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Biennium Budget SFY 2022-2023
Image contains the words 'Investing in Ohio's Future:  Budget of the State of Ohio | Fiscal Years 2022-2023


The Ohio Department of Aging's State Fiscal Year (SFY) 2022-2023 Biennium Budget request outlines the resources for Ohio to achieve an inspiring and attainable future.

The department's funding proposal for the biennium includes all-funds appropriations requests of $117 million in SFY 2022 and $107.6 million in SFY 2023, including General Revenue Fund requests of $35.4 million and $30.4 million in those same years. This proposal includes a new Statewide Aging Initiatives line and nearly-flat funding for existing programs, with most of the increased amounts reflecting restoration of Fiscal Year 2021 holds.

Our proposal builds upon two foundational themes:

  • Positioning Ohio and our communities to anticipate and respond to the needs of older Ohioans
  • Enabling the Ohio Department of Aging to effectively serve as Ohio’s designated State Unit on Aging

Testimony

Testimony before the Ohio Senate Health Committee, May 5, 2021, Ursel J. McElroy

Testimony before the Ohio House Finance Subcommittee on Health and Human Services, March 2, 2021, Ursel J. McElroy

Testimony before the Ohio House Finance Committee, Feb. 10, 2021, Ursel J. McElroy

Statewide Aging Initiatives Line Item

Ohio has a growing 60 and older demographic, along with complex issues that require transformational, statewide changes. In just 20 years, the number of Ohioans age 60 and older will increase by more than 30%. That means by the year 2030, Ohioans age 60 and older will make up more than a quarter of Ohio’s total population. While Ohio is fortunate to receive federal funding to support local aging programs, the funds are tied to laws and rules governing how funds are used and limit the state from addressing historic gaps which must be closed.

Creating an infrastructure that allows us to do more of this work, more efficiently must be a priority. The Statewide Aging Initiatives line item requests $14 million in SFY 2022 and $9 million in SFY 2023, allowing for strategic program implementation for older Ohioans across the state. This new fund will enable Ohio to address significant gaps at the state level due to the absence of such a fund in the past. It allows us to grow, to evolve, and to be dynamic in our actions without tying dollars to specific niches based on a singular factor such as location, income, or current health status.

Our budget request and the Strategic Action Plan on Aging

The 2020-2022 Strategic Action Plan on Aging (SAPA) allows us to evolve the current aging network in an impartial way, with data, with a strong understanding of where we are and where we want to go. The SAPA outlines the how to get there, detailing the exact partners, programs, and places.

Below is a breakdown of the SAPA's priorities and strategies. Total proposed funding for these initiatives is $13,755,000 in SFY 2022 and $10,005,000 in SFY 2023.

SAPA priority: Community conditions

Strategy: Improve financial stability

Strategy categories:

  • Income supports
  • Adult training and employment supports
  • Housing supports
  • Retirement and health-care planning

Statewide Aging Initiatives focus: Teach Ohioans how to plan for needs later in life such as health, finances, and long-term care planning such as nursing or assisted living needs.


Strategy: Improve housing quality and affordability

Strategy categories:

  • Affordable housing development
  • Rental assistance and supportive housing
  • Housing accessibility and quality
  • Income supports

Statewide Aging Initiatives focus: Making sure housing is built so that people can stay in their homes as they age: zero entry, doorways that fit wheelchairs, accessible kitchens and baths.


Strategy: Improve transportation access

Strategy categories:

  • Public transportation
  • Transportation and land use
  • Medical transportation

Statewide Aging Initiatives focus 1: Create travel training programs that teach older adults the skills needed to travel safely and independently using public transportation (rural and urban).

Statewide Aging Initiatives focus 2: Empower local officials such as county/city engineers to build safer infrastructure including more visible pavement painting and improved lighting.

SAPA Priority: Healthy living

Strategy: Improve nutrition

Strategy categories:

  • SNAP enrollment
  • Community-based healthy food access
  • Retail-based supports and incentives
  • Healthy eating incentives
  • Workplace supports
  • Disease management
  • Malnutrition prevention and treatment

Statewide Aging Initiatives focus 1: Resetting congregate meals through increasing investment in local businesses and restaurants, food trucks, and universities.

Statewide Aging Initiatives focus 2: Support local procurement of foods in older adult meal programs.

