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CONTENTS
Hearings held in-

Miami, Fla., July 20, 1970.

Washington, D.Č.:

September 16, 1970-

September 17, 1970.

September 24, 1970.

South Bend, Ind., September 19, 1970-

Elkhart, Ind., September 19, 1970.

Text of H.R. 17763..

Statement of -

Atwood, Mrs. William T., director, Meals on Wheels -

Batz, Leonard, member of the Malcom Ross Center, president of the

Membership Organization.-

Bechill, Dr. William, assistant professor, University of Maryland,

School of Social Work and Community-
Beckman, R. O., member of the Florida Commission on Aging-
Brickfield, Cyril F., legislative counsel, American Association of Re-

tired Persons and National Retired Teachers Association, accom-
panied by Peter Hughes and Robert Sykes, legislative represent-

atives.

Brown, Mrs. Mattie, member of the Perrine Senior Center.

Burnett, Hazel, exective director, Diary Council of St. Joseph Valley --

Cain, Senator Harry P., acting president, board of directors, Metropolitan

Senior Center. -

Cervantes, Fernando, member of the Spanish Group, Metropolitan

Senior Center..

Fox, Lester, executive director, United Health Foundation and

REAL Services.

Friedman, Harold, member of the Florida State Council of Senior

Citizens.

Gilman, Henry, president, Florida Senior Citizens League of Florida--

Howell, Mrs. Sandra, project director, the Gerontological Society --

Hutton, William R., executive director, National Council of Senior

Citizens.

Kuhn, Dr. Frederick L., general practitioner
Marsh, Miss Regena, executive director, Meals on Wheels -
Martin, John B., Commissioner, Administration on Aging. Also Miss

Isabelle Kelley, Stephen Simonds, Thomas Bryant.

McGill, Mrs. Helen, food service supervisor of the low-cost meal pro-

gram, Metropolitan Senior Center

McLoud, C. W., chief of the Bureau of Aging Division of Family

Services, State of Florida---

Miller, Rudolph, member of the Metropolitan Senior Center

Pepper, Hon. Claude, a Representative in Congress from the State of

Florida.

Perdue, Dr. Jean Jones, member of the board of directors of the Senior

Centers of Metropolitan Dade County, Inc..

Romero, Mrs. Mittie, member of the Black Group, Metropolitan

Senior Center.

Sheeler, Peggy, registered nurse, executive director, Baltimore Metro-

politan Meals on Wheels, Inc., accompanied by Eleanor McKnight

Snyder, chief, division of nutrition, Baltimore Health Department,

and secretary, Mayor's Task Force on Nutrition, and Maryjane

Lyman, coordinator, program development for older people,

Lutheran Social Services of Maryland, Inc.-

Simson, Irving, certified public accountant, Metropolitan Senior

Center.

Spurgeon, Martha, director, public welfare, Elkhart, Ind.

Vuocolo, Conrad J., director of tenant services, Jersey City Housing

Authority, Jersey City, N.J.-

Warskow, Mrs. Florentine, president, Senior Citizens Club..

Weaver, İvan, manager, Greencroft Village, Goshen, Ind.

Wynn, Bill, executive director, United Fund.

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Prepared statements, letters, supplemental material, etc.:

Beber, Charles R., M.D., letter to Hon. Claude Pepper, dated July 17,

1970.. Brickfield, Cyril F., legislative council, American Association of

Retired Persons, and National Retired Teachers Association, state

ment of.. Corman, Hon. James C., a Representative in Congress from the State

of California, statement of Fascell, Hon. Dante B., a Representative in Congress from the State

of Florida, statement of..
Heffron, Alice D., president, board of directors, Food & Nutrition
Services, Inc., Buffalo, N.Y.:

Exhibit I. Food and nutrition problems of the elderly ---
Exhibit II. Solutions that have been found to help the elderly

meet the problems of food and nutrition --
Exhibit III. Recommendations for a national nutrition program.

