The growth of the elderly population, combined with rising expenditures for institutional long-term care services, has generated interest in strengthening community-based services for the sick and disabled and in altering the way in which these services are organized and financed. Studies have shown that community-based health and social services can be effective in reducing institutionalization and improving longevity and patient satisfaction. However, the overall costs associated with community-based long-term care remain unknown, as does the number of persons potentially in need of such services. In some cases, costs for such care may exceed amounts spent for the equivalent level of institutional care.,Richard Price, Specialist in Social Legislation, and Carol O'Shaughnessy, Specialist in Social Legislation, Education and Public Welfare Division.,CRS 84-733 EPW,"August 17, 1984.",SuDoc# LC 14. 18/3

This paper briefly summarizes selected major legislation in the 98th Congress affecting the elderly, including proposals actually enacted and those pending final action as of August 1984. Legislation described includes that related to income, health social services, employment and training, age discrimination and housing.,Introduction -- Income. Social Security ; Social Security and Supplemental Security Income Disability PRograms ; Supplemental Security Income ; Food Stamps ; Low Income Energy Assistance Program ; Civil Service Retirement System ; Railroad Retirement System ; Veterans' Pension and Compensation Programs -- Health. Medicare ; Medicaid ; Veterans' Health Care ; Health Block Grants ; Health Professions Education (Title VII of Public Health Service Act) ; Services and Programs Relating to Alzheimer's Disease -- Social Services. Older Americans Act ; Social Services Block Grant -- Legal Services -- Volunteer Programs -- Community-Based Long Term Care Services -- Employment and Training. Job Training Partnership Act ; Vocational Education ; Other -- Age Discrimination. Age Discrimination in Employment Act ; Age Discrimination Act -- Housing.,CRS 84-720 EPW,"August 6, 1984.",SuDoc# LC 14. 18/3

ACTION is authorized by the Domestic Volunteer Service Act; its major program components include Volunteers in Service to America (VISTA) and the Older American Volunteer Program (OAVP). This legislation was last reauthorized in 1984 (P.L. 98-288) and will be reviewed for reauthorization by Congress during the 99th Congress. This paper provides an overview of ACTION programs.,Abstract -- Background -- Action Programs. VISTA (Title I-A) ; Service-Learning Programs (Title I-B) ; Special Volunteer Programs (I-C) ; Older American Volunteer Program (Title II) -- Legislative Action. Ninety-Eighth Congress Legislation ; Ninety-Ninth Congress Action.,Evelyn Howard, Analyst in Social Legislation and Carol O'Shaughnessy, Specialist in Social Legislation, Education and Public Welfare Division.,CRS 86-604 EPW,"January 30, 1986.",SuDoc# 14. 18/3

The Reagan Administration has requested a $2.2 billion "generic appropriation" to cover a variety of social service programs that have previously been funded by the Congress on a program-specific basis. This paper briefly describes this proposal, presents background information on the programs that would be affected, and discusses possible effects of the proposal.,Carol O'Shaughnessy, Mary Smitth, and Sharon Stephan, Specialists in Social Legislation, Education and Public Welfare Division.,CRS 87-210 EPW,"March 9, 1987.",SuDoc# 14. 18/3