Tag Archives for ACL

Preparedness: Senate Aging Committee Preps for Impending 2025 Hurricane Season

Published in RINewsToday on May 26, 2025

Just days ago, forecasters at the National Oceanic and Atmospheric Administration (NOAA), part of the U.S. Department of Commerce, predicted above-normal hurricane activity in the Atlantic Basin for this year. NOAA’s outlook for the 2025 Atlantic hurricane season, which runs from June 1 to November 30, estimates a 60% chance of an above-normal season, a 30% chance of a near-normal season, and a 10% chance of a below-normal season.

“In my 30 years at the National Weather Service, we’ve never had more advanced models and warning systems in place to monitor the weather,” said Ken Graham, Director of NOAA’s National Weather Service, in a May 22 statement. He warned that above-average Atlantic Ocean temperatures are setting the stage for increased hurricane activity. “This outlook is a call to action: be prepared. Take proactive steps now to make a plan and gather supplies to ensure you’re ready before a storm threatens,” he urged.

Over a week before NOAA released its 2025 outlook, the U.S. Senate Special Committee on Aging held a full committee hearing on Wednesday, May 14, at 3:30 p.m. in room SD–106. Like Graham, the hearing underscored the urgent need for disaster preparedness—particularly for older Americans, who face unique challenges during emergencies. Scheduled ahead of the June 1 start of hurricane season, the hearing emphasized the importance of having a clear, actionable emergency plan in place before disaster strikes.

There is No Alternative to Being Prepared for Disasters

Expert witnesses, at the one  hour and 31 minute hearing, shared firsthand insights and best practices for protecting older adults and people with disabilities during emergencies, aiming to raise awareness and inspire action among seniors, caregivers, and policymakers nationwide.

“I’m no stranger to disasters,” admitted Sen. Rick Scott, Chairman of the Senate Special Committee on Aging, in his opening statement. During his eight years as Florida’s governor and six years as a U.S. Senator, he has personally witnessed the devastation hurricanes can cause. “If there’s one lesson I’ve learned, it’s that preparedness saves lives. There is no alternative to getting prepared and having a disaster plan,” he said, stressing that possessions can be replaced—but lives cannot.

“We know the risks and we know the statistics, and it’s our responsibility to plan accordingly,” urged Sen. Kirsten Gillibrand, Ranking Member of the Senate Special Committee on Aging, in her opening statement. While natural disasters are dangerous for everyone, they pose even greater risks to older adults and people with disabilities, noted the New York Senator.

According to Sen. Gillibrand, research shows that people with disabilities are up to four times more likely to die in a disaster than the general population, and older adults are more likely to die in a disaster than any other demographic group.

She called for the development of accessible shelters and transportation, alerts in multiple languages, and the requirement that long-term care facilities have disaster plans in place before—not after—a crisis occurs. Gillibrand also announced her intention to reintroduce legislation that would establish a nationwide grant program under the Older Americans Act. This program would incentivize and support states in creating strategic plans for aging populations, with disaster preparedness included as a core component.

“In addition to planning, we must also ensure that state and local governments are properly resourced to build accessibility into their disaster and recovery responses,” she said. Gillibrand also emphasized the need to safeguard federal resources provided through agencies like the Federal Emergency Management Agency (FEMA) and the U.S. Administration for Community Living (ACL).

Sheriff Chris Nocco of Pasco County, Florida—a county with 24 miles of coastline, located just north of Tampa Bay and home to roughly 750,000 residents, 22% of whom are age 65 and over—shared his insights and expertise on preparing for and recovering from natural disasters. He noted that federal and state partnerships, such as the National Guard and Coast Guard, are invaluable during rescue operations. He also urged law enforcement agencies to utilize evolving technologies such as drones for disaster preparedness and recovery.