Statewide Aging Initiatives focus 3: Expand mobile produce markets.


Strategy: Improve physical activity

Strategy categories:

  • Community fitness
  • Transportation and land use
  • Physical activity programs
  • Workplace supports
  • Home modifications
  • Disease management

Statewide Aging Initiatives focus: Partner for increasing physical activity programming such as walking programming in local parks.

SAPA Priority: Access to care

Strategy: Improve health-care coverage and affordability

Strategy categories:

  • Health insurance enrollment and coverage
  • Health-care affordability policies
  • Health-care cost reduction programs and services

Statewide Aging Initiatives focus: Provide health insurance enrollment outreach and support, including through the Ohio Senior Health Insurance Information Program (OSHIIP).


Strategy: Improve home-and community-based supports

Strategy categories:

  • Home- and community-based care coordination
  • Transitions to home- and community-based care
  • Long-term care planning and support services
  • Telehealth

Statewide Aging Initiatives focus: Support Benjamin Rose Institute Care Consultation (BRICC) program, which links and coordinates health-care, community, and family services for clients (both the patient and the primary caregiver), organizes family and friends in assisting in care tasks, and provides emotional support.


Strategy: Improve home care workforce capacity and caregiver supports

Strategy categories:

  • General caregiver supports
  • Caregiver supports for Alzheimer’s and other forms of dementia
  • Respite care
  • Income supports
  • Career and Technical Education (CTE) for home health care

Statewide Aging Initiatives focus: ODA/OSU Caregiver Center - Build a unique caregiver-focused center for family and formal caregivers across Ohio to build their knowledge and skills to support them in their role as caregivers, including using evidence-based interventions to enhance the quality of life for themselves, their families, and their care recipients.

SAPA Priority: Social Connectedness

Strategy: Improve social inclusion

Strategy categories:

  • Physical activity
  • Community engagement and social supports
  • Home-based social supports
  • Transportation and land use
  • Self-management and prevention

Statewide Aging Initiatives focus: Conduct a multi-pronged healthy aging media campaign including tools to engage partners in dismantling ageist views.


Strategy: Increase volunteerism

Strategy categories:

  • Civic participation supports
  • Service opportunities for older adults

Statewide Aging Initiatives focus: Conduct a statewide campaign to recruit, train and connect older Ohioans with volunteer opportunities in their community.

SAPA Priority: Population Health

Strategy: Cognitive health

Strategy categories:

  • Physical activity
  • Community engagement and social supports
  • Screening and care coordination

Statewide Aging Initiatives focus: ODA/OSU Caregiver Center (see "Improve home care workforce capacity and caregiver supports," above); BRICC (see "Improve home-and community-based supports," above); Programming in parks (see "Improve physical activity," above)


Strategy: Cardiovascular health

Strategy categories:

  • Physical activity
  • Screening and preventive clinical services
  • Disease prevention, management, and care coordination
  • Treatment and medication adherence

Statewide Aging Initiatives focus: Facilitate access to technology to assist with blood pressure monitoring and control.


Strategy: Mental health

Strategy categories:

  • Physical activity
  • Mental health-care access and supports
  • Screening and assessment
  • Disease management and care coordination

Statewide Aging Initiatives focus: ODA/OSU Caregiver Center (see "Improve home care workforce capacity and caregiver supports," above); Programming in parks (see "Improve physical activity," above)

SAPA Priority: Preserving independence

Strategy: Improve chronic pain management

Strategy categories:

  • Self-management supports
  • Physical activity

Statewide Aging Initiatives focus: Expand virtual and in-person Chronic Pain Self-Management Programs.


Strategy: Improve falls prevention

Strategy categories:

  • Physical activity
  • Falls prevention education and self-management
  • Falls risk assessment and interventions
  • Home modifications

Statewide Aging Initiatives focus: Programming in parks (see "Improve physical activity," above); Accessible housing

SAPA Priority: Aging Network Inclusion Model

Strategy: Front door expansion

Strategy categories:

  • Data-driven decisions
  • Connection to timely services

Statewide Aging Initiatives focus: Connect individuals with less costly services earlier to expand the healthier years and avoid more costly healthcare later in life. Develop software and programming to increase awareness and participation among older Ohioans and people with disabilities of services.