Sage Journals: Discover world-class research

Abstract

The 1992 reauthorization of the OlderAmericans Act (OAA) requires the Assistant Secretary on Aging to produce a set of guidelines to aid states in the development of their Intrastate Funding Formula (IFF). The purpose of this investigation was to examine, using two states as case studies, the effects of a preliminary set of guidelines on planning and service areas (PSAs) that vary in the degree to which older adults (60+) in their catchment area live in nonmetropolitan versus metropolitan settings. Dollar amounts allocated to four categories of PSAs were compared with simulations of allocations under three alternative funding strategies. The data from these simulations illustrate that changes in IFF regulations have the potential to cause significant shifts in the distribution of OAA funds. Indeed, given the magnitude of the changes that could occur, there is likely to be considerable controversy within some states as lawmakers and state officials attempt to bnng current IFFs into conformity with new federal regulations.

Get full access to this article

View all access options for this article.

References

Coward, R.T. , McLaughlin, D.K. , Duncan, R.P. & Bull, C.N. (1994). An overview of health and aging in rural America In R. T. Coward, C. N. Bull, G. Kukulka & J. M. Galliher (Eds.), Health services for rural elders (pp. 1-32). New York: Springer.

Coward, R.T. , Vogel, W.B. , Duncan, R.P. & Uttaro, R. (1995). Should the intrastate funding formulae from the Older Americans Act include a rural factor? The Gerontologist , 35, 24-34.

Hewitt, M. (1989). Defining "rural" areas: Impact on health care policy and research. Washington, D.C.: Government Printing Office.

Krout, J.A. (1992). California case upholds rural IFF factor. Networks. Washington, D.C.: The National Council on Aging.

Krout, J.A. (1994). "Rural aging community-based services" In R. T. Coward, C N. Bull, G. Kukulka & J. M. Galliher (Eds.), Health services for rural elders (pp. 84-107). New York: Springer.

Older Americans Report. (1993, June 18). Draft of OAA funding formula concerns aging network. Silver Springs, MD: Business Publishers, Inc. p. 195.

U.S. Bureau of the Census. (1992) Census of population and housing, 1990: Summary tape file 3 on CD-ROM (All States). [Machine readable data file] Washington, D.C. : Author.

U. S. Department of Health and Human Services. ( 1993). Notice of proposed rulemaking (RIN 6666-1212 Washington, D.C.: Administration on Aging.

U. S. House of Representatives, Select Committee on Aging (1992). Older Americans Act: A staff summary (Publication No. 102-911 Washington, D.C.: U.S. Government Printing Office.

10.

U. S. Senate, Special Committee on Aging. ( 1992). Common beliefs about the rural elderly: myth orfact? (Publication No. 102-N Washington, D.C.: U.S. Government Printing Office.

11.

Wilder, G. (1993, August). The financial crisis facing area agencies on aging.

Presented at the 1993 National Conference on Rural Aging, Wichita, KS

Simulating the Effects on Nonmetropolitan Planning and Service Areas of Changes in the Guidelines for Intrastate Funding Formulae: A Study of Two States

Abstract

Get full access to this article

References