The National Alliance for Care at Home (the Alliance) applauds the Senate for passing the Older Americans Act Reauthorization Act of 2024 (S. 4776) on December 10, 2024. This vital legislation reaffirms the nation’s commitment to supporting older adults and their families by providing resources and policies that empower aging in place and enhance the quality of care.

First enacted in 1965, the Older Americans Act (OAA) has long served as a cornerstone in addressing the needs of our aging population. This reauthorization introduces critical updates that resonate deeply with the Alliance’s mission to advance home care and home health care services. Several key provisions stand out as transformative for the home care industry:

Disease Prevention and Health Promotion Services

The Act emphasizes disease prevention and health promotion, including evidence-based programs aimed at reducing health care expenditures. This focus aligns with home care’s proactive approach to supporting older adults’ health and independence at home.

Home Modifications and Aging in Place

Provisions for assisting older adults with residential repair and weatherization projects directly support the goal of aging in place. By addressing environmental safety and accessibility, these initiatives help seniors remain in their homes longer.

Support for Family Caregivers

The reauthorization strengthens the National Family Caregiver Support Program, emphasizing respite care and other supports. These resources are vital for families relying on home care services to meet their loved ones’ needs and help to alleviate the burden on home care providers who are grappling with workforce shortages.

Improving Health Outcomes

By promoting falls prevention programs and interagency coordination, the Act enhances efforts to mitigate risks that could otherwise lead to hospitalization or institutional care. These measures support preventative and patient-centered care.

Broadband Access to Reduce Social Isolation

Acknowledging the importance of technology in connecting older adults with caregivers and telehealth services, the Act’s provisions to expand broadband access will strengthen the integration of technology in home care.

The Alliance is particularly encouraged by the Act’s holistic approach, addressing both the physical and social determinants of health. These updates reinforce the role of home care as an essential component of the aging services network, providing critical support to older adults and their families.

Next Steps

Yesterday, the Senate sent the Older Americans Act Reauthorization Act of 2024 to the House, where it is currently reported as being held at the desk. The Alliance remains committed to advocating for robust funding and implementation strategies that prioritize aging in place and elevate the home care profession. We extend our gratitude to the Senate for their leadership in passing this critical legislation and urge swift action to ensure its enactment.

The Alliance stands ready to work with policymakers, stakeholders, and the aging network to bring these vital provisions to life, ensuring older adults can age with dignity, independence, and the comfort of home.