsighted. The amendment I offer to S. 1425 is corporated in this legislation. Congress successfully resisted these designed to deal with a unique situation Mr. MAGNUSON. I am sure the Sena- cutbacks at every turn. While I agree which exists in Kansas. For a State to tor from Missouri will join with me in with the President's desire to control receive USDA commodities under title suggesting that if we funded everything Federal spending, his assault on the VII of the Older Americans Act, it must that is authorized in the Appropriations elderly budget was both shortsighted and have a commodity distribution system. Committee, in the whole self-defeating. Last year, with the active encourage- The PRESIDING OFFICER. Will the We spend billions on the institutional ment of the Department of Agriculture, Senator from Washington please use his care of the elderly yet we still see great Kansas dismantled its commodity dis- microphone? reluctance for programs which help the tribution system. Mr. MAGNUSON. I say if we funded elderly to remain independent and main- As a consequence of this action, everything that is authorized in these tain productive lives while avoiding Kansas was not able to receive the bene- bills that come out of the Committee on dependency. fits of donated commodities for use in Labor and Public Welfare and some of This is the point that President Ford's nutrition programs under the Older the rest of the committees, even though budget-cutting advisers always miss. At Americans Act, the National School we just raised the debt ceiling a few min- its very heart, a policy of reducing elderly Lunch Act, and the Child Nutrition Act utes ago, the U.S. marshal would march services is first and foremost false of 1966. Instead, the State's schools have down with a big sign and put it on the economy. been authorized by language in the con- door of the Treasury. I just want to warn the Senators that Here the Older Americans Act has a ference report on last year's child nu- trition legislation to receive direct cash we will have to cut the bill, because we vital role to play. Ten years ago, this act payments from USDA in lieu of donated have a ceiling on appropriations beyond was passed to coordinate the fragmented commodities. And this year, the Senate which we cannot go. programs and services of the Govern- Agriculture Committee has agreed to But I assure the Senate that we will ment. language in the child nutrition bill (H.R. fund this measure in a reasonable way. The Administration on Aging was 4222) which would enable the State's It is a good program. I just wanted to created within the Federal structure as schools and other service institutions to have those remarks in the RECORD, be- the focal point for national action and receive cash-in-lieu-of-commodities in cause Congress may appropriate $1.4 bil- concern. all child nutrition programs. lion for the elderly, so our constituents Today, 412 area agencies have been In recognition of the unique problems will understand, and will not be saying, established in areas where 70 percent of faced by Kansas with respect to com- "Oh, we are going to get $1.6 billion," the elderly live. Twenty-one agencies in modities, the amendment I am offering because it is authorized. my home State of New Jersey coordinate would enable Kansas nutrition projects It will be somewhere between the au- and develop systems to link public and for the elderly under the Older Ameri- thorization and what we finally appro- private agencies to meet the needs of cans Act to receive the same cash-in- priate. older people. lieu-of-commodities benefits now made Mr. EAGLETON. Mr. President, I think Area agencies have acted as both a available to schools in the State. the distinguished Senator from Washing- stimulus and a catalyst in the develop- The amendment in no way increases ton is absolutely correct, and that it is ment of a comprehensive network of the amount of assistance which Kansas very appropriate that he makes those re- services. These agencies are not designed would receive under the Older Americans marks at this time. to be competitors, but rather innovators S11746 CONGRESSIONAL RECORD June 26, 1975 and coordinators of services which could OTHER AMENDMENTS well recognized as is discrimination in not otherwise be supplied. The 1975 amendments build on the employment, but it is certainly as detri- OLDER AMERICAN ACT AMENDMENTS solid achievements of the past 10 years mental to the health and well-being of As chairman of the Senate Labor and and I urge their early adoption. older persons. Public Welfare Committee, and ranking But they also contain something for In conclusion, Mr. President, I want to member of the Senate Special Aging the future. They incorporate and pro- emphasize that S. 1425 is a tuneup, not a Committee, I have a long-standing com- pose a special emphasis for programs in- major overhaul. The 1975 amendments mitment to the title III programs. volving home service projects, legal strengthen and expand the programs of Over the years, title III has provided counseling, and transportation. proven quality, and therefore I urge my a wide range of innovative programs in- Each program focuses on the future colleagues to promptly pass these vital cluding home health care, homemaker, directions of elderly services. improvements. employment referral, friendly visitor, Legal counseling and assistance is a Mr. CHURCH. Mr. President, I support meals-on-wheels, and many others. program of special importance to me. the enactment of S. 1425, the older In 1972, Congress amended the act to We have come face to face with the need Americans amendments. provide for the title VII nutrition proj- for legal assistance in our 3-year investi- First, however, I wish to commend the ects which now serve wholesome meals gation of the private pension system. chairman of the Subcommittee on Aging to 225,000 elderly at more than 4,000 Time and again, we found our elderly (Mr. EAGLETON) and the chairman of the sites. These programs involve far more citizens struggling with the legal com- Labor and Public Welfare Committee than food. plexities of various private and public (Mr. WILLIAMS) for their leadership in In my visits to these sites, I have seen benefit programs. bringing this bill to the floor. the human contact which is made when All too often, benefits were lost simply The bill makes major improvements the elderly have a place to meet and because they could not understand the in the Older Americans Act and other socialize. Those attending enjoy a new complex legal requirements. The reality legislation affecting the elderly. And, I breath of life as they associate with oth- of "equal justice under the law" depends am hopeful that it can be acted upon ers making new friends and renewing old on the ability of our legal services de- expeditiously in order that the elderly ones. livery system to reach the millions of can benefit promptly from this measure. Even more important is the informa- Americans who need legal assistance I am also pleased that the bill includes tion service which enlightens them con- each year. in one form or another almost every pro- cerning the many available services and Today's legislation provides a special vision in my older Americans amend- health programs which are saving lives. emphasis to this goal. ments, S. 1426. That proposal received S. 1425 would continue these programs Transportation is another service of strong support and was cosponsored by for another 2 years with authorizations critical importance. Transportation rep- the Senators from New Jersey (Mr. WIL- at increased levels. In addition, it would resents the third largest expenditure in LIAMS), California (Mr. TUNNEY), Florida further strengthen title VII by author- the elderly budget and is the critical ele- (Mr. CHILES), Iowa (Mr. CLARK), Florida izing funds to assist States in paying part ment for many in obtaining any partici- (Mr. STONE), Rhode Island (Mr. PELL), of the administrative costs of the pro- pation in elderly programs. Indiana (Mr. HARTKE), West Virginia gram. More than 1 million elderly live in (Mr. RANDOLPH), North Dakota (Mr. OLDER AMERICAN COMMUNITY SERVICE nursing homes. Patients must often stay BURDICK), Massachusetts (Mr. KEN- EMPLOYMENT ACT in the hospital longer than is necessary NEDY), Minnesota (Mr. HUMPHREY), Until community service employment from a medical point of view. Or they Connecticut (Mr. RIBICOFF), Colorado programs were initiated under the Older must go to a nursing home because they (Mr. HASKELL), and Washington (Mr. Americans Act, very little attention had cannot receive adequate care at home. MAGNUSON). been paid to the income needs of those A recent GAO study found that 25 OLDER AMERICANS ACT AMENDMENTS who were at or close to retirement. S. 1425 percent of patients in hospitals and nurs- The committee bill-as proposed in would continue the title IX National ing homes are being treated in facilities my older Americans amendments- Senior Service Corps for 3 years with which provide a higher level of care than would extend the title III State and com- increased authorizations. they need. munity programs on aging for 2 years Experience under this program has Here again, the amendments to title and with increased funding authority. demonstrated that there are many com- III permit additional authorizations for Title III has proven its value to older munity tasks on which older persons can projects designed to encourage home Americans time and time again by mak- be employed. services. These projects could provide an ing helpful services available to enable Community work can recapture and important impetus to the development of them to live independently in their own preserve human abilities, utilize man- services which will assist the elderly to homes, instead of being institutionalized power, provide satisfying occupation, and avoid institutionalization at a much higher public cost. forestall additions to the mounting wel- For those in institutions, we must ex- Moreover, 8. 1425 would provide a fare caseload. plore mechanisms to maintain the vital- specific earmarked authorization to give With unemployment at its highest ity of life. Many times, the institutional- special attention to three major needs level in 34 years, this amendment be- ized American is the forgotten American. of the elderly: transportation, in-home comes all the more compelling. S. 1425 incorporates an amendment services, and legal counseling. The committee estimates that enact- which I proposed in committee to author- Today many older Americans-regard- ment of title IX can provide 137,000 part- ize a nursing home ombudsman program. less of their income-are discovering that time jobs for older workers over the next This program could draw on the excel- they live under a form of house arrest, 3 years. lent experience of the nursing home om- cut off from vital services because of Economic hardship alone would be budsman experiment of the National limited mobility. This is especially true adequate cause for expansion of employ- Council of Senior Citizens. Since 1972, the in rural areas. Only about 46 percent ment opportunities of the older age national council has conducted an om- of all elderly persons are licensed to group. But other reasons exist, too. budsman experiment which has attained drive. Unfortunately, however, public The Department of Labor over the last excellent results in employing volunteers transportation is frequently inconven- few years has given sporadic attention to insure the elderly have an advocate ient, inaccessible, or expensive. and study to the unique needs and prob- to protect their interests in various insti- As chairman of the Senate Committee lems of older workers. tutions. on Aging, I am pleased that S. 1425 Indicative of the negative attitude was Finally, S. 1425 directs the Civil Rights emphasized in-home services as a prior- the announced plan to phase out elderly Commission to undertake a thorough ity need. Most older Americans would manpower programs administered by study of age discrimination. There is in- prefer to remain in their own homes. national contractors. Although the De- creasing evidence of significant discrim- And, the vast majority can, provided ap- partment has since retreated from this ination against older persons in programs propriate supportive services are avail- position, the amendments would clarify which receive Federal funding for provi- able. the congressional intent to preserve the sions of services to the general popula- Hearings conducted by the Senate elderly programs first developed under tion. This form of discrimination in re- Committee on Aging have made it abun- Operation Mainstream. ceipt of services based on age is not as dantly clear that older Americans have June 26, 1975 CONGRESSIONAL RECORD S 11747 numerous legal problems-whether it in- VALUE OF THE OLDER AMERICANS ACT the welfare of older Americans who must volves litigation, planning their person- Almost 10 years of experience under live on fixed incomes which are, in many al affairs, or understanding Federal the Older Americans Act have amply cases, inadequate. benefit programs. demonstrated its value and worth. It is our responsibility to see that The new provisions in title III and Today all Americans-whether they elderly Americans are provided with the title IV, it is my hope, can help to sen- be young or old-have a vital stake in opportunity to lead lives of dignity, com- sitize. the private bar, law schools, and assuring that our Nation's commitment fort, and purpose. I am pleased to say others to respond to the legal needs of in aging is built upon a sound and effec- that S. 1425 brings us closer to that goal the elderly. tive strategy. than ever before. In the past 10 years S. 1425 would also expand the model We cannot afford half-hearted poli- Congress has made tremendous strides projects section by including my amend- cies because we are in the midst of a so- to better meet the needs of older Ameri- ment to develop new and better ap- cial revolution relating to retirement cans. proaches for making services more read- patterns. In fiscal year 1975, $130,000,000 was ily available for the rural aged. The development of this bill now be- authorized and $105,000,000 was awarded The bill includes other provision to fore us is one important response to to State agencies to implement projects focus more attention on the needs of these emerging changes. for the transportation, housing, nutri- rural areas. Title III and title VII plans, For these reasons, I reaffirm my sup- tion, and health needs of the elderly. for example, would be required to take port for the enactment of the older Four hundred and twelve area agencies into account the relative distribution of Americans amendments. have been estabilshed in areas containing older persons residing in rural and urban Mr. CRANSTON. Mr. President, I rise 70 percent of the Nation's senior citizens. areas. to urge support for final passage of S. One hundred and thirty thousand older Another measure with potentially far- 1425, the Older Americans Amendments Americans annually participate in the reaching implications for the elderly is of 1975 as reported. As a cosponsor of the retired senior volunteer program, pro- the increased funding authorization for bill and as the ranking majority mem- viding community-based volunteer pro- the title VII nutrition programs for fis- ber of the Senate Labor and Public Wel- grams as well as financial support for cal years 1976 and 1977. fare Committee's Subcommittee on low-income senior citizens. Food prices have jumped by 25 per- Aging, I have been deeply involved in However, even in light of these ac- cent during the past 2 years. The net committee consideration and develop- complishments, there is much more to impact is that many older Americans ment of the reported bill. I express my be done. The time has come to expand are finding it more and more difficult to congratulations to the distinguished sub- significantly the Older Americans Act stretch their limited budgets to meet committee chairman (Mr. EAGLETON) programs to serve the needs of the elder- their nutritional requirements. The title and the subcommittee's ranking minor- ly which have been left unanswered. VII program, however, has enabled ity member (Mr. BEALL) for their ju- A major provision of S. 1425 creates a many elderly persons to obtain nutri- dicious and insightful leadership in special service program to provide an al- tious meals at prices within their reach. steering this bill through committee. ternative to institutional care for the Nearly 220,000 aged individuals now There were several bills from which the elderly. Included are homemaker serv- participate in the title VII program at reported bill was crafted. The result, I ices, home health services, shopping, 4,000 sites. believe, is a piece of legislation that residential repair, and a variety of other The increased funding authorization broadens and strengthens the provisions services. This program will enable the would allow many more to have nutri- of the Older Americans Act of 1965, while elderly to continue to live independently tious meals, and it would provide an op- preserving the original intent of the act. at home, while receiving necessary per- portunity to meet new friends or renew Mr. President, I would also like to sonal or health care. A GAO report es- old acquaintances. express my appreciation for the con- timated that $1 to $2 billion could be OLDER AMERICAN COMMUNITY SERVICE tinued excellent leadership given to the saved in senior citizen health care costs EMPLOYMENT ACT full committee by its chairman, Senator if the length of stay in a hospital could Equally important, S. 1425 would con- WILLIAMS. Chairman WILLIAMS has be cut by 1 day. The National Association tinue and expand the older American always shown the greatest willingness to of Home Health Care estimates that community service employment pro- see to the expeditious handling of the home care is 3.5 times less expensive than gram. business before the committee. The pro- hospitalization. With unemployment at its highest visions of the bill before us would extend Furthermore, as we all know, the lack level in 34 years, this measure becomes the Older Americans Act authorizations of alternatives to long-term care often all the more compelling. of appropriations beyond their present results in the premature institutionali- During the past 10 months unemploy- June 30, 1975, authorization date. zation of many older Americans. Clearly, ment for persons 55 and above has Even though the continuing resolu- innovative programs which would cater soared from 395,000 to 702,000, for a 78- tion adopted by the Senate on June does include funds to continue all of the Older to the personal specific needs of elderly percent increase. citizens are long overdue. Thus, home But these figures-depressing as they Americans Act programs at fiscal year services will provide a tremendous sav- are-do not begin to describe the whole 1975 or greater levels, acting now on this legislation will help us give sense of ing, in the long run, of tax dollars need- story because there is a substantial certainty for many programs of vital lessly spent for the institutional care of amount of hidden unemployment the elderly, while providing services bet- among older workers. importance to older persons. However, community service employ- Mr. President, I shall make a detailed ter suited to the actual needs of older Americans. ment can be an effective means to re- statement tomorrow on the Older Amer- duce joblessness for the aged and to pro- icans Amendment of 1975. I shall leave S. 1425 also provides for a significant the remainder of my remarks for that expansion of the older Americans com- vide essential services at the same time. AGE DISCRIMINATION STUDY time. Now, I urge the support of my col- munity services program. We can esti- In addition, S. 1425 would direct the leagues for the provisions of the bill as mate that on a national basis, the ex- Civil Rights Commission to undertake a reported from committee. pansion of title IX will create 210,000 part-time, community-based jobs for study to determine whether persons are Mr. JAVITS. Mr. President, thousands low-income older Americans who have being discriminated against because of of older citizens throughout the United few prospects for employment otherwise. age under any program or activity re- States have been well served by programs The psychological as well as social im- ceiving Federal financial assistance. The provided under the Older Americans portance of this provision cannot be Commission would be required to deter- Act. I am pleased to take this opportu- overemphasized. As one of the original mine the nature, extent, and causes of nity to urge favorable consideration by cosponsors of the Older Americans Com- the discrimination. my colleagues of S. 1425, which extends prehensive Service Employment Act in Moreover, the bill would direct the and strengthen this important act. 1973, I believe it is our responsibility to Commission to report on its findings to I have long been an advocate of legis- promote useful work opportunities for the Congress with appropriate recom- lation which extends services to, and unemployed older Americans. mendations for legislative and adminis- lessens the financial burden of, senior Also included in S. 1425 is a provision trative actions. citizens. I am deeply concerned about which will enable the Commissioner to S11748 CONGRESSIONAL RECORD-SENATI June 26, 1975 more readily provide appropriate serv- Resolved, That the bill from the House of made, or where there is no tribal organiza- ices to certain Indian groups. Representatives (H.R. 3922) entitled "An Act tion, to such other entity as he determines The measure provides for an exten- to amend the Older Americans Act of 1965 to has the capacity to provide services pursuant sion of the title VII nutrition program, establish certain social services programs for to this title. older Americans and to extend the authoriza- one of the most successful projects initi- "(C) In order for a tribal organization or tions of appropriations contained in such other entity to be eligible for a grant for a ated to assist elderly Americans. As a co- Act, to prohibit discrimination on the basis fiscal year under this paragraph, it shall sub- sponsor of the original legislation to pro- of age, and for other purposes,", do pass the mit to the Commissioner a plan for such vide a nutrition program for the elderly, following amendment: fiscal year which meets such criteria as the and as a supporter of subsequent in- Strike out all after the enacting clause Commissioner may prescribe by regulation creases in funds, it would be profoundly and insert: That this Act may be cited as the and which meets criteria established by sec- disappointing if Congress fails to con- "Older Americans Amendments of 1975". tion 305(a), to the extent the Commissioner tinue this essential program which serves TITLE I-AMENDMENTS TO OLDER AMER- determines such criteria to be appropriate. 221,000 older Americans each year. ICANS ACT OF 1965 "(D) Recipients of grants under this para- TRANSMISSION OF CERTAIN RECOMMENDATIONS graph may retain for administrative purposes S. 1425 also enables the Commissioner to examine new ideas to better provide RELATING TO FEDERAL COUNCIL ON AGING an amount equal to the amount available for the cost of the administration of area plans for the need of our older citizens. Inno- SEC. 101. (a) Section 205(g) of the Older under section 303(e) (1) vative programs and services for the el- Americans Act of 1965, as amended (42 U.S.C. (b) Section 102 of the Act (42 U.S.C. 3002) derly must be examined and enacted. (hereinafter in this title referred is amended by adding at the end thereof the to as the "Act") is amended by striking out Their needs are many and serious. For following new paragraphs: "eighteen months after enactment of this example, decent nursing home care must "(4) 'Indian' means a person who is a Act" and inserting in lieu thereof "January 1, member of an Indian tribe. be provided-but also, alternatives to 1976,". "(5) Indian tribe' means any tribe, band, nursing care must be developed. (b) Section 205(h) of the Act (42 U.S.C. nation, or other organized group or com- Mr. President, I urge my colleagues to 3015(h)) is amended by striking out "eight- munity of Indians (including any Alaska support these amendments to the Older een months after enactment of this Act," and Native village or regional or village corpo- Americans Act. We have seen these pro- inserting in lieu thereof "January 1, 1976,". ration as defined in or established pursuant grams work before. We recognize many APPLICATION OF OTHER LAWS to the Alaska Native Claims Settlement Act need strengthening. We know there is SEC. 102. Title II of the Act (42 U.S.C. (85 Stat. 688) ) (A) which is recognized as room for innovation. Let us join our col- 3011 et. seq.) is amended by adding at the eligible for the special programs and serv- leagues in the House-who passed a sim- end thereof the following new section: ices provided by the United States to In- ilar bill in an overwhelming vote of 377 "APPLICATION OF OTHER LAWS dians because of their status as Indians; or (B) which is located on, or in proximity to," to 19-and give our strong support to this "SEC. 211. The provisions and requirements a Federal or State reservation or ranch- important legislation. of the Act of December 5, 1974 (Public Law eria. The older American citizen who has 93-510; 88 Stat. 1604) shall not apply to the administration of the provisions of this Act "(6) Tribal organization' means the rec- sacrificed so much to the health, or to the administration of any program or ognized governing body of any Indian tribe, strength, and vitality of this Nation, can activity under this Act.". or any legally established organization of no longer be ignored-or told his share Indians which is controlled, sanctioned, or DEFINITION OF SOCIAL SERVICES of the American dream is in the past. chartered by such governing body: Provided, SEC. 103. Section 302( (1) of the Act (42 That in any case where a contract is let or S. 1425 is a further step in the right di- U.S.C. 3022(1)) is amended— grant made to an organization to perform rection, but one which should remind us (1) in subparagraph (E) thereof, by strik- services benefiting more than one Indian all there is much to be done for the fu- ing out "or" at the end thereof; and tribe, the approval of each such Indian tribe ture. (2) by redesignating subparagraph (F) as shall be a prerequisite to the letting or mak- The PRESIDING OFFICER. The bill subparagraph (H) and by inserting imme- ing of such contract or grant.". is open to further amendment. If there diately after subparagraph (E) the following (c) The first sentence of section 803(b) be no further amendment to be pro- new subparagraphs: (2) of the Act (42 U.S.C. (b) (2)) is posed, the question is on the engross- "(F) services designed to provide legal amended by striking out "From" and insert- (including tax and financial) counseling and ing in lieu thereof "Subject to the provisions ment and third reading of the bill. services to older persons; of paragraph (3), from". The bill (S. 1425) was ordered to be "(G) services designed to enable older per- (d) Section (4) of the Act (42 U.S.C. engrossed for a third reading, and was sons to attain and maintain physical and 3023(b) (4)), as 80 redesignated by subsec- read the third time. mental well being through programs of reg- tion (a), is amended by inserting immedi- Mr. EAGLETON. Mr. President, I ular physical activity and exercise; or". ately after "States" the following: ", and move that the Senate proceed to the con- GRANTS TO INDIAN TRIBES the number of Indians aged sixty or over on, sideration of H.R. 3922. or in proximity to, any Federal or State res- Sec. 104. (a) Section 303(b) of the Act ervation or rancheria.". The PRESIDING OFFICER. The bill (42 U.S.C. 3023(b)) is amended by redesig- will be stated by title. nating paragraph (3) as paragraph (4) and STATE AND AREA PLAN REQUIREMENTS The assistant legislative clerk read as by inserting immediately after paragraph (2) SEC. 105. (a) Section 304(a) (1) of the Act follows: the following new paragraph: (42 U.S.C. 3024(a)) is amended by redesig- A bill (H.R. 3922) to amend the Older "(3) (A) In any State in which the Com- nating subparagraph (E) as subparagraph Americans Act of 1965 to establish certain missioner determines (after having taken (F) and by inserting immediately following into account the amount of funds available subparagraph (D) the following new sub- social services programs for older Americans to the State agency or to an appropriate paragraph: and to extend the authorizations of appro- area agency on aging to carry out the pur- "(E) in conjunction with the agency des- priations contained in such act, to prohibit poses of this title) that the members of an ignated pursuant to section 2003(d) (1) (C) discrimination on the basis of age, and for other purposes. Indian tribe are not receiving benefits under of the Social Security Act (42 U.S.C. 1397b) this title that are equivalent to benefits pro- and as required by section 2004(2) (H) of The PRESIDING OFFICER. The ques- vided to other older persons in the State or such Act, coordinate activities under the tion is on agreeing to the motion of the appropriate area, and if he further deter- State plan developed pursuant to section 301 mines that the members of such tribe would (a) with the provision of services to olde Senator from Missouri. The motion was agreed to, and the be better served by means of grants made Americans under part A of title XX of the Senate proceeded to consider the bill. directly to provide such benefits, he shall re- Social Security Act;" serve from sums that would otherwise be (b) Section 804(c) (4) of the Act (42 U.S.C Mr. EAGLETON. I move to strike out allotted to such State under paragraph (2) 3024(c) (4)) is amended by striking out sub- all after the enacting clause and insert not less than 100 per centum nor more than paragraph (C) and by redesignating sub- in lieu thereof the text of S. 1425, as 150 per centum of an amount which bears paragraph (D) through subparagraph (F) amended. the same ratio to the State's allotment for as subparagraph (C) through subparagraph The motion was agreed to. the fiscal year involved as the population of (E), respectively. The PRESIDING OFFICER. The ques- all Indians aged sixty or over for whom a (c) Section 304 of the Act (42 U.S.C. 3024) tion is on the engrossment of the amend- determination under this paragraph has been is amended by inserting after subsection (c) ment and third reading of the bill. made bears to the population of all persons the following new subsection: aged sixty or over in such State. The amendment was ordered to be en- "(d) (1) Subject to regulations issued by "(B) The sums reserved by the Commis- the Secretary of Health, Education, and Wel- and the bill to be read a third sioner on the basis of his determination fare, an area agency on aging designated under this paragraph shall be granted to the under subsection (a) or, in areas of a State the third tribal organization serving the individuals where no such agency has been designated, for whom such a determination has been the State agency, is authorized to enter into June 26, 1975 CONGRESSIONAL RECORD S11749 agreements with agencies administering "(5) Notwithstanding any other provision ices, letter writing services, and other serv- programs under the Rehabilitation Act of of this subsection, no State shall receive less ices designed to assist such persons to con- 1973, as amended, and titles VI, XIX, and XX than that State received under this subsec- tinue living independently in a home en- of the Social Security Act for the purpose of tion for fiscal year 1975. vironment; and developing and implementing plans for meet- "(6) Amounts received under this para- "(3) Projects to establish or support legal ing the common need for transportation graph shall be used for administration of (including tax and financial) counseling services of persons receiving benefits under programs under this title and title VII of this and services programs for older persons, in- such Acts and older Americans participating Act.". cluding the training of lawyers and parapro- in programs authorized by titles III and VII MODEL PROJECT REQUIREMENTS fessional persons where the provision of such of this Act. SEC. 108. Section 308(a) of the Act (42 training is necessary for the successful oper- "(2) Pursuant to an agreement entered U.S.C. 3028(a)) is amended by striking out ation of B. program authorized by this para- into under paragraph (1), funds appropri- the word "or" at the end of paragraph (3) graph. ated under titles III and VII of this Act may and inserting immediately after paragraph "(b) The allotment to a State under this be used to purchase transportation services (4) the following new paragraphs: section shall be available for grants and con- for older persons and may be pooled with "(5) enable State agencies on aging and tracts to area agencies on aging, designated funds made available for the provision of other public and private nonprofit organiza- under section 304(a) (2) or, where there is transportation services under the Rehabili- tions to assist in the promotion and develop- no area agency, to other public or nonprofit tation Act of 1973, as amended, and titles VI, ment of ombudsmen services for residents of private agencies that the State agency deter- XIX, and XX of the Social Security Act.". nursing homes: mines have the capacity to meet the trans- LOW-INCOME INDIVIDUALS AND RURAL "(6) meet the special needs of, and im- portation, home service, or legal counseling ELDERLY prove the delivery of services to, older Amer- and services needs of older persons. In SEC. 106. Section 305(a) of the Act (42 icans who are not receiving adequate services making grants and contracts for the provi- U.S.C. 3024) is amended by renumbering under other provisions of the Act, with em- sion of transportation, home services or legal phasis on the needs of low-income, minority, counseling and services under this section, paragraphs 6, 7, 8, and 9 as paragraphs 8, 9, 10, and 11, respectfully, and inserting the Indian, and limited-English individuals, and State agencies shall give priority to appli- the rural elderly; cants proposing to serve areas in which the following new paragraphs: (6) provides that the needs of low-income (7) encourage the participation of older supply of such services is inadequate to meet elderly persons will be taken into account in persons in activities connected with the cele- the needs of older persons. bration of the American Bicentennial; or "(c) Within 120 days following the enact- developing and implementing the State plan; "(8) assist older persons to remain within ment of legislation appropriating funds as "(7) provides that the relative distribu- their communities and out of institutions authorized by this section, the Commission- tion of older persons residing in rural and and to maintain their independent living er shall issue final regulations for imple- urban areas within the State will be taken into account in developing and implement- by (A) providing financial assistance for mentation of the program herein authorized. ing the State plan;". the establishment and operation of senior "(d) The Commissioner is authorized and ambulatory care day centers (providing a directed to request the technical assistance ADMINISTRATION OF STATE PLANS planned schedule of health, therapeutic, and cooperation of the Secretary of Trans- SEC. 107. (a) Section 306(b) (1) of the educational, nutritional, recreational, and portation and such other departments and Act (42 U.S.C. 3026(b) (1)) is amended by social services at least twenty-four hours per agencies of the Federal Government as may striking out "$160,000" clause (A) and in- week, transportation arrangements at low be appropriate for the proper and effective serting in lieu thereof "$200,000", and by or no cost for participants to and from the administration of this section.". striking out "$50,000" in clause (B) and in- center, a hot mid-day meal, outreach and ATTRACTING QUALIFIED PERSONS TO THE FIELD OF serting in lieu thereof "$62,500". public information programs, and opportu- AGING (b) Section 306(b) of the Act is amended nities for maximum participation of senior SEC. 110. Section 403 of the Act (42 U.S.C. by redesignating paragraph (2) as paragraph participants and senior volunteers in the 3033) is amended by inserting "two or four (7) and by inserting immediately after para- planning and operation of the center). and years" before "institutions" the first time it graph (1) the following new paragraphs: (B) maintaining or initiating, or providing appears in such section. "(2) For fiscal year 1976, and for the pe- reasonable assurances of doing so, arrange- TRAINING PERSONNEL TO PERFORM COUNSELING riod beginning July 1, 1976, and ending Sep- ments with the agency of the State con- AND MONITORING FUNCTIONS tember 30, 1976, each State agency may re- cerned which administers or supervises the tain an amount equal to- administration of a State plan approved Sec. 111. (a) Section 404(a) (1) of the Act "(A) the increase in the minimum amount under title XIX of the Social Security Act, (42 U.S.C. 3034(a) (1)) is amended to read as specified in clause (A) of the first sentence follows: and with other appropriate social services of this paragraph enacted by section 107(a) agencies receiving or reimbursed through "(1) to assist in covering the cost of train- of the Older Americans Amendments of Federal financial assistance, for the payment ing or study for two-year or four-year college 1975, or of all or a part of the center's costs in pro- or university-based programs including but "(B) an amount not to exceed 8 per viding services to eligible persons.". not limited to the coverage of such costs as centum of the amount by which the allot- faculty support, student support (in class- TRANSPORTATION, HOME SERVICE, AND LEGAL ment for that State under section 303 plus room and field learning exercises, including COUNSELING PROJECTS the allotment for that State under section attendance of workshops, seminars, and pro- 703 (i) for that fiscal year exceeds the sum SEC. 109. Section 309 of the Act (42 U.S.C. fessional meetings), courses within the ap- of such allotments for fiscal year 1974, but 3029) is amended to read as follows: propriate curricula, and such costs as tech- in any case an amount not to exceed $100,000, "SEC. 309. (a) There are authorized to be nical assistance and program development in and (ii) for the period beginning July 1, appropriated $50,000,000 for the fiscal year working with older persons.". 1976, and ending September 30, 1976, exceeds ending June 30, 1976, $12,500,000 for the pe- (b) Section 404(à) (3) of the Act (42 U.S.C. an amount equal to 25 per centum of such riod beginning July 1, 1976, and ending 3034(a) (3)) is amended to read as follows: allotments for fiscal year 1974, but in any September 30, 1976, and $50,000,000 for the "(3) for short-term or inservice training to case an amount not to exceed $25,000, fiscal year ending September 30, 1977, to be support program operational activities, whichever is greater. allotted to the States in accordance with the strengthen program management, improve "(3) For fiscal year 1977 and for each suc- allotment formula contained in section 303 the capacity of public and private agencies in order to carry out the purposes of this entrusted with administrative responsibill- ceeding fiscal year each State agency speci- fied in clause (A) of paragraph (2) may re- section. From sums appropriated under this ties under this Act, and to clarify the roles section, the Commissioner is authorized to and relationships between and among public tain an amount equal to an amount not to make grants to each State having a State and private agencies which administer pro- exceed 8 per centum of the amount by which the allotment for that State under section plan approved under section 305 for the pur- grams essential to fulfill the purposes of this 303 plus the allotment for the State under pose of paying up to 90 per centum of the Act, including but not limited to such short- costs of the following: term training activities as workshops, tech- section 703 for the fiscal year exceeds the sum "(1) Projects designed to meet the trans- nical assistance, and organizational develop- of such allotments for fiscal year 1976, but portation needs of older persons, with spe- ment support,". in any case an amount not to exceed $100,000. "(4) For fiscal year 1977 and for each suc- cial emphasis on (A) providing supportive (c) Section 404 of the Act (42 U.S.O. 3034) is amended by adding at the end thereof ceeding fiscal year, each State agency speci- transportation in connection with nutrition fied in clause (B) of paragraph (2) may re- projects operated pursuant to title VII of the following new subsection: tain an amount equal to an amount not to this Act, and (B) providing transportation "(c) The Commissioner may make grants exceed 8 per centum of the amount by which for the purpose of enabling older persons to under subsection (a) to assist in (A) the obtain medical services; training of lawyers and paraprofessional per- the allotment for that State under section sons who will (1) provide legal (including 303 plus the allotment for that State under "(2) Projects designed to meet the needs tax and financial) counseling and services section 703 for the fiscal year exceeds the sum of older persons for home services including to older persons; or (2) monitor the ad- of such allotments for fiscal year 1974 but in homemaker services, home health services, ministration of any program by any public any case an amount not to exceed $100,000. shopping services, escort services, reader serv- or private nonprofit institution, organization, S/11750 CONGRESSIONAL RECORD-SENATE June 26, 1975 or agency, or any State or political subdivi- (c) Section 308(b) of the Act (42 U.S.C. visions of section 501(c) (3) of the Internal sion of a State, designed to provide assistance 3028(b)) is amended by striking out "and" Revenue Code of 1954, except projects in- or services to older persons, including nurs- immediately after "1974," and by inserting volving the construction, operation, or main- ing home programs and other similar pro- immediately after "1975" the following: ", tenance of any facility used or to be used as grams; and (B) the training of persons em- the fiscal year ending June 30, 1976, the a place for sectarian religious instruction or ployed by or associated with public or priv- period beginning July 1, 1976, and ending worship; ate nonprofit agencies or organizations, in- September 30, 1976, and the fiscal year end- "(D) will contribute to the general welfare cluding a State or political subdivision of a ing September 30, 1977." of the community: State, who will identify legal problems af- (d) Section 431 of the Act (42 U.S.C. 3037) (E) will provide employment for eligible fecting older persons, develop solutions for is amended by striking out "and" immedi- individuals whose opportunities for other these problems, and mobilize the resources ately after "1974," and by inserting imme- suitable public or private paid employment of the community to respond to the legal diately after "1975" the following: ", the are poor; needs of older persons.". fiscal year ending June 30, 1976, the period "(F) (1) will result in an increase in em- STATE PLANS beginning July 1, 1976, and ending Septem- ployment opportunities over those opportun- SEC. 112. Section 705(a) (4) of the Act (42 ber 30, 1976, and the fiscal year ending ities which would otherwise be available, (ii) U.S.C. 3045d(a) (4), is amended by changing September 30, 1977." will not result in the displacement of cur- the period to a comma and inserting the (e) Section 505(a) of the Act (42 U.S.C. rently employed workers (including partial following immediately after the comma: 3041d(a)) is amended by striking out "and" displacement such as a reduction in the "and that the relative distribution of older immediately after "1974," and by inserting hours of nonovertime work or wages or em- persons residing in rural and urban areas immediately after "1975" the following: "the ployment benefits), and (iii) will not impair in such State will be taken into account fiscal year ending June 30, 1976, the period existing contracts or result in the substitu- beginning July 1, 1976, and ending Septem- tion of Federal for other funds in connection in awarding grants.". ber 30, 1976, and the fiscal year ending with work that would otherwise be per- PURCHASE OF CERTAIN PROCEDURES BY THE September 30, 1977.". formed; SECRETARY OF AGRICULTURE (f) Section 708 of the Act (42 U.S.C. "(G) will not employ or continue to employ SEC. 113. (a) Section 707(d) of the Act 3045g) is amended in the first sentence any eligible individual to perform work the (42 U.S.C. 3045f) is amended by striking out thereof by striking out: "$200,000,000" and same or substantially the same as that per- "10 cents per meal:" and inserting in lieu inserting in lieu thereof "$225,000,000", and formed by any other person who is on layoff; thereof "25 cents per meal during the fiscal by striking out "$250,000,000" and inserting "(H) will utilize methods of recruitment year ending September 30, 1976, and 50 cents in lieu thereof "$275,000,000.". and selection (including listing of job va- per meal during the fiscal year ending Sep- COMMUNITY SERVICE EMPLOYMENT FOR OLDER cancies with the employment agency oper- tember 20, 1977:". AMERICANS ated by any State or political subdivision (b) Section 707 of the Act is amended in paragraphs (a), (b), and (c) by striking out SEC. 115. (a) The Act is amended by adding thereof) which will assure that the maxi- "may" each time it appears and inserting in at the end thereof the following new title: mum number of eligible individuals will have an opportunity to participate in the lieu thereof "shall". "TITLE IX-COMMUNITY SERVICE EM- project; (c) Section 707 of the Act is amended PLOYMENT FOR OLDER AMERICANS '(I) will include such training as may by redesignating subsection (e) as subsection "SHORT TITLE be necessary to make the most effective use (f) and inserting the following new subsec- "SEC. 901. This title may be cited as the of the skills and talents of those individuals tion immediately following subsection (d) 'Older American Community Service Employ- who are participating, and will provide for "(d) (1) Notwithstanding any other pro- ment Act'. the payment of the reasonable expenses of vision of law, where a State phased out its "OLDER AMERICAN COMMUNITY SERVICE individuals being trained, including a reason- commodity distribution facilities prior to able subsistence allowance; June 30, 1974, such State may, for purposes EMPLOYMENT PROGRAM "(J) will assure that safe and healthy of the programs authorized by this Act, elect "SEC. 902. (a) In order to foster and pro- conditions of work will be provided, and to receive cash payments in lieu of donated mote useful part-time work opportunities in will assure that persons employed in com- foods. Where such an election is made, the community service activities for unemployed munity service jobs assisted under this title Secretary of Agriculture shall make cash pay- low-income persons who are fifty-five years shall be paid wages which shall not be lower ments to such State in an amount equiva- old or older and who have poor employment than whichever is the highest of (i) the lent in value to the donated foods that the prospects, the Secretary of Labor (hereinafter minimum wage which would be applicable to State would otherwise have received if it in this title referred to as the 'Secretary') is the employee under the Fair Labor Stand- had retained its commodity distribution authorized to establish an older American ards Act of 1938, if section 6(a) (1) of such facilities. community service employment program. Act applied to the participant and if he were "(2) When such payments are made, the "(b) (1) In order to carry out the provi- not exempt under section 13 thereof, (ii) State agency shall promptly and equitably sions of this title, the Secretary is authorized the State or local minimum wage for the disburse any cash it receives in lieu of com- to enter into agreements with public or pri- most nearly comparable covered employment, modities to recipients of grants or contracts vate nonprofit agencies or organizations, in- or (iii) the prevailing rates of pay for per- and such disbursements shall be used by such cluding national organizations, agencies of a sons employed in similar public occupations recipients of grants or contracts to purchase State government or a political subdivision by the same employer: United States agricultural commodities and of a State (having elected or duly appointed "(K) will be established or administered other foods for their nutrition projects.". governing officials), or a combination of such with the advice of persons competent in the political subdivisions, or tribal organizations AUTHORIZATION OF APPROPRIATIONS field of service in which employment is being in order to further the purposes and goals of SEC. 114. (a) Section 204(c) of the Act provided, and of persons who are knowledge- the program. Such agreements may include (42 U.S.C. 3014(c) is amended by striking able with regard to the needs of older per- provisions for the payment of costs, as pro- out "and" immediately after "1974," and sons; vided in subsection (c), of projects developed by inserting immediately after "1975," the "(L) will authorize pay for necessary trans- by such organizations and agencies in coop- following: "the fiscal year ending June 30, portation costs of eligible individuals which eration with the Secretary in order to make 1976, the period beginning July 1, 1976, and the program effective or to supplement the may be incurred in employment in any proj- ect funded under this title in accordance ending September 30, 1976, and the fiscal program. No payment shall be made by the year ending September 30, 1977,". Secretary toward the cost of any project with regulations promulgated by the Secre- tary; (b) (1) Section 303(a) of the Act (42 established or administered by any such "(M) will assure that, to the extent feasi. U.S.C. 3023(a)) is amended by striking out organization or agencies unless he deter- "and" immediately after "1974," and by in- mines that such project- ble, such project will serve the needs o minority, Indian, and limited English-speak serting immediately after "1975," the follow- "(A) will provide employment only for ing eligible individuals in proportion to their ing: *$200,000,000 for the fiscal year ending eligible individuals, except for necessary numbers in the State: and June 30, 1976, $60,000,000 for the period technical, administrative, and supervisory personnel, but such personnel shall, to the "(N) will authorize funds to be used, to beginning July 1, 1976, and ending Septem- the extent feasible, to include individuals ber 30, 1976, and $240,000,000 for the fiscal fullest extent possible, be recruited from participating in such project under any year ending September 30, 1977,". among eligible individuals; State unemployment insurance plan. (2) Section 303(b) (2) of the Act (42 "(B) will provide employment for eligible "(2) The Secretary is authorized to es- U.S.C. 3023 (2)) is amended by striking individuals in the community in which such tablish, issue, and amend such regulations out "and" immediately after "1974," and by individuals reside, or in nearby communities; as may be necessary to effectively carry out inserting immediately after "1975," the fol- "(C) will employ eligible individuals in the provisions of this title. lowing: "for the fiscal year ending June 30, services related to publicly owned and oper- "(e) (1) The Secretary is authorized to 1976, the period beginning July 1, 1976, and ated facilities and projects, or projects spon- pay not to exceed 90 per centum of the cost ending September 30, 1976, and for the fiscal sored by organizations, other than political of any project which is the subject of an year ending September 30, 1977,". parties, exempt from taxation under the pro- agreement entered into under subsection (b), June 26, 1975 CONGRESSIONAL RECORD-SENATE S 11751 except that the Secretary is authorized to 'INTERAGENCY COOPERATION ican Samoa, the Virgin Islands, and the pay all of the costs of any such project "Sec. 905, (a) The Secretary shall consult Trust Territory of the Pacific Islands. which is (A) an emergency or disaster proj- with, and obtain the written views of, the "(8) The number of persons aged fifty-five ect, or (B) a project located in an economi- Commissioner of the Administration on Ag- or over in any State and for all States, shall cally depressed area as determined in con- ing prior to the establishment of rules or the be determined by the Secretary on the basis sultation with the Secretary of Commerce establishment of general policy in the ad- of the most satisfactory data available to and the Director of the Community Services ministration of this title. him. Administration. "(b) The Secretary shall consult and co- "(b) The amount allotted for projects "(2) Th non-Federal share shall be in cash operate with the Director of the Community within any State under subsection (a) for or in kind. In determining the amount of Services Administration, the Secretary of any fiscal year which the Secretary deter- the non-Federal share, the Secretary is au- Health, Education, and Welfare, and the mines will not be required for such year thorized to attribute fair market value to heads of other Federal agencies carrying out shall be reallotted, from time to time and services and facilities contribtued from non- related programs, in order to achieve optimal on such dates during such year as the Sec- Federal sources. coordination with such other programs. In retary may fix, to projects within other "ADMINISTRATION carrying out the provisions of this section, States in proportion to the original allot- "SEC. 903. (a) In order to effectively carry the Secretary shall promote programs or proj- ments to projects within such States under out the purposes of this title, the Secretary ects of a similar nature. Each Federal agency subsection (a) for such year, but with such shall, through the Commissioner of the Ad- shall cooperate with the Secretary in dissem- proportionate amount for any of such other ministration on Aging, consult with the inating information about the availability of States being reduced to the extent it ex- State agency on aging designated under sec- assistance under this title and in promoting ceeds the sum the Secretary estimates that tion 304(a) (1) and the appropriate area the identification and interests of individ- projects within such State need and will be agencies on aging established under section uals eligible for employment in projects as- able to use for such year; and the total of 304(a) (2) with regard to- sisted under this title. such reductions shall be similarly reallotted "(1) the localities in which community "EQUITABLE DISTRIBUTION OF ASSISTANCE among the States whose proportionate service projects of the type authorized by amounts were not so reduced. Any amount "SEC. 906. (a) (1) From sums appropriated this title are most needed; reallotted to a State under this subsection under this title for each fiscal year, the "(2) consideration of the employment sit- Secretary shall first reserve such sums as during a year shall be deemed part of its uations and the type of skills possessed by may be necessary, and such additional sums allotment under subsection (a) for such available local individuals who are eligible year. as he may deem advisable, for national to participate; and "(c) The amount apportioned for projects grants or contracts with public agencies and "(3) potential projects and the number within each State under subsection (a) shall public or private nonprofit organizations for and percentage of eligible individuals in the be apportioned among areas within each the administration of programs under this local population. such State in an equitable manner, taking title in an aggregate amount equal to the "(b) If the Secretary determines that to payments made for such contracts in fiscal into consideration (1) the proportion which do so would increase job opportunities avail- eligible individuals in each such area bears year 1975 from funds appropriated under able to individuals under this title, the Sec- to such total number of such individuals, title IX of the Older Americans Comprehen- retary is authorized to coordinate the pro- sive Services Amendments of 1973 and under respectively, in that State, and (2) the rel- gram assisted under this title with programs ative distribution of such individuals re- title III of the Comprehensive Employment authorized under the Emergency Jobs and and Training Act of 1973 for community siding in rural and urban areas within the Unemployment Assistance Act of 1974, the State. service employment programs for older Comprehensive Employment and Training "DEFINITIONS Americans. Preference is awarding such Act of 1973, the Communisty Services Act grants or contracts shall be given to national "SEC. 907. As used in this title- of 1974, and the Emergency Employment Act organizations of proven ability in providing "(1) the term 'State' means any of the of 1971. Appropriations under this Act may empolyment services to older people under several States of the United States, the Dis- not be used to carry out any program under this and similar programs. Each such grant trict of Columbia, Puerto Rico, the Virgin the Emergency Jobs and Unemployment As- or contract shall contain provisions to as- Islands, American Samoa, Guam, and the sistance Act of 1974, Comprehensive Employ- sure that projects conducted pursuant to Trust Territory of the Pacific Islands; ment and Training Act of 1973, the Commu- such contracts during fiscal year 1975 will "(2) the term 'eligible individual' means nity Services Act of 1974, or the Emergency be continued if the Secretary determines an individual who is fifty-five years old or Employment Act of 1971. that such projects are successfully carrying over, who has a low income, and who has or "(c) In carrying out the provisions of this out the purposes of this title. would have difficulty in securing employ- title, the Secretary is authorized to use, with "(2) The Secretary shall allot for projects ment except that pursuant to regulations their consent, the services, equipment, per- within each State the remainder of the sums prescribed by the Secretary any such in- sonnel, and facilities of Federal and other appropriated for any fiscal year under sec- dividual who is sixty years old or over shall agencies with or without reimbursement, and on a similar basis to cooperate with other tion 908 so that equal proportions are dis- have priority for the work opportunities pro- tributed on the basis of an amount which vided for under this Act; public and private agencies, and instrumen- bears the same ratio to such sums as the "(3) the term 'community service' means talities in the use of services, equipment, and number of persons aged fifty-five or over social, health, welfare, educational, legal facilities. in the State involved bears to the number counseling, library, recreational, and other "(d) Payments under this title may be made in advance or by way of reimburse- of such persons in all States, except that (A) similar services; conservation, maintenance ment and in such installments as the Secre- the Secretary shall reduce the allotment or restoration of natural resources; com- made to each State under this paragraph by munity betterment or beautification; anti- tary may determine. the amount reserved under paragraph (1) of pollution and environmental quality efforts; (e) The Secretary shall not delegate any this subsection and available for expendi- economic development; and such other serv- function of the Secretary under this title to ture in that State for the fiscal year for ices essential and necessary to the com- any other department or agency of the Fed- eral Government. which the determination is made, (B) no munity as the Secretary, by regulation, may State shall be allotted any sums under this prescribe; and "PARTICIPATION NOT FEDERAL EMPLOYEES paragraph for any fiscal year until the Sec- "(4) the term 'program' means the Older "SEC. 904. (a) Eligible individuals who are retary determines that the amount to be al- American Community Service Employment employed in any project funded under this lotted to that State in the fiscal year for Program established under this title. title shall not be considered to be Federal which the determination is made is equal "AUTHORIZATION OF APPROPRIATIONS employees as a result of such employment to the amount reserved under paragraph (1) "SEC. 908. There are authorized to be ap- and shall not be subject to the provisions of of this subsection and available for expend- propriated $100,000,000 for the fiscal year part III of title 5. United States Code. iture in that State for that fiscal year, (C) ending June 30, 1976, $37,500,000 for the "(b) No contract shall be entered into un- no State shall be allotted less than one-half period beginning July 1, 1976, and ending der this title with a contractor who is, or of 1 per centum of the sum appropriated for September 30, 1976, $150,000,000 for the whose employees are, under State law, ex- the fiscal year for which the determination fiscal year ending September 30, 1977, and empted from operation of the State work- is made, or $100,000, whichever is greater, $200,000,000 for the fiscal year ending Sep- men's compensation law, generally applica- and (D) Guam, American Samoa, the Virgin tember 30, 1978.". ble to employees, unless the contractor shall Islands, and the Trust Territory of the (b) Title IX of the Older Americans Com- undertake to provide either through insur- Pacific Islands shall each be allotted an prehensive Services Amendments of 1973 (42 ance by a recognized carrier, or by self in- amount equal to one-fourth of 1 per centum U.S.C. 3061 et seq.) is hereby repealed. surance, as authorized by State law, that the of the sum appropriated for the fiscal year for (c) Notwithstanding any other provision persons employed under the contract, shall which the determination is made, or $50,000, of law, sums appropriated to carry out title enjoy workmen's compensation coverage whichever is greater. For the purpose of the IX of the Older Americans Comprehensive equal to that provided by law for covered exception contained in this paragraph, the Services Amendments of 1973 for fiscal year employment. term 'State' does not include Guam, Amer- 1975 may be used for older American com- S11752 CONGRESSIONAL RECORD-SENATE June 26, 1975 munity service employment projects con- out "and" immediately after "1973," and The PRESIDING OFFICER. Without ducted as part of the Operation Mainstream inserting in lieu thereof "for", and by in- objection, it is so ordered. program under title III of the Comprehensive serting immediately before the period at the Employment and Training Act of 1973. end thereof the following: ", and for the Mr. BEALL. Mr. President, I suggest TECHNICAL AMENDMENTS period beginning July 1, 1976, and ending the absence of a quorum. SEC. 116. (a) Section 102(1) of the Act (42 September 30, 1976". The PRESIDING OFFICER. The clerk will call the roll. U.S.C. 3002(1)) is amended by striking out OLDER AMERICANS COMPREHENSIVE SERVICE the semicolon at the end thereof and insert- AMENDMENTS OF 1973 Mr. LONG. Mr. President, I ask unan- ing in lieu thereof a period. SEC. 203. Section 805 of the Older Ameri- imous consent that the order for the (b) The heading for section 202 of the cans Comprehensive Services Amendments of quorum be rescinded. Act (42 U.S.C. 3012) is amended by striking 1973 (42 U.S.C. 2809 note) is awarded— The PRESIDING OFFICER. Without out "OFFICE" and inserting in lieu thereof (1) by striking out "fiscal year" the second objection, it is so ordered. "ADMINISTRATION". place it appears therein and inserting in (c) Section 202(a) (8) of the Act (42 U.S.C. lieu thereof "four fiscal years and the period 3012 (a) (8)) is amended by striking out beginning July 1, 1976, and ending Septem- "and" at the end thereof. ber 30, 1976"; and SUSPENSION OF DUTY ON (d) Section 303(b) (1) of the Act (42 (2) by striking out "Economic Opportunity CERTAIN ISTLE U.S.C. 3023(b) (1)) is amended by striking Act of 1964" and inserting in lieu thereof out "authorized to be". "Community Services Act of 1974". Mr. LONG. Mr. President, I ask unan- (e) The last sentence of section 305(e) of VOCATIONAL EDUCATION ACT OF 1963 imous consent that the Committee on Fi- the Act (42 U.S.C. 3041f(b)) is amended by SEC. 204. Section 161 (d) of the Vocational nance be discharged from further con- striking out "or" the second place it appears ing in lieu thereof "Commissioner's". Education Act of 1963 (20 U.S.C. 1341 sideration of H.R. 7709, a bill to continue (f) Section 432(b) of the Act (42 U.S.C. is amended by inserting "(1)" immediately for a temporary period the existing sus- 3037a (b)) is amended by striking out "part" before "At least one-third" and by adding at pension of duty on certain istle, and that and inserting in lieu thereof "title". the end thereof the following new paragraph: the bill be laid before the Senate for its (g) The last sentence of section 507(b) of "(2) From funds made available under immediate consideration. the Act (42 U.S.C. 3041f(b)) is amended by this section, special consideration shall be striking out "or" the second place it appears given to special consumer and homemaking The PRESIDING OFFICER. The bill therein and inserting in lieu thereof "of". programs for persons aged sixty or older who will be stated by title. are in need of services provided by such The legislative clerk read as follows: (h) The heading for section 703 of the Act (42 U.S.C. 3045b) is amended by striking programs, as determined by the Commis- A bill (H.R. 7709) to continue for a tempo- out "ALLOTTMENT" and inserting in lieu there- sioner. Such programs shall be designed to rary period the existing suspension of duty of "ALLOTMENT". assist such persons to live independently in on certain istle. (1) The last sentence of section 703(c) of their own homes and to alleviate the ad- verse effects of loneliness and isolation.". The PRESIDING OFFICER. Is there the Act (42 U.S.C. 3045b(c) is amended by striking out "in kind" and inserting in lieu AMENDMENT TO RESEARCH ON AGING ACT OF 1974 objection to the request of the Senator thereof "in-kind". SEC. 205. Section 464 of the Public Health from Louisiana? (j) The last sentence of section 703(d) Service Act (42 U.S.C. 269k-5) is amended Mr. ALLEN. Mr. President, reserving of the Act (42 U.S.C. 3045(d) is amended by striking out "one year" and inserting in the right to object, what is the nature of by striking out "in kind" and inserting in lieu thereof "two years". this bill? lieu thereof "in-kind". TITLE III-STUDY OF DISCRIMINATION Mr. LONG. This is a bill to continue (k) Section 705(a) (2) of the Act (42 BASED ON AGED the existing suspension of duty on istle U.S.C. 3045d(a) (2)) is amended by striking Sec. 301. (a) The Commission on Civil out "sets" and inserting in lieu thereof until June 30, 1978. We have extended "set". Rights (hereinafter called the "Commission") the suspension of the duty on istle a is directed to undertake a study to deter- (1) Section 705(a) (2) (B) of the Act (42 number of times. One might argue that mine whether persons who are otherwise U.S.C. 3045(a) (2) (B)) is amended by strik- qualified are, because of their age, excluded the suspension should be made perma- ing out "cost, for the fiscal year ending from participation in, denied the benefits of, nent. But the House of Representatives June 30, 1973," and all that follows through or subject to discrimination under any pro- has sent it to us with about a 3-year ex- "1973, funds" and inserting in lieu thereof gram or activity receiving Federal financial tension. I know of no objection whatever "cost. Funds". assistance. If the Commission finds substan- to the bill. (m) Section 705(a) (5) of the Act (42 tial evidence of such exclusion, denial, or U.S.C. 3045d(a) (5)) is amended by striking Mr. ALLEN. Is it contemplated that discrimination on account of age, the Com- out "areas" and inserting in lieu thereof an amendment is to be added to this mission shall seek to determine the nature, "area". bill? extent, and causes of such exclusion, denial, (n) The last sentence of section 705(c) of or discrimination and shall identify with Mr. LONG. Yes, it is. the Act (42 U.S.C. 3045d(c)) is amended by particularity the federally assisted programs I will explain the amendment if the inserting a comma immediately after "fail- or activities concerned. ure" the first place it appears therein and Senator so wishes. (b) No later than one year following the such sentence is further amended by strik- date on which legislation is enacted to ap- Mr. ALLEN. I would like to have an ing out the word "part" and inserting in lieu propriate funds for the conduct of the study explanation because, as the Senator thereof "title". herein provided, the Commission shall make knows, frequently these minor bills are (o) Section 706(a) (5) of the Act (42 a report of its findings to the Congress and used as vehicles for attaching amend- U.S.C. 3045e(a) (5)) is amended by insert- the President, together with its recommen- ments of much greater import than the ing a comma immediately after "require- dations regarding the legislative and ad- original bill. ments" the second place it appears therein. ministrative measures necessary for correc- (p) Section 706(a) (8). of the Act (42 tive action, if any. Mr. LONG. I will be happy to explain U.S.C. 3045e(a) (8)) is amended by inserting (e) There are authorized to be appropri- my amendment. The problem is that a comma immediately after "program" the ated such sums as may be necessary to carry there are 11 States that are going to lose second place it appears therein. out the purposes of this section. Federal matching for their child sup- TITLE I-AMENDMENTS TO OTHER Mr. EAGLETON. Mr. President, I fur- port activities because they have not LAWS ther move that the Senate insist upon its yet been able to amend their laws and HIGHER EDUCATION ACT OF 1965 amendment to H.R. 3922 and request a their practices to come into compliance SEC. 201. Section 110(b) of the Higher Ed- conference with the House of Represent- with the new child support regulations. ucation Act of 1965 (20 U.S.C. 1008a(b)) is atives, and that the Chair be authorized My amendment would simply amend the amended by striking out "July 1, 1977" and to appoint the conferees on the part of law to postpone the effective date from inserting in lieu thereof "October 1, 1977", by the Senate. July 1 up to August 1. This will allow us striking out "and" immediately after "1973," The motion was agreed to; and the 30 days in which to consider the prob- and inserting in lieu thereof "for", and by Presiding Officer appointed Mr. EAGLE- lems of the States, that need to adjust inserting immediately before the period at the end thereof the following: ", and for TON, Mr. CRANSTON, Mr. KENNEDY, Mr. their laws to meet the requirements of the period beginning July 1, 1976, and end- RANDOLPH, Mr. WILLIAMS, Mr. PELL, Mr. Federal law. ing September 30, 1976". NELSON. Mr. BEALL, Mr. SCHWEIKER, Mr. Without this amendment, we would ADULT EDUCATION ACT TAFT, and Mr. STAFFORD conferees on the find that 11 States would lose Federal SEC. 202. Section 310(b) of the Adult Ed- part of the Senate. funding for their child support activities. ucation Act (20 U.S.C. 1208a(b)) is amended Mr. EAGLETON. Mr. President, I ask The Senator would not want that to by striking out "July 1, 1975" and inserting unanimous consent that the considera- happen, and I do not want it to happen in lieu thereof "October 1, 1977", by striking tion of S. 1425 be indefinitely postponed. either. Child support T TAB C DEPARTMENT ATION THE SECRETARY OF HEALTH. EDUCATION, AND WELFARE ONE DIPARTMENT WFNT WASHINGTON, D. C. 20201 SEPARTMENT JUL 11 1975 Honorable Thomas F. Eagleton Chairman, Subcommittee on Aging Committee on Labor and Public Welfare United States Senate Washington, D.C. 20510 Dear Mr. Chairman: This is to bring to your attention the concerns of the Department of Health, Education and Welfare with respect to certain provisions of both the House and Senate versions of H.R. 3922, a bill to amend the Older Americans Act of 1965, which is now in conference. As you know, the Administration transmitted to the Congress last January 30 a draft bill to extend the Older Americans Act with several modifications. Under the major provisions of this bill, introduced as S. 599: 1. Authorizations for most titles of the Act would have been extended for two years, to September 30, 1977, making them coterminous with Title VII, the nutrition program; 2. Title V and section 309 - authorizing grants for purchase, renovation and initial staffing of senior citizen centers and grants for transportation projects - would have been permitted to expire since they are duplicative of existing authorities available to the Departments of Housing and Urban Development and Transportation and have never been funded; 3. Parts A and C of Title IV -- dealing with training programs in the aging field and establishment of gerontology centers - would also have been permitted to expire since the Administration has never requested funding for these parts; 4. The statutory preference for low-income, minority and limited English-speaking persons now given in the Title VII nutrition programs would have been extended to those benefiting from State and Community Programs on aging funded under Title III to conform with the Administrator's policy of directing limited funds to those who need them most; and Page 2 - Honorable Thomas F. Eagleton 5. Authorization would have been granted for a reasonable extension of the deadline for submission to, the Congress of two major studies now being conducted by the Federal Council on the Aging. Following are the Department's most serious concerns with respect to Senate and House action relative to each of these points and our concerns regarding other major features of the versions of H.R. 3922 passed by both Houses. 1. Extension of Titles: The Senate bill would extend all titles (with the exception of the extension to September 30, 1978 for the Older Americans Community Service Employment Act) to September 30, 1977, making them coterminous with the Title VII nutrition program as the Administration requested. The House bill would extend all Titles -- including Title VII -- through September 30, 1979. We strongly support the Senate bill on this point. Both the Title VII programs and the Title III grants for State and Community Programs on Aging are in only their second year of operation. We believe both the Administration and the Congress should await more definitive data on the efficacy of these programs before determining whether they should be extended beyond 1977 in their present form. 2. Authorization levels: Both the Senate and House bills contain appropriations authorizations under the Older Americans Act and related statutes considerably higher than those in the Administration proposal. We believe that all Americans are looking to the Congress to work with the Administration in helping to curb government spending as one means of controlling the inflation that is eroding their wages, pensions and savings. Limiting authorizations under this Act would at the same time contribute to this effort and avoid generating unrealistic expectations of major expansions of Federal funding for programs authorized under the Act. 3. Expiration of Title V and Section 309: We regret that neither the Senate nor the House bills would allow the transportation program authority in Section 309 to expire as the Administration requested. The Senate bill would continue that authority as part of a revised Section 309 and would authorize $50 million in each of Fiscal Years 1976 and 1977 to fund transportation projects, home service. projects, and projects to provide legal counseling and services. The House bill would fold the transportation authority into a new Title VIII, which would also establish a broad range of new programs to be funded under Title III grants to States and communities. We urge that the transportation authority --- and the $50 million authorization contained in the Senate bill -- be deleted since it is duplicative of authorities presently available to the Department of Transportation and to this Department. With respect to Title V, Page 3 - Honorable Thomas F. Eagleton both bills would extend authorization for grants to purchase and renovate senior citizens centers. We reiterate our proposal that this authority be allowed to lapse since the Department of Housing and Urban Development has authority under the Housing and Community Development Act of 1974 to make grants to communities which can be used for the same purposes. 4. Expiration of Parts A and C of Title IV: Neither the Senate bill nor the House bill would permit these parts -- dealing with training in the aging field and establishment of gerontology centers -- to expire. Moreover, both bills would make explicit the authority under this Title to include grants for training of lawyers, paraprofessionals and lay advocates to provide legal counseling and services to older persons. We urge that Parts A and C of Title IV be permitted to expire, because their enactment would run directly counter to our goal to end the proliferation of programs designed to grant institutions specific funds to train specific kinds of personnel. 5. Preference to low-income, minority and limited English-speaking persons: While neither bill incorporates the Administration's recommendation that the same statutory preference accorded such persons in the Title VII nutrition programs be extended to those benefiting from Title III State and Community service programs, the Senate bill does mandate that State plans "take into account" the needs of low income elderly and the relative distribution of older persons residing in rural and urban areas of the State. We urge that the Senate bill language on this point be revised to incorporate the Administration's proposal. 6. Extension of study deadlines: Both the Senate and House bills incorporate the Administration's proposal that the Federal Council on the Aging be given until January 1, 1976, to complete two major studies authorized under 1973 amendments to the Act -- one dealing with the interrelationships of Federal, State and local benefit programs for the elderly, and one dealing with the combined impact. of all taxes on the elderly. This additional time is essential to permit the Council to make a thorough examination of these highly complex areas. 7. Age discrimination: The House bill contains a new Title III -- the Age Discrimination Act of 1975 -- which would bar discrimination based on age in any program or activity receiving Federal assistance except where age is "reasonably" taken into account in limiting participation in any such program, or where another law provides for benefits or assistance for persons based on age. While we fully agree that the issue of age discrimination should be addressed with respect to all programs operated under aegis of Federal law, we Page 4 - Honorable Thomas F. Eagleton strongly oppose enactment of the Age Discrimination Act as passed by the House on the following grounds: A. Since neither the Congress nor the Administration have had sufficient time to explore the potential ramifications of the Act, its enactment at this time would leave unresolved a host of administrative issues and legal questions comparable in gravity and complexity to those raised in the sex discrimination provisions of Title IX of the Education Amendments of 1972 and the prohibitions of discrimination against the handicapped contained in Section 504 of the 1973 Rehabilitation Act. B. Enactment of this Act would leave to the Executive Branch the formulation of momentous policy decisions in wholly uncharted areas without the benefit of any specific legislative guidance. C. Neither the Act as passed by the House nor its legislative history indicates what factors would be "reasonable" if taken into account in limiting eligibility for any Federally assisted program. Thus, even a preliminary review of the potential ramifications suggests a myriad of unexplored issues. For example, could medical schools deny admission to 50-year-olds on grounds that they could be expected to practice medicine for only a relatively brief time? Could States establish transportation and housing programs for senior citizens limited to specific age groups? Could children of any age consent to sterilization or elect specific medical treatment? We strongly urge that this provision of the House-passed bill be deleted and that the Congress instead adopt the new Title III language contained in the Senate version of H.R. 3922, which would direct the U.S. Commission on Civil Rights to study all aspects of the question of age discrimination in Federally assisted programs and to report its findings to the Congress and the President within one year after appropriations are made for the study. 8. Direct Funding for Indian Tribes: We strongly oppose the House- passed amendment to Section 303 (b) of the Older Americans Act to provide for direct funding to Indian tribes on reservations for programs authorized under the Act. We urge that the Congress adopt instead the amendment to Section 303(b) passed by the Senate under which the Commissioner of Aging would be permitted to provide direct funding to Indian tribes if he should find that members of such tribes are not receiving benefits equivalent to those provided to other older persons in a State or area. 9. New Title VIII programs: We are strongly opposed to the new Title VIII contained in the House-passed bill which would establish a new Page 5 - Honorable Thomas F. Eagleton range of programs (homemaker and other home services; legal and other counseling services; residential repairs and renovations; mortgage interest reduction and insurance activities; and transportation), each duplicative of services which can be funded under the Older Americans Act or other statutes. Moreover, under the House-passed Title VIII, States would be forced to expend on these specific programs no less than 20 percent of funds available under Section 303 of Title III of the Act, rather than for programs which meet priorities the States themselves establish. We also strongly oppose the amendment to Section 309 contained in the Senate-passed bill under which a new authorization of $50 million would be earmarked for programs in three of the five areas specified in Title VIII of the House bill: homemaker and other home services; legal counseling; and transportation services. Thus, if enacted, the new Title VIII, or an amended Section 309 as passed by the Senate, would violate the spirit and intent of the 1973 Title III Amendments, which gave the States long-sought authority to marshal available Federal, State, local and voluntary funds and resources to mount programs specifically designed to meet locally-established priorities. To tie the States' hands now in the manner suggested in these provisions after less than two years' experience under the 1973 amendments would be a major step backward. We urge that the conferees on H.R. 3922 delete these provisions. 10. Other Provisions: On three other amendments contained in one or both versions of H.R. 3922 - those affecting programs under the Older American Community Service Employment Act; those affecting the purchase of commodities for the Title VII nutrition program; and the House-passed amendment authorizing mortgage interest reduction, insurance and housing repair activities -- we defer to the Departments of Labor, Agriculture and Housing and Urban Development respectively. 11. Amendments to Other Laws: Both the Senate and House bills would extend Section 110 of the Higher Education Act and Section 310 of the Adult Education Act which provide for unneeded special programs for the elderly for which the Administration has never requested funding. Both bills would also amend the Vocational Education Act to require special consideration for the elderly in consumer and homemaking programs which would be duplicative of other authorities. Older persons are more properly served through the current State apportionment programs of the Vocational Education and Adult Education Acts under which funding decisions are made at the State and local levels based on needs they identify. Page 6 - Honorable Thomas F. Eagleton We are advised by the Office of Management and Budget that there is no objection to the submission of this letter from the standpoint of the Administration's program. Sincerely, Identical letter sent to Rep. Brademas with copies to all Senate and House conferees. 94TH CONGRESS HOUSE OF REPRESENTATIVES REPORT 1st Session No. 94-670 OLDER AMERICANS AMENDMENTS OF 1975 NOVEMBER 17, 1975.-Ordered to be printed Mr. PERKINS, from the committee of conference, submitted the following CONFERENCE REPORT [To accompany H.R. 3922] The committee of conference on the disagreeing votes of the two Houses on the amendment of the Sentate to the bill (H.R. 3922) to amend the Older Americans Act of 1965 to establish certain social services programs for older Americans and to extend the authoriza- eions of appropriations contained in such Act, to prohibit discrimina- tion on the basis of age, and for other purposes, having met, after full and free conference, have agreed to recommend and do recom- mend to their respective Houses as follows: That the House recede from its disagreement to the amendment of the Senate and agree to the same with an amendment as follows: In lieu of the matter proposed to be inserted by the Senate amend- ment insert the following: That this Act may be cited as the "Older Americans Amendments of 1975". TITLE I-AMENDMENTS TO OLDER AMERICANS ACT OF 1965 TRANSMISSION OF CERTAIN RECOMMENDATIONS RELATING TO FEDERAL COUNCIL OF AGING SEC. 101. (a) Section 205(g) of the Older Americans Act of 1965 (42 U.S.C. 3015(g)) (hereinafter in this title referred to as the "Act") is amended by striking out "eighteen months after enactment of this Act" and inserting in lieu thereof "January 1, 1976,". (b) Section 205(h) of the Act (42 U.S.C. 3015(h)) is amended by strik- ing out "eighteen months after enactment of this Act," and inserting in lieu thereof "January 1, 1976,". 57-006 0 FORD LIBRARY & GERALD 3 2 APPLICATION OF OTHER LAWS Commissioner may prescribe by regulation and which meets criteria established by section 305(a), to the extent the Commissioner determines SEC. 102. Title II of the Act (42 U.S.C. 3011 et seq.) is amended by such criteria to be appropriate. adding at the end thereof the following new section: "(D) Recipients of grants under this paragraph may retain for ad- ministrative purposes an amount equal to the amount available for the "APPLICATION OF OTHER LAWS cost of the administration of area plans under section 303(e)(1).". "SEC. 211. The provisions and requirements of the Act of December 5, (b) Section 102 of the Act (42 U.S.C. 3002) is amended by adding at 1974 (Public Law 93-510; Stat. 1604) shall not apply to the admin- the end thereof the following new paragraphs: istration of the provisions of this Act or to the administration of any "(4) The term 'Indian' means a person who is a member of an Indian tribe. program or activity under this Act.". "(5) The term 'Indian tribe' means any tribe, band, nation, or other DEFINITION OF SOCIAL SERVICES organized group or community of Indians (including any Alaska Native village or regional or village corporation as defined in or established SEC. 103. Section 302(1) of the Act (42 U.S.C. 3022(1)) is amended- pursuant to the Alaska Native Claims Settlement Act (Public Law 92- (1) in subparagraph (E) thereof, by striking out "or" at the end 203; 85 Stat. 688)) which (A) is recognized as eligible for the special thereof; and programs and services provided by the United States to Indians because (2) by redesignating subparagraph (F) as subparagraph (H) and of their status as Indians; or (B) is located on, or in proximity to, a by inserting immediately after subparagraph (E) the following new Federal or State reservation or rancheria. subparagraphs: (F) services designed to provide legal and other counseling "(6) The term 'tribal organization' means the recognized governing body of any Indian tribe, or any legally established organization of services and assistance, including tax counseling and assistance Indians which is controlled, sanctioned, or chartered by such governing and financial counseling, to older persons; body. In any case in which a contract is let or grant made to an organiza- "(G) services designed to enable older persons to attain and main- tion to perform services benefiting more than one Indian tribe, the ap- tain physical and mental well being through programs of regular proval of each such Indian tribe shall be a prerequisite to the letting or physical activity and exercise; or". making of such contract or grant.". (c) The first sentence of section 303(b)(2) of the Act (42 U.S.C. 3023 GRANTS TO INDIAN TRIBES (b) is amended by striking out "From" and inserting in lieu thereof SEC. 104. (a) Section 303(b) of the Act (42 U.S.C. 3023(b)) is amended "Subject to the provisions of paragraph (3), from". (d) Section 303(b)(4) of the Act (42 U.S.C. 3023(b)(4)), as so re- by redesignating paragraph (3) as paragraph (4) and by inserting designated by subsection (a), is amended by inserting immediately after immediately after paragraph (2) the following new paragraph: "(3) (A) In any State in which the Commissioner determines (after "States" a comma and the following: "and the number of Indians aged having taken into account the amount of funds available to the State sixty or over on, or in proximity to, any Federal or State reservation or rancheria". agency or to an appropriate area agency on aging to carry out the purposes AREA PLAN REQUIREMENTS of this title) that the members of an Indian tribe are not receiving benefits under this title that are equivalent to benefits provided to other older SEC. 105. (a) Section 304(c)(4) of the Act (42 U.S.C. 3024(c) is persons in the State or appropriate area, and if he further determines amended by striking out subparagraph (C) and by redesignating sub- that the members of such tribe would be better served by means of grants paragraph (D) through subparagraph (F) as subparagraph (C) through made directly to provide such benefits, he shall reserve from sums that subparagraph (E), respectively. would otherwise be allotted to such State under paragraph (2) not less than (b) Section 304 of the Act (42 U.S.C. 3024) is amended by inserting 100 per centum nor more than 150 per centum of an amount which after subsection (c) the following new subsection: bears the same ratio to the State's allotment for the fiscal year involved as "(d)(1) Subject to regulations prescribed by the Secretary of Health, the population of all Indians aged sixty or over for whom a determination Education, and Welfare, an area agency on aging designated under under this paragraph has been made bears to the population of all persons subsection (a) or, in areas of a State where no such agency has been desig- aged sixty or over in such State. nated, the State agency, is authorized to enter into agreements with agencies "(B) The sums reserved by the Commissioner on the basis of his administering programs under the Rehabilitation Act of 1973, and titles determination under this paragraph shall be granted to the tribal organiza- VI, XIX, and XX of the Social Security Act for the purpose of de- tion serving the individuals for whom such a determination has been made, veloping and implementing plans for meeting the common need for or where there is no tribal organization, to such other entity as he deter- transportation services of persons receiving benefits under such Acts mines has the capacity to provide services pursuant to this title. and older persons participating in programs authorized by titles III "(C) In order for a tribal organization or other entity to be eligible for a and VII of this Act. grant for a fiscal year under this paragraph, it shall submit to the Com- missioner a plan for such fiscal year which meets such criteria as the "(2) Pursuant to an agreement entered into under paragraph (1), funds appropriated under titles III and VII of this Act may be used to purchase transportation services for older persons and may be pooled 4 5 with funds made available for the provision of transportation services thereof "$200,000", and by striking out "$50,000" in clause (B) and under the Rehabilitation Act of 1973, and titles VI, XIX, and XX of inserting in lieu thereof "$62,500". the Social Security Act.". (b) Section 306(b) of the Act (42 U.S.C. 3026(b)) is amended by redesignating paragraph (2) as paragraph (4), and by inserting immedi- NATIONAL PRIORITY SERVICES ately after paragraph (1) the following new paragraphs: SEC. 106. (a) Section 305(a) of the Act (42 U.S.C. 3025(a)) is amended (2)(A) Any State which desires to receive amounts, in addition to by striking out "and" immediately after the semicolon in paragraph amounts allotted to such State under paragraph (1), to be used in the administration of its State plan in accordance with subsection (a) may (8), by striking out the period at the end of paragraph (9) and inserting transmit an application to the Commissioner in accordance with this in lieu thereof a semicolon and "and", and by inserting the following new paragraph. Any such application shall be transmitted in such form, and paragraph immediately after paragraph (9): according to such procedures, as the Commissioner may require, except "(10) provides assurances in such form as the Commissioner shall that such application may not be made as part of, or as an amendment to, prescribe that of the funds allotted to the State under section 303(b) the State plan. in any fiscal year to carry out the State plan, not less than 50 per "(B) The Commissioner may approve any application transmitted by centum of the amount by which such allotment exceeds the allotment a State under subparagraph (A) if the Commissioner determines, based made for the same purpose in the fiscal year ending June 30, 1975, upon a particularized showing of need, that- shall be used for the purposes set forth in section 305(b), except with '(i) such State will be unable to fully and effectively administer its respect to any State which provides assurances found satisfactory State plan and to carry out programs and projects authorized by this by the Commissioner that at least 331/3 per centum of the total title and by title VII unless such additional amounts are made avail- amount allotted to the State under section 303(b) to carry out able by the Commissioner; the State plan in any fiscal year shall be used for the purposes set "(ii) such State is making full and effective use of its allotment forth in section 305(b), but in no case shall less than 20 per under paragraph (1) and of the personnel of the State agency and centum of the funds allotted to any ,State under section 303(b) area agencies designated under section 305 in the administration of to carry out the State plan in any fiscal year beginning after its State plan in accordance with subsection (a); and September 30, 1976, be used for the purposes set forth in sec- "(iii) the State agency and area agencies of such State designated tion 305(b).". under section 305 are carrying out, on a full-time basis, programs (b) Section 305(a) of the Act (42 U.S.C. 3025(a)) is amended by re- and activities which are in furtherance of the purposes of this Act. designating subsections (b), (c), (d), and (e) as subsections (c), (d), (e), "(C) The Commissioner may approve that portion of the amount re- and (f), respectively, and by inserting the following new subsection quested by a State in its application under subparagraph (A) which he immediately after subsection (a): determines has been justified in such application. "(b) Every State plan shall provide for the establishment or maintenance "(D) Amounts which any State may receive in any fiscal year under this of programs (including related training) for the provision of some or all paragraph may not exceed three-fourths of 1 per centum of the sum of the of the following services designed to assist older persons in leading in- amounts allotted to such State to carry out the State plan under section dependent lives and avoiding unnecessary institutionalization: 303(b) and section 703(a) for such fiscal year. "(1) Transportation services. "(E) No application by a State under subparagraph (A) shall be ap- "(2) Home services, including homemaker services, home health proved unless it contains assurances that no amounts received by such State services, shopping services, escort services, reader services, letter under this paragraph will be used to hire any person to fill a job opening writing services, and other services designed to assist such persons to created by the action of such State in laying off or terminating the employ- continue living independently in a home environment. ment of any regular employee not supported under this Act in anticipation (3) Legal and other counseling services and assistance pro- of filling the vacancy so created by hiring an employee to be supported grams, including tax counseling and assistance and financial through use of amounts received under this paragraph. counseling, for older persons. "(3) Each State shall be entitled to an allotment