1. SANG “The Future of Senior Services: A Snapshot from Inside the Beltway” Williams S. Massey CEO Peninsula Agency on Aging August 10, 2011 1

2. Decisions Huge decisions were made in the –1930s “New Deal” –1965-67 “Great Society” –1965 Medicare, Medicaid, OAA –2011 We are facing decisions of the same magnitude Life Expectancy 1935 – 62 yrs1965 – 69 yrs2011 – 78 yrs 2

3. Medicare and Medicaid Expected to Rise Rapidly, Other Programs (Except Social Security) to Shrink, As Share of GDP 3 Source: CBPP projections based on CBO data. Spending and Revenues as a Share of GDP

4. Economic Downturn and Legacy of Past Policies Drive Record Deficits in the Decade Ahead 4 Source: CBPP analysis based on Congressional Budget Office estimates.

5. Nearly Two-Thirds of Proposed Cuts in Ryan Plan Come From Low Income Programs 5 Source: “The Path to Prosperity” FY2012 Budget Resolution

6. What the RSC Budget Does Republican Study Committee Eliminates 70% of non-defense discretionary funding — including older Americans’ Act programs — by 2021. Cuts these programs more than $3 trillion over 10 years, compared to the FY 2011 funding levels Congress approved in April. Similar to Ryan budget in Medicare, except that its Medicare cuts are even deeper than Ryan’s. Raises Social Security retirement age to 70. Cuts Medicaid, SSI for the elderly and disabled poor, and food stamps in half. Cuts Medicaid and CHIP (Children’s Health Insurance Program) by over $2 trillion over 10 years.

7. Deficit in 2021 Would Be Cut Nearly in Half Simply by Letting All of the Bush Tax Cuts Expire 7 Source: Center on Budget and Policy Priorities based on data from the Congressional Budget Office.

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15. AOA Assistant Secretary Kathy Greenlee Merger of Aging and Disability Services Challenge is how aging network will serve people with disabilities when they reach age 60 Health Reform is mostly about The Medical Model What does a community support services person do in a Medical Model World –Be Realistic –Value objectives of a Health Reform Medical Model 15

16. Prevention Prevention is the Bridge between the Medical Model and Community Services “Prevention Across the Life Span” it is everyone’s issue regardless of age. By 2020, 25% of Seniors will be people of color CLASS Act –Staff has been hired but the solvency issue has not been adequately addressed Aging and Disability Resource Centers (ADRCs) –National –State –Local 16

17. For more information N4a.org Training Events N4a Annual Conference and Trade Show 2011 Conference Presentations 17