“I witnessed individuals who had climbed onto roofs to avoid the rapidly rising storm surge. In one instance, a woman, her small child, and elderly relatives had climbed to the roof of their three-story multifamily housing unit and were awaiting rescue,” said Nocco. He stressed that this highlights the critical importance of following emergency management directives—especially evacuation orders—particularly for the most vulnerable in our communities.

With several days’ notice of an impending disaster, Nocco recommends that older adults request extra prescription medications from their pharmacies and remember to bring phone chargers, emergency contacts, credit cards or cash, and extra clothing when evacuating.

“When people are told to evacuate, they trust law enforcement and fire rescue personnel,” said Nocco. “But they also trust their churches to say, ‘Shelter here.” He suggested that churches can serve as effective emergency shelters and proposed that federal resources be used to equip them with generators and hurricane-resistant windows.

Costly Disasters Becoming “New Normal”

“Nearly 20 percent of Americans are in the 65-and-older age group, and the current growth of this population is unprecedented in U.S. history,” said Jennifer Pipa, Vice President of Disaster Programs for the American Red Cross, noting that this demographic shift comes at a time when more frequent and costly disasters are becoming the “new normal.”  Her Red Cross career began in 2004 when she joined the Disaster Action team in Raleigh, North Carolina as a volunteer

According to Pipa, The New York Times reported that following Hurricane Sandy in 2012, nearly half of those who died were age 65 or older. “Sadly, many drowned at home or died from storm-related injuries,” she said.

Pipa also cited other disasters that claimed the lives of older adults. “The 2018 Camp Fire, which burned for 18 days in Paradise, California, resulted in 85 deaths. Many victims were elderly or had disabilities—the average age was 72. In 2023, more than two-thirds of the 102 confirmed victims of the Maui fires were over the age of 60. And last year, Hurricane Helene caused at least 250 deaths in the United States, with many victims being elderly. In North Carolina alone, two out of every three deaths from Hurricane Helene were among adults aged 60 or older,” she added.

“The intersection of these trends—an aging population and significantly more disasters—should concern all of us,” Pipa told the Senators.

She emphasized that the impact of disasters on older Americans doesn’t end when the storm passes. “People over 65 make up nearly 10 percent of American Red Cross emergency shelter populations after evacuations are lifted,” she said.

“Our responders often encounter elderly disaster survivors living in severely damaged homes or in dwellings without power or water. These individuals frequently express fear of losing their homes and property if they leave. In some cases, we meet older adults who are physically or emotionally unable to get to a shelter or find safer housing,” Pipa added.

She highlighted several Red Cross programs tailored to help communities prepare for disasters:

·       Be Red Cross Ready: A free national preparedness education program for adults, taught by certified instructors.

·       Home Fire Campaign – Home Visits: Fire safety guidance tailored for older adults—such as keeping mobility aids, hearing devices, and medications near the bed, or relocating bedrooms to the ground floor. Includes installation of accessible smoke alarms.

·       Caregivers Preparedness Checklist: Developed with AARP to help caregivers ensure both they and their loved ones are prepared.

·       Building Your Support Network: Encourages older adults to develop a network of trusted individuals who can assist during emergencies.

·       Emergency App: Offers customized preparedness tips, particularly for households with older adults, focusing on hurricane and wildfire planning.

Disaster Planning with the Community  

Finally, Luis Vance Taylor, Chief of the Office of Access and Functional Needs at the California Governor’s Office of Emergency Services—who is disabled and uses a wheelchair—stressed the importance of inclusive emergency planning. “Forward-leaning emergency management agencies are ending the practice of planning for the community and are choosing to plan with the community,” he said. Taylor advocated for the creation of Access and Functional Needs (AFN) Advisory Committees at the state and local levels to ensure better outcomes.

“Inclusive planning leads to press conferences with American Sign Language interpreters, critical updates posted in accessible formats, and evacuation resources and shelters that are both physically and programmatically accessible,” he explained.