under this section for "(4) Residential repair and renovation programs designed to any fiscal year in an amount which is not less than the amount of the enable older persons to maintain their homes in conformity with allotment to which such State was entitled under paragraph (1) for the minimum housing standards or to adapt homes to meet the needs of fiscal year ending June 30, 1975." (c) Section 304(c)(2) of the Act (42 U.S.C. 3024(c)(2)) is amended by elderly persons suffering from physical disabilities.". MODEL PROJECT REQUIREMENTS inserting immediately after "priorities," the following: "and consistent SEC. 108. Section 308(a) of the Act (42 U.S.C. 3028(a)) is amended with the provisions of the State plan relating to the s rvices required to be by striking out "or" at the end of paragraph (3), by striking out the provided under section (10),". period at the end of paragraph (4) and inserting in lieu thereof a semi- colon and "or", and by inserting immediately after paragraph (4) the ADMINISTRATION OF STATE PLANS following new paragraphs: SEC. 107. (a) Section 306(b)(1) of the Act (42 U.S.C. 3026(b)(1)) is "(5) enable State agencies on aging and other public and private amended by striking out "$160,000" in clause (A) and inserting in lieu nonprofit organizations to assist in the promotion and development of ombudsman services for residents of nursing homes; 6 7 "(6) meet the special needs of, and improve the delivery of services State or political subdivision of a State, designed to provide assistance or to, older persons who are not receiving adequate services under other services to older persons, including nursing home programs and other provisions of this Act, with emphasis on the needs of low-income, similar programs; and (2) the training of persons employed by or asso- minority, Indian, and limited-English speaking individuals, and the ciated with public or private nonprofit agencies or organizations, in- rural elderly; or cluding a State or political subdivision of a State, who will identify "(7) assist older persons to remain within their communities and legal problems affecting older persons, develop solutions to the legal out of institutions and to maintain their independent living by (A) needs of older persons.". providing financial assistance for the establishment and operation of senior ambulatory care day centers (providing a planned schedule PURCHASE AND DONATION OF CERTAIN PRODUCTS BY SECRETARY OF of health, therapeutic, educational, nutritional, recreational, and AGRICULTURE social services at least twenty-four hours per week, transportation arrangements at low or no cost for participants to and from the SEC. 111. (a) Section 707 of the Act (42 U.S.C. 3045f) is amended center, a hot mid-day meal, outreach and public information pro- by inserting (1) immediately before the first sentence of subsection grams, and opportunities for maximum participation of senior (a), by striking out "this section" in subsection (d) each place it participants and senior volunteers in the planning and operation of appears therein and inserting in lieu thereof "this subsection", by such center), and (B) maintaining or initiating arrangements (or redesignating subsections (b), (c), and (d) as paragraphs (2), (3), providing reasonable assurances that such arrangements will be main- and (4), respectively, by redesignating subsection (e) as subsection tained or initiated) with the agency of the State concerned which (b), and by adding at the end thereof the following new subsection: administers or supervises the administration of a State plan ap- (c) (1) During each of the fiscal years ending June 30, 1975, and proved under title XIX of the Social Security Act, and with other June 30, 1976, and during the period beginning July 1, 1976, and end- appropriate social services agencies receiving, or reimbursed through, ing September 30, 1976, the Secretary of Agriculture shall purchase Federal financial assistance, for the payment of all or a part of such high protein foods, meat, and meat alternates on the open market, at center's costs in providing services to eligible persons.". prices not in excess of market prices, out of funds appropriated under this section, as determined under paragraph (3), for distribution to ATTRACTING QUALIFIED PERSONS TO THE FIELD OF AGING recipients of grants or contracts to be used for providing nutritional SEC. 109. Section 403 of the Act (42 U.S.C. 3033) is amended by insert- services in accordance with the provisions of this title. High protein ing immediately after "education" the following: "as defined in section food, meat, and meat alternates purchased by the Secretary of Agri- 1201(a) of the Higher Education Act of 1965". culture under this subsection shall be grown and produced in the United States. TRAINING PERSONNEL IN THE FIELD OF AGING (2) High protein food, meat, and meat alternates donated under SEC. 110. (a) Section 404(a) of the Act (42 U.S.C. is amended this subsection shall not be considered donated commodities for pur- by redesignating paragraphs (2), (3), (4), and (5) as paragraphs (3), poses of meeting the requirement of subsection (a) (4) with respect to the annually programed level of assistance under subsection (a). (4), (5), and (6), respectively. (b) Section 404(a) of the Act (42 U.S.C. 3034(a)) is amended by (3) There are authorized to be appropriated such sums as may be striking out paragraph (1) and inserting in lieu thereof the following necessary in order to carry out the program established under para- graph (1). new paragraphs: "(1) to assist in paying the costs, in whole or in part, of short- (b) Section 707 (a) (4) of the Act, as so redesignated by subsection term and inservice training courses, workshops, institutes and other (a), is amended by striking out "10 cents per meal: and inserting in activities designed to improve the capabilities of participants to lieu thereof "15 cents per meal during the fiscal year ending Septem- provide services to older persons and to administer programs related ber 30, 1976, and 25 cents per meal during the fiscal year ending Sep- tember 30, 1977:". to the purposes of this Act, "(2) to assist in paying the costs, in whole or in part, of post- (c) Section 707 (a) of the Act (42 U.S.C. 3045f) is amended in para- secondary education courses of training or study related to the pur- graphs (1), (2), and (3) by striking out "may" each place it appears poses of this Act, including the payment of stipends to students therein and inserting in lieu thereof "shall". enrolled in such courses,". (d) Section 707 of the Act, as amended by subsection (a), is further (c) Section 404 of the Act (42 U.S.C. 3034) is amended by adding at amended by adding at the end thereof the following new subsection: the end thereof the fc llowing new subsection: "(d) (1) Notwithstanding any other provision of law, in any case "(c) The Commissioner may make grants under subsection (a) to in which a State has phased out its commodity distribution facilities assist in (1) the training of lawyers and paraprofessional persons who before June 30, 1974, such State may, for purposes of the programs will (A) provide legal (including tax and financial) counseling and services authorized by this Act, elect to receive cash payments in lieu of do- to older persons; or (B) monitor the administration of any program by any nated foods. In any case in which a State makes such an election, the public or private nonprofit institution, organization, or agency, or any Secretary of Agriculture shall make cash payments to such State in an amount equivalent in value to the donated foods which the State other- 8 9 wise would have received if such State had retained its commodity COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS distribution facilities. "(2) When such payments are made, the State agency shall promptly SEC. 113. (a) The Act is amended by adding at the end thereof the and equitably disburse any cash it receives in lieu of commodities to following new title: recipients of arants or contracts. Such disbursements shall be used by such recipients of grants or contracts to purchase United States "TITLE IX-COMMUNITY SERVICE EMPLOYMENT FOR agricultural commodities and other foods for their nutrition projects.". OLDER AMERICANS (e) The first sentence of section 708 of the Act (42 U.S.C. 3045g) "SHORT TITLE is amended by inserting after "this title" the following: (other than section 707(c))". "SEC. 901. This title may be cited as the 'Older American (f) Section 707 (a) (4) of the Act (42 U.S.C. 3045f (4)), as so Community Service Employment Act'. redesignated by subsection (a), is amended by striking out "subsection (d)" and inserting in lieu thereof "paragraph". "OLDER AMERICAN COMMUNITY SERVICE EMPLOYMENT PROGRAM AUTHORIZATION OF APPROPRIATIONS "SEC. 902. (a) In order to foster and promote useful part-time oppor- tunities in community service activities for unemployed low-income per- SEC. 112. (a) Section 204(c) of the Act (42 U.S.C. 3014(c)) is amended sons who are fifty-five years old or older and who have poor employment by striking out "and" immediately after "1974," and by inserting im- prospects, the Secretary of Labor (hereinafter in this title referred to as mediately after "1975," the following: "the fiscal year ending June 30, the 'Secretary') is authorized to establish an older American community 1976, the period beginning July 1, 1976, and ending September 30, 1976, service employment program. and the fiscal years ending September 30, 1977, and 1978,". "(b) (1) In order to carry out the provisions of this title, the Secretary (b) (1) Section 303(a) of the Act (42 U.S.C. 3023(a)) is amended by is authorized to enter into agreements with public or private nonprofit striking out "and" immediately after "1974," and by inserting immedi- agencies or organizations, including national organizations, agencies of a ately after "1975," the following: $180,000,000 for the fiscal year ending State government or a political subdivision of a State (having elected or June 30, 1976, $57,750,000 for the period beginning July 1, 1976, and duly appointed governing officials), or a combination of such political ending September 30, 1976, $231,000,000 for the fiscal year ending Sep- subdivisions, or tribal organizations in order to further the purposes and tember 30, 1977, and $287,200,000 for the fiscal year ending September goals of the program. Such agreements may include provisions for the 30, 1978,". payment of costs, as provided in subsection (c), of projects developed by (2) Section 303(b)(2) of the Act (42 U.S.C. 3023(b) (2)) is amended by such organizations and agencies in cooperation with the Secretary in striking out "and" immediately after "1974," and by inserting immedi- order to make the program effective or to supplement the program. No ately after "1975," the following: "for the fiscal year ending June 30, payment shall be made by the Secretary toward the cost of any project 1976, the period beginning July 1, 1976, and ending September 30, 1976, established or administered by any such organization or agency unless he and for the fiscal years ending September 30, 1977, and 1978,". determines that such project- (c) Section 308(b) of the Act (42 U.S.C. is amended by striking "(A) will provide employment only for eligible individuals, except out "and" immediately after "1974," and by inserting immediately after for necessary technical, administrative, and supervisory personnel, "1975" the following: ", the fiscal year ending June 30, 1976, the period but such personnel shall, to the fullest extent possible, be recruited from beginning July 1, 1976, and ending September 30, 1976, and the fiscal among eligible individuals; years ending September 30, 1977, and 1978". "(B) will provide employment for eligible individuals in the (d) Section 431 of the Act (42 U.S.C. 3037) is amended by striking out community in which such individuals reside, or in nearby com- "and" immediately after "1974," and by inserting immediately after munities; "1975" the following: ", the fiscal year ending June 30, 1976, the period "(C) will employ eligible individuals in services related to publicly beginning July 1, 1976, and ending September 30, 1976, and the fiscal owned and operated facilities and projects, or projects sponsored by years ending September 30, 1977, and 1978". organizations, other than political parties, exempt from taxation (e) Section 505(a) of the Act (42 U.S.C. 3041d(a)) is amended by under the provisions of section 501 of the Internal Revenue striking out "and" immediately after "1974," and by inserting immediately Code of 1954, except projects involving the construction, operation, after "1975" the following: "the fiscal year ending June 30, 1976, the or maintenance of any facility used or to be used as a place for period beginning July 1, 1976, and ending September 30, 1976, and the sectarian religious instruction or worship; fiscal years ending September 30, 1977, and 1978". "(D) will contribute to the general welfare of the community; (f) Section 708 of the Act (42 U.S.C. 30.45g) is amended by striking out "(E) will provide employment for eligible individuals whose "and" immediately after "1976," and by inserting in lieu thereof "$62,- opportunities for other suitable public or private paid employment 500,000 for the period beginning July 1, 1976, and ending September 30, are poor; 1976,", and by striking out "June 30, 1977" and inserting in lieu thereof "(F)(i) will result in an increase in employment opportunities "September 30, 1977, and $275,000,000 for the fiscal year ending Septem- over those opportunities which would otherwise be available, (ii) ber 30, 1978". will not result in the displacement of currently employed workers (including partial displacement, such as a reduction in the hours of H. Rept. 670 O 75 2 10 11 nonovertime work or wages or employment benefits), and (iii) will fair market value to services and facilities contributed from non-Federal not impair existing contracts or result in the substitution of Federal sources. funds for other funds in connection with work that would other- "ADMINISTRATION wise be performed; "SEC. 903. (a) In order to effectively carry out the provisions of this "(G) will not employ or continue to employ any eligible individual title, the Secretary shall, through the Commissioner of the Administra- to perform work the same or substantially the same as that performed tion on Aging, consult with the State agency on aging designated by any other person who is on layoff; '(H) will utilize methods of recruitment and selection (including section (a) (1) and the appropriate area agencies on aging estab- lished under section 30.4 (2) with regard to- listing of job vacancies with the employment agency operated by any State or political subdivision thereof) which will assure that the "(1) the localities in which community service projects of the type maximum number of eligible individuals will have an opportunity to authorized by this title are most needed; "(2) consideration of the employment situations and the type of participate in the project; "(I) will include such training as may be necessary to make the skills possessed by available local individuals who are eligible to most effective use of the skills and talents of those individuals who participate; and are participating, and will provide for the payment of the reasonable "(3) potential projects and the number and percentage of eligible expenses of individuals being trained, including a reasonable individuals in the local population. "(b) If the Secretary determines that to do so would increase job subsistence allowance; "(J) will assure that safe and healthy conditions of work will be opportunities available to individuals under this title, the Secretary is provided, and will assure that persons employed in community authorized to coordinate the program assisted under this title with pro- service jobs assisted under this title shall be paid wages which shall grams authorized under the Emergency Jobs and Unemployment Assistance not be lower than whichever is the highest of (i) the minimum wage Act of 1974, the Comprehensive Employment and Training Act of 1973, which would be applicable to the employee under the Fair Labor the Community Services Act of 1974, and the Emergency Employment Standards Act of 1938, if section 6(a) (1) of such Act applied to Act of 1971. Appropriations under this Act may not be used to carry out the participant and if he were not exempt under section 13 thereof, any program under the Emergency Jobs and Unemployment Assistance (ii) the State or local minimum wage for the most nearly comparable Act of 1974, the Comprehensive Employment and Training Act of 1973, the covered employment, or (iii) the prevailing rates of pay for persons Community Services Act of 1974, or the Emergency Employment Act of 1971. employed in similar public occupations by the same employer; "(K) will be established or administered with the advice of persons "(c) In carrying out the provisions of this title, the Secretary is competent in the field of service in which employment is being pro- authorized to use, with their consent, the services, equipment, personnel, vided, and of persons who are knowledgeable with regard to the needs and facilities of Federal and other agencies with or without reimburse- ment, and on a similar basis to cooperate with other public and private of older persons; "(L) will authorize pay for necessary transportation costs of eligible agencies and instrumentalities in the use of services, equipment, and facilities. individuals which may be incurred in employment in any project funded under this title, in accordance with regulations promulgated "(d) Payments under this title may be made in advance or by way of reimbursement and in such installments as the Secretary may determine. by the Secretary; "(M) will assure that, to the extent feasible, such project will "(e) The Secretary shall not delegate any function of the Secretary serve the needs of minority, Indian, and limited English-speaking under this title to any other department or agency of the Federal Govern- ment. eligible individuals in proportion to their numbers in the State; and "PARTICIPANTS NOT FEDERAL EMPLOYEES (N) will authorize funds to be used, to the extent feasible, to include individuals participating in such project under any State "SEC. 904. (a) Eligible individuals who are employed in any project unemployment insurance plan. funded under this title shall not be considered to be Federal employees as "(2) The Secretary is authorized to establish, issue, and amend such a result of such employment and shall not be subject to the provisions of regulations as may be necessary to effectively carry out the provisions of part Ill of title 5, United States Code. "(b) No contract shall be entered into under this title with a contractor this tiile. "(c)(1) The ,Secretary is authorized to pay not to exceed 90 per centum who is, or whose employees are, under State law, exempted from operation of the cost of any project which is the subject of an agreement entered into of the State workmen's compensation law, generally applicable to em- under subsection (b), except that the Secretary is authorized to pay all of ployees, unless the contractor shall undertake to provide either through in- the costs of any such project which is (A) an emergency or disaster project, surance by a recognized carrier, or by self-insurance, as authorized by or (B) a project located in an economically depressed area, as determined State law, that the persons employed under the contract, shall enjoy by the ,Secretary in consultation with the ,Secretary of Commerce and the workmen's compensation coverage equal to that provided by law for Director of the Community Services Administration. covered employment. "(2) The non-Federal share shall be in cash or in kind. In determining the amount of the non-Federal share, the Secretary is authorized to attribute 12 13 "INTERAGENCY COOPERATION allotment percentage for the District of Columbia, Puerto Rico, Guam, the Virgin Islands, American Samoa, and the Trust Territory of the "SEC. 905. (a) The Secretary shall consult with, and obtain the written views of, the Commissioner of the Administration on Aging prior to the Pacific Islands shall be 75 per centum; establishment of rules or the establishment of general policy in the adminis- (B) the number of persons aged fifty-five or over in any State and in all States, and the per capita income in any State and in all tration of this title. "(b) The Secretary shall consult and cooperate with the Director of the States, shall be determined by the Secretary on the basis of the Community Services Administration, the Secretary of Health, Education, most satisfactory data available to him; and and Welfare, and the heads of other Federal agencies carrying out related "(C) for the purpose of determining the allotment percentage, the programs, in order to achieve optimal coordination with such other pro- term 'United States' means the fifty States and the District of Colum- bia. grams. In carrying out the provisions of this section, the Secretary shall promote programs or projects of a similar nature. Each Federal agency "(b) The amount allotted for projects within any State under subsection shall cooperate with the Secretary in disseminating information relating to (a) for any fiscal year which the Secretary determines will not be required the availability of assistance under this title and in promoting the identi- for such year shall be reallotted, from time to time and on such dates fication and interests of individuals eligible for employment in projects during such year as the Secretary may fix, to projects within other States in proportion to the original allotments to projects within such States assisted under this title. under subsection (a) for such year, but with such proportionate amount "EQUITABLE DISTRIBUTION OF ASSISTANCE for any of such other States being reduced to the extent it exceeds the sum the Secretary estimates that projects within such State need and will be "Sec. 906. (a) (1) From sums appropriated under this title for each able to use for such year; and the total of such reductions shall be similarly fiscal year, the Secretary shall first reserve_ such sums as may be necessary reallotted among the States whose proportionate amounts were not so for national grants or contracts with public agencies and public or private reduced. Any amount reallotted to a State under this subsection during nonprofit organizations to maintain the level of activities carried on under a year shall be deemed part of its allotment under subsection (a) for such such grants or contracts at least at the level of such activities supported year. under this title and under any other provision of Federal law relating to "(c) The amount apportioned for projects within each State under community service employment programs for older Americans in the fiscal subsection (a) shall be apportioned among areas within each such State year ending June 30, 1975. Preference in awarding such grants or con- in an equitable manner, taking into consideration (1) the proportion tracts shall be given to national organizations of proven ability in providing which eligible individuals in each such area bears to the total number of employment services to older persons under this program and similar such individuals, respectively, in that State, and (2) the relative distribu- programs. The Secretary, in awarding grants and contracts under this tion of such individuals residing in rural and urban areas within the section, shall, to the extent feasible, assure an equitable distribution of State. activities under such grants and contracts, in the aggregate, among the "DEFINITIONS States, taking into account the needs of underserved States. "SEC. 907. As used in this title- (2) The Secretary shall allot for projects within each State the re- mainder of the sums appropriated for any fiscal year under section 908 "(1) the term 'State' means any of the several States of the United so that each State will receive an amount which bears the same ratio to States, the District of Columbia, Puerto Rico, the Virgin Islands, such remainder as the product of the number of persons aged fifty-five or American Samoa, Guam, and the Trust Territory of the Pacific over in the State and the allotment percentage of such State bears to the Islands; sum of the corresponding product for all States, except that (A) no State "(2) the term 'eligible individual' means an individual who is shall be allotted less than one-half of 1 per centum of the remander of fifty-five years old or over, who has a low income, and who has or the sums appropriated for the fiscal year for which the determination would have difficulty in securing employment, except that, pursuant is made, or $100,000, whichever is greater, and (B) Guam, American to regulations prescribed by the Secretary, any such individual who Samoa, the Virgin Islands, and the Trust Territory of the Pacific is sixty years old or over shall have priority for the work oppor- Islands shall each be allotted an amount which is not less than one- tunities provided for under this title; fourth of 1 per centum of the remainder of the sums appropriated for (3) the term community service' means social, health, welfare, and educational services, legal and other counseling services and the fiscal year for which the determination is made, or $50,000, which- assistance, including tax counseting and assistance and financial ever is greater. For the purpose of the exception contained in this para- graph the term 'State' does not include Guam, American Samoa, the counseling, and library, recreational, and other similar services; conservation, maintenance, or restoration of natural resources; Virgin Islands, and the Trust Territory of the Pacific Islands. community betterment or beautification; antipollution and envi- "(3) For the purpose of this subsection- ronmental quality efforts; economic development; and such other "(A) the allotment percentage of each State shall be 100 per centum services essential and necessary to the community as the Secretary, less that percentage which bears the same ratio to 50 per centum as the per capita income of such State bears to the per capita income of the by regulation, may prescribe; and United States, except that (i) the allotment percentage shall in no case "(4) the term 'program' means the older American community be more than 75 per centum or less than 33½ per centum, and (ii) the service employment program established under this title. 14 15 "AUTHORIZATION OF APPROPRIATIONS (o) Section 706(a)(5) of the Act (42 U.S.C. 3045e(a)(5)) is amended "SEC. 908. There are authorized to be appropriated to carry out this title by inserting a comma immediately after "requirements" the second place $100,000,000 for the fiscal year ending June 30, 1976, $37,500,000 for the it appears therein. period beginning July 1, 1976, and ending September 30, 1976, $150,- (p) Section 706(a)(8) of the Act (42 U.S.C. 3045e(a)(8)) is amended 000,000 for the fiscal year ending September 30, 1977, and $200,000,000 by inserting a comma immediately after "program" the second place it for the fiscal year ending September 30, 1978.". appears therein. (b) Title IX of the Older Americans Comprehensive Services Amend- ments of 1973 (42 U.S.C. 3061 et seq.) is hereby repealed. TITLE II-AMENDMENTS TO OTHER LAWS (c) Notwithstanding any other provision of law, sums appropriated to HIGHER EDUCATION ACT OF 1965 carry out title IX of the Older Americans Comprehensive Services Amend- ments of 1973 for the fiscal year ending June 30, 1975, may be used for SEC. 201. Section 110(b) of the Higher Education Act of 1965 (20 older American community service employment projects conducted as part U.S.C. 1008a(b)) is amended by striking out "July 1, 1977" and of the Operation Mainstream program under title III of the Compre- inserting in lieu thereof "October 1, 1978", by striking out "and" im- hensive Employment and Training Act of 1973. mediately ajter "1973," and inserting in lieu thereof "for", and by inserting immediately before the period at the end thereof the following: TECHNICAL AMENDMENTS and for the period beginning July 1, 1976, and ending September SEC. 114. (a) Section 102(1) of the Act (42 U.S.C. 3002(1)) is amended 30, 1976". ADULT EDUCATION ACT by striking out the semicolon at the end thereof and inserting in lieu thereof a period. SEC. 202. Section 310(b) of the Adult Education Act (20 U.S.C. (b) The heading for section 202 of the Act (42 U.S.C. 3012) is amended 1208a(b)) is amended by striking out "July 1, 1975" and inserting in by striking out "OFFICE" and inserting in lieu thereof "ADMINISTRATION". lieu thereof "October 1, 1978", by striking out "and" immediately (c) Section 202(a)(8) of the Act (42 U.S.C. 3022(a)(8)) is amended by after "1973," and inserting in lieu thereof "for", and by inserting striking out "and" at the end thereof. immediately before the period at the end thereof the following: ", and (d) Section 303(b)(1) of the Act (42 U.S.C. 3023(b)(1)) is amended by for the period beginning July 1, 1976, and ending September 30, 1976". striking out "authorized to be". (e) The last sentence of section 305(e) of the Act (42 U.S.C. 3025(e)) is OLDER AMERICANS COMPREHENSIVE SERVICES AMENDMENTS OF 1973 amended by striking out "Commissioners' " and inserting in lieu thereof SEC. 203. Section 805 of the Older Americans Comprehensive Services "Commissioner's". (f) Section 432(b) of the Act (42 U.S.C. 3037a(b)) is amended by strik- Amendments of 1973 (42 U.S.C. 2809 note) is amended- ing out "part" and inserting in lieu thereof "title". (1) by striking out "fiscal year" the second place it appears therein (g) The last sentence of section 507(b) of the Act (42 U.S.C. 3041f(b)) is and inserting in lieu thereof "five fiscal years and the period begin- amended by striking out "or" the second place it appears therein and in- ning July 1, 1976, and ending September 30, 1976"; and serting in lieu thereof "of". (2) by striking out "Economic Opportunity Act of 1964" and (h) The heading for section 703 of the Act (42 U.S.C. 3045b) is amended inserting in lieu thereof "Community Services Act of 1974". by striking out 'ALLOTTMENT'' and inserting in lieu thereof 'ALLOTMENT". VOCATIONAL EDUCATION ACT OF 1963 (i) The last sentence of section 703(c) of the Act (42 U.S.C. 3045b(c)) is amended by striking out "in kind" and inserting in lieu thereof "in- SEC. 204. Section 161(d) of the Vocational Education Act of 1963 (20 kind". U.S.C. 1341(d)) is amended by inserting "(1)" immediately before "At (j) The last sentence of section 703(d) of the Act (42 U.S.C. 3045b(d)) least one-third" and by adding at the end thereof the following new is amended by striking out "in kind" and inserting in lieu thereof paragraph: "in-kind". (k) Section 705(a)(2) of the Act (42 U.S.C. 3045d (a) is amended "(2) From funds made available under this section, special consideration shall be given to special consumer and homemaking programs for persons by striking out "sets" and inserting in lieu thereof "set". aged sixty or older who are in need of services provided by such programs, (l) Section 705(a) (2) (B) of the Act (42 U.S.C. 3045d(a) (B)) is as determined by the Commissioner. Such programs shall be designed to amended by striking out "cost, for the fiscal year ending June 30, 1973," assist such persons to live independently in their own homes and to alleviate and all that follows through "1973, funds" and inserting in lieu thereof the adverse effects of loneliness and isolation.". "cost. Funds". (m) Section 705(a)(5) of the Act (42 U.S.C. 3045d(a) is amended DOMESTIC VOLUNTEER SERVICE ACT OF 1973 by striking out "areas" and inserting in lieu thereof "area". (n) The last sentence of section 705(c) of the Act (42 U.S.C. 3045d(c)) SEC. 205. (a) (1) Section 502(a) of the Domestic Volunteer Service is amended by inserting a comma immediately after "failure" the first Act of 1973 (42 U.S.C. 5082(a)), hereinafter in this section referred place it appears therein, and such sentence is further amended by striking to as the "Act", is amended- out "part" and inserting in lieu thereof "title". (A) by striking out "and" immediately after "1974,"; and 16 17 (B) by inserting immediately after "respectively." the fol- lowing: $6,000,000 for the period beginning July 1, 1976, and (ii) to seek to coordinate such programs with programs carried out ending September 30, 1976, and $22,000,000 for each of the fiscal under title III and title VII of the Older Americans Act of 1965 in years ending September 30, 1977, and September 30, 1978,". any such State or other jurisdiction. (2) Section (1) of the Act (42 U.S.C. 5082 (1)) is (3) For purposes of this subsection- (A) the term "ACTION Agency" means the ACTION Agency amended- established by section 401 of the Act (42 U.S.C. 5041); (A) by striking out "and" immediately after "1974," each place (B) the term "primary responsibility" means the devotion of more it appears therein; (B) by inserting immediately after "respectively," the first than one-half of regular working hours to the performance of duties place it appears therein the following $10,750,000 for the period described in paragraph (2) (B); and (C) the term "State" means the several States, the District of beginning July 1, 1976, and ending September 30, 1976, and $43,000,000 for each of the fiscal years ending September 30, 1977, Columbia, the Virgin Islands, Puerto Rico, Guam, American Samoa, and the Trust Territory of the Pacific Islands. and September 30, 1978,"; (C) by inserting immediately after "respectively," the second AMENDMENT TO RESEARCH ON AGING ACT OF 1974 place it appears therein the following: $8,750,000 for the period beginning July 1, 1976, and ending September 30, 1976, and $35,- SEC. 206. Section 464 of the Public Health Service Act (42 U.S.C. 000,000 for each of the fiscal years ending September 30, 1977, and 289k-5) is amended by striking out "one year" and inserting in lieu September 30, 1978,"; and thereof "two years". (D) by inserting immediately after "respectively," the third place it appears therein the following: $2,000,000 for the period TITLE III-PROHIBITION OF DISCRIMINATION BASED beginning July 1, 1976. and ending September 30, 1976, and $8,- ON AGE 000,000 for each of the fiscal years ending September 30, 1977, and SHORT TITLE September 30, 1978,". (b) (1) The first sentence of section of the Act (42 U.S.C. Sec. 301. The provisions of this title may be cited as the "Age Dis- 5011 is amended- crimination Act of 1975". (A) by striking out "volunteers" the first and third places it appears therein and inserting in lieu thereof "individuals"; and STATEMENT OF PURPOSE (B) by striking out "serve as volunteers to". (2) ,Section 211(b) of the Act (42 U.S.C. 5011 is amended by Sec. 302. It is the purpose of this title to prohibit unreasonable dis- striking out "volunteers" and inserting in lieu thereof "individuals". crimination on the basis of age in programs or activities receiving (3) Section 212(a) (1) of the Act (42 U.S.C. 5012(a) (1)) is Federal financial assistance, including programs or activities receiv- amended by striking out "volunteers" and inserting in lieu thereof ing funds under the State and Local Fiscal Assistance Act of 1972 (31 "individuals". U.S.C. 1221 et seq.). (c)(1) In order to provide maximum coordination between programs PROHIBITION OF DISCRIMINATION carried out under title III and title VII of the Older Americans Act of 1965 (42 U.S.C. 3021 et sea.; 42 U.S.C. 30.45 et seq.) and national older SEC. 303. Pursuant to regulations prescribed under section 304, and American volunteer programs carried out under title II of the Domestic except as provided by section 304(b) and section 304(c), no person Volunteer Service Act of 1973 (42 U.S.C. 5001 et sea.), and in order to in the United States shall, on the basis of age, be excluded from enhance the effectiveness of the support provided to such national older participation in, be denied the benefits of, or be subjected to dis- American volunteer programs by the ACTION Agency, the Director of crimination under, any program or activity receiving Federal finan- the ACTION Agency shall designate an aging resource specialist with cial assistance. respect to programs carried out in each State under title II of the REGULATIONS Domestic olunteer Service Act of 1973. (2) (A) Each aging resource specialist designated under paragraph SEC. 304. (a) (1) Not later than one year after the transmission of (1) shall be qualified to serve in such capacity by appropriate experi- the report required by section 307 (b), or two and one-half years after the date of the enactment of this Act, whichever occurs first, the Sec- ence and training, and shall be stationed in a State office of the retary of Health, Education, and Welfare shall publish in the Federal ACTION Agency. (B) The primary responsibility of each aging resource specialist Register proposed general regulations to carry out the provisions of section 303. shall be- (2) (A) The Secretary shall not publish such proposed general reg- (i) to support programs carried out under title II of the Domestic ulations until the expiration of a period comprised of- Volunteer Service Act of 1973 in any State or other jurisdiction (i) the forty-five day period specified in section 307 (e) ; and served by the State office involved; and (ii) an additional forty-five day period, immediately following the period described in clause (i), during which any committee H. Rept. 670 75 3 19 18 ENFORCEMENT of the Congress having jurisdiction over the subject matter in- volved may conduct hearings with respect to the report which the Sec. 305. (a) The head of any Federal department or agency who Commission is required to transmit under section 307 (d), and prescribes regulations under section 304 may seek to achieve compli- with respect to the comments and recommendations submitted by ance with any such regulation- Federal departments and agencies under section 307 (e). (1) by terminating, or refusing to grant or to continue, assist- (B) The forty-five day period specified in subparagraph (A) (ii) ance under the program or activity involved to any recipient shall include only days during which both Houses of the Congress are with respect to whom there has been an express finding on the in session. record, after reasonable notice and opportunity for hearing, of (3) Not later than ninety days after the Secretary publishes pro- a failure to comply with any such regulation; or posed regulations under paragraph (1), the Secretary shall publish (2) by any other means authorized by law. in the Federal Register final general regulations to carry out the pro- (b) Any termination of, or refusal to grant or to continue, assistance visions of section 303, after taking into consideration any comments under subsection (a) (1) shall be limited to the particular political received by the Secretary with respect to the regulations proposed entity or other recipient with respect to which a finding has been under paragraph (1). made under subsection (a) (1). Any such termination of refusal shall (4) Not later than ninety days after the Secretary publishes final be limited in its effect to the particular program or activity, or part general regulations under paragraph (a) (3), the head of each Fed- of such program or activity, with respect to which such finding has eral department or agency which extends Federal financial assistance been made. No such termination or refusal shall be based in whole or to any program or activity by way of grant, entitlement, loan, or con- in part on any finding with respect to any program or activity which tract other than a contract of insurance or quaranty, shall transmit does not receive Federal financial assistance. to the Secretary and public in the Federal Register proposed regula- (c) No action may be taken under subsection (a) until the head of tions to carry out the provisions of section 303 and to provide appro- the Federal department or agency involved has advised the appro- priate investigative, conciliation. and enforcement procedures. Such priate person of the failure to comply with the regulation involved regulations shall be consistent with the final general regulations issued and has determined that compliance cannot be secured by voluntary by the Secretary. means. (5) Notwithstanding any other provision of this section, no regu- (d) In the case of any action taken under subsection (a), the head lations issved pursuant to this section shall be effective before Jan- of the Federal department or agency involved shall transmit a written uary 1. 1979. report of the circumstances and grounds of such action to the com- (b) (1) It shall not be a violation of any provision of this title, or mittees of the House of Representatives and the ,Senate having legisla- of any regulation issued under this title, for any person to take any tive jurisdiction over the program or activity involved. No such ac- action otherwise prohibited by the provisions of section 303 if, in the tion shall take effect until thirty days after the transmission of any program or activity involved- such report. (A) such action reasonably takes into account age as a factor (e) The provisions of this section shall be the exclusive remedy for necessary to the normal operation or the achievement of any enforcement of the provisions of this title. statutory objective of such program or activity; or (B) the differentiation made by such action is based upon rea- JUDICIAL REVIEW sonable factors other than age. SEC. 306. (a) Any action by any Federal department or agency (2) The provisions of this title shall not apply to any program or under section 305 shall be subject to such judicial review as may other- activity established under authority of any law which (A) provides wise be provided by law for similar action taken by any such depart- any benefits or assistance to persons based upon the age of such per- ment or agency on other grounds. sons; or (B) establishes criteria for participation in age-related terms (b) In the case of any action by any Federal department or agency or describes intended beneficiaries or target groups in such terms. under section 305 which is not otherwise subject to judicial review, (c) (1) Except with respect to any program or activity receiving any person aggrieved (including any State or political subdivision Federal financial assistance for public service employment under the Comprehensive Employment and Training Act of 197.4 (?9 U.S.C. thereof and any agency of either) may obtain judicial review of such action in accordance with the provisions of chapter my of title 5, United 801, et seq.), as amended, nothing in this title shall be construed to States Code. For purposes of this subsection, any such action shall not authorize action under this title by any Federal department or agency be considered committed to unreviewable agency discretion within with respect to anni emploument practice of any employer. employ- the meaning of section 701 (a) (2) of such title. ment agency, or labor organization, or with respect to any labor- management joint apprenticeship training program. STUDY OF DISCRIMINATION BASED ON AGE (2) Nothing in this title shall be construed to amend or modifu the Age Discrimination in Employment Act of 1967 (29 U.S.C. 621-634), SEC. 307. (a) The Commission on Civil Rights shall (1) undertake as amended, or to affect the rights or responsibilities of any person or a study of unreasonable discrimination based on age in programs and party pursuant to such Act. activities receiving Federal financial assistance; and (2) identify with 20 21 particularity any such federally assisted program or activity in which And the Senate agree to the same. there is found evidence of persons who are otherwise qualified being, on the basis of age, excluded from participation in, denied the benefits CARL D. PERKINS, of, or subjected to discrimination under such program or activity. JOHN BRADEMAS, (b) As part of the study required by this section, the Commission PATSY T. MINK, shall conduct public hearings to elicit the views of interested parties, LLOYD MEEDS, SHIRLEY CHISHOLM, including Federal departments and agencies, on issues relating to age WILLIAM LEHMAN, discrimination in programs and activities receiving Federal financial ROBERT J. CORNELL, assistance, and particularly with respect to the reasonableness of dis- EDWARD P. BEARD, tinguishing, on the basis of age, among potential participants in, or LEO C. ZEFERETTI, beneficiaries of, specific Federally-assisted programs. GEORGE MILLER, (c) The Commission is authorized to obtain, through grant or con- TIM L. HALL, tract, analyses, research and studies by independent experts of issues ALBERT H. QUIE, relating to age discrimination and to publish the results thereof. For ALPHONZO BELL, purposes of the study required by this section, the Commission may PETER A. PEYSER, accept and utilize the services of voluntary or uncompensated per- JAMES M. JEFFORDS, sonnel, without regard to the provisions of section 105(b) of the Civil LARRY PRESSLER, Rights Act of 1957 (42 U.S.C. 1975d Managers on the Part of the House. (d) Not later than eighteen months after the date of the enactment THOMAS F. EAGLETON, of this Act, the Commission shall transmit a report of its findings and ALAN CRANSTON, its recommendations for statutory changes (if any) and administra- EDWARD M. KENNEDY, tive action, including suggested general regulations, to the Congress JENNINGS RANDOLPH, and to the President and shall provide a copy of its report to the head HARRISON A. WILLIAMS, of each Federal department and agencu with respect to which the CLAIBORNE PELL, Commission makes findings or recommendations. GAYLORD NELSON, (e) Not later than forty-five working days after receiving a copy J. GLENN BEALL, Jr., of the report required by subsection (d), each Federal department or RICHARD Schweiker, agency with respect to which the Commission makes findings or rec- BoB TAFT, Jr., ommendations shall submit its comments and recommendations re- ROBERT T. STAFFORD, garding such report to the President and to the Committee on Labor Managers on the Part of the Senate. and Public Welfare of the ,Senate and the Committee on Education and Labor of the House of Representatives. (f) The head of each Federal department or agency shall cooperate in all respects with the Commission with respect to the study required by subsection (a), and shall provide to the Commission such data, reports, and documents in connection with the subject matter of such study as the Commission may request. (g) There are authorized to be appropriated such sums as may be necessary to carry out the provisions of this section. DEFINITIONS Sec. 308. For purposes of this title- (1) the term "Commission" means the Commission on Civil Rights; (2) the term "Secretary" means the Secretary of Health, Edu- cation, and Welfare. and (3) the term "Federal department or agency" means any agency as defined in section 551 of title 5, United States Code, and includes the United States Postal Service and the Postal Rate Commission. JOINT EXPLANATORY STATEMENT OF THE COMMITTEE OF CONFERENCE The managers on the part of the House and the Senate at the con- ference on the disagreeing votes of the two Houses on the amendment of the Senate to the bill (H.R. 3922) to amend the Older Americans Act of 1965 to establish certain social services programs for older Americans and to extend the authorizations of appropriations con- tained in such Act, to prohibit discrimination on the basis of age, and for other purposes, submit the following joint statement to the House and the Senate in explanation of the effect of the action agreed upon by the managers and recommended in the accompanying conference report: The Senate amendment struck out all of the House bill after the enacting clause and inserted a substitute text. The House recedes from its disagreement to the amendment of the Senate with an amendment which is a substitute for the House bill and the Senate amendment. The differences between the House bill, the Senate amendment, and the substitute agreed to in conference are noted below, except for clerical corrections, conforming changes made necessary by agreements reached by the conferees, and minor drafting and clarifying changes. SHORT TITLE The House bill, the Senate amendment, and the conference sub- stitute provide that this legislation may be cited as the "Older Ameri- cans Amendments of 1975". AMENDMENTS TO OLDER AMERICANS ACT OF 1965 SPECIAL PROGRAMS FOR THE ELDERLY House bill Section 101 (a) of the House bill amended the Older Americans Act of 1965 (hereinafter in this statement referred to as the "Act") by adding a new title VIII, relating to special service programs for the elderly. Part A of title VIII contains definitions and certain other administrative provisions. Section 801, relating to statement of pur- pose, provides that it is the purpose of title VIII to stimulate actions and provide assistance