1. Meeting the Aging Needs of a Rapidly Aging Population June 15, 2016 Linda Couch lcouch@leadingage.org @lowincomelinda

2. JCHS: Aging of the Baby Boomers Swamps Growth Millennial Households Over Next Two Decades 2 Source: Joint Center for Housing Studies. Number of Households (Millions)

3. JCHS: Severe Cost Burdens Have Risen Sharply Among Younger Renters, But Are Highest Among Seniors Notes: Severe cost burdens are defined as housing costs more than 50% of household income. JCHS tabulations of US Census Bureau, American Community Surveys.

4. JCHS: Rapid Growth in Older Eligible Renters Will Put Even More Pressure on Housing Assistance Programs Very Low-Income Renter Households Aged 62 and Over (Millions) Sources: JCHS tabulations of US Department of Housing and Urban Development, Worst Case Needs Reports to Congress, and JCHS 2013 Household Projections.

5. 111,000 LOW INCOME OLDER ADULTS ON WAITING LISTS FOR 202 SENIOR HOUSING AN AVERAGE OF 7 YEARS projecting that waiting lists are over 200,000 low income seniors in 5 boroughs

6. JCHS: Households 65 and Over Are Carrying More Mortgage Debt in Their Retirement Years 6 Note: Estimates include only owner households with mortgages on primary residences. Source: JCHS tabulations of Federal Reserve Board, Surveys of Consumer Finances. Share of Owners with Mortgage Debt (Percent) Average Loan-to-Value Ratio for Owners with Mortgages (Percent)

7. 1.Prevent and end homelessness among older adults 2.Increase federal support for the LIHTC program 3.Adequately fund Section 202 for rental assistance and service coordination 4.Authorize a new Modification Assistance Initiative 5.Establish and expand programs to assist low-income seniors with home modifications & provide property tax relief 8 Priority Recommendations

8. 6. CMS should coordinate health care and LTSS for Medicare beneficiaries living in publicly-assisted housing 7. Substantially reduce the number of older adult falls 8. Increase CMS reimbursement of telehealth and other technologies that have the potential to improve health outcomes and reduce costs 8 Priority Recommendations