1. Support of the Senior Care Act (SCA) program. The SCA program is a value-added, "smart dollar" common sense program:
We are requesting an additional $4 million to respond to the colossal population growth and needs of individuals age 60 and above (8.6% growth in four years) to remain in their homes with basic SCA services such as attendant care, homemaker services, case management and respite care. Needs-based services are essential for older Kansans to remain in their communities and be diverted from costlier care, including FE waiver services or those delivered in a nursing facility.
State-funded Senior Care Act services save taxpayers money. SCA services protect the well-being of older adults and prevent early enrollment in Medicaid (KanCare.) The FE waiver costs substantially more than SCA services; and, upon entering a nursing facility, most older adults spend down their resources to become Medicaid-eligible within two years. When comparing (SCA versus nursing facility) the monthly difference, per client, is an average of $3,800.
The Senior Care Act is based on a sliding fee scale. This means that clients have a stake in their care by paying a portion of their income for services.
We support the creation of a task force to focus on policy and actions related to socioeconomic systems and social determinants of health for older Kansans. With the seismic demographic shift, a task force would benefit Kansas by taking a robust approach to ensure there is a solid infrastructure to support the quality of life and equal opportunity for older adults.
We support current nutrition funding levels for older adults. State dollars for nutrition services are highly leveraged with funding from federal and local sources and with donations from nutrition participants. Also, hundreds of volunteers provide thousands of hours of service throughout the state. Volunteers help control program costs as demand increases.
The AAAs’ funding is primarily generated through contractual agreements with government entities. Although designated as 501(c)(3) organizations, Kansas statute does not exempt them from paying sales tax. Allowing exemption increases direct service delivery to respond to the growing demand.