to meet the critical needs of elderly persons to enable such persons to lead meaningful and independent lives. Section 802, relating to definitions, defines the following terms: (1) The term "elderly person" is defined to mean any person who, as determined by the Commissioner on Aging (hereinafter in this statement referred to as the "Commissioner"), is in need of any serv- ice provided under title VIII. The Commissioner, in making such determination, shall give preference to persons aged 60 or older. (23) 24 25 (2) The term "State agency" means a State agency designated under persons with homemaker services, home health services, shopping section (1) of the Act which administers any State plan ap- services, escort services, reader services, letter writing services, and proved under section 305 of the act. other services designed to assist such persons in leading independent Section 803, relating to administration, provides that the Commis- sioner shall administer the provisions of title VIII, other than and meaningful lives. Section 812, relating to program requirements, provides that funds provisions relating to mortgage interest reduction and insurance pay- allotted to any State under section 303 (b) (2) of the Act may be dis- ments, through the Administration on Aging. Section 803 (b) provides, bursed by such State to establish programs to provide elderly persons that the Commissioner shall seek assistance and cooperation from with the services described in section 811. Such section also contains various Federal agencies in carrying out the provisions of title VIII. definitions of the term "homemaker services" and the term "home Section 803 (c) provides that the Commissioner may use the services health services". and facilities of Federal agencies and other agencies with or without Part C of title VIII establishes a counseling assistance program. reimbursement, and may cooperate with other public and private Section 821, relating to statement of purpose, provides that the pur- agencies in the use of services and facilities. pose of part C is to assist States in providing elderly persons with Section 803 (d) provides that the Commissioner may provide con- necessary or appropriate legal and other counseling services and assist- sultative services and assistance to public agencies and private or- ance, including assistance to elderly persons living in nursing homes, ganizations, may provide training and technical instruction, and may through the establishment of programs designed to train lawyers and prepare and distribute educational or informational materials. to direct the attention of the legal profession to the problems of elderly Section 804, relating to payment of grants, provides that the Com- persons. missioner may make payments under title VIII in installments, and Section 822, relating to program requirements, provides that funds in advance or by way of reimbursement. allotted to any State under section (b) (2) of the Act may be Section 805, relating to general program requirements, provides disbursed by the State for the establishment of programs for elderly that any agency or organization receiving funds under title VIII shall persons to provide the services and assistance described in section 821. agree (1) to use methods of administration which achieve maximum Part D of title VIII establishes a program for residential repairs participation of elderly persons in the programs involved; (2) to and renovations for elderly persons. Section 831, relating to statement provide for proper training of personnel; (3) to seek the advice of per- of purpose, provides that the purpose of part D is to assist States to sons with suitable training or experience in establishing and admin- meet the special housing needs of elderly persons by ensuring adequate istering programs under title VIII; (4) to provide suitable evaluation housing for such persons to enable such persons to lead independent opportunities with respect to such programs: (5) to give preference and meaningful lives. to persons aged 60 or older for staff positions with respect to such Section 832, relating to program requirements, provides that funds programs; and (6) to comply with other standards prescribed by the allotted to any State under section (b) (2) of the Act may be dis- Commissioner. bursed to establish programs (1) to enable elderly persons to make Section 806(b) provides that the Commissioner and the Comptroller necessary repairs and renovations with respect to their homes; and General of the United States shall have access to books and records (2) to adapt existing housing, or construct new housing, to meet the relating to grants or contracts received under title VIII, for the pur- needs of elderly persons suffering from physical disabilities. pose of audit and examination. Part E of title VIII establishes programs to meet the transporta- Section 806, relating to application of other Federal laws, applies tion needs of elderly persons. Section 841, relating to statement of the provisions of the Davis-Bacon Act (40 U.S.C. 276a et seq.) to cer- purpose, provides that the purpose of part E is to assist States in tain programs established under title VIII. establishing programs to meet the transportation needs of elderly Section 807, relating to expenditure of allotments, provides that any persons so that such persons may participate in the benefits of their State receiving allotments under section 303(b) (2) of the Act shall surrounding community. use at least 20 percent of such allotments to carry out programs under Section 842, relating to program requirements, provides that funds title VIII, other than programs established under part F of such allotted to any State under section 303(b) (2) may be disbursed to title. Such section also provides that the Commissioner may designate establish programs to meet the transportation needs of elderly per- a portion of the allotment of any State for use in establishing trans- sons, with special emphasis on (1) supportive transportation in con- portation programs for older persons in such State. nection with nutrition projects under title VII of the Act; (2) sup- Such section also provides that expenditures made by a State agency portive transportation in connection with obtaining medical services; or area agency under such section shall be in addition to. and not in and (3) additional low-cost transportation to provide elderly persons lieu of. any expenditures made to carry out programs under title III with better access to existing urban rapid transit systems. of the Act or under any other provision of law which are similar to Section 842(b) provides that any agency or organization receiving programs described in title VIII. funds to establish a program under part E shall seek to use existing Part B of title VIII establishes homemaker and other home serv- transportation operations in connection with such programs. ices for the elderly. Section 811, relating to statement of purpose, pro- vides that the purpose of part B is to assist States in providing elderly H. Rept. 670 O 75 4 26 27 Section 842(c) provides that State agencies, in making grants tion 856 (b) provides that a mortgage meeting the requirements speci- under part E, shall give priority to applicants proposing to serve fied in subsection (d) (1) and subsection (d) (3) of section 221 of the areas with no public transportation or with inadequate public National Housing Act is eligible for insurance under section 856. transportation. Section 856 (c) and section 856 contain further requirements and Part F of title VIII establishes a program of mortgage interest criteria with respect to the insurance of mortgages under part F. reduction and insurance payments to assist elderly persons. Section Section 857, relating to agreements with States, provides that the 851, relating to statement of purpose, provides that the purpose of Commissioner may enter into agreements with any State under which part F is to encourage the conversion and renovation of housing for such State will make interest reduction payments subject to the provi- elderly persons and the reduction of rentals paid by elderly persons. sions of part F, with respect to any project covered by a mortgage in- Such purpose is to be achieved by establishing a program of mort- sured under such part. Such section specifies certain requirements and gage interest reduction payments and mortgage insurance for the criteria with respect to agreements entered into by the Commissioner benefit of elderly persons. and any State under such section. Section 852, relating to definitions, defines the following terms for Section 858, relating to regulations, agreements, and procedures, purposes of part F: (1) sponsor; (2) convertible housing; (3) sup- provides that the Commissioner may prescribe such regulations, enter portive services; (4) mortgage insurance premium; (5) mortgage; into such agreements, and prescribe such procedures, as may be neces- (6) first mortgage; (7) mortgagee; and (8) mortgagor. sary to carry out part F. Section 853, relating to administration, requires the Commissioner to Section 859, relating to authorization of appropriations, authorizes administer part F through the Administration on Aging and in con- the appropriation of such sums as may be necessary to carry out part sultation with the Secretary of Housing and Urban Development. F. Such section also establishes limitations with respect to the amount Section 854, relating to interest reduction payments, provides that of appropriated funds which may be used to assist elderly persons the Commissioner may make periodic interest reduction payments on having incomes above income levels described in such section. behalf of the sponsor of a housing project in order to assist such spon- Senate amendment sor in purchasing convertible housing, converting such housing Section 109 of the Senate amendment amended section 309 of the through dwelling units suitable for occupancy by elderly persons, re- Act. Section 309 authorizes the following appropriations to be ducing rentals for low- and moderate-income elderly persons, and allotted under section 303 of the Act: (1) $50,000,000 for the fiscal renovating convertible housing and other existing housing. year ending June 30, 1976; (2) $12,500,000 for the period beginning Section 854 (b) provides that such interest reduction payments may July 1, 1976, and ending September 30, 1976; and (3) $50,000,000 for be made only during such time as the housing project involved is the fiscal year ending September 30, 1977. operated as a rental project and is subject to a mortgage meeting the Such subsection also provides that the Commissioner may make requirements of section 856 of the Act, as added by the House bill. grants to each State which has a State plan approved under section Such subsection also provides that such interest reduction payments 305 in order to pay not more than 90 percent of the costs of the follow- shall be in an amount not exceeding the difference between the monthly ing: (A) projects to meet the special transportation needs of elderly payment for principal, interest, and mortgage insurance premiums persons, with emphasis on providing supportive transportation in which the sponsor involved is obligated to pay under the mortgage connection with nutrition projects under title VII of the Act, and on involved, and the monthly payment for principal and interest such providing transportation in connection with obtaining medical serv- sponsor would be obligated to pay if the mortgage were to bear inter- ices; (B) projects to meet the needs of elderly persons for home serv- est at the rate of 1 percent per year. ices, including homemaker services, home health services, shopping Section 855, relating to condition for receipt of payments, provides services, escort services, reader services, letter writing services, and that, as a condition for receiving interest reduction payments, a other services designed to assist elderly persons to live independently sponsor (1) must demonstrate that it is providing a fully comprehen- in a home environment; and (C) projects to establish or support legal, sive system of supportive services for elderly persons; and (2) must tax, and financial counseling and services programs for elderly operate the project involved in accordance with certain requirements persons. prescribed by the Commissioner. Section 309 (b) of the Act provides that the State allotment under Section 855(b) provides that there shall be established for each section 309 shall be available for grants to area agencies or, in any case dwelling unit (1) a basic rental charge based on operating the project in which there is no area agency, to other qualified agencies or orga- with payments of principal and interest under the mortgage bearing nizations. State agencies are required to give preference to applicants interest at the rate of 1 percent per year; and (2) a fair market rental proposing to serve areas in which there is an inadequate supply of charge based on criteria established by such subsection. services provided under section 309. Section 855 contains provisions requiring sponsors to pay to the Section 309 also requires the Commissioner to prescribe regulations Commissioner rental charges collected in excess of the basic rental and to request technical assistance and cooperation from the Secretary charge. of Transportation and the heads of other Federal agencies. Section 856, relating to insurance, provides that the Commissioner may insure a mortgage which meets the requirements of part F. Sec- 28 29 Conference substitute Thirty-one of the States are already spending more than 331/3 percent The conference substitute amends section 305 (a) of the Act to estab- of their State plan allotment to provide the four priority services and lish a new State plan requirement under which States are required thus presumably will not be affected by the conference substitute to provide assurances that they will commit at least 50 percent of the language. Many of the States that are spending heavily in these four amount by which their title III State plan allotment exceeds the areas are concentrating their resources primarily on transportation for amount allotted for such purposes in fiscal year 1975 to provide the the elderly. While the conferees are in agreement that transportation four categories of services specified in the House bill-transportation, is a vitally important service to older people, it is hoped that all States home care, legal services, and residential renovation and repair-but will also expand their activities to cover the other three priority serv- in no case shall any State commit less than 20 percent of its title III ices, as well, to the extent that funds permit. State plan funds for the purpose of providing these four categories of services in any fiscal year beginning after September 30, 1976. States COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS which assure the Commissioner that they will use at least 331/3 percent of their State plan allotment to provide some or all of the four above- A. SHORT TITLE mentioned services are exempt from the first two requirements. In arriving at this compromise, the conferees sought to retain the Section 102(a) of the House bill, and section 115(a) of the Senate large area of local discretion in determining what services are to be amendment, amended the Act by adding a new title IX, relating to provided that is currently contained in the Act, while at the same time community service employment for older Americans. Section 901 of establishing priorities with respect to the provision of four services the Act, as added by the House bill, the Senate amendment, and the that the Congress has determined are important in assisting older conference substitute, provides that title IX may be cited as the "Older persons in leading independent lives and avoiding unnecessary in- American Community Service Employment Act". stitutionalization. States which make a substantial effort in these areas by using 331/3 percent or more of their funds for this purpose are ex- B. OLDER AMERICAN COMMUNITY SERVICE EMPLOYMENT PROGRAM empt from any of the new requirements with respect to the alloca- tion of their State plan funds. States which are making relatively House bill little effort are required to use at least 20 percent of their funds for Section 902 of the Act, as added by the House bill, authorizes these purposes, beginning in fiscal year 1977. Since the new fiscal year the Secretary of Labor to establish an older American community has already begun, the conferees determined that this requirement of service employment program to promote part-time work opportunities minimum funding for national priority areas should not take effect for unemployed low-income persons aged 55 or older. until the next fiscal year so as to allow the States involved some time Section 902(b) (1) authorizes the Secretary to enter into agreements to prepare for the new requirement. Both the low effort States, the with public and private agencies and organizations, and with Indian 20 percent States, and all other States which are spending less than tribes on Federal or State reservations, to carry out the purposes of 331/3 percent of their title III funds for these purposes must use at title IX. least half of their "new" money (the amount of their title III State The Secretary may not make payments to any project unless the plan allotment that exceeds the similar allotment in fiscal year 1975) Secretary determines that such project (1) will provide employment for the provision of such services. only for eligible individuals (except for necessary technical, admin- The conferees wish to stress that requiring that the funds allotted istrative, and supervisory personnel) (2) will provide employment to a State be used for these purposes does not mean that State and for eligible individuals in communities in which they reside, or in area agencies on aging must provide them directly. Their funds may nearby communities; (3) will employ eligible individuals in services re- continue to be used for stimulating and coordinating the provision of lated to publicly owned and operated facilities and projects, or projects services SO long as the required amounts are used in the four service sponsored by tax-exempt organizations (other than political parties), areas described above. Moreover, area agencies are required by an except projects relating to facilities for religious instruction or wor- amendment to section (2) of the Act to develop their area plans ship; (4) will contribute to the general welfare of the community; consistent with the provision of the State plan regarding the four (5) will provide employment for eligible individuals whose oppor- national priority service areas. tunities for other suitable public or private paid employment are poor; Finally, the conferees note that the conference substitute is based in (6) will increase employment opportunities for eligible individuals, part upon a survey taken by the Congressional Research Service at the and will not displace employed workers or impair existing contracts; direction of the House Committee on Education and Labor. The sur- (7) will use methods of recruitment and selection which assure maxi- vey inquired of State agencies on aging as to how their funds are being mum participation of eligible individuals; (8) will provide necessary used. With 49 of 56 States and jurisdictions responding, it was found training and pay reasonable expenses of individuals being trained; (9) that 10 States are currently spending less than 20 percent of their will provide safe and healthy work conditions, and will pay wages funds in the four priority areas designated in the House bill. Eight which are not lower than the highest of (A) the minimum wage which States are spending more than 20 percent but less than 331/3 percent. would be applicable to the employee involved under the Fair Labor 30 31 Standards Act of 1938, (B) the State or local minimum wage for com- Section 903 (b) permits the Secretary to coordinate title IX pro- parable work, or (C) prevailing rates of pay for employees doing grams with programs authorized under (1) the Emergency Jobs and comparable work for the same employer; (10) will be established or Unemployment Assistance Act of 1974; (2) the Comprehensive Em- administered with the advice of persons competent in the field of serv- ployment and Training Act of 1973; (3) the Community Services Act ice involved; (11) will authorize pay for necessary transportation costs of 1974; and (4) the Emergency Employment Act of 1971. Appropri- of eligible individuals; (12) will assure that the project will serve the ations under the Act may not be used to carry out programs under needs of minority, Indian, and limited English-speaking eligible in- such Acts. dividuals in proportion to their numbers in the State involved; and Section 903 (c) authorizes the Secretary to use services and facil- (13) will authorize funds to be used to include individuals participat- ities of Federal and other agencies with or without reimbursement, ing in such projects under a State unemployment insurance plan. and to cooperate with other public and private agencies in the use of Section (b) (2) provides that the Secretary may prescribe regu- services and facilities. Section (d) provides that payments under lations to carry out title IX. title IX may be made in advance or by way of reimbursement, and in Section 902(c) authorizes the Secretary to pay not more than 90 such installments as the Secretary may determine. Section 903 (e) percent of any project approved by the Secretary, except that the prohibits the Secretary from delegating any functions of the Secre- Secretary may pay all of the cost of a project which is (1) an emer- tary under title IX to any other Federal agency. gency or disaster project; or (2) a project located in an economically Senate amendment depressed area. Section 902 (c) also provides that the non-Federal share shall be in cash or kind, and that the Secretary may attribute fair The Senate amendment was the same as the House bill, except that market value to services and facilities in determining the non-Federal the Senate amendment (1) required the Secretary to consult with the share. State agency and area agencies of each State; and (2) required such consultation to be carried out through the Commissioner. Senate amendment Conference substitute The Senate amendment was the same as the House bill, with the The conference substitute is the same as the Senate amendment. following differences: 1. In describing those entities which are eligible to enter into agree- D. PARTICIPANTS NOT FEDERAL EMPLOYEES ments with the Secretary for projects under section 902, the Senate House bill amendment referred to tribal organizations, rather than to Indian tribes on Federal or State reservations. Section 904 (a) of the Act, as added by the House bill, provides that 2. In establishing criteria for the approval of projects, the Senate eligible individuals shall not be considered to be Federal employees. amendment- Section 904(b) provides that contracts may not be entered into under (a) required that the project involved may not result in the title IX with a contractor who is exempted by State law from the displacement of workers, and that such displacement includes operation of the State workmen's compensation law, unless the con- partial displacement such as a reduction in the hours of nonover- tractor undertakes to provide comparable coverage for the employees time work or wages or employment benefits; of such employer. (b) provided that the project may not substitute Federal for Senate amendment other funds in connection with work that would otherwise be The Senate amendment was the same as the House bill. performed; and (c) prohibited the project from employing or continuing to Conference substitute employ an eligible individual to perform work which is the same The conference substitute is the same as the House bill. or substantially the same as work performed by any other person who is on layoff. E. INTERAGENCY COOPERATION House bill Conference substitute Section 905 (a) of the Act, as added by the House bill, requires the The conference substitute is the same as the Senate amendment. Secretary of Labor to consult with, and obtain the written views of, the Commissioner, before establishing rules or general policy under C. ADMINISTRATION title IX. House bill Section 905 (b) requires the Secretary to consult and cooperate with Section 903 (a) of the Act, as added by the House bill, provides that the Director of the Community Services Administration, the Secre- the Secretary of Labor may consult wi h State and local agencies with tary of Health, Education, and Welfare, and the heads of other Fed- respect to (1) localities in which community service projects are most eral agencies carrying out related programs. Each Federal agency is needed; (2) employment situations and skills possessed by eligible required to cooperate with the Secretary in distributing information individuals; and (3) potential projects, and the number and percent- with respect to the availability of assistance under title IX. age of eligible individuals in the local population involved. 32 33 Senate amendment after first reserving funds for national organizations under section The Senate amendment was the same as the House bill. 906(a) (1), may reserve such additional funds as may be desirable for Conference substitute the funding of national organizations. The conference substitute is the same as the House bill. 2. The Senate amendment did not limit funding under section 906 (a) (1) to national organizations currently being funded, but instead F. EQUITABLE DISTRIBUTION OF ASSISTANCE allowed the Secretary to make grants with public agencies and public House bill or private nonprofit organizations to administer projects under title Section (a) (1) of the Act, as added by the House bill, requires IX. The Senate amendment required the Secretary to give preference, the Secretary of Labor to first reserve, from sums appropriated to in awarding grants and contracts, to national organizations of proven carry out title IX in any fiscal year, such sums as may be necessary ability in providing employment services to older people. The Senate for contracts with national organizations currently funded under title amendment also provided that each grant or contract awarded by the IX, to enable such organizations to maintain their level of activities Secretary shall contain a provision to assure that projects conducted at least at the level of such activities supported under title IX and under the grant or contract during fiscal year 1975 will be continued if under any other Federal authority in the fiscal year ending June 30, the Secretary determines that the project involved is carrying out the 1975. purposes of title IX. Each contract with a national organization is required to contain 3. Instead of setting the funding level reserved for national con- provisions to assure that funds received under the contract will be tractors at the level of all activities supported by all Federal authority allotted in the same manner as provided for the allotment of funds in fiscal year 1975, the Senate amendment specified that the funding within each State under section (2). level is the level of activities supported under title IX and under title Section 906 (2) requires the Secretary to allot for projects in III of the Comprehensive Employment and Training Act of 1973 each State the remainder of funds appropriated for any fiscal year during such fiscal year. (after allotments are made to national organizations under section 4. The allotment formula contained in section (a) (2) of the Act, 906 (a) (1)) in a manner which assures that equal proportions are dis- as added by the Senate amendment, is not based upon low income, but tributed on the basis of an amount which bears the same ratio to such only upon age. remaining sums as the number of persons aged 55 and older with low 5. The Senate amendment required the Secretary to reduce State incomes in the State involved bears to the number of such persons in allotments under section 906(a) (2) by the amount reserved for na- all States. tional organizations in such State under section 906 (1). The Senate The allotment formula contained in section 906 (a) (2) is subject to amendment provided that no State may receive an allotment under the following exceptions: (1) no State may be allotted less than one- section 906(a) (2) until the Secretary determines that the amount to be half of 1 percent of the total sum appropriated for the fiscal year in- allotted to the State is equal to the amount reserved for national or- volved, or $100,000, whichever is greater; and (2) Guam, American ganizations in such State under section 906 (1). Samoa, the Virgin Islands, and the Trust Territory of the Pacific Conference substitute Islands are each allotted an amount equal to one-fourth of 1 percent The conference substitute requires that the Secretary of Labor ini- of the sum appropriated for the fiscal year involved, or $50,000, which- tially reserve from the total sums appropriated funds sufficient to ever is greater. maintain the fiscal year 1975 level of activities as conducted by na- Section 906 (3) provides that the number of persons aged 55 or tional contractors under the Older Americans Community Service older with low incomes, in any State and in all States, shall be deter- Employment Program (title IX of the Older Americans Comprehen- mined by the Secretary on the basis of the most recent satisfactory sive Services Amendments of 1973) and Operation Mainstream (under data available. title III of the Comprehensive Employment and Training Act). The Section (b) provides that the Secretary shall reallot amounts reserve will include funds sufficient to maintain the authorized older allotted to each State in any fiscal year if the Secretary determines worker slot level in fiscal year 1975. These sums shall be awarded to that the State involved does not need the entire allotment to carry out national contractors for these activities with preference given to na- projects under title IX. Any reallotment received by a State is deemed tional organizations of proven ability in providing employment serv- as part of such State's original allotment. ices to older persons under this and similar programs. Section 906(c) requires that amounts allotted for projects in each The remainder of the funds appropriated is to be distributed based State shall be apportioned among areas in the State in an equitable on a formula which takes into account the number of persons aged 55 manner, taking into account (1) the number of eligible individuals in or over and the per capita income in each State, with a minimum guar- each such area; and (2) the relative distribution of such individuals anteed to each. More specifically, each State will receive an amount in rural and urban areas in the State. which bears the same ratio to the remaining funds as the product of Senate amendment the number of persons aged 55 or over in the State times the "allot- The Senate amendment was the same as the House bill, with the ment percentage" of that State, bears to the sum of the corresponding following differences: products for all States. However, no State shall be allotted less than 1. The Senate amendment specified that the Secretary of Labor, one-half of one percent of the funds remaining after the reserve or 34 35 $100,000, whichever is greater, and Guam, American Samoa, the Vir- beginning July 1, 1976, and ending September 30, 1976; (3) $150,- gin Islands and the Trust Territories of the Pacific Islands shall each 000,000 for fiscal year 1977; (4) $200,000,000 for fiscal year 1978; and receive no less than one-fourth of one percent of the remainder or (5) $250,000,000 for fiscal year 1979. $50,000, whichever is greater. The "allotment percentage" of each Senate amendment State is 100 percent less the percentage which bears the same ratio to 50 percent as the per capita income of such State bears to the per capita The Senate amendment was the same as the House bill, except that income of the United States, except that the allotment percentage the Senate amendment did not make an authorization for fiscal year shall in no case be more than 75 percent or less than 331/3 percent; and 1975 or fiscal year 1979. the allotment percentage for the District of Columbia, Puerto Rico, Conference substitute Guam, the Virgin Islands, American Samoa and the Trust Territories The conference substitute is the same as the Senate amendment. of the Pacific Islands shall be 75 percent. Provision is included for reallotment of funds not required by any State for any fiscal year. I. REPEAL OF CERTAIN SERVICES The conferees have agreed to language which requires the Secretary House bill to the extent feasible to assure equitable distribution of activity among Section of the House bill repealed title IX of the Older the States under the national contractor authority. This agreement American Comprehensive Services Amendments of 1973 (42 U.S.C. was reached in anticipation of increases in funding for title IX and 3061 et seq.). in the hope of a more equitable distribution of monies as the program Senate amendment grows. In the event that increased funding is not forthcoming, the conferees do not believe that it will be feasible to alter in any signifi- The Senate amendment was the same as the House bill. cant way the existing distribution. Conference substitute The conference substitute is the same as the House bill. G. DEFINITIONS House bill J. USE OF CERTAIN FUNDS Section 907 of the Act, as added by the House bill, contains the fol- House bill lowing definitions: No provision. 1. The term "State" is defined to mean the several States, the Dis- Senate amendment trict of Columbia, Puerto Rico, the Virgin Islands, American Samoa, Guam, and the Trust Territory of the Pacific Islands. Section 115 (c) of the Senate amendment provided that funds ap- 2. The term "eligible individual" is defined to mean an individual propriated to carry out title IX of the Older Americans Comprehen- who is 55 years old or older, who has a low income, and who would sive Services Amendments of 1973 for fiscal year 1975 may be used have difficulty in securing employment. The Secretary of Labor is re- for employment projects conducted as part of the Operation Main- quired to give priority to individuals who are 60 years old or older stream program under title III of the Comprehensive Employment for work opportunities provided under the act. and Training Act of 1973. 3. The term "community service" is defined to mean social, health, Conference substitute welfare, educational, library, recreational, and other similar services, The conference substitute is the same as the Senate amendment. together with additional services relating to conservation, community betterment, environmental quality, economic development, and other FEDERAL COUNCIL ON AGING RECOMMENDATIONS similar community services. 4. The term "program" is defined to mean the older American com- House bill munity services employment program established under title IX of Section 103 of the House bill amended section 205 of the Act to re- the act. quire the President to transmit to the Congress recommendations based Senate amendment upon the Federal Council on Aging's study no later than January 1, The Senate amendment was the same as the House bill, except that 1976. the definition of "community service" included legal counseling. Senate amendment Conference substitute The Senate amendment was the same as the House bill. The conference substitute is the same as the Senate amendment. Conference substitute The conference substitute is the same as the House bill. H. AUTHORIZATION OF APPROPRIATIONS House bill APPLICATION OF OTHER LAWS Section 908 of the Act, as added by the House bill, authorizes the House bill following amounts to carry out title IX of the Act: (1) $100,000,000 for fiscal year 1975 and fiscal year 1976; (2) $37,500,000 for the period Section 104 of the House bill added a new section 211 to the Act which provides that the Act of December 5, 1974 (P.L. 93-510; 88 36 37 Stat. 1604) shall not apply to the administration of the Act or to the to serve as strong advocates for older persons with all other agencies administration of any program or activity under the Act. which may have programs of benefit to older persons. Senate amendment The conferees agree that States should have some flexibility in orga- The Senate amendment was the same as the House bill. nizing themselves to administer Federal programs in which they elect to participate, including Older Americans Act programs. However, Conference substitute any organizational scheme relative to title III and title VII must con- The conference substitute is the same as the House bill. form to the intent and purpose of the Older Americans Act. The Com- missioner on Aging should not approve any State plan which does not The Joint Funding Simplification Act allows the transfer of pro- provide for a single, identifiable focal point on aging. grams from one Federal agency or department to another Federal The conferees intend that area plans approved by the State agencies agency or department by mutual agreement reached between the Fed- also conform to the intent of title III relative to a single focal point on eral agencies. The amendment made by the conference substitute is in- aging. cluded to reaffirm the intent of the Older Americans Act that the Ad- DEFINITION OF SOCIAL SERVICES ministration on Aging be the focal point and advocacy point for aging House bill within the Federal Government. Permitting the Commissioner on Ag- Section 105 of the House bill amended section 302(1) of the Act ing to enter into such agreements which could result in a transfer of to provide that the definition of "social services" includes services program and financial authority for Older Americans Act programs designed to provide legal counseling assistance to older persons. from the Administration on Aging to another Federal agency would Senate amendment seriously erode the purpose of the Act. The conferees' concern that pro- gram and fiscal responsibility for Older Americans Act programs re- The Senate amendment was the same as the House bill, with the main solely with the Administration on Aging parallels their concern following differences: for maintaining the integrity of the network of State and area agen- 1. The Senate amendment included tax and financial counseling in cies on aging which have been established under title III. addition to legal counseling. Some States are considering proposals which would incorporate the 2. The Senate amendment also included services designed to enable title III and title VII programs into other services delivery programs older persons to maintain physical and mental welfare through pro- administered by the States within a multi-purpose or "umbrella" grams of regular physical activity and exercise. State agency. Such an arrangement effectively eliminates a single Conference substitute focal and advocacy point on againg at the State level. The conference substitute is the same as the Senate amendment. Although the conferees underscore the need for coordination of pro- The conferees wish to note their intent that tax counseling include grams to expand resources for older persons, they do not agree that the assistance in the actual preparation of income tax forms. interests of older persons are served by an organizational arrangement at the State or area levels which eliminates the single focal and advo- ALLOTMENTS TO INDIANS cacy point on aging which must be established under title III. The House bill report of the Committee on Education and Labor of the House at the Section 106 of the House bill amended section 303 (b) of the Act time of the 1973 Amendments to the Act expressed concern that the State agencies on aging established under the former title III program by adding a new paragraph (3), relating to allotments to Indian had not developed into strong and effective advocates for older per- tribes. Paragraph (3) (A) provides that the Commissioner shall re- sons at the State level. The 1973 Amendments were designed to serve from sums appropriated for any fiscal year under section 303 strengthen the State Agency on Aging while also building in require- (b) (2) of the Act not less than 100 percent nor more than 105 percent of an amount which bears the same ratio to such appropriated sums ments for coordination between these and other agencies. The require- ment for a sole State agency was reasserted. The funding available for as the population of all Indians aged 60 or older on all Federal and administration of the State Plan was increased. The State agencies State reservations bears to the population of all persons aged 60 or older in all States. were to designate area agencies on aging and approve area plans and budgets approved by these agencies. Paragraph (3) (B) provides that each Indian tribe on a Federal or State reservation shall be allotted, from sums reserved by the Com- The conferees wish to assert their belief that in order to set respon- sibility and to provide the power and authority necessary to take effec- missioner under paragraph (3) (A), not less than 100 percent nor more tive action on behalf of older Americans, a strong and easily identifi- than 105 percent of an amount which bears the same ratio to such able single State agency on aging charged with providing support to reserved sums as the population of Indians aged 60 or older on the strong and easily identifiable area agencies on aging is necessary. reservation involved bears to the population of all Indians aged 60 or older on all reservations in the State. Furthermore, the conferees believe that there should be coordination between program agencies but that the State agency on aging and Paragraph (3) (C) requires Indian tribes seeking to be eligible for area agencies on aging should maintain their own identity in order grants to submit a plan to the Commissioner which meets such cri- 38 39 teria as the Commissioner may prescribe, taking into account appro- (a) is recognized as eligible for special programs and services pro- priate criteria established by section 305 (a) of the Act. vided by the United States to Indians because of their status as Indi- Paragraph (3) (D) permits the Commissioner to reallot sums al- ans; or (b) is located on, or in proximity to, a Federal or State reser- lotted to an Indian tribe if the Commissioner determines that such vation or rancheria. sums will not be used by such Indian tribe for carrying out the pur- 3. The term "tribal organization" was defined to mean the recog- pose for which the allotment was made. Any reallotment received by nized governing body of any Indian tribe or any legally established an Indian tribe shall be considered as part of the allotment of such organization of Indians which is controlled by such governing body. tribe for the fiscal year involved. In any case in which a contract or grant is made to an organization to Section 106 of the House bill also provided that the number of In- perform services for more than one Indian tribe, the approval of each dians aged 60 or over on any Federal or State reservation and on all such tribe is a prerequisite to such contract or grant. Federal or State reservations shall be determined by the Commissioner on the basis of the most recent and satisfactory data available. Conference substitute The conference substitute is the same as the Senate amendment. ,Senate amendment Section 104 of the Senate amendment amended section 303 (b) of the STATE AND AREA PLAN REQUIREMENTS Act by adding a new paragraph (3). Paragraph (3) (A) provides that House bill any State in which the Commissioner determines (after taking into ac- Section 107 of the House bill amended section 304 (c) of the Act to count sums available to the State agency or area agency to carry out require that area plans provide for the establishment of programs of title III of the Act) that members of an Indian tribe are not receiving assistance to older persons as described in part B of title VIII of the benefits under title III which are equivalent to benefits provided to Act, relating to homemaker and other home services, part C of such other older persons in the State or area involved, and if the Commis- title, relating to counseling assistance, part D of such title, relating to sioner further determines that the members of such tribe would be residential repairs and renovations, and part E of such title, relating better served by direct Federal grants, the Commissioner shall reserve to transportation. from sums which would otherwise be allotted to the State involved not Such section also amended section 304 (4) of the Act in order to less than 100 percent nor more than 150 percent of an amount which eliminate existing area plan requirements relating to the provision of bears the same ratio to the State's allotment for the fiscal year involved legal services to older persons. as the population of all Indians aged 60 or older for whom a deter- Section 108 of the House bill amended section (a) of the Act to mination under subparagraph (A) has been made bears to the popu- require that State plans include provisions for the establishment of lation of all persons aged 60 or older in such State. programs of assistance to older persons as described in parts B, C, D, Paragraph (3) (B) provides that sums reserved by the Commissioner and E of title VIII of the Act. shall be granted to the tribal organization serving the individuals af- fected by the determination of the Commissioner, or, in any case in Senate amendment which there is no tribal organization, to such other entity as the Com- Section 105 of the Senate amendment amended section 304(a) (1) missioner determines has the capacity to provide services under title of the Act to require State agencies, in conjunction with III. the agency designated under section 2003 (d) (1) (C) of the Social Paragraph (3) (C) is the same as paragraph (3) (C) as added by Security Act, to coordinate activities under the State plan with the the House bill, except that the Senate amendment related to tribal or- provision of services to older Americans under part A of title XX ganization or other entities rather than to Indian tribes. of the Social Security Act. Paragraph (3) (D) provides that recipients of grants under para- Such section also eliminated existing legal services requirements in graph (3) may retain for administrative purposes amounts equal to the same manner as the House bill. amounts available for the administrative costs of area plans under sec- Such section also amended section 304 of the Act by adding a new tion 303 (e) (1) of the Act. subsection (d), which permits area agencies and State agencies to Section 104 of the Senate amendment also provided that the number enter into agreements with agencies administering programs under the of Indians aged 60 or older on, or in proximity to, any Federal or Rehabilitation Act of 1973 and under titles VI, XIX, and XX of the State reservation or rancheria shall be determined by the Commissioner Social Security Act, in order to develop plans to meet the transporta- on the basis of the most recent and satisfactory data available. tion needs of persons receiving benefits under such Acts and older Section 104 of the Senate amendment also added the following defi- Americans participating in programs under title III and title VII nitions to section 102 of the Act: of the Act. The Senate amendment also provided that funds appropri- 1. The term "Indian" was defined to mean a person who is a member ated under title III and title VII of the Act may be used to purchase of an Indian tribe. transportation services for older persons and may be pooled with 2. The term "Indian tribe" was defined to mean any tribe, band, funds available for transportation services under the Rehabilitation nation, or other organized group or community of Indians (including Act of 1973, and under titles VI, XIX, and XX of the Social Security any Alaska Native village or regional or village corporation) which Act. 40 41 Conference substitute implementing the State plan; and (2) provide that the relative distri- The conference substitute omits the provision contained in section bution of older persons residing in rural and urban areas in the State 107 of the House bill which amended section 304 of the Act regard- involved will be taken into account in developing and implementing ing area plans. This section is omitted in keeping with the decision of the State plan. the conferees concerning the substitute for title VIII of the House Conference substitute bill and section 309 of the Senate amendment. The conference substitute omits the provisions of the Senate amend- The conference substitute also omits section 108 of the House bill ment. However, with respect to the second Senate provision discussed which amends section 305 (a) of the Act concerning State plans for above, requiring the State to take into account the relative distribution the same reasons. of older Americans residing in urban and rural areas, the conferees The conference substitute also omits section 105 of the Senate amendment which would amend section 304 (a) (1) of the Act to re- wish to reemphasize concerns expressed in the Senate committee report quire State agencies on aging to coordinate activities under their State (Senate Report 94-255) on this issue. The conference substitute omits this provision only because of in- plan with the provision of services under title XX of the Social Secu- formation brought to the attention of the conferees that it might result rity Act. This requirement was omitted because of the conferees' con- in a redistribution of moneys inconsistent with the intent of the pro- cern that the language of the Senate amendment in this regard would be read to mean that the plan developed under title III of the Older vision. The conferees agree with the statement in the Senate report that the needs of the 5.4 million rural aged are largely overlooked or Americans Act would be required to be in conformity with the require- ments of title XX of the Social Security Act. Unlike title XX, title ignored. Too often, they have been left behind by our rapid industrial III has never contained income standards for eligibility for services. growth and changing living arrangements. Yet, they have an urgent need for supportive services to enable them to live independently. The Rather than convey any impression that title III services must be conferees recognize that it is frequently more difficult-as well as more provided in the same manner as title XX services, the conferees have omitted this section of the Senate amendment. However, it should be expensive-to deliver services for the rural elderly because of the low population density and larger geographical areas. The conferees be- stressed that the Governor of each State has the ultimate responsibility lieve that the States have a responsibility to give special attention to for the development of both the title III and title XX plans and it is their needs in developing priorities because of the intensity of their expected that he will take such action as may be necessary to insure that the title III State agency participates actively, and affirmatively problems. ADMINISTRATION OF STATE PLANS makes known its views, in the preparation of the title XX plan, as is House bill required by section 2004 (2) (4) of the Social Security Act. The House recedes with respect to the language of the Senate amend- No provision. ment permitting State and area agencies on aging to enter into "pool- Senate amendment ing agreements" with agencies providing services under other Section 107 of the Senate amendment amended section (b) (1) of authorities in order to meet the common transportation needs of the the Act to (1) increase the floor for State administrative costs to beneficiaries of their various programs. Because of eligibility require- $200,000; and (2) increase the floor for administrative costs of Guam, ments incorporating income and other standards in various of these American Samoa, the Virgin Islands, and the Trust Territory of the other programs, the coordination of transportation services will un- Pacific Islands to $62,500. doubtedly be difficult. Nevertheless, the conferees firmly believe that Such section also amended section 306(b) of the Act to provide transportation is now too often provided on a fragmented and un- that, for fiscal year 1976, and for the period beginning July 1, 1976, coordinated basis within a single community with funds provided from and ending September 30, 1976, each State agency may retain which- several different Federal programs but having many participants in ever is greater of an amount equal to (1) the floor for administrative common. The conferees urge that every effort be made to bring these costs (as amended by the Senate amendment) or (2) an amount not services together and, where necessary and lawful, to waive formal exceeding 8 percent of the amount by which the allotment for the requirements that impede the provision of transportation services State involved under section 303 of the Act, together with the allot- through an integrated and coordinated system. ment for such State under section for (A) the fiscal year involved exceeds the sum of such allotments for fiscal year 1974, but LOW-INCOME INDIVIDUALS AND RURAL ELDERLY in any case an amount not to exceed $100,000; and (B) the period beginning July 1, 1976, and ending September 30, 1976, exceeds an House bill amount equal to 25 percent of such allotments for fiscal year 1974, but No provision. in any case an amount not to exceed $25,000. Senate amendment For fiscal year 1977, and for each succeeding fiscal year, each Section 106 of the Senate amendment amended section 305 (a) of State agency specified in section 306(b) (2) (A) of the Act (as added the Act to require the State plan to (1) provide that the needs of low- by the Senate amendment) may retain an amount equal to an amount income elderly persons will be taken into account in developing and not to exceed 8 percent of the amount by which the allotment for the State involved under section 303, together with the allotment for 42 43 such State under section 703, exceeds the sum of such allotments for by the provisions of title VIII of the Act (as added by the House bill), fiscal year 1976, but in any case an amount not to exceed $100,000. and to provide that model projects under section 308 of the Act will For fiscal year 1977, and for each succeeding fiscal year, each State include projects to provide continuing education to older persons, in- agency specified in section (b) (2) (B) of the Act (as added by cluding free tuition arrangements, and projects to provide preretire- the Senate amendment) may retain an amount equal to an amount not ment education, information, and related services. to exceed 8 percent of the amount by which the allotment for the State Senate amendment involved under section 303 together with the allotment for Section 108 of the Senate amendment amended section 308 (a) of the such State under section 703, exceeds the sum of such allotments Act to provide for the following new model projects: (1) projects for for fiscal year 1974, but in any case an amount not to exceed $100,000. the promotion and development of ombudsman services for residents The Senate amendment also provided that no State shall receive of nursing homes; (2) projects to meet the needs of older Americans less than such State received under section 306 (b) of the Act for fiscal who are not receiving adequate services under other provisions of the year 1975. Amounts received under section (b) (2) of the Act (as Act, with emphasis on the needs of low-income, minority, Indian, and added by the Senate amendment) shall be used for administration limited-English speaking individuals, and elderly persons residing in of programs under title III of the Act and under title VII of the Act. rural areas; (3) projects to encourage the participation of older per- Conference substitute sons in bicentennial activities; and (4) projects to assist older persons The conference substitute retains the provision of the Senate amend- to remain within their communities by (A) providing assistance to ment regarding the increase in the floor for State administrative costs establish senior ambulatory care day centers, and (B) maintaining to $200,000 for States and $62,500 for outlying territories. The re- arrangements with the agency of the State involved which administers mainder of the Senate amendment is omitted by the conference sub- a State plan approved under title XIX of the Social Security Act, and stitute and in lieu thereof the conference substitute authorizes States with other appropriate social services agencies, for payment of all or to apply to the Commissioner for authority to use funds allotted to part of the costs of such senior ambulatory care day centers in provid- the State under section 303 for State administrative purposes. No irg services to eligible persons. State may be authorized to use more than three-fourths of one percent Conference substitute of the amount of its allotments under section 303 (b) and section 703 (a) The conference substitute is the same as the Senate amendment, in any fiscal year under the special authority granted by section 303 except that the conference substitute deletes the reference to model (b) (2) of the Act, as added by the conference substitute. Moreover, projects designed to promote participation of senior citizens in bi- before the Commissioner may authorize the use of such funds for administrative purposes he must find that the State has made a centennial activities. The bicentennial celebration is a temporary pro- sufficient showing of a particular need for such funds for administra- gram and the conferees did not believe it was appropriate to include tive purposes and that the State is making full and effective use of such a provision in the permanent law. its existing funds. Under this provision, if a State can demonstrate, However, the conferees believe that the upcoming bicentennial cele- for example, that it is in need of additional personnel to carry out bration provides senior citizens with a significant opportunity to be- new programs, that it cannot administer its existing programs with come involved in an important national undertaking. Retired persons its allotment under section 306, that additional funds are needed for have the knowledge, the skill, the ability, and th e time to become the purpose of retaining existing personnel, or any other reason which involved in the thousands of bicentennial projects that will be taking the Commissioner finds meets the criteria defined in the conference place in every State, county, and community all across the Nation. substitute he may authorize a State to spend up to three-fourths of Senior citizens can play an important leadership role on the local one percent of its title III and title VII allotment for such purpose, level SC as to make certain that the bicentennial is meaningful and rele- with the funds to be derived from the section 303 allotment. vant to each and every segment of our society no matter where they The conferees note that the principal complaint with respect to live. The conferees would therefore urge the Commissioner to take inadequacy of State administrative funds has been regarding the cost steps designed to encourage the active participation of older persons of administering title VII. The 1973 amendments to the Act deleted in the bicentennial celebration. the authority to use 10 percent of title VII funds for State administra- tion and consolidated all State administration costs under section 306. ATTRACTING QUALIFIED PERSONS TO THE FIELD OF AGING The conferees emphasize that funds allotted under section 306 are House bill intended to be used for meeting the cost of administering both title III and title VII programs and States should not shortchange title No provision. VII administration simply because the administrative money is pro- Senate amendment vided through title III. Section 110 of the Senate amendment amended section 403 of the Act to provide that both 2- and 4-year institutions of higher education MODEL PROJECT REQUIREMENTS are eligible for grants and contracts to carry out the purposes of such House bill section. Section 109 of the House bill amended section 308 (a) of the Act to eliminate certain model projects which are made permanent programs 44 45 Conference substitute ing functions and the conferees note that the provision of authority for The conference substitute provides that the term "institution of the Commissioner to make grants for the purpose of training indi- higher education" has the meaning given it by section 1201 (a) of the viduals to provide legal and counseling services to older individuals Higher Education Act of 1965. Such Act defines such term to include in no way is intended to preempt State laws with respect to authoriz- any school which provides not less than a one-year program of training ing the practice of law. to prepare students for gainful employment in a recognized occupation. STATE PLANS House bill TRAINING PERSONNEL FOR COUNSELING AND MONITORING FUNCTIONS No provision. House bill Senate amendment Section 112 of the Senate amendment amended section 705(a) (4) Section 110 of the House bill amended section 404 of the Act to pro- vide that the Commissioner may make grants under such section to of the Act to require each State to plan to take into account, in award- assist in the training of lawyers, lay advocates, and paraprofessional ing grants, the relative distribution of older persons in rural and persons who will (1) provide legal counseling assistance to older per- urban areas in the State involved. sons; or (2) monitor the administration of any program designed to Conference substitute provide assistance or services to older persons, including nursing home The conference susbtitute omits the provisions of the Senate amend- programs and other similar programs. ment. However, the rationale for SO doing is identical to the conferees' Senate amendment action with respect to a similar Senate provision dealing with the dis- Section 111 of the Senate amendment amended section of the tribution of title III moneys. Here again the conferees wish to note that Act to provide that the Commissioner may make grants to assist in they are concerned with respect to the lack of services for older per- covering training costs for 2- or 4-year college or university-based pro- sons living in rural areas. It is the opinion of the conferees that States grams, including the coverage of such costs as faculty support, student should allocate additional resources to achieve the provision of better support, courses within the appropriate curricula, and such costs as services for older persons living in rural areas. technical assistance and program development in working with older PURCHASE OF CERTAIN PRODUCTS BY SECRETARY OF AGRICULTURE persons. The Senate amendment amended section 404 (a) (3) of the Act to House bill permit the Commissioner to make grants for short-term or inservice Section 111 of the House bill amended section 707 of the Act to re- training to (1) support program operational activities; (2) strengthen program management; (3) improve the effectiveness of agencies car- quire the Secretary of Agriculture to purchase meats and other high rying out administrative responsibilities under the Act; and (4) clar- protein foods to be used in nutrition programs under title VII of the Act. The House bill authorized the following amounts to carry out the ify the relationships among various agencies which administer programs necessary to carry out the purposes of the Act. purchasing program under section 707 of the Act: (1) $8,000,000 for The Senate amendment amended section 404 of the Act by adding a fiscal year 1975; (2) $10,000,000 for fiscal year 1976; and (3) new subsection (c), which permits the Commissioner to make grants to $2,500,000 for the period beginning July 1, 1976, and ending Septem- assist in (1) the training of lawyers and paraprofessional persons who ber 30, 1976. will (A) provide legal (including tax and financial) counseling to Senate amendment older persons; or (B) monitor the administration of any program de- Section 113 of the Senate amendment amended section 707 of the Act signed to provide assistance to older persons, including nursing home to require the Secretary of Agriculture to donate surplus commodi- programs and other similar programs; and (2) the training of persons ties to nutrition projects under title VII of the Act. The Senate amend- employed by various public or private agencies who will identify legal ment increased the level of assistance from 10 cents per meal to 25 problems affecting older persons, develop solutions for such problems, cents per meal in fiscal year 1976, and to 50 cents per meal in fiscal and mobilize community resources to respond to the legal needs of year 1977. older persons. The Senate amendment also allowed a State which had phased out Conference substitute its commodity distribution facilities before June 30, 1974, to elect to The conference substitute retains the main thrust of the Senate receive cash in lieu of donated commodities. amendment by providing separate and distinct authority for the Com- Conference substitute missioner to make training grants both for short-term, inservice train- The conference substitute retains the provision of the House bill ing and college and university-based training, as well. However, the with one change. The substitute provides that such sums as may be conference substitute clarifies the language of the Senate amendment. necessary are authorized to be appropriated to carry out this new The conference substitute adopts the language of the Senate amend- authoritv. The conference substitute also retains provisions of the ment with respect to training of personnel for counseling and monitor- Senate amendment with one change. The substitute provides that the 46 47 level of assistance will be 15 cents per meal in fiscal year 1976 and 25 Conference substitute cents per meal in fiscal year 1977. The conference substitute extends the authorization of appropria- tions through fiscal year 1978. AUTHORIZATION OF APPROPRIATIONS D. TRAINING AND RESEARCH A. NATIONAL INFORMATION AND RESOURCE CLEARINGHOUSE FOR THE House bill AGING House bill Section 112 (d) of the House bill amended section 431 of the Act to Section 112 of the House bill amended section 204 of the Act extend the authorization of appropriations through fiscal year 1979. to extend the authorization of appropriations for the National Infor- Senate amendment mation and Resource Clearinghouse for the Aging through fiscal year Section 114(d) of the Senate amendment amended section 431 of 1979. the Act to extend the authorization of appropriations through fiscal Senate amendment year 1977. Section 114(a) of the Senate amendment amended section 204(c) Conference substitute of the Act to extend the authorization of appropriations for the Clear- The conference substitute extends the authorization of appropria- inghouse through fiscal year 1977. tions through fiscal year 1978. Conference substitute E. MULTIPURPOSE SENIOR CENTERS The conference substitute extends the authorization of appropria- House bill tions through fiscal year 1978. Section 112(e) of the House bill amended section 505 (a) of the Act B. AREA PLANNING AND SOCIAL SERVICE PROGRAMS to extend the authorization of appropriations through fiscal year 1979. Senate amendment House bill Section 114(e) of the Senate amendment amended section 505(a) Section 112(b) of the House bill amended section 303 (a) of the Act to extend the authorization of appropriations through fiscal year 1977. to provide for the following authorizations: (1) $180,000,000 for fiscal year 1976; (2) $57,750,000 for the period beginning July 1, 1976, and Conference substitute ending September 30, 1976; (3) $231,000,000 for fiscal year 1977; (4) The conference substitute extends the authorization of appropria- $287,200,000 for fiscal year 1978; and (5) $349,640,000 for fiscal year tions through fiscal year 1978. 1979. F. NUTRITION PROGRAMS FOR THE ELDERLY Senate amendment House bill Section 114(b) of the Senate amendment amended section 303 (a) of the Act to provide for the following authorizations: (1) $200,000,000 Section 112(f) of the House bill amended section 708 of the Act to provide for the following authorizations: (1) $62,500,000 for the for fiscal year 1976; (2) $60,000,000 for the period beginning July 1, period beginning July 1, 1976, and ending September 30, 1976; (2) 1976, and ending September 30, 1976; and (3) $240,000,000 for fiscal $275,000,000 for fiscal year 1978; and (3) $300,000,000 for fiscal year year 1977. 1979. Conference substitute Senate amendment The conference substitute retains the amounts authorized in the House bill, but omits any authorization for fiscal year 1979. Section 114(f) of the Senate amendment amended section 708 of the Act as follows: (1) the Senate amendment increased the author- ization for fiscal year 1976 from $200,000,000 to $225,000,000; and (2) C. MODEL PROJECTS House bill the Senate amendment increased the authorization for fiscal year 1977 from $250,000,000 to $275,000,000. Section 112(c) of the House bill amended section 308(b) of the Act to extend the authorization of appropriations through fiscal Conference substitute year 1979. The conference substitute retains the amounts authorized in the Senate amendment House bill, but omits any authorization for fiscal year 1979. Section 114(c) of the Senate amendment amended section 308(b) TECHNICAL AMENDMENTS of the Act to extend the authorization of appropriations through fiscal House bill year 1977. Section 113 of the House bill made various technical and conform- ing amendments to the Act. 49 48 VOCATIONAL EDUCATION ACT OF 1963 Senate amendment House bill Section 116 of the Senate amendment was substantially the same as Section 204 of the House bill amended section 161 (d) of the Voca- the House bill. tional Education Act of 1963 to provide that, from funds made avail- Conference substitute able under section 161, special consideration shall be given to consumer The conference substitute is the same as the Senate amendment. and homemaking programs for persons aged 60 or older who are in need of services provided by such programs. AMENDMENTS TO OTHER LAWS ,Senate amendment The Senate amendment was the same as the House bill. HIGHER EDUCATION ACT OF 1965 House bill Conference substitute Section 201 of the House bill amended section 110(b) of the Higher The conference substitute is the same as the House bill. Education Act of 1965 to extend the authorization of appropriations for special programs and projects relating to problems of the elderly DOMESTIC VOLUNTEER SERVICE ACT OF 1973 through fiscal year 1979. House bill Senate amendment The House bill amended the Domestic Volunteer Service Act of 1973 Section 201 of the Senate amendment was the same as the House bill, to extend the authorizations for appropriations for the Older Ameri- except that the authorization was extended through fiscal year 1977. can Volunteer Programs (R.S.V.P., Foster Grandparents, and Senior Conference substitute Companions) under title II of that Act for 3 fiscal years beyond fiscal The conference substitute extends the authorization of appropria- year 1976-through fiscal year 1979. The amounts authorized to be tions through fiscal year 1978. appropriated were as follows: R.S.V.P.-$24 million for fiscal year 1977, $28.8 million for fiscal year 1978, and $34.56 million for fiscal ADULT EDUCATION ACT year 1979; Foster Grandparents-$38.4 million for fiscal year 1977, House bill $46.08 million for fiscal year 1978, and $55.296 million for fiscal year 1979; and Senior Companions-$9.6 million for fiscal year 1977, $11.52 Section 202 of the House bill amended section 310 of the Adult Edu- million for fiscal year 1978, and $13.824 million for fiscal year 1979. cation Act to extend the authorization of appropriations for special The House bill amended the Domestic Volunteer Service Act of 1973 projects for the elderly through fiscal year 1979. to require the ACTION Agency to reimburse each State agency on Senate amendment aging, establishing under the Older Americans Act of 1965, for the Section 202 of the Senate amendment was the same as the House salary of a resource person designated by such agency to coordinate bill, except that the authorization was extended through fiscal year programs carried out under title II of the Domestic Volunteer Service 1977. Act and title III of the Older Americans Act. The House bill also amended the Domestic Volunteer Service Act Conference substitute of 1973 to eliminate the word "volunteer" from the title of of title II The conference substitute extends the authorization of appropria- of that Act ("Older American Volunteer Programs") and through- tions through fiscal vear 1978. out Part B of that title regarding the Foster Grandparent program; and to mandate the conduct of the R.S.V.P. program (part A). OLDER AMERICANS COMPREHENSIVE SERVICE AMENDMENTS OF 1973 ,Senate amendment House bill No provision. Section 203 of the House bill amended section 805 of the Older Amer- Conference substitute icans Comprehensive Service Amendments of 1973 to extend the au- The conference substitute provides for authorizations of appropria- thorization of appropriations for the senior opportunities and serv- tions for the Older American Volunteer Programs in title II of the ices program through fiscal year 1979. Domestic Volunteer Service Act of 1973 for 2 fiscal years beyond fiscal Senate amendment year 1976-through fiscal year 1978-as follows: R.S.V.P.-$22 mil- Section 203 of the Senate amendment was the same as the House bill, lion for fiscal years 1977 and 1978; Foster Grandparents-$35 million except that the authorization was extended through fiscal year 1977. for fiscal years 1977 and 1978; and Senior Companions-$8 million for fiscal years 1977 and 1978. Conference substitute The conference substitute provides that the ACTION Agency shall The conference substitute extends the authorization of appropria- designate in each of its State offices an "aging resource specialist" tions through fiscal year 1978. whose primary responsibility (devoting more than one-half of regu- 50 51 lar working hours) shall be to support programs carried out under eligible under present law to be served by a Foster Grandparent. As title II of the Domestic Volunteer Service Act and to seek to coordi- a starting point, it is the intention of the conferees that Foster Grand- nate those programs with programs carried out under titles III and parent services be continued up to the age of 21-not 18 as the Agency VII of the Older Americans Act in the State or States served by the regulations have provided. No efforts should be made to discontinue State offices involved. established relationships or seek alternative arrangements merely be- In reaching this compromise provision. the conferees drew general cause the "child" enters his or her eighteenth year. guidance from the ACTION Agency directive of July 7, 1975, pro- The Agency has advised the committees that between 300 and 400 viding for a comparable State office administrative arrangement. individuals now being served by Foster Grandparents are over the age Under the conference substitute provision, the conferees intend that of 21 and that all of these individuals are mentally retarded. The con- the person designated as the aging resource specialist shall be the ferees are especially concerned about maintaining these relationships "state program director" only in extraordinary circumstances and only and reversing certain Agency actions which have been seen as threaten- when that individual is clearly the most qualified by reason of experi- ing the withdrawal of the Foster Grandparent. Both committees have ence and training to carry out responsibilities in the aging field. The made known to the Agency their strongly held view that existing conferees also stress that they do not intend by mandating such a State relationships between the Older American participants and those over office administrative arrangement to require, as a matter of law, the 21 whom they are now serving must not be disrupted. In order to establishment or continuation of State ACTION Agency offices but accomplish this, the conferees believe that existing or replacement merely to require that ACTION Agency aging resource specialists be Foster Grandparents must be permitted to continue serving these stationed in the States. individuals over 21 presently served by the program. The Foster The conferees direct the Director of the ACTION Agency to sub- Grandparent relationship should be permitted to cease when and only mit to the appropriate committees of the Congress, not later than 90 when the Agency is certain that an alternative arrangement-mutually days after the enactment of the conference report, a list of the names satisfactory to the Foster Grandparent, the child's family, and the and specific responsibilities of the employees designated as aging re- sponsor institution-can be made, including enrollment of both parties source specialists. The conferees also direct the Director of the in the Senior Companion program or other comparable program. Such ACTION Agency and the Commissioner on Aging each to report an alternative arrangement should, if at all possible, be accomplished annually on the effectiveness of this administrative arrangement in during the grant cycle during which the "child" becomes 21 years old. contributing to effective program implementation under the two Acts. Moreover, in future years, with respect to individuals served by a The conferees wish to express their concern that older American Foster Grandparent and who approach the age of 21, transitional ar- volunteer programs have not received sufficient emphasis or staff sup- rangements during their twentieth year should be made to ensure the port. at either the headquarters or regional staff levels. under the maintenance of a companionship relationship for that individual ACTION Agency. This is not to suggest that the overall Agency per- (under section 211 of the Domestic Volunteer Service Act of 1973 or sonnel ceiling should be increased. The conferees believe, however, another comparable program) if continued need for such companian- that with the present staffing level one way to improve this situation ship is indicated. If it is not possible to make such an arrangement, the would be for the ACTION Agency to establish in the Older American Foster Grandparent relationship must be maintained. Volunteer Program Division an Agency official primarily responsible The conferees note that the Domestic Volunteer Service Act of 1973 for the Retired Senior Volunteer Program and another such official provided for expansion of the successful Foster Grandparent model primarily responsible for the Foster Grandparent/Senior Companion by providing for the establishment of the Senior Companion program programs. The establishment of the aging resource specialist position to enable older low-income Americans to work with "persons (other required in the conference substitute should be another way of improv- than children) having exceptional needs, including * * * persons hav- ing this situation. The conferees intend that the respective committees ing developmental disabilities or other special needs for companion- will review the effectiveness of the aging resource specialist arrange- ship." This newer program was intended to complement the Foster ment provided for in the conference substitute after receiving the fiscal Grandparent effort by providing for similar services to those 21 and year 1976 first annual report from the Director of the ACTION over. It should also be used, on a prioritv basis, to ensure a continuation Agency and the Commissioner on Aging. of companionship, where needed. for "children" who become 21 years The conferees note their disapproval of the manner in which the old while being served by the Foster Grandparent program. Indeed, ACTION Agency has dealt with the question of establishing a maxi- for those presently served mentally retarded "children". the statutory mum age after which children are no longer eligible to be served by purpose of the Senior Companion program-to serve "persons (other Foster Grandparents. Of special concern are instances where the than children) having developmental disabilities"-clearly envisions Agency has acted in a way which has caused the termination or dis- such a continuation. ruption of established relationships between Foster Grandparents and The conferees thus believe that the ACTION Agency should estab- their "grandchildren" when the child reaches the age of 18. lish. to the maximum extent possible. at appropriate Foster Grand- The conferees believe that generally there can be no hard and fast parent program sites, Senior Companion program components under cut-off point for the maximum age after which a "child" is no longer the administration of a single director, SO that these two programs can 52 53 complement each other. This would enable a transitional mechanism discrimination under, any program or activity receiving Federal to be established for transferring the Older American participants funds. Section provided the following exceptions to the general from the Foster Grandparent program to the Senior Companion pro- rule prohibiting discrimination on the basis of age: (1) any person gram, when appropriate, in a smooth and orderly process with com- may take any action which is otherwise prohibited by section 303 if, passionate concern for all parties involved. No Foster Grandparent in the program or activity involved, such action reasonably takes into program or Senior Companion program should be terminated on the account age as a factor necessary to the normal operation of the pro- basis that a dual program arrangement is not possible at that site. gram or activity, or the differentiation made by such action is based It is anticipated that enactment of the fiscal year 1976 appropria- upon reasonable factors other than age; and (2) title III does not tions Act containing the ACTION Agency's appropriation will make apply to any program or activity which provides any benefits or assist- available for both the Foster Grandparent and the Senior Companion ance to persons based on the age of such persons. programs a combined increased level of funding. Until such funding Section 304, relating to regulations, required the heads of Federal flexibility is available, the conferees direct that, in order to deal with agencies extending Federal funds to any program or activity to pre- the immediate situation, service to all those over 21 years old presently scribe regulations to carry out the prohibition of discrimination on being served by the program be continued (using the mental age the basis of age. Such section also provided that no such regulation rather than chronological age of the person served as the basis for con- shall take effect until it is approved by the Secretary of Health, Edu- tinued eligibility for Foster Grandparent services). cation and Welfare. The conferees also are aware that State money may be available to Section 305, relating to enforcement, provided that the head of any fund Foster Grandparent components without regard to any federally- Federal agency may seek to achieve compliance with regulations pre- imposed age limitation. This is another alternative arrangement that scribed under section 304 (1) by terminating assistance under the pro- can be explored by the mutual agreement of the Foster Grandparent, gram or activity involved; or (2) by any other means authorized by the child's family, and the sponsor institution. law. In view of the foregoing, the conferees direct the ACTION Agency Such section also provided that any such termination shall be to revise its regulations to comply fully with the above-stated policies, limited to the particular political entity or other recipient of Federal and to ensure that each sponsor organization (which should in turn funds involved, and shall be limited in its effect to the particular pro- notify all Foster Grandparents and families involved) is fully ap- gram or activity involved. Such section also provided that no termina- prised of the policies reflected and that no existing Foster Grand- tion of funds or other action may be taken until the head of the Federal parent companionship relationship will be endangered under any cir- agency involved has notified the person involved of the failure to cimstances regardless of the age of the person presently being served. comply with the regulations involved, and has determined that com- pliance cannot be secured by voluntary means. RESEARCH ON AGING ACT OF 1974 Such section also required the head of a Federal agency who has House bill terminated funds or taken any other action to achieve compliance to No provision. transmit a written report with respect to such action to the appro- priate committees of the House of Representatives and the Senate. Senate amendment Section 306, relating to civil actions by the Attorney General, per- Section 205 of the Senate amendment amended section 464 of the mitted the Attorney General of the United States to bring a civil Public Health Service Act to allow an additional year (until May 31, action in any appropriate United States district court for appropriate 1976) for the development of a plan for a research program on aging. relief if the Attorney General has reason to believe that any person is Conference substitute engaged in a pattern or practice in violation of title III. The conference substitute is the same as the Senate amendment. Section 307, relating to judicial review, provided that any action to terminate funds or achieve compliance by any other means taken by PROHIBITION OF DISCRIMINATION BASED ON AGE the head of any Federal agency shall be subject to such judicial review as may otherwise be provided by law for similar action. Such section House bill also provided that any person aggrieved may obtain judicial review Title III of the House bill related to the prohibition of discrimina- of any such action by the head of a Federal agency in accordance with tion based on age. Section 301 of the House bill provided that title III chapter 7 of title 5, United States Code. may be cited as the "Age Discrimination Act of 1975". Section 308, relating to employment practices, provided that title Section 302, relating to statement of purpose. provided that it is III does not authorize any action by any department or agency with the purpose of title III to prohibit discrimination on the basis of age respect to any employment practice of any employer, employment in any program or activity receiving Federal financial assistance. agency, or labor organization, except where a primary objective of the Section 303, relating to prohibition of discrimination, provided that Federal funds involved is to provide employment. no person in the United States shall, on the basis of age, be excluded Section 309, relating to definition, provided that the term "Federal financial assistance" includes any payment made to any State or local from participation in. be denied the benefits of, or be subjected to government under the State and Local Fiscal Assistance Act of 1972. 54 55 Senate amendment such action reasonably takes into account age as a factor necessary Title III of the Senate amendment directed the Civil Rights Com- to the normal operation of the program or activity or to the achieve- mission to undertake a study to determine whether there is age dis- ment of any statutory objective of the program or activity or (2) crimination in programs or activities receiving Federal funds. The the differentiation made by the action is based upon reasonable factors Commission was required to report its findings and recommendations other than age. to the Congress and the President no later than one year after the Section 304(b) (2) provides that title III shall not apply to any appropriation of funds to carry out such study. program or activity which is established by law which (1) provides Conference substitute benefits or assistance to persons based on the age of such persons; or Title III of the conference substitute provides for the prohibition (2) establishes criteria for participation which are expressed in age- of discrimination based on age. The conference substitute incorporates related terms or describes intended beneficiaries or target groups in major elements of the prohibition against age discrimination in fed- age-related groups. erally-assisted programs and activities contained in the House bill, Section 304(c) (1) provides that, except for public service employ- along with an expanded version of the provisions of the Senate amend- ment programs under the Comprehensive Employment and Training ment relating to a study of age discrimination in such programs and Act of 1974, nothing in title III authorizes any action by any Federal activities to be conducted by the United States Commission on Civil department or agency regarding any employment practice of an em- Rights. ployer, employment agency, or labor organization, or regarding any Section 301 of the conference substitute provides that title III may labor-management joint apprenticeship training program. be cited as the "Age Discrimination Act of 1975". Section 304 (c) (2) provides that the provisions of the Age Discrim- Section 302 provides that it is the purpose of title III to prohibit ination in Employment Act of 1967 are not affected by the provisions unreasonable discrimination based on age in programs or activities of title III. receiving Federal financial assistance, including programs or activities Section 305 (a) requires heads of Federal departments and agencies receiving funds under the State and Local Fiscal Assistance Act of to enforce age discrimination regulations by terminating financial as- 1972. sistance or by other means authorized by law. Section 303 provides that no person may be subjected to any dis- Section (b) provides that a termination of financial assistance must be limited to the funding recipient directly involved in a finding crimination based on age in any program or activity receiving Federal financial assistance. of noncompliance made by the Federal department or agency. A ter- Section (a) (1) requires the Secretary of Health, Education, and mination of financial assistance may not be made with respect to any Welfare to publish proposed general regulations to carry out the age program or activity which does not receive Federal financial discrimination prohibition. Such regulations must be published no assistance. later than one year after the Commission on Civil Rights transmits Section (c) prohibits a Federal department or agency from tak- its report under section 307(b), or two and one-half years after the ing action to gain compliance until the person who is in noncompliance has been notified, and the Federal department or agency has deter- date of the enactment of title III, whichever occurs first. Section 304(a) (2) provides that the Secretary may not publish mined that compliance cannot be achieved by voluntary means. Section 305 (d) provides that a Federal department or agency taking proposed general regulations until the close of specified time periods, during which Federal departments and agencies affected by the regu- compliance action must transmit a report to the appropriate commit- tees of the House and Senate regarding such action. The compliance lations may comment upon the regulations and appropriate commit- tees of the Congress may conduct hearings with respect to (1) com- action may not take effect until 30 days after the transmission of such ments made by such Federal departments and agencies: and (2) the report. Section 305 (e) provides that the provisions of section 305 are the ex- report which the Commission transmits under section (d). Section (a) (3) provides that the Secretary shall publish final clusive remedy for the enforcement of title III. Section 306 provides for judicial review with respect to enforcement general regulations no later than 90 days after he publishes proposed actions taken by Federal departments or agencies under section 305. regulations. Section 307(a) requires the Commission on Civil Rights to (1) con- Section (a) (4) provides that Federal departments and agencies duct a study of unreasonable discrimination based on age in programs extending Federal assistance must transmit to the Secretary, no later and activities receiving Federal financial assistance; and (2) identify than 90 days after he publishes final general regulations, proposed any program or activity receiving Federal financial assistance in which regulations to carry out the age discrimination prohibition. Such there is evidence of age discrimination. regulations must be consistent with the final general regulations pre- Section 307 (b) requires the Commission to conduct public hearings scribed by the Secretary. Section (a) (5) provides that no regula- in conjunction with the study made under subsection (a). Section 307 tion prescribed under section 304 may take effect before January 1, 1979. (c) permits the Commission to obtain analyses and studies by inde- Section (1) provides that it is not a violation of title III for pendent experts relating to age discrimination. Section (d) requires the Commission to transmit a report of its a person to take any action if, in the program or activity involved (1) findings and its recommendations for statutory changes and adminis- 56 57 trative action, including suggested general regulations, to the Congress The age discrimination provisions of the House bill have been modi- and to the President. A copy of the report must be provided to each fied in two respects by the conferees so that the difficulties resulting Federal department or agency with respect to which the Commission from this disagreement on fundamental policy may ultimately be re- makes findings or recommendations. The Commission is required to solved and the ban on unreasonable age discrimination effectively im- transmit its report no later than 18 months after the enactment of title plemented by Federal departments and agencies. III. First, as previously mentioned, the United States Commission on Section 307 (e) requires each Federal department or agency receiv- Civil Rights has been directed to undertake a study to identify pro- ing the report of the Commission under subsection (d) to transmit grams and activities receiving Federal financial assistance in which comments and recommendations to the President and to the Committee unreasonable age discrimination is being practiced and, in addition, on Labor and Public Welfare of the Senate and the Committee on Ed- to obtain the views of interested parties, including Federal depart- ucation and Labor of the House. Such comments and recommendations ments and agencies, on the reasonableness of any age-related distinc- must be transmitted no later than 45 working days after the Federal tions used in such programs and activities. The Commission is to make denartment or agency involved receives the report of the Commission. a report of its findings and recommendations to the Congress and the Section 307 (f) requires the heads of Federal departments and agen- President, along with suggested regulations for implementing the pro- cies to cooperate with the Commission in order to assist it in carrying hibition on age discrimination. Affected Federal departments and out its duties. agencies are required to respond in a timely fashion to the report of Section 307 (g) authorizes to be appropriated such sums as may be the Commission. This process should provide Congress with a substan- necessary to carry out section 307. tial body of information and, moreover, stimulate the entire Federal Section 308 defines the terms "Commission" and "Secretary", and establishment to address the policy issues involved. defines the term "Federal department or agency" to mean any agency Second, the House bill has been modified to provide that regulations as defined in section 551 of title 5, United States Code. Such term also issued by Federal departments and agencies shall be the sole means includes the United States Postal Service and the Postal Rate to éffectuate the policy against age discrimination embodied in this Commission. title, and the effective date for such regulations has been established as The provisions in the House bill relating to age discrimination were no earlier than January 1, 1979. Neither the private right to seek a modeled on title VI of the Civil Rights Act of 1964-which authorizes remedy through civil suit contemplated by the House bill nor the the cutoff of funds to federally-assisted programs found guilty of authority of the Attorney General to bring "pattern and practice" ac- racial discrimination-but with a significant difference. Distinguish- tions contained therein is included in the conference substitute: thus, ing among individuals on the basis of race for purposes of determin- implementation will proceed through a set of consistent Federal regu- ing their eligibility to receive the benefits of, or participate in, feder- lations rather than on a case by case method in the courts. The period ally-assisted programs is per se unfair treatment and volative of the of time preceding the effective date of such regulations is intended to Constitution; in this context, race is an arbitrary distinction. But age give the Congress ample time to re-examine the subject after the Civil may often be a reasonable distinction for these purposes, indeed, the Rights Commission's report is issued but before any regulations be- prohibition against age discrimination contained in the House