Taylor also warned that cutting or eliminating agencies like FEMA, ACL, or the Administration for Strategic Preparedness and Response would have devastating consequences—especially for older adults and people with disabilities. “These agencies need adequate funding to deliver the full range of federal resources required to respond to and recover from large-scale disasters that overwhelm local communities,” he said.

Training programs before disasters occur and crucial when there is no time to think of everything to take with you.  “People forget their chargers. You know what charger? They forget their wheelchair charger,” notes Taylor. “So we have to engage them beforehand. And that comes through training,” he says. 

To watch Senate Aging Committee Disaster Preparedness hearing, go to https://www.aging.senate.gov/hearings/preparing-for-disasters-unique-challenges-facing-older-americans.

HHS Shake-Up Sends Shockwaves Through Aging Network

Published on April 31, 2025

Taking a page from President Donald J. Trump’s to “Make America Great Again,” last week the U.S. Department of Health and Human Services (HHS) announced a major restructuring of the federal agency to “Make America Healthy Again.” The dramatic restructuring in accordance with Trump’s Executive Order, “Implementing the President’s ‘Department of Government Efficiency’ Workforce Optimization Initiative.”

The U.S. Department of Health and Human Services (HHS), under management of HHS Secretary Robert F. Kennedy, Jr., last week announced a major restructuring and renaming of the federal agency under the initiative “Make America Healthy Again.” This dramatic reorganization follows Trump’s Executive Order, Implementing the President’s ‘Department of Government Efficiency’ Workforce Optimization Initiative.

“We aren’t just reducing bureaucratic sprawl. We are realigning the organization with its core mission and our new priorities in reversing the chronic disease epidemic,” said HHS Secretary Robert F. Kennedy, Jr. in a statement announcing the massive overhaul. “This Department will do more—much more—at a lower cost to taxpayers.”

“Over time, bureaucracies like HHS become wasteful and inefficient, even when most of their staff are dedicated and competent civil servants,” Kennedy added. “This overhaul will be a win-win for taxpayers and those HHS serves. That’s the entire American public, because our goal is to Make America Healthy Again.”

During the Biden administration, HHS’s budget increased by 38%, and its staffing grew by 17%, prompting the new HHS chief to place the federal agency on the budgetary chopping block.

According to HHS, this restructuring will not impact critical services while saving taxpayers $1.8 billion per year through a reduction of approximately 10,000 full-time employees. When combined with other cost-cutting initiatives, including early retirement, and the Fork in the Road program, the total downsizing will reduce HHS’s workforce from 82,000 to 62,000 employees.

HHS also plans to streamline departmental functions. Currently, the agency’s 28 divisions contain redundant units. Under the restructuring plan announced on March 27, 2025, these units will be consolidated into 15 new divisions, including a newly created Administration for a Healthy America (AHA). Additionally, core organizational functions—such as Human Resources, Information Technology, Procurement, External Affairs, and Policy—will be centralized. The number of regional offices will be cut from 10 to five.

As part of the restructuring, several agencies will see workforce reductions. The U.S. Food and Drug Administration (FDA) will cut approximately 3,500 full-time employees, focusing on streamlining operations and centralizing administrative functions, though HHS asserts these reductions will not affect drug, medical device, or food reviewers, nor inspectors.

Similarly, the U.S. Centers for Disease Control and Prevention (CDC) will downsize by approximately 2,400 employees, refocusing its efforts on epidemic and outbreak response. The National Institutes of Health (NIH) will eliminate 1,200 positions by centralizing procurement, human resources, and communications across its 27 institutes and centers. Meanwhile, the Centers for Medicare and Medicaid Services (CMS) will cut around 300 positions, targeting minor duplication within the agency. HHS insists these changes will not impact Medicare or Medicaid services, but improve them.

Restructuring HHS to Focus on Chronic Illness Prevention

HHS’s overhaul aligns with the agency’s new priority of ending America’s chronic illness epidemic by focusing resources on ensuring safe, wholesome food, clean water, and the elimination of environmental toxins.

