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The Older Americans Act is being asked to keep more older adults at home and in the community, with less.

Between FY2015 and FY2025, the population OAA serves grew 24%, while inflation-adjusted federal funding slipped 0.5% — a widening gap between the older adults who need support and the resources to provide it.

One year of core OAA home- and community-based services costs $1,175 per client — a fraction of the $114,975 median annual cost of a Medicaid-funded nursing home stay. Delaying nursing-home entry for just 1 client in 98 covers the cost of serving all of them, so the program pays for itself. Share this one-page reference with legislators, funders, and coalition partners during budget and reauthorization season.

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OAA Medicaid Prevention infographic, page 1 — the over-60 population grew 24% while inflation-adjusted OAA funding fell 0.5% from FY2015 to FY2025; one year of OAA support costs $1,175 per client versus $114,975 for a year in a Medicaid nursing home OAA Medicaid Prevention infographic, page 2 — sources and methodology