bill come final or any enforcement actions are initiated. The designation excluded cases where age is "a factor necessary to the normal opera- of January 1, 1979, as the earliest date on which regulations under tion of such [federally-assisted] program or activity," or where the this title may be effective will ensure that the Commission's report, "differentiation * is based upon reasonable factors other than age," the required agency comments thereon, and possibly the proposed reg- or where the program or activity in question "provides any benefits or ulations themselves will be issues in 1978 when the committees of the assistance to persons based on the age of such persons". Congress having legislative jurisdiction will be considering the re- What the House bill implies in this regard, the conference substi- authorization of programs under the Older Americans Act. tute makes explicit. The purpose of the title is stated to be the prohibi- The timetable established by the conference substitute for action tion of unreasonable age discrimination in federally-assisted programs under this title is as follows, assuming the full time allotted is used and activities. The actual prohibitory language of section 303 that is at each stage: central to this title is modified by considerations of reasonableness, as (a) Eighteen months after enactment-Civil Rights Commission to the exclusions quoted in the preceding paragraph make clear. More- issue its report. over, the Civil Rights Commission is directed to conduct a study of (b) Forty-five working days thereafter-submission of the com- "unreasonable discrimination based on age," to identify programs in ments and recommendations of Federal departments and agencies af- which "otherwise qualified" persons are barred because of age. fected by the Commission's report. The difficulty, obviously, lies in establishing what age-related dis- (c) Forty-five days following the submission of agency comments- tinctions are "reasonable" with respect to each federally-assisted pro- period for congressional hearings on the report and comments, count- gram or activity, and on this there is not a clear consensus among the ing only days in which both Houses of the Congress are in session. The conferees. There are basic differences on the extent to which age may appropriate committees of the Congress may also hold hearings on validly be taken into account by program administrators in determin- this matter at such other times as they may choose: this provision is ing who is eligible to participate in programs, in the absence of sta- intended only to suggest a time reference for such hearings. tutorily-established criteria regarding age. 59 58 approve the proposed regulations have been introduced in both the (d) One year following transmission of the Commission's report, Senate and the House of Representatives. It is the expectation of the or two and one-half years after enactment, whichever comes first, but conferees that the disputed issues raised by the proposed regulations not before expiration of the two periods of forty-five days each men- will be resolved one way or the other, but without regard to the provi- tioned in (b) and (c), above-the Secretary of the Department of sions of this title. Once those issues are resolved and final regulations Health, Education, and Welfare shall publish proposed general regu- are adopted, the conferees intend that regulations for the enforcement lations to implement the prohibition against age discrimination con- of this title be consistent with the overall regulatory structure. tained in this title. In conclusion, the conferees wish to stress the importance of the (e) Ninety days after publication of such proposed regulations— study of age discrimination in federally-assisted programs to be con- the Secretary shall publish final general regulations for implementa- ducted by the Civil Rights Commission, and the report and recom- tion of this title. mendations of the Commission based on such study. Where there is (f) Ninety days after publication of such general regulations- found evidence that participation in such programs is affected by dis- each Federal department and agency which provides Federal financial tinctions based on age, then the Commission ought to consider the assistance to programs or activities (including HEW) shall publish reasonableness of such distinctions and, where appropriate, review the regulations for implementing this title as applied to such programs or social, economic, legal, and administrative effects of alternative re- activities, which regulations shall be consistent with the general regu- sponses to the question of what is reasonable in each case. A thorough, lations issued by the Secretary of Health, Education, and Welfare. objective, and thoughtful study of this subject is essential to a final (g) January 1, 1979-Earliest date on which regulations issued pur- resolution by the Congress of the difficult policy issues that are left suant to this title may be effective. undecided by this legislation. Several other changes made by the conference substitute merit com- CARL D. PERKINS, ment. Section 304 sets forth the exclusions from coverage by this JOHN BRADEMAS, title in substantially the same form as in the House bill, but with some PATSY T. MINK, additional language included to clarify congressional intent. Under LLOYD MEEDS, subsection (b) (1) (A), in language taken from the House bill, what SHIRLEY CHISHOLM, would otherwise be a prohibited discriminatory action is excluded if WILLIAM LEHMAN, "such action reasonably takes into account age as a factor necessary to ROBERT J. CORNELL, the normal operation" of the program or activity. To this, the con- EDWARD P. BEARD, ferees have added the further provision that such action is not pro- LEO C. ZEFERETTI, hibited if it reasonably takes into account "the achievement of any GEORGE MILLER, statutory objective" of the program or activity involved. TIM L. HALL, In section (b) (2), the language of the House bill excluded from ALBERT H. QUIE, coverage of this title programs for which the law provides benefits to ALPHONZO BELL, persons based on such person's age, such as with Social Security. The PETER A. PEYSER, conferees have expanded this concept SO as to exclude, as well, pro- JAMES M. JEFFORDS, grams for which the law describes intended beneficiaries or target LARRY PRESSLER, groups in age-related terms without reference to specific chronologi- Managers on the Part of the House. cal age, as in the use of such terms as "older Americans", or "elderly", THOMAS F. EAGLETON, or "children". ALAN CRANSTON. The conferees have further modified provisions in the House bill to EDWARD M. KENNEDY, make clear that employment practices (except for public service em- JENNINGS RANDOLPH, ployment under the Comprehensive Employment and Training Act HARRISON A. WILLIAMS, of 1974) and admission to labor-management joint apprenticeship CLAIBORNE PELL, training programs are not covered by this title. A provision has also GAYLORD NELSON, been added to state that this title in no way affects enforcement of the J. GLENN BEALL, Jr., Age Discrimination in Employment Act of 1967. RICHARD SCHWEIKER, The provisions of the House bill that deal with enforcement and ju- BoB TAFT, Jr., dicial review have been retained with only minor changes. ROBERT T. STAFFORD, These provisions were also taken from title VI of the Civil Rights Managers on the Part of the Senate. Act of 1964. There are currently pending revised regulations proposed by the Secretary of Health, Education, and Welfare to establish a 0 new enforcement scheme with respect to prohibited discrimination in federally assisted programs. The adoption of title VI-type provisions in this title is in no way intended to convey or imply any endorse- ment or approval of such proposed regulations. Resolutions to dis- OFFICE OF MANAGEMENT AND BUDGET ROUTE SLIP TO Sarah Massengale Take necessary action Room 220 OEB Approval or signature Comment Prepare reply Discuss with me For your information X See remarks below FROM Paul L. Fairley DATE 9/2/75 REMARKS FYI. I think these will Provide an overview of the OAA bills. There may be "typos" in the Comparison - should any questions arise, feel free to call. PF. FORD & LIBRARY CERALD OMB FORM 4 REV AUG 70 HEALTH, EDUCATION, AND WELFARE SUBJECT: OLDER AMERICANS ACT EXTENSION (includes amendments to other Acts) SENATE BILL: ) - H.R. 3922 (Brademas (D) Ind., Perkins (D) Ky., HOUSE BILL : ) Quie (R) Minn., and 22 others) PROVISIONS: The House-passed and Senate-passed versions of H.R. 3922 are in conference. The two versions differ in the following ways on major provisions: Extension of the Older Americans Act -- House version would extend authorizations for 4 years beyond the Act's 6/30/75 expiration date. Title VII--Nutrition Program for the Elderly--which expires at the end of FY 1977, would be extended for 2 years, also through FY 1979. --- Senate version would extend the Act's authorizations for 2 years, through FY 1977, and would not extend Title VII. New activities -- House version would add a new Title VIII providing new authority for Special Service Programs, including transporta- tion, homemaker services, housing repair and mortgage interest reduction. Authorization for Title VIII would be added to Title III--the State grant title--with the proviso that not less than 20% of Title III appropriations be used to finance these new activities. -- Senate version would add three new service programs to Title III--transportation, homemaker services, and legal counseling. It would also expand the Model Projects section to include ombudsmen services for nursing home residents and financial assistance for senior ambulatory care day centers. USDA's role in Title VII nutrition program -- House version would add a new requirement that USDA purchase beef and dairy products for use in the Title VII nutrition program, authorizing $10 million for FY 1976. -- Senate version would increase the level of assistance to be provided by USDA for surplus commodities for the nutrition program from 10¢ to 25¢ per meal in FY 1976 and to 50¢ per meal in FY 1977. 7/23/75 SUBJECT: OLDER AMERICANS ACT EXTENSION (Page 2) Funding for Indians -- House version would provide direct Federal funding for Indian tribes on State and Federal reservations. -- Senate version would authorize the Commissioner on Aging to provide direct funding to Indian tribes when he determines they are not receiving their fair share from the States. Age Discrimination -- House version would add a new title, the "Age Discrimination Act of 1975," which would prohibit discrimi- nation on the basis of age in any federally-assisted program, except where age is "reasonably" taken into account. -- Senate version would authorize the Civil Rights Commission to conduct a one-year study of age discrimination in federally-assisted programs or activities and to report its findings. Older Americans Community Service Employment Act (Labor) -- House version would authorize an additional $700 million over the next four years ($100 million for FY 1976 increasing to $250 million for FY 1979). -- Senate version would authorize $488 million over the next three years for this program. Domestic Volunteer Service Act (ACTION) -- House version would extend for 3 years beyond FY 1976 and increase authorizations for ACTION's Retired Senior Volunteer Program (RSVP) and Foster Grandparent Program. It would also amend the Act to provide for a coordinator for Older Americans Programs funded by ACTION but located in each State agency on Aging. --- Senate version does not contain these provisions. Conference Action HEW staff have learned that the conferees: 1. have agreed to a 3-year extension. 7/23/75 SUBJECT: OLDER AMERICANS ACT EXTENSION (Page 3) 2. have killed the House version's new Title VIII activities but have added renovation and repair activities. 3. have agreed to the Senate provision on Indian funding. The conferees are (a) considering a provision on age discrimination to provide for a 1-year study of the problem and then to require all agencies to draft regulations to remedy abuses found by the study, subject to congressional approval (b) have not yet decided what to do about the House version's amendments to the Domestic Volunteer Service Act (ACTION), and (c) are considering changing the allocation formula in the Older American Community Service Employment Act. ADMINISTRATION OBJECTIONS AND POSITION: HEW submitted draft legislation to the Congress (S. 599) to extend the authoriza- tions of the Older Americans Act with a few relatively minor changes. The Administration's bill proposed extending the Act for 2 years and authorized $206 million for that period. The House- and Senate-passed bills are objectionable in the following major respects: Authorizations--Both versions contain authorizations substantially above the President's Budget, as indicated below. New activities--The House's new Title VIII and the Senate's new activities are highly objectionable because they duplicate services which can be funded under the Older Americans Act or other statutes. For example, the transportation authority duplicates DOT authorities; renovation and repair activities duplicate HUD authority. HEW has requested reduced funding levels for Model Projects over the past two fiscal years, in contrast to the Senate's proposed expansions. Age Discrimination--The House version does not address administrative issues and legal questions which need further consideration. The Administration favors adoption of the Senate version which provides for a study of age discrimina- tion in Federal programs. Older American Community Service Employment Act--The Administration opposes extension of the authorizations for this Act, which was enacted over the Administration's objections and for which no funding has ever been requested. Authority 7/23/75 SUBJECT: OLDER AMERICANS ACT EXTENSION (Page 4) and adequate funding for this type of activity are available under the Comprehensive Employment and Training Act (CETA) USDA's role in nutrition program--The Administration is opposed to increasing assistance provided for nutrition programs. USDA has received complaints that food donated has created significant problems with regard to storage, menu planning, and dietary problems. The proposed changes would compound these problems. Furthermore, the Department would be in the market competing with the consumer for the purchase of nonsurplus meat. Funding for Indians--The Administration favors the Senate version under which the Commissioner on Aging would be authorized to provide direct funding to Indian tribes when he determines they are not receiving their fair share from the States. Domestic Volunteer Service Act--The Administration is opposed to the amendments and increased authorizations contained in the House version. Consideration of extension of ACTION's older volunteer programs should be undertaken in the context of the renewal of the Domestic Volunteer Service Act. BUDGET IMPACT: House Bill: The total authorization for FYs 1976-1979, including the transition quarter, is $2.6 billion, exclusive of "such sums" authorizations. Authorizations for the Older Americans Act programs (Titles III and VII) total $1.6 billion. The FY 1976 Budget requested $201 million for these activities. Assuming full funding of the authorizations, outlay estimates for FY 1976 plus the transition quarter, would be $85 million above the 1976 Budget estimates and FY 1977 outlay estimates would be $134 million above the 1976 Budget estimates for that year. The Older American Community Service Employment Act authoriza- tions total $700 million. The Administration has never re- quested funds for this program. However, Congress appropriated $12 million for this program in FY 1975 and included $30 million in the continuing resolution for FY 1976. Under similar assumptions as above, outlays for FY 1976 (and transition quarter) would be $100 million; for FY 1977, outlays would be $150 million. The authorizations for ACTION's programs total $87.4 million for RSVP and $174.7 million for Foster Grandparents for FYs 1977-79. Current annual funding for these programs is $17.5 million and $25.9 million, respectively. 7/23/75 SUBJECT: OLDER AMERICANS ACT EXTENSION (Page 5) Senate Bill: The total authorization for FYs 1976 and 1977 including the transition quarter is $1.6 billion, exclusive of "such sums" authorizations. (Note: includes Title IX authorization through FY 1978) Authorizations for the Older Americans Act programs total $1.1 billion. Assuming full funding, outlay estimates for FY 1976 (and transition quarter) would be $161 million above the 1976 Budget estimates for that year. The Older American Community Service Employment Act authoriza- tions total $488 million. Under similar assumptions as above, outlays would be the same as described for the House bill There is no Senate bill provision for the RSVP and Foster Grandparents programs. STATUS: HEW testified before the House Subcte on 1/30 supporting the Administration's draft bill to extend the Older Americans Act. HEW and Labor wrote Cong. Rhodes on 3/20 stating that enactment of H.R. 3922 would be not consistent with the Administration's objectives. HEW testified before the Senate Subcte on Aging on 4/16 supporting the Administration's bill and opposing the House-passed H.R. 3922. Agencies reported to the Senate Cte that enactment of H.R. 3922 would be not consistent with the Administration's objectives, and are writing to the conferees concerning the objectionable provisions in both versions. 4/8 House passed H.R. 3922 (377-19). 6/26 Senate passed H.R. 3922 (voice vote). 7/9 House agreed to conference asked by the Senate. 7/21 Conferees met and are scheduled to meet again on 7/29. 7/23/75 E-31 HEALTH, EDUCATION, AND WELFARE SUBJECT: OLDER AMERICANS ACT EXTENSION (includes amendments to other Acts) SENATE BILL: ) - H.R. 3922 (Brademas (D) Ind., Perkins (D) Ky., HOUSE BILL : ) Quie (R) Minn., and 22 others) PROVISIONS: The House-passed and Senate-passed versions of H.R. 3922 are in conference. The two versions differ in the following ways on major provisions: Extension of the Older Americans Act -- House version would extend authorizations for 4 years beyond the Act's 6/30/75 expiration date. Title VII--Nutrition Program for the Elderly--which expires at the end of FY 1977, would be extended for 2 years, also through FY 1979. -- Senate version would extend the Act's authorizations for 2 years, through FY 1977, and would not extend Title VII. New activities -- House version would add a new Title VIII providing new authority for Special Service Programs, including transporta- tion, homemaker services, housing repair and mortgage interest reduction. Authorization for Title VIII would be added to Title III--the State grant title--with the proviso that not less than 20% of Title III appropriations be used to finance these new activities. -- Senate version would add three new service programs to Title III--transportation, homemaker services, and legal counseling. It would also expand the Model Projects section to include ombudsmen services for nursing home residents and financial assistance for senior ambulatory care day centers. USDA's role in Title VII nutrition program -- House version would add a new requirement that USDA purchase beef and dairy products for use in the Title VII nutrition program, authorizing $10 million for FY 1976. -- Senate version would increase the level of assistance to be provided by USDA for surplus commodities for the nutrition program from 10¢ to 25¢ per meal in FY 1976 and to 50¢ per meal in FY 1977. FORD LIBRARY & GERALD 7/23/75 E-31 (Cont'd) SUBJECT: OLDER AMERICANS ACT EXTENSION (Page 2) Funding for Indians -- House version would provide direct Federal funding for Indian tribes on State and Federal reservations. -- Senate version would authorize the Commissioner on Aging to provide direct funding to Indian tribes when he determines they are not receiving their fair share from the States. Age Discrimination -- House version would add a new title, the "Age Discrimination Act of 1975," which would prohibit discrimi- nation on the basis of age in any federally-assisted program, except where age is "reasonably" taken into account. -- Senate version would authorize the Civil Rights Commission to conduct a one-year study of age discrimination in federally-assisted programs or activities and to report its findings. Older Americans Community Service Employment Act (Labor) -- House version would authorize an additional $700 million over the next four years ($100 million for FY 1976 increasing to $250 million for FY 1979). -- Senate version would authorize $488 million over the next three years for this program. Domestic Volunteer Service Act (ACTION) --- House version would extend for 3 years beyond FY 1976 and increase authorizations for ACTION's Retired Senior Volunteer Program (RSVP) and Foster Grandparent Program. It would also amend the Act to provide for a coordinator for Older Americans Programs funded by ACTION but located in each State agency on Aging. -- Senate version does not contain these provisions. Conference Action HEW staff have learned that the conferees: 1. have agreed to a 3-year extension. (1978) 7/23/75 E-31 (Cont'd) SUBJECT: OLDER AMERICANS ACT EXTENSION (Page 3) 2. have killed the House version's new Title VIII activities but have added home renovation and repair activities to the Senate's new service activities (transportation, homemaker services and legal counseling). Not less than 20% of Title III appropriations, State grants, will have to be used to finance these new activities. 3. have agreed to the Senate provision on Indian funding. The conferees are (a) considering a provision on age discrimination to provide for a 1-year study of the problem and then to require all agencies to draft regulations to remedy abuses found by the study, subject to congressional approval (b) have not yet decided what to do about the House version's amendments to the Domestic Volunteer Service Act (ACTION), (c) considering changing the allocation formula in the Older American Community Service Employment Act, and (d) considering allowing States to use 3/4's of 1% of Title III grants for administrative expenses. ADMINISTRATION OBJECTIONS AND POSITION: HEW submitted draft legislation to the Congress (S. 599) to extend the authoriza- tions of the Older Americans Act with a few relatively minor changes. The Administration's bill proposed extending the Act for 2 years and authorized $206 million for that period. The House- and Senate-passed bills are objectionable in the following major respects: Authorizations--Both versions contain authorizations substantially above the President's Budget, as indicated below. New activities--The House's new Title VIII and the Senate's new activities are highly objectionable because they duplicate services which can be funded under the Older Americans Act or other statutes. For example, the transportation authority duplicates DOT authorities; renovation and repair activities duplicate HUD authority. HEW has requested reduced funding levels for Model Projects over the past two fiscal years, in contrast to the Senate's proposed expansions. Age Discrimination--The House version does not address administrative issues and legal questions which need further OK consideration. The Administration favors adoption of the Senate version which provides for a study of age discrimina- tion in Federal programs. Older American Community Service Employment Act--The Administration opposes extension of the authorizations for note this Act, which was enacted over the Administration's objections and for which no funding has ever been requested. Authority 8/12/75 E-31 (Cont'd) SUBJECT: OLDER AMERICANS ACT EXTENSION (Page 4) and adequate funding for this type of activity are available under the Comprehensive Employment and Training Act (CETA). USDA's role in nutrition program--The Administration is opposed to increasing assistance provided for nutrition programs. USDA has received complaints that food donated has created significant problems with regard to storage, menu planning, and dietary problems. The proposed changes would compound these problems. Furthermore, the Department would be in the market competing with the consumer for the purchase of nonsurplus meat. Funding for Indians--The Administration favors the Senate version under which the Commissioner on Aging would be authorized to provide direct funding to Indian tribes when he determines they are not receiving their fair share from the States. Domestic Volunteer Service Act--The Administration is opposed to the amendments and increased authorizations contained in the House version. Consideration of extension of ACTION's older volunteer programs should be undertaken in the context of the renewal of the Domestic Volunteer Service Act. BUDGET IMPACT: House Bill: The total authorization for FYs 1976-1979, including the transition quarter, is $2.6 billion, exclusive of "such sums" authorizations. Authorizations for the Older Americans Act programs (Titles III and VII) total $1.6 billion. The FY 1976 Budget requested $201 million for these activities. Assuming full funding of the authorizations, outlay estimates for FY 1976 plus the transition quarter, would be $85 million above the 1976 Budget estimates and FY 1977 outlay estimates would be $134 million above the 1976 Budget estimates for that year. The Older American Community Service Employment Act authoriza- tions total $700 million. The Administration has never re- quested funds for this program. However, Congress appropriated $12 million for this program in FY 1975 and included $30 million in the continuing resolution for FY 1976. Under similar assumptions as above, outlays for FY 1976 (and transition quarter) would be $100 million; for FY 1977, outlays would be $150 million. The authorizations for ACTION's programs total $87.4 million for RSVP and $174.7 million for Foster Grandparents for FYs 1977-79. Current annual funding for these programs is $17.5 million and $25.9 million, respectively. 7/23/75 E-31 (Cont'd) SUBJECT: OLDER AMERICANS ACT EXTENSION (Page 5) Senate Bill: The total authorization for FYs 1976 and 1977 including the transition quarter is $1.6 billion, exclusive of "such sums" authorizations. (Note: includes Title IX authorization through FY 1978) Authorizations for the Older Americans Act programs total $1.1 billion. Assuming full funding, outlay estimates for FY 1976 (and transition quarter) would be $161 million above the 1976 Budget estimates for that year. The Older American Community Service Employment Act authoriza- tions total $488 million. Under similar assumptions as above, outlays would be the same as described for the House bill. There is no Senate bill provision for the RSVP and Foster Grandparents programs. STATUS: HEW testified before the House Subcte on 1/30 supporting the Administration's draft bill to extend the Older Americans Act. HEW and Labor wrote Cong. Rhodes on 3/20 stating that enactment of H.R. 3922 would be not consistent with the Administration's objectives. HEW testified before the Senate Subcte on Aging on 4/16 supporting the Administration's bill and opposing the House-passed H.R. 3922. Agencies reported to the Senate Cte that enactment of H.R. 3922 would be not consistent with the Administration's objectives, and are writing to the conferees concerning the objectionable provisions in both versions. 4/8 House passed H.R. 3922 (377-19). 6/26 Senate passed H.R. 3922 (voice vote). 7/9 House agreed to conference asked by the Senate. 11/17 Conference report filed in House (details later) 11/19 passed House 406-6 11/20 ' Senate 89-0 11/17/75 DRAFT LIBRARY MEMORANDUM FOR THE DEPUTY DIRECTOR REPORD 078870 Subject: Comparison of Three Proposals to Amend The Older Americans Act of 1965, As Amended June 30, 1975 H.R. 3922 (Brademas) As H.R. 3922 As passed by S.599 (Beall, for Administra- Subject Passed by House 4-7-75 Senate, 6-26-75* tion) As Introduced 2-7-75 1. Extension of auth- 1. Would extend Act's authoriza- 1. Would extend authorizations 1. Would extend Act's authorizations, orizations tions, as follows: as follows: as follows: Sec. 204(c) (Clear- "such sums..." (as at present) "such sums..." (through $200,000 (instead of "such sums...") inghouse): through Sept. 30, 1979 Sept. 30, 1977 each for fiscal years 1976 and 1977 Sec. 303(a) (Area FY 1976..$180,000,000 FY'76..$200,000,000 FY 1976 $91,000,000 Planning and Social 7-1-76 to 9-30-76.. $57,750,000 7-1-76 to 9-30-76..$60,000,000 Fy 1977 91,000,000 Service Programs): FY 1977..$231,000,000 FY'77..$240,000,000 FY 1978 $287,200,000 FY 1979..$349,640,000 Sec. 308(b) (Model "such sums..." (as at present) "such sums..." through $5,000,000 (instead of "such sums...") Projects) through Sept. 30, 1979 Sept. 30, 1977 each for fiscal years 1976 and 1977 Sec. 309 (Transpor- No extension of authorization FY'76..50,000,000 No extension of authorization tation Projects) 7-1-76 to 9-30-76. 12,500,000 FY'77..50,000,000 Sec. 431 (Training, "such sums..." (as at present) "such sums..." through $7,000,000 (instead of "such sums...") Research, and Develop- through Sept. 30, 1979 Sept. 30, 1977 each for fiscal years 1976 and 1977 ment, and Multi- disciplinary Centers) Sec. 505 (Acquisition, "such sums. " (as at present) through "such sums..." through No extension of Alteration, or Renova- Sept. 30, 1979 Sept. 30, 1977 authorization tion of Multipurpose Senior Centers) Sec. 511 (Initial Staff- No extension of authorization No extension of No extension of ing of Multipurpose authorization authorization Senior Centers) 7-1-76 to 9-30-76. $62,500,000 Sec. 708 (Nutrition FY 1978 $275,000,000 No extension of authoriza- Program for the Elderly) FY 1979 300,000,000 tion beyond FY'77 (as pro- vided in existing law), but would increase FY 1976 authorization from $200,000,000 to $225,000,000 and would increase FY 1977 authorization from $250,000,000 to $275,000,000 *S. 1425 (Eagleton) As Ordered Reported 6-20-75 H.R. 3922 (Brademas) As DRAFT H.R. 3922 As passed by S.599 (Beall, for Administra- Subject Passed by House 4-7-75 Senate, 6-26-75 tion) As Introduced 2-7-75 2. Provides authorizations for three-month 2. Provides authorizations for 2. Makes no specific provision 2. Specific authorizations for period July 1-Sept. period of changeover from fiscal years ending three-month period of change for the three-month change- 30, '76 June 30 to fiscal years ending September 30. over from fiscal years end- over period. ing June 30 to fiscal years ending September 30. Preference for services 3. No proposal to amend present law. 3. Would require State plans to 3. Proposes to give statutory 3. for low income, racial provide for taking into preference in Title III pro- account the needs of low- minority, or limited grams (as is already required English-speaking income older persons (See in Sec. 705 of the Act with individuals item 10, below), and would respect to provision of serv- ices in Title VII nutrition require the Commissioner, programs) to low-income, in making model project minority, and limited grants, to place special English-speaking individuals. emphasis on the needs of Would amend Sec. 705 to con- low-income, minority, form its language to the new Indian, and limited-English language proposed for Title III. individuals (See item 11, below). 4. Extension of time for 4. Would extend until January 1, 4. Would extend deadline until 1976 the deadline for trans- January 1, 1976. Federal Council on the Aging studies mitting two reports of FCA, resulting from studies which it is required by law to make. 5. Proposes numerous technical 5. Proposes numerous technical amend- 5. Technical Amendments amendments, many of which ments of the Act, having little, duplicate those proposed in if any, substantive effect, to S.599, Administration bill. correct errors in the Act. 6. Proposed new Title VIII 6. Contains no proposal similar 6. Contains no proposal similar to 6. Proposes a new Title VIII for to Title VIII proposal of Title VIII proposal of H.R. 3922. the Act, entitled, "Special Service Programs for the Elderly" H.R. 3922 Would require each State with a State plan to use at least 20 percent of its Title III allot- ment (area planning and social service programs) for four types of special emphasis programs: (1) homemaker and other home services; (2) counseling assist- ance; (3) residential repairs and renovations; and (4) trans- portation. Each State agency on aging would disburse funds from its Title III allotment to public or private non-profit institutions, organizations, or agencies, or to political subdivisions, which agree to establish one or more of these special emphasis programs for the elderly. Contains a "maintenance of effort" provision, which assures that States and communities will spend 20% of their Title III funds for services in addition to, not in lieu of, current expenditures in these areas. Would also provide for a program of mortgage interest reduction to assist the conversion and renovation of housing for the elderly. H.R. 3922 (Brademas) As DRAFT. H.R. 3922 As passed by S.599 (Beall, for Administra- Subject Passed by House 4-7-75 Senate, 6-26-75 tion) As Introduced 2-7-75 Proposed new Title IX 7. Proposes to repeal Title IX of the Older 7. Contains Title IX proposal, 7. Contains no such proposal. Americans Comprehensive Services Amendments which, except for proposed of 1973 (P.L. 93-29), and to reenact it, with authorizations, is similar amendments, as a new Title IX of the Older in most respects to Title IX Americans Act. As amended, it would authorize proposal of H.R. 3922. Pro- $100,000,000 for each of fiscal years 1975 poses authorizations of and 1976; $37,500,000 for the transition $100,000,000 for FY 1976; period from July 1 to Sept. 30, 1976; $37,500,000 for the period $150,000,000 for FY 1977; $200,000,000 for beginning 7-1-76 and ending FY 1978 and $250,000,000 for FY 1979 for 9-30-76; $150,000,000 for the Secretary of Labor to enter FY 1977; and $200,000,000 into agreements with public or for FY 1978. private non-profit agencies or organizations including national organizations, agencies of a State government or political subdivision, or Indian tribes on Federal or State reservations, to provide community service employment for older Americans. In allotting sums appropriated for each fiscal year, the Secretary would be required first to reserve such sums as may be necessary to permit national organizations currently funded under Title IX to maintain the level of activities supported in FY 1975. The remainder of such sums is to be allotted on the basis of the ratio of the number of low-income persons age 55 and older in the State to the number of 10W income persons age 55 and older in States, except that no territory could be allorted less than certain minimum allotments stated in the bill. 8. Joint Funding 8. Would amend the Older Americans 8. Like House bill, would provide Act to provide that the provi- 8. Contains no such proposal. sions and requirements of the that P.L. 93-510 would not apply to the Older Americans Act. How- Joint Funding Simplification Act (P.L. 93-510, Dec. 5, 1974) would ever, would provide that an not apply to the Older Americans area agency on aging (or, in areas of a State where no such Act. The Joint Funding Simpli- fication Act contains provisions agency has been designated, the State agency) is authorized which encourage Federal-State arrangements under which local to enter into agreements with rehabilitation and human serv- governments and private, non- profit organizations may combine ice agencies. to develop and State and Federal resources in implement plans for meeting the support of projects of common common need for transportation services of their clients and interest to the governments and organizations concerned, in- older Americans participating in cluding development of regula- programs authorized by Titles tions on joint support activities, III and VII of the Older Americans simplifying procedures for pro- Act; and would authorize Title III and Title VII funds to be cess of applications, establish- -4- H.R. 3922 (Brademas) As DRAFT H.R. 3922 As passed by S.599 (Beall, for Administra- Subject Passed by House 4-7-75 Senate, 6-26-75 tion) As Introduced 2-7-75 8. continued 8. continued ment of uniform technical or used to purchase transportation administrative requirements for services for older persons and similar programs, and establish- to be pooled with funds made ment of joint funding procedures. available for transportation of In addition, Section 7 of the rehabilitation and welfare Act allows agency heads, with clients. (See Section 105 - State the approval of the President, and area plan requirements) to "delegate to other Federal agencies powers and functions relating to the supervision or administration of Federal assistance, or otherwise arrange for other agencies to perform such activities " 9. Direct allotments to 9. Would amend the Title III allot- 9. Contains provision similar in 9. Contains no such proposal. Indian tribes ment provision (Sec. 303 (b)) to many respects to that of provide for direct allotments H.R. 3922, but direct allot- for each Indian tribe on Federal ments would be made to Indian or State reservations. The tribes only where the Commissioner would reserve an Commissioner determines that amount of the total Title III members of an Indian tribe in appropriation based on the ratio a State are not receiving their of the population of all Indians fair share of a State's Title 60+ on all Federal and State III benefits and would be better reservations to the population served by a direct allotment. of all persons 60+ in all States. From these sums, each Indian tribe on a reservation would be allotted 100 to 105% of an amount based on the ratio of the population of Indians age 60+ on that reservation to the population of all Indians age 60+ on all reservations. Eli- gibility for funds would be dependent upon submission to the Commissioner of a plan for use of the funds, and on criteria in regulations by the. Commissioner. Funds allotted to a tribe which would not use them could be reallotted to another tribe. H.R. 3922 (Brademas) As PRAFT H.R. 3922 As passed by S.599 (Beall, for Administra- Subject Passed by House 4-7-75 Senate, 6-26-75 tion) As Introduced 2-7-75 10. State and area plan require- 10. Would require State and area 10. Contains no proposal regarding a 10. Contains no such proposal. ments plans, in addition to present new Title VIII, but would require requirements, to "provide for the States to coordinate activities establishment of programs to under the State plan with the provide assistance to older per- provision of services to the sons as described in. (the pro- elderly under Title XX of the posed new) Title VIII." Social Security Act, would require that the needs of low- income elderly be taken into account in developing and imple- menting the State plan, and would require that the relative distri- bution of older persons residing in rural and urban areas within the State be taken into account in developing and implementing the State plan. 11. Model projects 11. Would amend Sec. 308, the model 11. Would not repeal the present 11. Only proposal regarding Sec. 308 projects section of the Act, to requirement of Sec. 308 that is proposed two-year extension of repeal the present requirement special consideration be given authorization. (See item 1) that special consideration be to grants and contracts for given to grants and contracts housing; continuing education; for housing; continuing educa, preretirement education, infor- tion, information, and relevant mation, and relevant services; services; and services to meet and services to meet needs of needs of physically and mentally physical and mentally impaired impaired older persons. However, older persons. Would specifi- would specifically include among cally include among the types the type of model projects to be of model projects to be funded, funded, projects to provide "projects to provide continuing continuing education to older education to older persons persons and projects to provide and projects to provide pre- preretirement education, infor- retirement education, informa- mation, and relevant services." tion, and relevant services" (as would H.R. 3922). In addi- tion, would include projects to improve delivery of services and meet the needs of low income minority, and limited English- speaking groups that are not receiving adequate services under the Act, those to encourage the participation of older persons in activities connected with the celebration of the American Bicentennial; and those to assist older persons to remain outside institutions and to maintain independent living. H.R. 3922 (Brademas) As DRAFT H.R. 3922 As passed by S.599 (Beall, for A inistra- Subject Passed by House 4-7-75 Senate, 6-26-75 tion) As Introduced 2-7-75 12. Training of persons to 12. Proposes Sec. 404 amendment 12. Contains no such proposal. 12. Would amend Sec. 404 ("Training perform counseling and Programs for Personnel in the which is substantially similar monitoring functions Field of Aging") to authorize to that which is proposed by grants to assist in the training H.R. 3922, but would, in addition of lawyers, lay advocates, and authorize grants for training paraprofessional persons who will of persons employed by or provide legal counseling to older associated with public or private persons or monitor the administra- nonprofit entities, who will identify tion of public or private non- legal problems affecting older profit programs designed to persons; develop solutions, and mobilize the resources of the provide assistance or services to older persons, including nursing community to respond to their home programs. legal needs. Proposed other Sec. 404 amendments, discussed in item 13, below. 13. Other Amendments of 13. Proposes no amendments of Title IV, 13. In addition to proposal dis- Title IV, Part A (Train Part B, other than that which is 13. Proposes no amendment to Title IV, cussed in item 12, above, would Part A. ing) discussed in item 12, above. amend Sec. 404 to broaden the description of activities for which grants may be made for training personnel in the field of aging, and would amend Sec. 403 to make it clear that grants to attract quali- fied persons to the field of aging could be made to two- year institutions of higher learing, as well as to four- year ones. 14. ACTION programs. 14. Would leave R.S.V.P., Foster 14. Contains no proposal regarding Grandparent Program, and other 14. Contains no proposal regarding ACTION programs. ACTION programs. older Americans service programs in ACTION agency (instead of transferring them to HEW, as proposed in earlier versions of the bill); would extend authori- zations for these programs through Sept. 30, 1979; and would require each State agency on aging to designate a person to coordi- nate Title III programs and these ACTION programs for older Ameri- cans, and to act as a resource person to carry them out. Pro- posed authorizations: For R.S.V.P. FGP July 1-Sept., 30, '76 $ 6,000,000 $12,000,000 FY 1977 24,000,000 48,000,000 FY 1978 28,800,000 57,600,000 FY 1979 34,560,000 69,120,000 H.R. 3922 (Brademas) As DRAFT H.R. 3922 As passed by S.599 (Beall, for A inistra- Subject Passed by House 4-7-75 Senate, 6-26-75 tion) As Introduced 2-7-75 15. Purchase by Secretary 15. Would require the Secretary of Agriculture to 15. Contains no such 15. Contains no such proposal. of Agriculture of high purchase high protein foods, meat and meat proposal. protein foods, etc. alternates, during FY '1975, 1976 and the period between July 1 and September 30, 1976, for dis- tribution to Title VII grantees and contractors for use in Title VII nutrition programs. $8 million is authorized for FY'75, $10 million for FY'76, and $2.5 million July - September '76. 15a. Dole Amendment 15a. Contains no such provision. 15a. Notwithstanding any 15a. Contains no such provision other provision of law, where a State phased out its commodity dis- tribution facilities prior to June 30, 1974, such State may, for purposes of the programs authorized by this Act, elect to receive cash payments in lieu of donated foods. 16. Taking into account 16. Contains no such provision. 16. Would amend Title VII, Older 16. Contains no such rural-urban distribution Americans Act ("Nutrition Pro- provision. of elderly. gram for the Elderly") to require State plans to provide assurances that, to the extent feasible, grants will be awarded taking" into account the relative distribution of older persons residing in rural. and urban areas" in the State. 17. Level of assistance for 17. Contains no such provision. 17. Would amend present pro- 17. Contains no such donated commodities. vision which requires the provision. Secretary of Agriculture, in Jonating commodities for Title VII programs, to maintain an annually pro- gramed level of assistance of not less than 10 cents per meal, by raising this minimum to 25 cents per meal during FY 1976, and 50 cents per meal during FY 1977. H.R. 3922 (Brademas) As DRAFT H.R. 3922 As passed by S.599 (Beall, for Administra- Subject Passed by House 4-7-75 Senate, 6-26-75 tion) As Introduced 2-7-75 18. Amendment of other Acts. 18. Contains provisions 18. Would amend Sec. 110 of the Higher Education 18, Contains no such proposal. similar to those of H.R. Act and Sec. 310 of the Adult Education Act 3922, except authorizations to extend through FY 1979 special programs would be extended only for the elderly authorized therein; would through FY 1977. Would extend through FY 1979 the authorization of also extend for one year "such sums for the Senior Opportunities until May 31, 1976 the date and Services program administered by the by which the Secretary of Community Services Administration (successor H.E.W. must develop a plan agency to the Office of Economic Opportunity); for a research program on and would amend the Vocational Education Act aging, as required by the of 1963 to require that special consideration "Research on Aging Act of be given to special consumer and homemaking 1974." programs for persons aged 60+, with a require- ment that such programs be designed to assist such older persons to live independently in their own homes. However, would not amend the. "Research on Aging Act of 1974". 19. Age Discrimination 19. Proposes enactment of a new "Age Discrimination 19. Would direct the Commission 19. Contains no such proposal. Act of 1975," which would prohibit age discri- on Civil Rights to conduct mination in any program or activity receiving a study of age discrimina- Federal financial assistance, but. would permit tion under programs or exceptions where the differentiation "reasonably activities receiving takes into account age as a factor necessary Federal financial assistance to the normal operation of such program or and to report its findings activity" or is "based upon reasonable factors to the Congress and the other than age," and would not apply to any President, together with program or activity which provides any benefits recommendations. or assistance to persons based on the age of such persons. Regulations would be developed by the agencies providing assistance, and would be approved by HEW. The Act would not be applicable to employment practices of any employer, employment agency, or labor union, except where Federal financial assistance is provided primarily for employment. 