The Administration for a Healthy America (AHA) will consolidate five agencies—the Office of the Assistant Secretary for Health, the Health Resources and Services Administration, the Substance Abuse and Mental Health Services Administration, the Agency for Toxic Substances and Disease Registry, and the National Institute for Occupational Safety and Health—into a single entity. This unification aims to enhance health resource coordination for low-income Americans, emphasizing primary care, maternal and child health, mental health, environmental health, HIV/AIDS, and workforce development.

Additionally, the Administration for Strategic Preparedness and Response, responsible for national disaster and public health emergency response, will be transferred to the CDC to strengthen its core mission of protecting Americans from health threats.

To combat waste, fraud, and abuse, HHS will create a new Assistant Secretary for Enforcement, overseeing the Departmental Appeals Board, the Office of Medicare Hearings and Appeals, and the Office for Civil Rights.

Furthermore, HHS will merge the Assistant Secretary for Planning and Evaluation with the Agency for Healthcare Research and Quality to form the Office of Strategy, enhancing research to inform policy decisions.
Critical programs under the Administration for Community Living (ACL), which supports older adults and people with disabilities, will be integrated into other HHS agencies, including the Administration for Children and Families, the Office of the Assistant Secretary for Planning and Evaluation, and the Centers for Medicare and Medicaid Services (CMS). HHS assures that these changes will not impact Medicare or Medicaid services.

Sounding the Alarm

Following the announcement of HHS’s restructuring plans, which would broad without a lot of detail, aging advocacy groups quickly released statements to voice strong concerns.

“For decades, the federal health programs that retirees and people with disabilities depend on have been ably administered under both Democratic and Republican administrations. However, the radical cutbacks proposed by the Trump administration place the delivery of these programs in jeopardy,” warned Dan Adcock, Director of Government Relations & Policy at the National Committee to Preserve Social Security and Medicare (NCPSSM).

Adcock also noted that HHS plans to eliminate the ALC and divide its responsibilities between two offices with no prior experience in this area. “This administration has already demonstrated a reckless disregard for public interests in favor of slashing operations and staff under the guise of ‘efficiency,’” he added. “So far, all they have done is create chaos and confusion, disrupting essential programs for seniors and the disabled. We view Secretary Kennedy’s plans with alarm.”

Nancy LeaMond, Executive Vice President and Chief Advocacy and Engagement Officer at AARP, also urged HHS to prioritize older Americans’ health needs. “HHS must ensure access to senior centers, community health centers, nutritious meals, Medicare assistance, and other vital services that countless older Americans rely on. Health is central to the lives, well-being, and financial security of AARP’s members and the more than 100 million Americans over age 50,” she emphasized.

Terry Fulmer, PhD, RN, FAAN, President of the John A. Hartford Foundation, echoed these concerns. “The announcement of workforce cuts at HHS comes at a time of unprecedented growth in America’s aging population. The proposed reorganization of ACL and its integration into other agencies requires careful consideration.”

Fulmer stressed that ACL administers programs essential to older adults’ daily lives, such as meal delivery, transportation to medical appointments, and chronic disease management. Absorbing these functions with far fewer staff demands careful planning. The government’s commitment to older adults requires a cautious approach, she said.

The Center for Medicare Advocacy also expressed deep concerns, particularly regarding plans to restructure ACL and consolidate oversight of Medicare appeals. “Given what we have seen with Social Security Administration cuts and restructuring, HHS’s claim that these changes won’t impact critical services rings hollow,” said Co-Director David Lipschutz.

LeadingAge, a national association representing nonprofit aging services providers, called for HHS to ensure older adults and their caregivers are not overlooked. “Cutting staff responsible for critical agency functions raises serious concerns. How will the work our members rely on get done? How will this impact quality care for older adults?” asked President and CEO Katie Smith Sloan.