Letter to Chairman Brademas, dated September 30, 1970---
Hutchings, Mrs. V. Lucile, executive director, Service for the Aging,

Salt Lake City, Utah, letter to Hon. Laurence J. Burton, dated

September 9, 1970, enclosing agency brochure..
Hutton, William R., executive director, National Council of Senior

Citizens, “White House Conference on Food, Nutrition and Health,

a report entitled.--.
Kramer, Edward J., director, Services to the Elderly, New York City,

N.Y., statement of...
Pepper, Hon. Claude, a Representative in Congress from the State of
Florida:

Exhibit I. Project examples.-
Exhibit II. Profile of the participants in AOA nutrition programs.
Exhibit III. EKNI report.

Statement of..-
Podell, Hon. Bertram L., a Representative in Congress from the

State of New York, statement of----
Simonds, Hon. Stephen, Commissioner, Community Services Adminis-

tration, Social and Rehabilitation Service, HEW, "Summary of
Social Services Reforms in the Family Assistance Act,” an article

entitled..
Synder, Eleanor McKnight, chief, division of nutrition, Baltimore
Health Department, "Organizational Manual for Meals on Wheels,”

a compilation entitled.. Stratos, Joseph, Jr., chairman, Philadelphia Commission on Services

to the Aging, statement of_ “What Do Those Who Have known the Vintage Years Column or

Its Writer Have to Say?" an article entitled.

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OLDER AMERICANS ACT AMENDMENTS FOR

NUTRITIONAL SERVICES

MONDAY, JULY 20, 1970

HOUSE OF REPRESENTATIVES,
SELECT SUBCOMMITTEE ON EDUCATION
OF THE COMMITTEE ON EDUCATION AND LABOR,

Miami, Fla. The Select Subcommittee on Education met at 9:10 a.m., pursuant to call, at Metropolitan Senior Center, 1407 Seventh Street NW., Miami, Fla., Hon John Brademas (chairman of the subcommittee) presiding:

Present: Representatives Brademas, Hansen, and Pepper.

Staff members present: Jack G. Duncan, counsel; Ronald L. Katz, assistant staff director; and Marty L. La Vor, minority legislative coordinator.

(Text of H.R. 17763 follows:)

[H.R. 17763, 91st Cong., second sess.)

A BILL To amend the Older Americans Act of 1965 to provide grants to States for the

establishment, maintenance, operation, and expansion of low-cost meal programs, nutrition training and education programs, opportunity for social contacts, and for other purposes

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. Title VII of the Older Americans Act of 1965 is redesignated as title VIII, and sections 701 through 705 of that Act are respectively redesignated as sections 801 through 805.

SEC. 2. Section 102(1) of the Older Americans Act of 1965 is amended by deleting the semicolon, and inserting a comma and inserting immediately there after the words "except for the purposes of title VII where the term ‘Secretary' shall mean the Secretary of Agriculture.”

Sec. 3. The Older Americans Act of 1965 is amended by inserting the following new title immediately after title VI thereof:

"TITLE VII-NUTRITION PROGRAM FOR THE ELDERLY

FINDINGS AND PURPOSE

"SEC. 701. (a) The Congress finds that the research and development grants, title IV, Older Americans Act, nutrition program has demonstrated the effectiveness of and the need for permanent nationwide programs to provide the nutritional and social needs of millions of persons aged sixty-fiv or older who are unable to overcome the complex and intertwining problems of inadequate diets. Many of these elderly persons do not eat adequately because they cannot afford to do so, while others, who are economically better off, do not eat well because they lack the skills to select and prepare nourishing and well-balanced meals, have limited mobility which may impair their capacity to shop and cook for themselves, and have feelings of rejection and loneliness which obliterate the incentive necessary to prepare and eat a meal alone. These and other physiological, psychological, social, and economic changes that occur with aging result in a pattern of living, which causes malnutrition and further physical and mental deterioration.

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“(b) In addition to the food stamp program, commodity distribution systems and old-age income benefits, there is an acute need for a national policy aimed at providing the elderly with low cost, nutritionally sound meals served in strategically located centers such as community centers, senior citizen centers, schools, and other public or private nonprofit institutions suited to such use and through other means toward this purpose. Besides promoting better health among the older segment of our population through improved nutrition, such a program, implemented through the use of a variety of community resources, would be a means of promoting greater opportunity for social contact ending the isolation of old age, increasing participants' knowledge of nutrition and health in general, and promoting positive mental health and independence through the encouragement of greater physical and mental activities.