20. Section 309 ("Transpor- 20. Would repeal Sec. 309, but provide for special 20. Would extensively revise 20. Proposes no extension of tation Projects") of the emphasis upon transportation in administering Sec. 309, as indicated by authorization or other Older Americans Act the proposed new Title VIII. proposed new section amendment of Sec. 309. heading, "Transportation, Home Service, and Legal Counseling." Authoriza- tions are provided in the amounts of $50,000,000 for FY 1976, $12,500,000 for. 7-1-76 to 9-30-76, and $50,000,000 for FY 1977. From the amounts appropriated, formula grants would be made to States for paying up to 90% of the cost of projects to meet the needs of older persons for transportation and home services, and to establish and support legal counseling and support for them. DEPART ONY RTMENT DEPARTMENT AMERICAN HEALTH OF DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE OFFICE OF THE SECRETARY U.S.A. Office of Human Development WASHINGTON, D.C. 20201 Administration on Aging APR 14 1975 MEMORANDUM TO PAMELA NEEDHAM Attached is a comparative analysis of the Administration's proposal for the extension of the Older Americans Act and H.R. 3922 as reported by the House Education and Labor Committee. I have made a few notations on the analysis to indicate the effect of amendments made on the House floor to H.R. 3922. As you may know, the House of Representatives passed H.R. 3922 by a vote of 377 to 19. If I can provide further information please feel free to contact me on this. Make Decker Anstrom Assistant to the Commissioner Attachment and 4/14/75 FORD LIBRARY & GERALD Comparison of Two Proposals To Amend The Older Americans Act of 1965, As Amended Page 1 March 17, 1975 Subject 3922 (Brademas Bill), As Reported S. 599, Administration Bill 1. Extension of authorizations 1. Would extend Act's authorizations, 1. Would extend Act's authorizations, as follows: as follows: Sec. 204(c) (Clearinghouse) "such sums..." (as at present) $ 200,000 (instead of "such through Sept. 30, 1979. sums...") each for fiscal years 1976 and 1977. Sec. 303(a) (Area Planning and FY 1976 $ 180,000,000 FY 1976 $ 91,000,000 Social Service Programs): FY 1977 231,000,000 FY 1977 91,000,000 FY 1978 287,200,000 FY 1979 349,640,000 Sec. 308(b) (Model Projects) "such sums..." (as at present) $ 5,000,000. (instead of "such through Sept. 30, 1979. sums...") each for fiscal years 1976 and 1977. Sec. 309 (Transportation Projects) No extension of authorization. No extension of authorization. Sec. 431 (Training, Research and "such sums..." (as at present) $ 7,000,000 (instead of "such Development, and Multidisciplin- through Sept. 30, 1979. sums...") each for fiscal years ary Centers) 1976 and 1977. Sec. 505 (Acquisition, Alteration, "such sums..." (as at present) No extension of authorization. or Renovation of Multipurpose through Sept. 30, 1979. Senior Centers) Sec. 511 (Initial Staffing of No extension of authorization. No extension of authorization. Multipurpose Senior Centers) Sec. 708 (Nutrition Program For FY 1978 275,000,000 No extension of authorization The Elderly) FY 1979 300,000,000 beyond June 30, 1977, the present expiration date. Comparison of Two Proposals To Amend The Older Americans Act of 1965, As₁, Amended Page 2 March 17, 1975 Subject H.R. 3922, Brademas Bill, As Reported 3-14-75 S. 599, Administration Bill 2. Preference for serv- 2. No proposal to amend present law. 2. Proposes to give statutory ices for low income, preference in Title III racial minority, or programs (as is already limited English- required in Sec. 705 of the speaking individuals Act with respect to pro- vision of services in Title VII nutrition pro- grams) to low-income, minority, and limited English-speaking individ- uals. Would amend Sec. 705 to conform its language to the new language proposed for Title III. 3. Extension of time 3. [NO proposal to extend the FCOA dead- 3. Would extend until for Federal Council on the Aging to line.] As Amended ON floor, to extend January 1, 1976, the dead- line for transmitting two submit to the studies TO Janil, 1976. reports of the Federal President for trans- Council on the Aging. mittal to Congress its recommendations on certain subjects 4. Technical Amendments 4. Proposes numerous technical amendments 4. Proposes numerous techni- of the Act having little, if any, sub- cal amendments of the Act. stantive effect, to improve the Act. Many of the proposed technical improvements duplicate those proposed in the Administration's bill. Comparison of Two Proposals To Amend The Older Americans Act of 1965, As Amended Page 3 March 17, 1975 Subject H.R. 3922, Brademas Bill, As Reported 3-14-75 S.599, Administration Bill 5. Proposed new 5. Proposes a new Title VIII for the Act, 5. No such proposal. Title VIII entitled, "Special Service Programs for the Elderly." Four new programs would be authorized: (1) Homemaker and other home services; (2) Legal and other counseling services and assistance; (3) Residential repairs and renovations; and (4) Trans- portation. Authorizations for the program are provided under the current Title III program; programs under Title VIII would be administered by State agencies on aging, which would make grants to any public or private non-profit institution, organization, or agency, including AAA's for provision of the service. 6. Proposed new 6. Proposes to repeal Title IX of the Older 6. No such proposal. Title IX Americans Comprehensive Services Amend- ments of 1973 (P.L. 93-29) and to re- enact it, with amendments, as a new Title IX of the Older Americans Act. As amended, it would authorize for the program $100,000,000 for each of fiscal years 1975 and 1976, $150,000,000 for FY 1977, $200,000,000 for FY 1978, and $250,000,000 for FY 1979, for agreements with public or private non-profit agencies or organizations, including national organizations, agencies of a State govern- ment or political subdivision, or Indian tribes on Federal or State reservations. In allotting sums appropriated for each fiscal year, the Secretary shall first Comparison of Two Proposals To Amend The Older Americans Act of 1965, As Amended Page 4 March 17, 1975 Subject H.R. 3922, Brademas Bill, As Reported 3-14-75 S. 599, Administration Bill Continued 6. reserve such sums as may be necessary to permit national organizations currently funded under Title IX to main- tain the level of activities supported in FY 1975. The remainder of such sums is to be allotted on the basis of the ratio of the number of low-income persons aged 55 and older in the State to the number of low-income persons age 55 and older in every State, except that no State shall be allotted less than 1/2 of one percent of the sum appropriated, or $100,000, whichever is greater, and Guam, American Samoa, the Virgin Islands, and the Trust Territory of the Pacific shall each be allotted 1/4 of 1 percent of the sum appropriated, or $50,000, whichever is greater. 7. Joint Funding 7. Would amend the Older Americans Act to 7. No such proposal. Simplification provide that the provisions and require- Act ments of the Joint Funding Simplification Act of 1974 (P.L. 93-510, Dec. 5, 1974) would not apply to the Older Americans Act. The Joint Funding Simplification Act contains provisions which encourage Federal-State arrangements under which local governments and private, non- profit organizations may combine State and Federal resources in support of projects of common interest to the governments and organizations concerned, including development of regulations Page , March 17, 1975 Subject H.R. 3922, Brademas Bill, As Reported 3-14-75 S. 599, Administration Bill Continued 7. on joint support activities, simplifying procedures for process of applications, establishment of uniform technical or administrative requirements for similar programs, and establishment of joint funding procedures. In addition, Section 7 of the Act allows agency heads; with the approval of the President, to "delegate to other Federal agencies powers and functions relating to the supervision or administration of Federal assistance, or otherwise arrange for other agencies to perform such activities " 8. Title III definition of "social services" 8. Would add, "services designed to provide 8. No such proposal. legal counseling assistance to older persons" to those services defined as "social services" in the Act. 9. Direct allotments to 9. Would amend the Title III allotment 9. No such proposal. Indian tribes provision ($303(b)) to provide for direct allotments for each Indian tribe on Federal and State reservations. The Commissioner would reserve an amount of the total Title III appropriation based on the ratio of the population of all Indians 60+ on all Federal and State reservations to the population of all persons 60+ in all States. From these sums, each Indian tribe on a Federal or State reservation is to be allotted 100 to 105% of an amount based on the ratio of the population of Indians 60 TanTO aut March 17, 1975 Page 0 Subject H.R. 3922, Brademas Bill, As Reported 3-14-75 S. 599, Administration Bill Continued 9. or over on such reservation to the population of all Indians 60+ on all Federal and State reservations. Eli- gibility for funds is dependent upon submission of a plan for use of the funds submitted to the Commissioner and based on criteria prescribed in regulations by the Commissioner; funds not allocated to one tribe can be reallocated to other tribes. 10. Area plan require- 10. Would require area plans, in addition to 10. No such proposal. ments present requirements, to "provide for the establishment of programs to provide assistance to older persons as described in (the proposed new) Title VIII." 11. State plan require- 11. Would require State plans, in addition 11. No such proposal. ments to present requirements, to "provide for the establishment of programs to provide assistance to older persons as described in (the proposed new) Title VIII." 12. Model projects 12. Would amend Sec. 308, the model project 12. No such proposal. section of the Act, to repeal present requirements that special consideration be given to grants and contracts for housing, continuing education, and services for physically and mentally impaired elderly; but would continue to provide for projects providing continuing education to older persons and projects CI.GT '1.T MARCH Page 7 Subject H.R. 3922, Brademas Bill, As Reported 3-14-75 S. 599, Administration Bill Continued 12. to provide preretirement education, information, and relevant services. The Committee report urges the Administra- tion on Aging to support model projects to assist with hearing problems of the elderly. 13. Training of persons 13. Would amend Sec. 404 ("Training Programs 13. No such proposal. to perform counsel- for Personnel in the Field of Aging") to ing and monitoring authorize grants to assist in the train- functions ing of lawyers, lay advocates, and para- professional persons who will provide legal counseling to older persons or monitor the administration of public or private non-profit programs designed to provide assistance or services to older persons, including nursing home programs. 14. ACTION programs 14. Would leave R.S.V.P., Foster Grandparent 14. No proposals with reference Program, and other older Americans serv- to ACTION programs. ice programs in the ACTION agency (instead of transferring them to HEW, as proposed in the version of the bill reported by the Subcommittee) would extend authorizations for these pro- grams through Sept. 30, 1979 (For R.S.V.P.: $24,000,000 for FY 1977, $28,800,000 for FY 1978, and $34,560,000 for FY 1979; for Foster Grandparent Program: $48,000,000 for FY 1977, $57,600,000 for FY 1978, and $69,120,000 for FY 1979); and would require each State agency on aging to designate a person to coordinate Title III programs and these ACTION programs for older Americans, and to act as a resource person to carry them out. The Older Americans Act of 1965, As Amended Page 8 March 17, 1975 Subject H.R. 3922, Brademas Bill, As Reported 3-14-75 S. 599, Administration Bill 15. Purchase by 15. Directs the Secretary of Agriculture, 15. No such proposal. Secretary of during fiscal years 1976 and 1977 to Agriculture of purchase high protein foods, meat, and certain products meat alternates, on the open market from Section 32 funds or funds appropriated in this section, to be used in the Title VII nutrition program. $8 million of funds appropriated for $32 are to be used for this purpose in FY'75. $10 million is authorized to be appropriated for, FY'76; if funds are not appropriate, §32 funds are to be used. 16. Amendment of other 16. Would amend Sec. 110 of the Higher 16. Proposes no amendments to acts laws Education Act, which authorizes the other than Older Americans Act Commissioner of Education to make grants of 1965, as Amended. to institutions of higher education to assist such programs in planning, developing, and carrying out programs to apply resources of higher education to the problems of the elderly, and Sec. 310 of the Adult Education Act, which pro- vides for grants to State and local educational agencies or other public or private non-profit agencies for support of educational programs for elderly persons whose ability to read and speak the English language is limited, in order to help them deal successfully with practical problems, to extend through FY 1979 special programs for the elderly authorized therein; would extend through FY 1980 the authorization of "such sums " for the Senior on Opportunities and Services program Comparison of Two Proposals To Amend The Older Americans Act of 1965, As Amended Page 9 March 17, 1975 Subject H.R. 3922, Brademas Bill, As Reported 3-14-75 S. 599, Administration Bill Continued 16. administered by the Community Services Administration (successor agency to the Office of Economic Opportunity) (and would amend the Vocational Education Act of 1963 to require that at least one- this dropped by iN Action third of the Federal funds authorized therein for consumer and homemaking education be used for special consumer ON and homemaking programs for persons aged 60 and over.> 17. Age discrimination 17. Proposes enactment of a new "Age 17. No such proposal. Discrimination Act of 1975," which would prohibit age discrimination in any program or activity receiving Federal financial assistance, but would permit exceptions where the differentiation "reasonably takes into account age as a factor necessary to the normal operation of such program or activity" or is "based upon reasonable factors other than age," and would not apply to any program or activity which provides any benefits or assistance to persons based on the age of such persons. Regulations would be developed by the agencies providing assistance, and would be approved by HEW. The Act would not be applicable to employment practices of any employer, employment agency, or labor union, except where Federal financial assistance is provided primarily for employment. HEW budget charlie Miller 245.7558 John Noble 245.6238 John Hopkins - - 245 6238 expired Je 30 75 all except Title 7 operating under contin resol. (Ie 77) The3 gants FN community 187a7es state garea agen we on agua Title H research I maning research frants Title 7 nutrition amendments new employ programs under - Labor take 9 HELO authorization nutrition : 76-200m 76 - $200 m '78 $ 275 m hHi 3". higher Than croor request hit 78 $287 m now $100m. GERALD R. FORD file Frank soschelle reyronalduc. older amer act / the III social services coordination comprehensive planning mandate adminis trature coordination AOA style #1 prob in social service : transportation paperwork required inordinate determination of eligibility for elderly mp. of nutrition programs food social fellowship spartmentom of elderly FORD & LIBRARY 938839 HEALTH fele aging - PATIENT DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE OFFICE OF THE SECRETARY USA WASHINGTON, D.C. 20201 Titk VIT Department of Human Development Administration on Aging nutrition PROGRAM INSTRUCTION AoA-PI-76-14 March 27, 1976 TO : STATE AGENCIES ADMINISTERING PLANS UNDER TITLES III AND VII OF THE OLDER AMERICANS ACT OF 1965, AS AMENDED INFO FOR : Area Agencies on Aging and Nutrition Projects. SUBJECT : Release of Additional FY 1976 Funds for the Title VII Nutrition Program. PURPOSE : The purpose of this Program Instruction is to authorize State Agencies on Aging to obligate and expend additional funds for the Title VII Nutrition Program for the elderly and to increase the authorized annual operating level to $187,500,000. CONTENT : The FY 1976 Labor-HEW Appropriations Bill became Public Law 94-206. This bill provided $125,000,000 in appropriated funds for FY 1976, plus $31,250,000 for the July-September, 1976 transition period for the Title VII, Nutrition Program for the Elderly. In addition, Congress increased the Title VII annual operating level for FY 1976 to $187,500,000. This represents an increase of $37,500,000 over the authorized operating level of $150,000,000 previously issued by PI-76-4, dated September 22, 1975. Attachment A, Column 1 of this Program Instruction sets forth the revised operating level for each State for FY 1976 based on the new operating level of $187,500,000. This Program Instruction officially releases additional FY 1976 funds in the amount of $37,500,000. This amount plus the $50,400,000 in FY 1976 appropriations released by PI-76-4 provides $87,900,000 in appropriated funds for FY 1976 now available for funding the FY 1976 Nutrition Program under Title VII. (See Attachment A, Column 3.) This $87,900,000 together with the $99,600,000 of FY 1975 funds released to the States by PI-75-21 now authorizes a total of $187,500,000 in appropriated funds available for obligation to reach the $187,500,000 operating level in FY 1976. The release of the $37,500,000 for use in FY 1976 may result in some States carrying over for future use significant dollar balances. -2- States are prohibited from utilizing these funds in such a manner as to increase for future years their operating levels above their formula share of $187,500,000. A violation of this prohibition could lead to a State being required at some point in the future to reduce the levels of its operating programs. Attached is a chart which explains how the Fiscal Year appropriations are distributed to support the $187,500,000 operating level. (See Attachment B before reading further.) You will note that the FY 1976 operating level of $187,500,000 is supported by the FY 1975 appropriation of $99,600,000 forward funded for use in FY 1976 and $87,900,000 of the FY 1976 appropriation. The July-September 1976 transition period operating level of $46,875,000 will be supported by $37,100,000 of the FY 1976 appropriation forward funded into the transition quarter and $9,775,000 of the July-September, 1976 transition period appropriation. This will leave $21,475,000 of the July-September 1976 transition period appropriated funds to be forward funded for use in FY 1977. The President's original budget request for $24,900,000 in the July-September 1976 transition period and $88,000,000 for FY 1977 were predicated on phasing out forward funding in FY 1977. These sums would have provided dollar for dollar support of the then $150,000,000 operating level with appropriated funds through September 30, 1977. It is still the intention of the Administration to eliminate forward funding by the end of FY 1977 and to convert to an annual funding mode for the Title VII - Nutrition Program in FY 1978. Program Instruction 76-4 allocated $50,400,000 of FY 1976 funds for use in FY 1976. This Program Instruction releases an additional $37,500,000 of FY 1976 funds for use in FY 1976. The remaining $37,100,000 of FY 1976 appropriations and the July-September 1976 transition period funds of $9,775,000 will be released for use in the July-September, 1976 transition period prior to July 1, 1976. The remaining $21,475,000 will be released for use in FY 1977 prior to October 1, 1976. THIS IS AN OFFICIAL AWARD DOCUMENT. The FY 1976 funds authorized by Attachment A under Column 3 are available for obligation and expenditure by State Agencies as of this date. State Agencies should note that Fiscal Year 1975 funds must be reported on the Financial Status Report (Form 601T) against the FY 1975 appropriations and -3- Fiscal Year 1976 funds must be reported against the FY 1976 appropriations on all fiscal reports regardless of the year in which they are expended. FY 1976 funds allotted to the States will be available for obligation by the States through September 30, 1977. The July-September 1976 transition period funds will also be available for obligation by the States through September 30, 1977. The reallotment process for FY 1976 and the July-September, 1976 transition period funds for Title VII will take place during the July-September, 1976 transition period. PROGRAM GUIDANCE The law and regulations set forth that preference shall be given to projects serving primarily low-income individuals, and that to the extent feasible, grants will be awarded to projects operated by and serving the needs of minority individuals at least in proportion to their numbers of the eligible individuals in the State. This large increase in operating level for the program gives each State an opporturnity to improve its performance in serving low-income and minority persons through the Title VII program. State Agencies, therefore, must assure that the elderly living in all geographic areas of the State having high concentrations or proportions of low-income or minority older persons have ready access to a Title VII project before projects are initiated in other geographic areas. Similarly, expansion of existing projects should be based on outreach activities designed to make sure that low income and minority older persons within the project area, who are often times isolated and cut off from society, know about the program and have been given an opportunity to participate in it. No later than May 1 States should file, after consultation with State Advisory Councils, with the Director of the Regional Offices on Aging, a statement relative to their plans for the utilization of these additional funds. The Administration on Aging will not act formally on these plans but will regard them as a part of the monitoring and assess- ment process and will use them as a basis for raising -4- and discussing issues with the States. States should follow similar procedures with Area Agencies and Nutrition Project Agencies including a requirement of consultation with appropriate Area and Nutrition Project Advisory Councils. INQUIRIES : State Agencies should address inquiries to Directors, Office of Aging, Regional HEW Office. Area Agencies on Aging should address inquiries to their grantor (State Agency on Aging or Area Agency on Aging) Title VII Nutrition Projects should address inquiries to their grantor (State Agency on Aging or Area Agency on Aging) Gitt dr. Arthur S. Flemming Commissioner on Aging Attachments A and B ATTACHMENT-A REVISED OPERATING LEVEL AND AUTHORIZED FUNDING LEVEL FOR THE TITLE VII NUTRITION PROGRAM FOR FISCAL YEAR 1976 UNDER THE OLDER AMERICANS ACT OF 1965, AS AMENDED. THE $87,025,000 IN COLUMN 3 IS AVAILABLE NOW FOR OBLIGATION. THIS IS AN OFFICIAL AWARD OF FUNDS. (Note: The Allotment Table in PI-76-14 supersedes the Allotment Table in PI-76-4) Revised Authorized Authorized Operating FY-75 Funds for FY-76 Funds for Level use in FY-76 use in FY-76 (PI-76-14) (PI-75-21) (PI-76-14) Column 1 Column 2 Column 3 Total 56 "States" $185,625,000 $98,600,000 $87,025,000 Alabama 2,971,296 1,566,030 1,405,266 Alaska 928,125 493,000 435,125 Arizona 1,720,227 836,260 883,967 Arkansas 2,079,313 1,102,485 976,828 California 16,160,931 8,453,431 7,707,500 Colorado 1,678,630 883,241 795,389 Connecticut 2,573,105 1,356,182 1,216,923 Delaware 928,125 493,000 435,125 District of Columbia 928,125 493,000 435,125 Florida 9,625,386 4,729,411 4,895,975 Georgia 3,423,918 1,800,935 1,622,983 Hawaii 928,125 493,000 435,125 Idaho 928,125 493,000 435,125 Illinois 9,232,285 5,020,693 4,211,592 Indiana 4,202,679 2,255,083 1,947,596 Iowa 2,785,559 1,519,049 1,266,510 Kansas 2,180,823 1,174,523 1,006,300 Kentucky 2,903,623 1,547,238 1,356,385 Louisiana 2,755,763 1,472,068 1,283,695 Maine 965,139 516,790 448,349 Maryland 2,790,045 1,472,068 1,317,977 Massachusetts 5,258,489 2,840,779 2,417,710 Michigan 6,540,992 3,507,908 3,033,084 Minnesota 3,364,077 1,810,331 1,553,746 Mississippi 1,957,921 1,042,976 914,945 Missouri 4,622,853 2,505,648 2,117,205 Montana 928,125 493,000 435,125 DM Nebraska 1,473,723 801,808 671,915 Oh C Nevada 928,125 493,000 435,125 New Hampshire 928,125 493,000 435,125 New Jersey 6,199,314 3,304,324 2,894,990 New Mexico 928,125 493,000 435,125 New York 16,291,650 8,951,428 7,340,222 North Carolina 3,946,332 2,051,500 1,894,832 North Daketa 928,125 493,000 435,125 Ohio 8,493,377 4,569,677 3,923,700 Oklahoma 2,589,498 1,378,107 1,211,391 Oregon 2,035,758 1,064,901 970,857 Pennsylvania 11,013,262 5,900,802 5,112,460 Rhode Island 928,125 493,000 435,125 South Carolina 1,852,762 964,674 888,088. South Dakota 928,125 493,000 435,125 Tennessee 3,477,673 1,835,387 1,642,286 Texas 9,100,516 4,760,732 4,339,784 Utah 928,125 493,000 435,125 Vermont 928,125 493,000 435,125 Virginia 3,429,062 1,788,407 1,640,655 Washington 2,833,831 1,497,125 1,336,706 West Virginia 1,685,910 905,165 780,745 Wisconsin 3,999,623 2,136,065 1,863,558 Wyoming 928,125 493,000 435,125 American Samoa 464,062 246,500 217,562 Guam 464,062 246,500 217,562 Puerto Rico 1,631,532 895,769 735,763 Trust Territory 464,062 246,500 217,562 Virgin Islands 464,062 246,500 217,562 $1,000,000 of FY 1975 funds and $875,000 of the FY 1976 funds have been retained for Federal program evaluation. Administration on Aging 13.635 Office of Human Development DEPARTMENT OF HEALTH, EDUCATION AND WELFARE MARCH, 1976 ATTACHMENT B ADMINISTRATION ON AGING TITLE VII - NUTRITION PROGRAM FOR THE ELDERLY APPROPRIATIONS IN SUPPORT OF THE OPERATING LEVEL FY 74 FY 75 FY 76 July-Sept. Operating level 100,000,000 150,000,000 1/ 187,500,000 46,875,000 Appropriations 1973 100,000,000 100,000,000 1974 99,600,000 99,600,000 1975 125,000,000 25,400,000 99,600,000 1976 125,000,000 87,900,000 37,100,000 J-S, 76 31,250,000 9,775,000 21,475,000 1/ The FY 1975 authorized operating level was $150,000,000. However, $125,000,000 was allotted to the States to reach the annualized $150,000,000 operating level by June 30, 1975. 2/ Amount available for use in FY 1977 (Forward Funding). Chicago Tribune Monday, March 22, 1976 file-aging Caring for the aged and indigent Medicare and Medicaid are financing inspection, the prospect of government- not only the health needs of the aged run nursing homes is not inviting. Direct and the indigent but also the greed of government management of nursing shrewd and unscrupulous people. Here homes is a last resort which well fi- in Chicago, seven nursing home owners nanced and well staffed inspection FORD LIBRARY y CERALD Pr Dave Sergen Nuxon A6/N6 message Richard Nixon, 1972 Mar. 23 [100] Consortium for Aid to Turkey has pro- tion of world peace. The Prime Minister vided an efficient multilateral mechanism said that Turkey, on her side, encourages to this end. Both agreed that this and other and supports efforts for peace in her region endeavors in multilateral institutions and is constantly improving her good rela- should continue and be further enhanced. tions with her neighbors. The President also said the U.S. would President Nixon and Prime Minister continue its financial support of Turkey Erim agreed that it is important that there in its efforts to reach its declared goal of be a just settlement of the Cyprus problem vigorous, self-sustaining economic growth. which would contribute to the wellbeing The President described his China trip of the concerned parties and to peace in and discussed his upcoming trip to the the Eastern Mediterranean. Proceeding Soviet Union. The Prime Minister indi- from the binding effects of existing treaties cated that Turkey has followed with ad- and recognizing the beneficial peacekeep- miration the efforts of the President to ing role of the United Nations, it was strengthen the peace of the world. He agreed that such a settlement can best be emphasized his belief that the visits of reached through negotiation by the con- President Nixon to Peking and Moscow cerned parties. will have a special bearing on the promo- NOTE: See also Items 95 and 98. 100 Special Message to the Congress on Older Americans. March 23, 1972 To the Congress of the United States: objectives which the White House Con- When I addressed the White House ference set forth. I pledge that this Conference on Aging last December, I momentum will be sustained as we follow pledged that I would do all I could to through on these initiatives and as we make 1972 a year of action on behalf of keep other recommendations of the White older Americans. This message to the House Conference at the top of our Congress represents an important step in agenda, under continuing review. fulfilling that promise. This message, then, does not represent Many of the actions which are outlined the last word I will have to say on this im- in this message have grown out of con- portant subject. It does, however, identify cerns expressed at the White House Con- those administrative steps which we are ference and at related meetings across the taking immediately to help older Ameri- country. The message also discusses a cans, along with a number of legislative number of steps that have already been initiatives which should be of highest taken or that were announced at an earlier priority on this year's Congressional date. All of these actions are part of our agenda. comprehensive strategy for helping older We often hear these days about the Americans. "impatience of youth." But if we stop to The momentum which has been gen. think about the matter, it is the elderly erated by all these steps-old and new- who have the best reason to be impatient. will move us toward the great national As so many older Americans have candidly 461 87-234-74-33 FORD is LIBRARY GERALD [100] Mar. 23 Public Papers of the Presidents told me, "We simply do not have time to The sense of separation which has wait while the Government procrastinates. characterized the lives of many older For us, the future is now." I believe this Americans represents a great tragedy for same sense of urgency should characterize our country. In the first place, it denies the Government's response to the concerns many older citizens the sense of fulfillment of the elderly. I hope and trust that the and satisfaction they deserve for the con- Congress will join me in moving forward tributions they have made throughout in that spirit. their lifetimes. Secondly, it denies the country the full value of the skills and in- A COMPREHENSIVE STRATEGY FOR sights and moral force which the older MEETING COMPLEX PROBLEMS generation is uniquely capable of offering. The major challenge which confronts The role of older people in American us, then, as we address the problems of life has changed dramatically in recent older Americans is the new generation gap decades. For one thing, the number of which has emerged in this country in Americans 65 and over is more than six recent decades between those who are over times as great today as it was in I900— 65 and those who are younger. The way to compared to less than a 3-fold increase bridge this gap, in my judgment, is to stop in the population under 65. In 1900, one treating older Americans as a burden and out of every 25 Americans was 6₅ or over; to start treating them as a resource. We today one in ten has reached his 65th must fight the many forces which can birthday. cause older persons to feel dependent or While the number of older Americans isolated and provide instead continuing has been growing so rapidly, their tradi- opportunities for them to be self-reliant tional pattern of living has been severely and involved. disrupted. In an earlier era, the typical If we can accomplish this goal, our en- American family was multigenerational- tire Nation will reap immense benefits. As grandparents and even great-grandpar- I put it in my speech to the White House ents lived in the same household with their Conference on Aging, any action children and grandchildren, or at least which enhances the dignity of older Amer- lived nearby. In recent years, however, icans enhances the dignity of all Ameri- the ties of family and of place have been cans, for unless the American dream comes loosened-with the result that more and true for our older generation, it cannot more of our older citizens must live apart be complete for any generation." or alone. The rapid increase in mandatory From its very beginnings, this Admin- retirement provisions has compounded istration has worked diligently to achieve this trend toward isolation. Under such this central objective. To assist me in this conditions, other problems of older per- effort, I established a special task force on sons such as ill health and low income have aging in 1969. In that same year, I become even more burdensome. And all elevated the Commissioner on Aging, John of these difficulties are intensified, of Martin, to the position of Special Assistant course, for members of minority groups to the President on Aging, the first such and for those who are blind or deaf or position in history. Later, I created a new otherwise handicapped. Cabinet-level Committee on Aging, under 462 GERALD R. FORD HEALTH. OF DISUCATION. file aging ONY RTMENT DEPARTMENT DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE OFFICE OF THE SECRETARY U.S.A. WASHINGTON, D.C. 20201 Office of Human Development Administration on Aging DRAFT TECHNICAL ASSISTANCE MEMORANDUM AoA-TA-76- 27 March 15, 1976 TO : STATE AGENCIES ADMINISTERING PLANS UNDER TITLES III AND VII OF THE OLDER AMERICANS ACT OF 1965, AS AMENDED INFO FOR : Area Agencies on Aging and Nutrition Projects SUBJECT : Adult Day Care Services: Concept and Financing Sources CONTENT : The purpose of this memorandum is to transmit to State Agencies on Aging a draft technical assistance memorandum on day care services for older persons. The draft memorandum discusses the concept of day care services and several funding sources for this form of care for older persons. We are interested in your comments on the attached draft document, including any information you may wish to forward relative to day care programs operating within your State, such as current funding sources and standards which have been developed for day care pro- grams. After comments have been received, a final document will be issued incorporating further information on funding sources, specific day care programs, and other information generated by State and area agencies. A summary of the contents of the attached draft Technical Assistance Memorandum follows: I. INTRODUCTION FORD i LIBRARY GERALD The purpose of this memorandum is to discuss day care services for older persons and to indicate how various Federal interagency agreements developed by the Administration on Aging may represent a tool to assist State and area agencies on aging in establishing relationships with other agencies whose resources may be utilized to develop and support day care services. II. CONCEPT OF ADULT DAY CARE Adult day care is not a new concept of care but is considered to be an innovative way to organize medical, health and/or health- related social services for older and disabled adults. Day care - 2 - programs have not developed on a large scale, nor in a unified fashion in the United States. Generally, models of day care are characterized by the mix of medical/health care components and social service components available in the program, the types of participants to be served and the types of staff involved in the program. III. PLANNING AND FINANCING OF DAY CARE SERVICES State and area agencies, having identified the need for day care services, may wish to include funding for the services as part of their annual plans on aging, or to pool potential resources from other sources into a combined funding package. 1. Medicaid--Title XIX of the Social Security Act 2. Social Services Program for Individuals and Families--Title XX of the Social Security Act 3. Medicare--Title XVIII of the Social Security Act Appendix A--Research and Demonstration Projects on Day Care Services; Proposed Regulations Setting Forth the Scope of Services to be Provided in Research and Demonstration Projects (as published in the Federal Register) Other Recommended Standards for Day Care Providers Appendix B--Clinic Services under Medicaid Appendix C--Adult Day Care Services under Title XX Comprehensive Annual Service Plans (CASP) INQUIRIES: State Agencies should address inquiries to Director, Office of Aging, Regional HEW Office. Area Agencies on Aging should address inquiries to State Agencies on Aging. Title VII Nutrition Projects should address inquiries to their grantor (State Agency on Aging or Area Agency on Aging). Arthur S. Flemming Commissioner on Aging Enclosure DRAFT TECHNICAL ASSISTANCE MEMORANDUM AoA-TA-76- TO : STATE AGENCIES ADMINISTERING PLANS UNDER TITLES III AND VII OF THE OLDER AMERICANS ACT OF 1965, AS AMENDED INFO FOR : Area Agencies on Aging and Nutrition Projects SUBJECT : Adult Day Care Services: Concept and Financing Sources CONTENT : I. Introduction The purpose of this memorandum is to discuss the concept of day care services for older persons and to indicate how various Federal interagency agreements developed by the Administration on Aging may represent a tool to assist State and area agencies on aging in establishing relationships with other agencies whose resources may be utilized to develop and support day care services. Adult day care, although a relatively underdeveloped option in the continum of long-term care for older persons, is becoming of increasing importance as a modality of care for preventing, shortening, or delaying the need for institutionalization. This type of care is supported by the view that individuals in need of medical, health, and/or health-related social services should remain in the community as long as possible. During the last several years the emphasis placed on the development of institutional care, as fostered under Medicare and Medicaid reimbursement mechanisms, has been reevaluated and efforts have been made to investigate the potential of non-institutional based services - 2 - for meeting the medical, health and social service needs of older persons. The Department of Health, Education, and Welfare has sponsored limited programs of research and demonstration in the area of day care. While some of these demonstration projects are currently in process, the results of some demonstration efforts are now available. The Administration on Aging wishes to com- municate to State agencies on aging background information on day care services and funding potential which currently exists to support these services. Indication will also be made as to the current research and demonstration efforts in the area of day care which may affect Federal policy decisions regarding expansion of the benefit under existing health care programs. II. Concept of Adult Day Care Adult day care is not a new concept of care. Services in a day care facility were first instituted in the USSR in 1932 for psychiatric patients as part of a program of out-patient services. This modality of care has existed in the English-speaking world since 1946 when day care facilities for psychiatric patients were established in Montreal and London. During the next decade, geriatric day hospitals developed. Most of the experience with day care hospitals for the mentally ill and elderly to date has occurred in the United Kingdom; thus, the British system of day - 3 - care focusing primarily on a strong medical component has served as a model for other countries. The rationale for day care centers as they were originally conceived for the mentally ill was that some patients needed more care than could be provided in an out-patient facility but could be maintained with supervision by a caretaker at home during the evening. The development of day care for the mentally ill occurred because of the spiraling costs of hospital stays and increased costs of construction and operation of new facilities as well as the recognition that the room and board function of the hospital represented a significant portion of total in-patient operating costs. Many of these same reasons have prompted the development of day care facilities in the United States. It is clear that the term "day care" is a generic one, and that day care programs for adults have not developed in a unified fashion in the United States. Various terminology is used to describe this service - adult or geriatric day care, therapeutic day care, day treatment services, day health care, senior improvement services, day hospital care. The purpose, organization, kinds of participants, setting, program content and structure differ markedly in day care programs currently in operation. The care provided in current - 4 - programs may range from active rehabilitation to health maintenance to provision of one or more social or health-related social services. It is clear that day care services are but one component of the continuum of long-term care which stretches from full institution- alization to the provision of one or more medical, health and/or health-related social services to older and disabled persons. Day care may be described as one means of bridging the gap between the institution and the community, and although the service components which comprise a day care program are not new services, day care is considered to be a new way to organize medical, health and/or health-related social services for older and disabled adults. Day care is differentiated from other modalities of care: it disassociates itself from the 24-hour care-taking responsibility of the institution; it differs from out-patient clinic services in terms of frequency and duration of visits and types of services Moreover, it offers a broader range of therapeutically-oriented services than are normally available in a senior center. This modality of care recognizes that for many older persons social problems will continue long after the acute or immediate medical disability and that in many cases it is difficult to disassociate the medical and social service components of care. Individuals who need a program of health and social services provided at a community-based facility on a part-time basis and who can reside - 5 - in their own homes or in a self-care facility the remainder of the time may be candidates for a day care program. Participants may spend from several hours to a full eight hours in the day care facility for a period of one to seven days a week, depending upon their needs. Although there is a lack of consistency in the organization of day care programs which are currently operational, due in part to modes of reimbursement, attempts have been made to conceptualize various models of day care programs. Generally, the models are characterized by the mix of medical/health care components and social service components available in the program, the types of participants to be served, and the types and number of staff involved in the program. There seems to be no hard and fast categorization of programs and their elements. One conceptual- ization distinguishes a medical/health care model from a social services model. The medical/health care model while offering some social services places a greater emphasis on provision of medical/health and rehabilitation services, such as nursing services, physical, occupational, and speech therapies to a group of participants who have significant functional impairments. The social services model places greater emphasis on social and health-related services (e.g. recreational activities, activities of daily living, and health and nutritional counseling) rather than on strictly medical services. Participants in this model of day care would have relatively limited functional impairments. - 6 - A recent study has attempted to describe various aspects of ten currently operating day care programs. 1/ In this survey two models were described, one with a heavy emphasis on health and rehabil- itative services, the other providing daytime supervision and maintenance care for less impaired adults. The average size of the ten programs is small, with average daily attendance at 37.6 during the sample months. (Attendance ranged from 11 to 115 participants.) All but one program operate 5 days a week, with one program operating 7 days a week. One program is a free- standing facility; the rest are affiliated with another institution. All programs employ professional health care staff, including nursing staff and therapists, and most programs have a professionally trained staff member in charge of social services. One program provides in-home services rendered by a homemaker/home health aide. In terms of patient assessment and admission requirements for the day care programs described in this study, most programs require that there be a medical need for day care services. Average per diem cost of nine of the programs was approximately $21, but the range of per diem costs was from $11.26 to $33.67 for the nine programs. Personnel costs account for 70% of the total costs in nearly every program, which is consistent with the pattern found in hospitals and nursing homes. 1/ "Adult Care in the U.S., A Comparative Study." Prepared for the National Center for Health Services Research Division of Health Services Evaluation, DHEW, by Trans-Century Corporation, Washington, D.C., June 30, 1975. - 7 - Implicit in any discussion of long-term care service components is a discussion of relative costs. The debate about whether or not one type of care component will be more or less cost- effective than another will continue. However, many factors must be taken into account when analyzing the cost of day care vis a vis other modalities of care, such as the constellation and intensity of service components included in the program, nature of the participants, type and number of staff per patient. Cost evaluation and cost-effectiveness should be judged comparatively within a certain geographic area. A day care program may be less costly than nursing home care in one area of the country or within a State, but more costly than the nursing home care in another part of the country or State depending upon capital expenditure costs, interest rates, salary levels, etc. One factor to be emphasized in eval- uating the comparative costs of day care per patient is the frequency of participation in the program. This is, if an individual participates in a day care program only three or four times a week, the costs for his/her care over a period of a month may be less than for a similar patient who is being treated in a nursing home. An additional factor to be considered is that the day care facility may operate more efficiently because of its ability to serve more patients per month than the nursing home. It should be noted that the costs of transportation to and from the day care program may represent a significant portion of the total program costs. - 8 - There are no uniformly applied standards for day care programs although some States have attempted to set guidelines for the operation of day care programs. In connection with certain research and demonstration projects on day health care currently being conducted by the Department of Health, Education, and Welfare, general regulations containing guidelines for the demonstration projects have been developed. In addition, the Medical Services Administration, the Federal agency administering the Medicaid program, has described recommended standards and procedures which should be required of day care provider organizations. (See Appendix A) In the development of a day care program, emphasis should be placed on high quality of care standards and adequate physical plant requirements which meet State and local codes. III. Planning and Financing Adult Day Care Services This section will describe how State and area agencies on aging may work cooperatively with other agencies to develop day care services. The State agency may wish to use the interagency agreements developed by the Administration on Aging at the Federal level as tools to assist in interagency coordination around this specific service. The funding sources for day care services emanate from a variety of programs and are not organized into a single comprehensive package. Admittedly, one of the reasons why day care has not - 9 - developed on a large scale in the United States is due to the lack of a consistent and firmly-established funding source. State and area agencies on aging are in a unique position to plan for the development of the day care services package with other health and social service planners and to describe the need for such a service. Through the results of planning activities the State and area agencies may identify the services needs of older persons relative to the long-term care continuum in order to point out the need for the establishment of a broader range of care options. A variety of data sources may be utilized in this kind of planning effort, such as waiting lists for long-term care facilities, hospital and long-term care facility discharge planning needs, home health and homemaker service requests, and information developed by State health planning and development agencies, etc. State and area agencies, having identified the need for day care services, may wish to include funding for the service as part of their annual plans on aging. They may also wish to pool potential resources from other sources into a combined funding package. The following is a discussion of potential funding sources other than Title III and Title VII which State and area agencies may investigate to establish a day care services package. Indication is made of the applicable Administration on Aging interagency - 10 - agreement which can be used by State and area agencies as a tool to assist in developing cooperative funding, staffing, or other resource development arrangements. Two potential funding sources for day care programs under current Federally-sponsored programs exist under Medicaid--Title XIX of the Social Security Act, and under the Social Services Program for Individuals and Families-- Title XX of the Social Security Act. Generally, day care programs receiving funding through medical care programs such as Medicaid would fall into the medical/health care model of day care, while programs sponsored under social services programs, such as Title XX would fall into the social services model of day care. This does not imply, however, that joint funding through Medicaid and Title XX cannot occur. 