Sloan also cautioned that reducing HHS’s field offices from 10 to five could impact CMS’s ability to oversee nursing home surveys and provider compliance. “A 25% workforce reduction must be undertaken with extreme care—especially given the millions of older adults who depend on these services,” she emphasized.

For a fact sheet on the HHS restructuring, visit https://www.hhs.gov/about/news/hhs-restructuring-doge-fact-sheet.html

AARP Town Hall Gives Its Best to Educate Seniors on COVID-19

Published in the Woonsocket Call on April 5, 2020

With more than 278 Americans now infected with the Coronavirus virus (COVID-19) and at least 7,159 people dying from the deadly virus, according to an April 3 blog article the New York Times, “about 311 million people in at least 41 states, three counties, eight cities, the District of Columbia and Puerto Rico are being urged to stay home.” The Washington, DC-based AARP continues to intensify its efforts to educate seniors about COVID-19 by hosting weekly Coronavirus Information Tele-Town Hall events.

At AARP’s second Coronavirus Information Tele-Town Hall event, held Thursday, March 19, during the 90 minute live event, federal health experts gathered to answer questions about the latest changes to address the health impacts of COVID-19, family caregiving needs, and to give tips on how seniors can stay safe from scams and frauds. AARP’s Vice President Bill Walsh served a host and the panel of experts featured Dr. Jay Butler, M.D., the deputy director for infectious diseases at the Centers for Disease Control and Prevention, (CDC), Lance Robertson, the assistant secretary for aging and administrator of the Administration for Community Living (ACL) and Daniel Kaufman, the deputy director for the Federal Trade Commission’s Bureau of Consumer Protection. AARP’s Jean Setzfand. AARP’s senior vice president served as moderator.

CDC’s Butler called for the public to stay informed and take the coronavirus virus seriously. “As we’ve learned more about COVID-19, it’s very clear that most people who become infected do recover and do very well. But unfortunately, some get very sick. And some even die. And the risk of more severe illness is greatest for those who are older and for persons with underlying health conditions, especially chronic heart, lung or kidney disease, and those with diabetes,” he says.

Juggling Costs and Benefits While Promoting Social Distancing

According to Butler, grocery stores are juggling costs and benefits with promoting social distancing by designating special hours for seniors to shop if they don’t have someone who can make “that run to the grocery store or have delivery services available.”

“We’re at the end of flu season so if you develop symptoms (cough, muscle aches, headache, and temperature) it doesn’t mean that you have COVID-19, says Butler. For those concern, it is important to talk with your health care provider who will determine whether or not you should be evaluated and whether or not a test may be necessary, he adds, noting that COVID-19 testing is now covered by Medicare Part B when it’s ordered by a health care provider.

“Of course, if you suddenly become very ill—and that would be things like shortness of breath, chest pain, difficulty in getting your breath at all or noticing that your face or your lips are turning blue—that’s when you call 911, and get in as quickly as possible,” says Butler.

Butler notes that the primary transmission of the COVID-19 virus (as well as the six other coronaviruses that were previously known to cause disease in humans), is respiratory droplets.

By coughing or sneezing you produce droplets that contain the virus that can spread as far as five or six feet away from you, he says stressing that this is why social-distancing can protect you from catching the virus.

Many express concerns that COVID-19 can be picked up by handling letters and packages. But, says that the likelihood of transmission of is extremely low. So, consider sending a package a loved one in an assisted living facility or nursing home because it can be meaningful, says Butler.

For those over age 75 to age 80, Butler recommends that these individuals practice social distancing by connecting with their children or grandchildren by phone video chat to being exposed to COVID-19.

Butler gave simple tips for residents of senior living complexes to protect themselves from COVID-19. When you come back into your apartment after taking out trash to the chute or dumpster, “wash your hands,” he says. “And that means about 20 seconds with soap and water.

It seems like a long time but it’s the same amount of time it usually takes getting through the alphabet or to sing Happy Birthday twice,” adds Butler. Or just use a hand sanitizer with at least 60 percent alcohol as an alternative to hand washing.

