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State-Funded Home and Community-Based Services Programs for Older Adults

Nearly every state provides at least some of its own funds to deliver home and community-based services (HCBS) to older adults whose needs are not met by Medicaid. This AARP Public Policy Institute paper finds that, overall, states have maintained funding for their state-funded HCBS programs over the past decade. These programs served 1.2 million people in FY 2007. However, the percentage of programs covering specific services declined compared with a 2003 AARP survey. When resources do not keep pace with inflation and demand, states may offer fewer services to maximize the number of people served. The current economic slowdown may jeopardize funding for these programs as states struggle to balance their budgets. (87 pages)

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