1. Medicaid - Title XIX of the Social Security Act; Agreement: Agreement between the Administration on Aging and the Medical Services Administration on Improved Services for the Elderly, December 23, 1974. (AoA-IM-75-43) Medicaid, authorized under Title XIX of the Social Security Act, is a State-administered program of medical assistance for aged, blind, and disabled persons, and members of families with dependent children, who meet certain eligibility - 11 - criteria, including State-established income and resource limitations. Each State must provide the following medical and health services: in-patient hospital services, out-patient hospital services, laboratory and X-ray services, physician's services, skilled nursing home services for individuals 21 years of age or older, home health services for individuals 21 years of age or older, and early and periodic screening, diagnosis, and treatment of individuals under 21 years of age. In addition to this basic core of services, a State may provide a range of optional services such as freestanding clinic, dental services, prescribed drugs, and physical therapy and related services. State Medicaid agencies receive from 50% to 83% in Federal matching funds for medical services provided to Medicaid-eligible patients. Administrative costs are reimbursed with 50% Federal matching funds. The State Medicaid agency may establish a mechanism for the reimbursement of a day care program providing medical and health services to Medicaid-eligible individuals. In order to establish a day care program with Medicaid reimbursement it is required that there be adequate assurance that the program focus on active medical and health-related treatment of the day care participants and not merely maintenance care; that is, - 12 - model of day care is to be geared toward a medical/health i del of care with physician and nursing involvement as well as social service involvement. Given this program structure, a State Medicaid agency may opt to "fit" its day care program under two existing Medicaid service benefits: (a) outpatient hospital services or (b) clinic services. a. Outpatient hospital services Outpatient hospital services are required to be part of the service package under a State's Medicaid plan. Out-patient hospital services are defined in Federal Medicaid program regulations (45 CFR 249.10(b) (2)) as: "those preventive, diagnostic, therapeutic, rehabilitative, or palliative items or services furnished by or under the direction of a physician or dentist to an out-patient by an institution which is licensed or formally approved as a hospital by an officially designated State standard- setting authority and is qualified to participate under Title XVIII of the Social Security Act, or is determined currently to meet the requirements for such participation." A facility which seeks to obtain Medicaid reimbursement for a day care program must (1) be licensed or formally approved to provide out-patient hospital services by an officially designated State standard-setting authority and (2) be certified as a Medicaid provider. Although the diagnostic, remedial, preventive, rehabilitative and ancillary health-related services considered as appropriate under a day care program are more frequent and are of longer - 13 - duration than the acute, episodic care ordinarily provided in an out-patient clinic, reimbursement for day care is possible under this Medicaid benefit. b. Clinic services A second Medicaid service benefit under which a State Medicaid agency may wish to "fit" a day care program is "clinic services." This is an optional benefit which the State Medicaid agency may wish to include in its State Medicaid plan. Currently, 41 States provide for this benefit in their approved State Medicaid plans. (See Appendix B) Clinic services are defined in Federal Medicaid program regulations (45 CFR 249.10(b) (2)) as: "preventive, diagnostic, therapeutic, rehabilitative, or pallative items or services furnished to an out- patient by or under the direction of a physician or dentist in a facility which is not part of a hospital but which is organized and operated to provide medical care to out-patients." A clinic as defined here is meant to include free-standing facilities which are not part of a hospital or other health- related facility. If a State has set up standards and definitions for clinics which would provide the kinds of services under a day care program, the services in the day care program offered to Medicaid eligible individuals could be reimbursed through the State's Medicaid program. It - 14 - should be emphasized that if a State Medicaid agency intends to provide day health care services under the clinic services option, it should protect this option from quality-dilution abuses, and should not approve payment under this option without setting up standards for a day care program. Once the structure for the day care program has been established, the program may include the following services which would be made available to the participant according to his/her needs: 1. Medical services supervised by a physician which emphasize prevention, treatment, rehabilitation and continuity of care and also provide for maintenance of adequate medical records. 2. Nursing services rendered by professional nursing staff which periodically evaluates the particular nursing needs of each patient and provides the care and treatment that is indicated. 3. Diagnostic services in addition to initial screening are provided or arranged for. These include clinical laboratory, X-ray and other diagnostic services. 4. Rehabilitation services a. Physical therapy as prescribed by a physician, and appropriate to meeting the ambulatory needs of the patient. b. Speech therapy for patients with speech and language disorders. C. Occupational therapy as an adjunct to treatment designed to restore impaired function of patients with physical and mental limitations. - 15 - d. Inhalation therapy for chronic obstructive airway disease patients. 5. Provision for obtaining medications. 6. Podiatric services provided or arranged for under direction of the supervising physician. 7. Optometric screening and advice for low vision cases by a licensed ophthalmologist or optometrist provided or arranged for. 8. Self care services oriented toward Activities of Daily Living (ADL) and personal hygiene. This includes toileting, bathing, grooming, etc. 9. Dental service - The program assists its patients in obtaining regular and emergency dental care. Consultation by an advisory dentist should be available. 10. Social work services to patients and their families to help with personal family and adjustment problems which interfere with the effective use of treatment. 11. Recreational therapy in a program planned to meet the psychological and social needs and interests of the patient. 12. Dietary services with meals of suitable quality and adequate quantity to attain and maintain nutritional requirements including special diets. Dietary counseling and nutrition education for the patient and his family is a necessary adjunct of this service. 13. Transportation service for patients to and from their homes utilizing specially equipped vehicles to accommodate patients with severe physical disabilities that limit their mobility. All of the above services would be combined into a day health care service package cost and payment rates would be estab- lished by the State Medicaid agency. The Federal matching percentages would be as follows: administrative services would be reimbursed with 50% Federal financial participation; medical - 16 - and all other health-related services would be reimbursed at the rate established for any other service included under the State Medicaid plan. (This rate ranges from 50% to 83% Federal matching, depending upon the State per capita income.) Applicable Federal and State regulations and policies must be observed when setting up payment rates. Coordination with the State Medicaid Agency The State agency on aging, on behalf of an area agency on aging, or any other agency or group, wishing to provide support for a day care program, must establish a relationship with the State agency administering the Medicaid program which will determine the acceptability of the day care provider to receive Medicaid reimbursement. A State may wish at first to limit the extent to which the day care service program is developed through- out the State in order to gain experience as to the type and amount of services to be included in the program and the relative costs of the program. A State Medicaid agency wishing to test the day care program on a pilot basis, e.g., limiting it to a certain geographic area(s), may request of the Department of Health, Education, and Welfare authority to conduct a demon- stration project under Section 1115 of the Social Security Act. Section 1115 of the Social Security Act allows State agencies established under the Social Security Act to conduct demonstra- tion projects by allowing a waiver of certain State plan requirement, such as the requirement for Statewideness (i.e., - 17 - that services under the program be in effect in all political subdivisions of the State). Approval of authority to conduct a demonstration project under Section 1115 will allow for Federal matching of expenditures accrued by the demonstration project at the same matching rate which would ordinarily be allowed under the State program. 2. Title XX of the Social Security Act; Agreement: Joint Working Agreement between the Administration on Aging of the Office of Human Development and the Public Services Administration (formerly the Community Services Administration), Social and Rehabilitation Service, July 30, 1975 (AoA-IM-76-15) Under Title XX of the Social Security Act, there is substantial opportunity for the funding of day care programs as long as day care services are included as a specific service, or the service components of such a program are included individually, in the State's Title XX Comprehensive Annual Services Program Plan (CASP). A day care program supported by Title XX may be directed at any of the following services goals included under the Title XX program: (1) achieving or maintaining self-support to prevent, reduce or eliminate dependency; (2) achieving or main- taining self-sufficiency, including reduction or prevention of dependency; (3) preventing neglect, abuse, or exploitation of adults; or (4) preventing or reducing inappropriate institutional care by providing community-based care. - 18 - It should be emphasized that Title XX funding of a day care program will be primarily directed toward the social service components of such a program, including the following: social work evaluation and counseling recreational activities, including those with a therapeutic goal, such as reality orientation nutritional services, including food, and its preparation and serving transportation educational and training activities It is possible to use Title XX funds to support the medical/ health components in a day care program but only under certain specified conditions. Title XX program regulations (Section 228.40, minor medical and remedial care) states the following: "FFP (Federal matching) is not available for medical care, other than family planning services, except when it is an integral but subordinate part of a service described in the services plan, and the medical and remedial care is not available to the individual under the State's approved title XIX (Medicaid) plan and to the extent the individual or the provider is not eligible to receive payment under title XVIII (Medicare) for the provision of the service to the individual." Medical or remedial care is considered to be an "integral but subordinate" part of a social service when the following condi- tions are in effect: (1) the social service cannot be provided - 19 - effectively without the essential medical or remedial component; (2) recipients of the service usually receive the medical or remedial component; (3) the medical or remedial component does not exceed 25 percent of the total cost of providing the service of which it is a part. The medical or remedial component of the social service must be included in the definition of the service in the Comprehensive Annual Services Program Plan (CASP). The estimated expenditures for adult day care services represent only 1.7% (or approximately $32 million) of the total Fiscal Year 1976 Title XX expenditures as estimated by States. Thirty- seven States included day care services for adults as an identifiable service in their final Title XX State plans. Twenty- six of these States are providing adult day services on a statewide basis (See Appendix C). The estimated number of individuals to be served is 70,209. The services provided in these day care programs include meals, health care, education and training activities, recreation and socialization activities, and transportation. Licensed day care centers operated by public and private providers is the common mode of delivery of this care. The use of family day care homes was described by 10 States as the delivery mode. - 20 - er Coordination with the State Title XX Agency A requirement for the Fiscal Year 1975 State plans on aging (S) related to the development of an interagency agreement on the part of each State Agency on Aging with the State agency administering the Title XX program in the State. State agencies on aging which have already developed agreements may wish to continue their efforts in coordination with the State agency administering the Title XX agency by focusing on developing or expanding day care services for older persons; States which are in the process of initiating agreements may wish to include in the agreements a joint programming objective relative to day care services. at & no gathlvorq 10 sd 03 alaubivibut lo (0 vab behivorg at bevies bas notissilsloos bris subblvorq adeving brin atidug vd vab beansoll vllmst to 98.0 sdT .9330 abds to gravileb to obom nommon side et .abom 88 01 bedtrossb asmed 9180 vab - 21 - 1/ 3. Medicare - Title XVIII of the Social Security Act Medicare has some potential for reimbursement of medical/ health services provided within a day care program; however, the Medicare reimbursement mechanism does not recognize day care as a separate identifiable service for its beneficiaries. In order for Medicare to provide reimbursement for services to patients in a facility providing day care services, the following must be met: Patient/Beneficiary: The patient must be certified for Part B of Medicare (Medical Insurance). Facility: The facility providing services must be a certified Medicare provider - a hospital, out-patient department of a hospital or skilled nursing home, or a free-standing clinic which is certified for out- patient services. Covered Services: Services which may be reimbursed include the following: physician services, professional nursing services, rehabilitation therapies, including physical, speech, and occupational therapies, laboratory and radiology services, and (under certain conditions) durable medical equipment. 1/ The Administration on Agin° does not have a specific agreement with the Social Security Administration relating to the Medicare program al though the Administration on Aging and the Social Security Administration are represented on DHEW interagency Task Forces on long-term care services. - 22 - In order for a patient to receive these services, the patient must be in need of active rehabilitative care under a plan of treatment with definite care goals. (Care which may be classified as maintenance is not reimbursable.) Costs for administrative and social work services are not separately reimbursable except as they may be allocated toward cost centers for the provision of one of the services identified above. The deductible and co-payment charges for Medicare Part B services are applicable to any such services delivered in a day health care setting. A State agency on aging, on behalf of an area agency on aging, or any other agency or group, wishing to investigate the potential for establishing reimbursement through Medicare for services to Medicare (Part B) beneficiaries in a day care setting meeting Medicare requirements is encouraged to contact the Bureau of Health Insurance/Social Security Administration offices, located in the HEW Regional Offices. Regional Offices on Aging may assist State Agencies on Aging in this regard. APPENDIX A Research and Demonstration Projects on Day Care Services The Social Security Amendments of 1967 and 1972 authorize the Secretary of Health, Education, and Welfare to undertake experiments and demonstrations which will assist the Secretary in making recommendations to Congress for changes in the methods of financing health care and services. The Social Security Amendments of 1972 (specifically, Section 222(b) of P.L. 92-603) authorize the establishment of "an experimental program to provide day care services for individuals eligible to enroll in supplemental medical insurance program established under Part B of Title XVIII (Medicare) and Title XIX (Medicaid) of the Social Security Act " Research and demonstration projects to carry out the legislative authority of Section 222 of P.L. 92-603 are now underway in the area of day care. Day care services are being tested in several sites throughout the country as a post-hospital and non-post-hospital benefit. The projects are a collaborative effort on the part of the National Center for Health Services Research/Health Resources Administration (Rockville, Maryland); the Bureau of Health Insurance/Social Security Administration; and demonstration contractors. In connection with the establishment of the experimental program to provide day care services, regulations describing the scope of services have been developed. Attached is a copy of the regulations as published in tentative form in the Federal Register, January 6, 1976. Appendix A Page 2 esolvred 9780 yed no bas Лютвовэя to stes to signembnemA IslooB I 20 CFR Part 450] bas EXPERIMENTAL DAY-CARE PROGRAMS bris Research Grants and Contracts Tol авэтдао od Notice is hereby given pursuant to the orig Jelass IIIW datdw Administrative Procedure Act (5 U.S.C. 553) that the regulations set forth in [s]ool sifT tentative form below are proposed by abodism and at segnado the Commissioner of Social (EOA-SE ..I.9 10 nembremA 9380 yab abivorq 389 one Instbem Issuem той services bas (exaclbeM) margoiq sonstuant sorbsM) XIX sighT romeb bas .9780 vab to to SSS notice? to and goods accivies STBD Yed 8 SIS B 88 service? disch offs avidazodalloo USSINE odd ;(bon. 98 DOB disseH to .87030811000 shivorg 03 margorq add to odd drive 0013000000 al used aved Source: Federal Register, Friday, January 9, 1976, Vol 41, No.6, p. 1603. at bedatiduq 88 anotialoger and to 0000 B al .beqoIsveb .arer .0 orls of must Annendix A Page 3 1604 PROPOSED RULES social needs and to help prevent or retard projects to establish an experimental § 450.217 Standard for participation; physical or mental deterioration that program to provide day-care services in physical plant. might otherwise require institutionaliza- day-care centers which meet such stand- The participating day-care center tion. ards as the Secretary may establish by must have a physical plant which: Prior to the final adoption of the pro- regulations. (a) Complies with all applicable local posed regulations, consideration will be § 450.203 Eligibility to participate in a and State building regulations: given to any data, views or arguments demonstration program. (b) Complies with all applicable local pertaining thereto which are submitted To be eligible to participate in a dem- and State health and safety codes; in writing in triplicate to the Commis- onstration program authorized by § 450.- (c) Is equipped and maintained to sioner of Social Security, Department of Health, Education, and Welfare, Social 201, a day-care center must offer serv- provide a safe, functional, sanitary, and Security Administration, P.O. Box 1585, ices: comfortable environment, with special Baltimore, Maryland 21203, or on before (a) Which are provided under health equipment for handicapped participants; February 9, 1976: leadership in an ambulatory care setting (d) Contains an area for dining, social Copies of all comments received in to adults who do not require 24-hour in- activities, and a suitable area for rest stitutional care but who are incapable periods; response to this notice will be available of full-time independent living due to (e) Contains an adequate number of for public inspection during regular busi- physical or mental impairment; and easily accessible bathroom facilities; and ness hours at the Washington Inquiries (b) To adults who are referred to the (f) Has a posted, written disaster pre- Section, Office of Information, Social Security Administration, Department of program by their attending physician or paredness plan, available to all person- by some other appropriate source, i.e., an nel. Health, Education, and Welfare, North Building, Room 4146, 330 Independence institutional- discharge planning pro- § 450.225 Day-care services provided. Avenue SW., Washington, D.C. 20201. gram, a welfare agency, or other similar agency: and (a) All participating day-care centers (Catalog of Federal Domestic Assistance Pro- (c) Which satisfy the participants' must offer at least the following services: gram No. 13.801, Health Insurance for the health maintenance and restoration (1) Emergency services. Instructions Aged-Supplementary Medical Insurance) needs, including socialization elements for dealing with emergency situations to overcome isolation often associated must be established in writing. Such Dated: October 22, 1975. with illness in the aged and disabled. instructions must include the name and J.B. CARDWELL, telephone number of a physician on call, Commissioner of Social Security. § 450.205 Standard for participation; written arrangements with a nearby hos- compliance with Federal, State, and Approved: January 5, 1976. pital for inpatient and emergency room local laws. service, and provision for ambulance DAVID MATHEWS, The experimental day-care center transportation. Secretary of Health, Education, must be in compliance with applicable (2) Rehabilitative services. Rehabili- and Welfare. Federal, State, and local laws and regu- tative services must include physical Part 450 of Chapter III of Title 20 of lations. therapy, occupational therapy, and the Code of Federal Regulations is speech therapy services which are pro- § 450.207 Standard for participation; amended by adding thereto a new Sub- vided by the day-care program directly full-time director. part B to read as follows: or indirectly through arrangements with The participating day-care center qualified outside sources and which are Subpart B-Experimental Day-Care Programs must have a full-time director who is designed to improve or maintain ability Secs. responsible for the overall conduct of all for independent functioning. 450.201 Day-care experiments; general. day-care program activities. (3) Personal care services. Personal 450.203 Eligibility to participate in a dem- care services must include assistance onstration program. § 450.209 Standard for participation; 450.205 Standard for participation; compli- professional and supportive person- with activities for daily living (i.e., walk- ance with Federal, State, and 10- nel. ing, eating, toileting, grooming) and su- cal laws. pervision of personal hygiene. 450.207 Standard for participation; full- The participating day-care center must (4) Nutrition services. The day-care time director. have appropriate professional and sup- program must provide a minimum of one 450.209 Standard for participation; profes- portive personnel to provide quality serv- meal per day which is of suitable quality sional and supportive personnel. ices efficiently and effectively. and quantity as to supply at least one- 450.211 Standard for participation; written policies and procedures. § 450.211 Standard for participation; third (½) of the daily nutritional re- 450.213 Standard for participation; written written policies and procedures. quirement. Special diets and supplemen- plan of day-care. The participating day-care center tal feedings must be available if 450.217 Standard for participation; physi- must have written policies and proce- indicated. cal plant. dures which reflect the day-care center's (5) Social work services. Social work 450.225 Day-care services provided. objectives and which govern the provi- services must be designed and coordi- AUTHORITY: Sec. 402(a) (1) (H), Pub. L. sion of services. nated in such a manner as to promote 90-248, the Social Security Amendments of maintenance of physical and mental 1967, as amended by sec. 222, Pub. L 92-603, § 450.213 Standard for participation; health by alleviating personal and social 81 Stat. 931 as amended at 86 Stat. 1392, written plan of day-care. problems. Such services must include (42 U.S.C. 1395b-1 (a) (1) (H)). The participating day-care center guidance or or referral in social, finan- Subpart B-Experimental Day-Care must provide a written individualised cial, and legal matters, assistance with Programs plan of day-care for each participant housing relocation and shopping, coun- I 450.201 Day-care experiments; gen- based on a preadmission physical exami- seling on available community resources. eral. nation and recommendations of the at- (6) Patient activities services. The tending physician, and such physician day-care program must provide planned Pursuant to section 402(a) of Pub. L must periodically review the plan in con- recreational and social activities suited 90-248 (the Social Security Amendments junction with the day-care program's to the needs of the participants and de- of 1967). as amended by section 222(b) multidisciplinary team. signed to encourage physical exercise, to (1) of Pub. L 92-603, the Secretary of Health, Education, and Welfare is au- § 450.215 Standard for participation; prevent deterioration, and to stimulate thorized to enter into contracts with health record system. social interaction. The participating day-care center (7) Transportation services. The day- public or private agencies, institutions, must have a health record system which care program must provide transporta- and organizations, to develop and en- includes the maintenance of a complete tion, when indicated, for participants to gage in experiments and demonstration file on each participant. and from their homes and to other com- Appendix A Page 4 E labol lesol munity facilities utilized in implement- of has ing the participants' plan of day-care. bris a (b) The day-care center may provide other services that are consistent with the general requirements in paragraph (a) of this section. [FR Doc.76-644 Filed 1-8-76;8:45 am] to to starrpoba We of 3 bas is -910 4 of ILa of to to behivery 8 enstries HA sntwollot (a) sections gallesh douB antiew at ad bas soun obstant Insure llas no a to redaum a become? S renoissime moot bite resident not notalvorg -IlldadoR to sbutont enolvres Doa bas to X to 088 -otq 918 daldw molvese or to mersonq # of 8 014 box obtatue willida 20 everyont DE 8 to innovers Innours's ($) thab TOT indianiziting 1 -1/8 20 has to of 608.005 to 2. lanes to of - - chattegistring 118,000 -01 to employees been $18,000 It of from edit : show labo8 assisted from (8) anotrom -Itrico boa od them elements of as manact does at Delais bee Instruction to lettion (decesso distand not - aboutsat terms solving to Jatoos at Lemiter 10 10 securiting ditw mailem Legal bas (sin A abivers -2000 bas collapoles to date NO odT solume Instell a abivers Issues has Я of believe astititise taloos box -1150 a sale -ab brea 10 about of date (deff college w bahania of nationaze Instrução of to at due to edulumits of bas tol al has brown what THE of -yab TO abivors them medical breases of - to § -mos of has assued at APPENDIX A Page 5 Recommended Standards for Day Care Provider Organizations (Medical Services Administration of the Social and Rehabilitation Service) The Medical Services Administration of the Social and Rehabilitation Service, the Federal agency which administers the Medicaid program, has described a general set of standards and procedures which should be required of day care providers by State Medicaid agencies as follows: A. The organization desiring to conduct a (day care) program for (day care) registrants on a non-resident basis should be required to apply for the State's (Medicaid agency) approval. B. The applying organization should be required: 1. To describe in writing its philosophy, objectives and program for providing medical and ancillary health- related services to non-resident (day care) registrants in its facilities. 2. To provide a comprehensive assessment of the health status and the related social, psychological and cognitive needs of each individual patient and a determination of the range and kinds of services required. These determinations must be made prior to the registration of the patient in order to demonstrate satisfactorily the suitability of the program to the patient's needs. 3. To demonstrate to the satisfaction of the State (Medicaid) agency that the organization has adequate staff and facilities to provide the planned services for the types of patients described in its program scheme. 4. To insure that the assessment of need and the individual treatment plan are professionally prescribed by a physician or other suitably recognized practitioner or inter-disciplinary team; and that qualified supervisory personnel, approved by State licensure, carry out the plan of care. APPENDIX A Page 6 5. To provide through in-house staff or suitable back-up agreements whatever non-routine specialist medical services may become necessary (for the participants). 6. To conclude a written agreement with each registrant (and/or sponsor) which specifies, but is not limited to, a list of basis services which are to be furnished by the (day care) facility to registrants and to be paid for on a "per visit basis" or according to a specified schedule of daily or monthly rates, as approved by the State and in keeping with Federal regulations. 7. To keep an individual medical and fiscal record as approved by the State agency. 8. To present its reporting system to the State for purposes of evaluation and approval. C. The State should set up an ongoing evaluation of the overall program and of the individual (day care) facilities in the program. Source: Medical Services Administration, Information Memorandum (SRS-IM-76-3), January 22, 1976, "Reimbursement under Title XIX, Social Security Act, for Services to the Chronically Ill and Impaired in Alternative Settings." S APPENDIX B Clinic Services Under Medicaid The following states provide clinic services as an optional service under their State Title XIX (Medicaid) plans: Arkansas, California, Connecticut, Delaware, District of Columbia, Georgia, Guam, Hawaii, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, Purerto Rico, South Carolina, South Dakota, Tennessee, Utah, Vermont, Virgin Islands, Virginia, Washington, West Virginia, Wisconsin. APPENDIX C Adult Day Care Services under State Title XX Comprehensive Annual Service Plans (CASP) Adult day care services are included in the social services plans of 37 states. Ten of these states include adult day care as a component of another service. The following is a listing of States which provide adult day care. Indication is made where adult day care is included as a component of another service, as identified in the State plan. Alabama Arkansas California Day Care for Mentally Retarded and Developmentally Disabled -- Special Services to Adults Colorado -- Services to the Developmentally Disabled Connecticut -- Day Care Services Delaware Florida Georgia Hawaii Illinois Indiana -- Day Activity Program Iowa Kansas -- Day Care Services Kentucky Louisiana Maryland Minnesota Mississippi -- Day Care Services Missouri Nebraska New Hampshire - Group Day Care Services New Jersey New Mexico North Carolina North Dakota Ohio Oklahoma -- Day Care Services Pennsylvania South Carolina Tennessee -- Day Care Services Texas Utah Virginia Washington West Virginia Wisconsin -- Day Care Services Wyoming APPENDIX C Page 2 Twenty-six (26) states are providing adult day care statewide. Eleven States offer the service in certain designated geographic areas as shown below: Georgia 5 out of 10 districts Hawaii 4 out of 7 districts Louisiana 9 out of 64 parishes Maryland 6 out of 24 counties Minnesota 70 out of 85 counties New Mexico 3 out of 8 planning areas North Dakota 7 out of 53 counties Ohio 5 out of 88 counties Utah 1 out of 10 districts Washington 3 out of 6 regions West Virginia 5 out of 27 planning areas Source: Title XX - Final CASP Plans, Technical Note 6, "Adult Day Care," January 12, 1976. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE POSTAGE AND FEES PAID WASHINGTON, D.C. 20201 U.S. DEPARTMENT OF H.E.W. OFFICIAL BUSINESS 391 U.S.MAIL PENALTY FOR PRIVATE USE, $300 FIRST CLASS - OJ È A Ms. Sarah Nessengale 0SCP-3 Domestic Council Staff Room 220, x DE 17th & Pens. Ave. N.W. Washington D.C. 01 10 a 8 is i PRESS CONFERENCE NO. 26 free of the PRESIDENT OF THE UNITED STATES elderly Grand Baldroom At the Sheraton Orlando Jetport Inn Orlando, Florida February 13, 1976 ELDERLY QUESTION: Mr. President, you have given the first of some special messages to Congress on theeproblems.of the elderly. What kind of help do you propose to help Florida's many senior citizens? THE PRESIDENT: In the first place, I fully agree with whatever the increases in Social Security benefits will I be under the cost of living escalator clause. That will take place later this year. I fully concur with that. Number two, I happen to believe it is vitally important for us to make certain that the Social Security Trust Fund is fully funded. At the present time, it is running in a deficit of about $4 billion per year. Sometime in 1980, if we don't do something, the funds will be depleted. I have recommended one proposal to make sure--to make positive-- that those who are retired and those who are to be retired will have a continuous flow of the benefits under Social Security. Number three, I have recommended that we incorporate in the law a new program to take care of roughly the 3 : million individuals, most of whom are among our older citizens, who are suffering from what we call catastrophic illnesses. At the present time, there is no program to take care of those who have expanded and serious illnesses. I have proposed a catastrophic health care plan that will take care of about 3 million people under Medicare. I think it is a good proposal and I hope the Congress will respond to it. In addition, I have recommended good funding, I think, for what we call the Older Americans Act. It has \ a wide variety of services that are incorporated and I hope the Congress does as I have recommended in the funding of those programs. Advance Lopy TO tac house or Representatives: Attn: Joe Vasquez 7202 NEOB I return horowith, without MY approval, entitled Older Americane Act of 1975. This bill enends the Older Americans Act of 1965, extends the authorizations contained in the Act, establishes certain social services programs for older Americans, prohibits discrimination on the busis of age, and contains other provisions relating to the field of aging. Section 111 of the bill increases the per meal level of commodity assistance to be provided annually by the Department of Agriculture for nutrition pro- grams for the elderly. I this opposed to further dividing program responsibility and administration botween the USDA and ILW: I do not favor any legislation Vaicu compels the UNDA to purchase in the open market foods to be donated to a Begment of the population, thus disturbing the normal charnels of trade and commerce, if their food noods can be not through existing commercial suppliers. or special concern to Lee is the concern which all of us must show for inhibiting any further increase in the already awesome Pederal deficit. FORD i LIBRARY GERALD U.S. DEPARTMENT OF LABOR OFFICE OF THE SECRETARY WASHINGTON Honorable James T. Lynn Director FORD & GERALD LIBRARY Office of Management and Budget Washington, D. C. 20503 Dear Mr. Lynn: This is in response to your request for our views on the enrolled enactment of H.R. 3922, the "Older Americans Amendments of 1975.' Section 113 of H.R. 3922 would extend the Older American Community Service Employment Act through fiscal year 1978 with authorizations totalling $487,500,000. If all such funds were appropriated a considerable expansion of this program would result. Outlays for this program in the current fiscal year are only expected to be about $42,000,000. Aside from extending the Act and increasing its funding authority H.R. 3922 would make the following major changes in the program: (1) legal counselling is made an eligible community service; (2) funding for current national contractors will not be decreased; (3) adjustments in the allocation formula are made which are intended to provide greater funding for states with lower por capita incomes; and (4) this Department is required to consult with State and area agencies on aging through the HEW Commissioner on Aging. This program was originally enacted over the Administration's objections, and this Department has consistently and strongly opposed its extension. Authority and adequate funding for this type of activity are available under the Comprehensive Employment and Training Act (CETA). As long as a limited, categorical program for older workers continues to be funded, state and local officals will try to ignore older workers when they allocate the major block of revenues available under CETA. Therefore, contrary to the goal of the program, the needs of older workers will not be met as effectively as they should be. -2- Further. we note that title III of H.R. 3922 has been modified to take cognizance of at least some of the concerns we raised with respect to the original House-passed version. Title III would prohibit unreasonable age discrimination in certain federally assisted programs. HEW would be responsi- ble for issuing general implementing regulations, while each agency would be responsible for enforcement with respect to its own programs. Title III would not apply to employment practices, except under the CETA public service employment programs, and the Act also specifies that it is not intended to modify the Age Discrimination in Employment Act (ADEA) administered by this Department. In addition, implementa- tion of this title would be delayed pending rd study by the U.S. Commission on Civil Rights, and an evaluation of that study by HEW, the other Federal agencies involved and by the Congress itself. In any event full implementation would be delayed until 1979. With respect to other provisions of this legislation, we defer to those agencies more directly involved. As stated above, we continue to oppose extension of the Older American Community Service Employment program (title IX) as a categorical manyower program for a group of persons that should be served under the broad authority of CETA. We believe that CETA should be the primary program for providing manpower services and the continuation of a separate categori- cal manpower program is both unnecessary and undosirable. While no final decision has been reached on the fiscal year 1977 budget, our discussions with your staff at this point have concluded that the fiscal year 1977 budget will not include funds for this program. If H.R. 3922 is signed into law this strategy will be made more difficult. However, we also recognize that our opposition to providing manpower services for older Americans through a separate categorical program must be balanced against the fact that-H.R. 3922 contains many other widely supported provisions designed to meet the various needs of older Americans. Sincerely, you FORD & 9ERALD LIBRARY Secretary of Labor ACTION WASHINGTON DC 20525 November 25, 1975 Honorable James T. Lynn Director Office of Management and Budget Washington, D. C. 20503 Dear Mr. Lynn: In accordance with OMB Circular A-19, this letter constitutes our views and recommendations with respect to H. R. 3922, the "Older Americans Amendments of 1975. " Section 205 of the bill amends certain sections of the Domestic Volunteer Service Act of 1973 (P.L. 93-113) (the "Act"). Section 205 (a) of the bill authorizes appropriations for the Retired Senior Volunteer Program (RSVP), the Foster Grandparent Program (FGP), and the Senior Companions Program (SCP), for the July 1 - September 30, 1976 interim period, and for fiscal years 1977 and 1978, as follows: Interim Period FY 1977 FY 1978 RSVP $6,000,000 $22,000,000 $22,000,000 FGP 8,750,000 35,000,000 35,000,000 SCP 2,000,000 8,000,000 8,000,000 While we feel that it would have been more appropriate if funds for these programs were authorized together with other programs under P.L. 93-113, we have no objection to their authorization in this bill. We note however that the authorization levels are somewhat lower, in the case of the Foster Grandparents and Senior Companions Programs, than the levels requested in our FY 1977 budget request. Section 205 (b) of the bill substitutes the word "individuals" for the word "volunteers" in several places in Section 211 of -2- the Act (42 U.S.C. $5011) Although we object to this change, we do not believe it is significant enough to request disapproval. Section 205 (c) of the bill requires the designation in each State of an aging resource specialist with respect to the Older Americans Volunteer Programs. ACTION has already moved to comply with this requirement. We are concerned, however, that this provision may require the stationing of aging resource specialists within States where none are presently stationed because a single ACTION State office serves more than one State. There are presently seven States (including the District of Columbia and the Virgin Islands) in which this would be the case. We also wish to draw your attention to certain material contained in the Conference Committee Report which accom- panied this bill. The report discusses matters not con- tained in the bill, and which appear to direct ACTION to take certain steps which are in violation of our authoriz- ing legislation. The portions of the report which give us greatest concern relate to the interpretation of the word "children" in Section 211 (a) of the Domestic Volunteer Service Act of 1973, which authorizes the Foster Grandparents Program. There is general agreement that "children," as used in the Act, refers to chronological age. The report, however, directs ACTION to continue to provide foster grandparent services to persons who reach age 21 for an indefinite period, until a similar replacement service can be provided under another program. While we agree that a temporary arrangement of this type is permissible to permit an orderly transition for persons who have already reached age 21, we do not agree that a long-continued program of support for foster grandparent services for persons over 21 is legally permissible. In the absence of sufficient funds under the Senior Companions Program authorized by Section 211 (b) of the Act, it may not be possible for this Agency to provide funds for the continuation of these services for all who may desire them. FOR FO & LIBRARY GERALD -3- If Section 205 of the bill, which relates to ACTION, stood alone in a separate bill, we would recommend its veto. This recommendation would be based both on the provisions of the bill, and on the Conference Committee Report, which appears to direct the agency to take actions which we believe are not authorized by legisla- tion. We recognize that other considerations are involved, and restrict our recommendations to those provisions of the bill which directly affect this agency. Sincerely, Ronald E. Herevas Ronald E. Gerevas Associate Director Domestic Operations FORD is LIBRARY GERALD UNITED STATES COMMISSION ON CIVIL RIGHTS WASHINGTON, D. C. 20425 STAFF DIRECTOR November 24, 1975 Mr. James M. Frey Assistant Director for Legislative Reference Office of Management and Budget Washington, D. C. Dear Mr. Frey: This is in response to your request for the Commission' comments regarding the Older Americans Amendments of 1975. More specifically you wish to receive comments relative to Title III - Prohibition of Discrimination Based on Age; in which the Act would require the Commission on Civil Rights to, among other things, conduct a study and hold public hearings on the extent to which discrimination based on age is being practiced by any entity in programs or activities that are federally assisted. When the Commission was queried by the Subcommittee on Aging of the Senate Committee on Labor and Public Welfare as to its position on conducting such a study we replied in the affirmative provided sufficient funds were appropriated by the Congress specifically for that purpose. Section 306 (d) of Title III requires, amoing other things, that the Commission submit a report of its findings and recommendations to the Congress and the President "not later than eighteen months after the date of the enactment of this Act " The Act does not condition the requirement of the Commission's involvement in the development of a report on the appropriation of funds specifically for that purpose. The Act merely states in Section 307 (g) of Title III "There are authorized to be appropriated such sums as may be necessary to carry out the provisions of thissection. Based upon our prior understanding with the Senate Subcommittee the Commission, while willing to conduct the study and the open hearings, cannot begin that process until funds appropriated for that purpose are available. Within the next forty-eight hours I shall transmit to the Office of Management and Budget an estimate of the funds needed for that purpose. If funds are not made available in time to conduct such a study and hold such public hearings in time to comply with the requirement of the Act, the Commission shall ask the appropriate committees of the Congress to extend the time to a more appropriate period. GERALD FORD LIBRARY - 2 - With the above noted reservation the Commission is pleased to recommend the bill for the signature of the President. Sincerely, Staff Director FORD & LIBRARY GERALD DEPARTMENT OFFICE OF THE SECRETARY OF TRANSPORTATION WASHINGTON, D.C. 20590 UNITID AMERICA STATES OF = NOV 24 1975 Honorable James T. Lynn Director, Office of Management and Budget Washington, D.C. 20503 Dear Mr. Lynn: You have asked for our comments on sections 105 and 106 of H.R. 3922, an enrolled bill "To amend the Older Americans Act of 1965 to establish certain social services programs for older Americans and to extend authorizations of appropriations contained in such Act, to prohibit discrimination on the basis of age, and for other purposes. " Section 105 (a) of the enrolled bill, which amends section 304 (c) (4) of the Older Americans Act (Act) is of interest to this Department. Section 105 (a) would add a new provision to the Act which would authorize the Secretary of Health, Education, and Welfare to enter into agreements with State and area aging agencies for the purpose of developing and implementing plans for meeting the need for transportation services of persons receiving benefits under the Rehabilitation Act of 1973 and the Social Security Act. Under this provision, monies provided under the Older Americans Act, the Rehabilitation Act of 1973, and the Social Security Act may be pooled for the provision of transportation services to older people. Section 106 (a) of the enrolled bill would add a new provision to section 305 (a) of the Act which would require that not less than 20 percent of the funds allotted to States during any fiscal year for implementing State aging plans shall be used during that fiscal year for such services as transportation, home services, legal and counseling services, and residential repair. FORD LIBRARY & SERALD - 2 - Section 106 (b) of the enrolled bill would amend section 305 (a) of the Act by adding a new provision requiring each State to provide for the establishment and maintenance of programs (including related training) for some or all of the following services: transportation; home services; legal and counseling services; and residential repair. The Department of Transportation has no objection to the provision of sections 105, 106 (a), and 106 (b) of this enrolled bill. They will result in a desirable augmenta- tion of ongoing efforts to improve transportation services for older Americans. However, care must be taken in implementing these provisions to assure that they do not result in a multiplicity of duplicative transportation services. The Department has no objection to the President signing the enrolled bill. Sincerely, Judith T. Connor Assistant Secretary for FORD LIBRARY & GERALD Environment, Safety, and Consumer Affairs