ACL Administrator Robertson provided tips to unpaid caregivers who cannot visit their loved ones in nursing homes due to the necessary visiting restrictions. He says, get the facility’s up-to-date contact information along with details as to ways as how to make virtual visits, video chats and regular phone calls. He says, don’t forget to send cards and notes, not only to your loved one, but to other residents even to staff to say thank you.

Communicating with Your Loved Ones

Enhance your verbal communication by asking the facility staff to schedule the time for your call. “If your mom is most alert in the morning, pick a morning time, think about what music they might like and play that in the background or sing along or sing directly to your loved one,” recommends Robertson.

Robertson notes, “If you find the conversation struggling a bit, maybe play a game of trivia, reminisce, work on a crossword puzzle together, sing songs, read poetry or other materials.

Watch a TV show at the same time and just discuss. Again, throw in some creativity and you can help prevent both boredom and isolation.”

For those more technically savvy, face-to-face interaction through FaceTime, Messenger, Facebook, Zoom, can enhance your contact, says, Robertson.

Adds Robertson, make sure you ask the facility staff to keep the scheduled time of the care conference, holding it over the phone. “We know they’re busy, but it’s imperative that you remain linked as a caregiver,” he says.

For those caregivers seeking resources to take care of their loved one at home, call ACL’s Eldercare Locator, recommends Robertson. It’s toll-free 1-800-677-1116.

During this COVID-19 emergency FTC’s Daniel Kaufman warned that you will see “unscrupulous marketers” trying to take advantage of senior’s fears by selling them bogus treatments. In early March, he told the listeners that the FTC and the U.S. Food and Drug Administration (FDA) sent out warning letters to seven companies that were claiming products (such as cheese, essential oils and colloidal silver) could treat or prevent the coronavirus. He quipped, these companies are not making these claims anymore and urged seniors to report any scams they come across by going to ftc.gov/complaint.

Kaufman says that seniors can also go to ftc.gov/coronavirus or just go to ftc.gov to see a very prominent link for coronavirus scams. If you want to receive consumer alerts directly from the FTC, you can go to ftc.gov/subscribe.

Skyrocketing of COVID-19 Related Scams

According to Kaufman, FTC is seeing an increase in scams, from phishing emails, charity and stock scams, to robocalls selling cleaning supplies and masks.

“We are seeing a lot of bogus emails that are going out to consumers, that use headers about coronavirus to get people to open them. You know, these are fake emails that are purporting to come from legitimate and important organizations like the World Health Organization or the CDC,” says Kaufman. “Don’t click on links when you get those emails. Don’t open those emails. They will download viruses or be harmful to software onto your computer, or they will try to get your private information or credit card information,” he adds.

Watch out for charity scams, too, warns Kaufman. “You know, this is a difficult time and we all want to help. But we want to make sure we’re helping charities and not scammers who are pretending to be charities, he says, suggesting that you do your homework to protect your pocketbooks.

With COVID-19 spreading across the nation you are now seeing more robocalls touting products and services to protect you from being exposed to virus. “Just hang up. Keep in mind that anyone who’s robocalling you, if they’re trying to sell you a product, they’re already doing something that’s unlawful,” he says.

Kaufman also recommends that seniors use a credit card when purchasing products, whether it’s cleaning supplies or masks, on websites. “It’s pretty easy to set up a website that’s purporting to provide, to sell these kinds of products. And they’re taking consumers’ payment information but not delivering, he notes.

Finally, Kaufman urges seniors to watch out for watch out for fraudsters who are touting that a certain company’s stock that is certainly going to explode because they have products that can treat coronavirus. Don’t fall for this stock scam and buy this stock.

For the latest coronavirus news and advice, go to http://www.AARP.org/coronavirus.

To see transcript, go to http://www.aarp.org/health/conditions-treatments/info-2020/tele-town-hall-coronavirus-03-19.html.