"ADMINISTRATION

“SEC. 702. (a) In order to effectively carry out the purposes of this title, the Secretary shall

“(1) create a new division within the Food and Nutrition Service of the Department of Agriculture, under the Assistant Secretary for Marketing and Consumer Services, for the administration of the program ;

(2) make full utilization of the existing services within the Department including but not limited to the Federal Extension Service under the Director of Science and Education; and

“(3) consult with the Administration on Aging, Department of Health, Education, and Welfare. “(b) In carrying out the provisions of this title, the Secretary is authorized to request the technical assistance and cooperation of the Department of Labor, the Office of Economic Opportunity, the Department of Housing and Urban Development, the Department of Transportation, and such other departments and agencies of the Federal Government as may be appropriate.

"(c) The Secretary is authorized to use, with their consent, the services, equipment, personnel, and facilities of Federal and other agencies with or without reimbursement, and on a similar basis to cooperate with other public and private agencies and instrumentalities in the use of services, equipment, personnel, and facilities.

“(d) In carrying out the purposes of this title, the Secretary is authorized to provide consultative services and technical assistance to any public or private nonprofit institution or organization, agency, or political subdivision of a State; to provide short-term training and technical instruction; and to collect, prepare, publish, and disseminate special educational or informational materials, including reports of the projects for which funds are provided under this title.

“ALLOTMENT OF FUNDS

“SEC. 703. (a) (1) From the sum appropriated for a fiscal year under section 708(A) the Commonwealth of Puerto Rico, Guam, American Samoa, the Virgin Islands, and the Trust Territory of the Pacific Islands, shall each be allotted an amount equal to one-fourth of 1 per centum of such sum and (B) each other State shall be allotted an amount equal to one-half of 1 per centum of such sum.

“(2) From the remainder of the sum so appropriated for a fiscal year each State shall be allotted an additional amount which bears the same ratio to such "remainder as the population aged sixty-five or over in such State bears to the population aged sixty-five or over in all of the States, as determined by the Secretary on the basis of the most recent satisfactory data available to him.

"(3) A State's allotment for a fiscal year under this title shall be equal to the sum of the amount allotted to it under paragraphs (1) and (2).

“(b) The amount of any State's allotment under subsection (a) for any fiscal year which the Secretary determines will not be required for that year shall be available for reallotment. from time to time and on such dates during such year as the Secretary may fix, to other States in proportion to the original allotments to such States under subsection (a) for that year, but with such proportionate amount for any of such other States being reduced to the extent it exceeds the sum the Secretary estimates such State needs and will be able to use for such year; and the total of such reductions shall be similarly reallotted among the States whose proportionate amounts were not so reduced. Such reallot

ments shall be made on the basis of the State plan so approved, after taking into consideration the population aged sixty-five or over. Any amount reallotted to a State under this subsection during a year shall be deemed part of its allotment under subsection (a) for that year.

*(C) The allotment of any State under subsection (a) for any fiscal year shall be available for grants to pay up to 90 per centum of the costs of projects in such State described in section 705 and approved by such State in accordance with its State plan approved under section 705. Such allotment to any State in any fiscal year shall be made upon the condition that the Federal allotment will be matched during each fiscal year by 10 per centum, or more, as the case may be, from funds within the State.

"(d) If, in any State, the State agency is not permitted by law to disburse the funds paid to it under this title in the State, or is not permitted by law to match Federal funds made available for use by such public or private nonprofit institution or organization, agency, or political subdivision of a State, the Secretary shall withhold the allotment of funds to such State referred to in subsection (a). The Secretary shall disburse the funds so withheld directly to any public or private nonprofit institution or organization, agency, or political subdivision of such State in accordance with the provisions of this title, including the requirement that any such payment or payments shall be matched in the proportion specified in subsection (c) for such State, by funds from sources within the State.

"PAYMENTS TO STATES

"SEC. 704. (a) Funds allotted to any State pursuant to section 703 during a fiscal year shall be available for payment to such State for disbursement by the State agency in accordance with such agreements not inconsistent with the provisions of this title as may be entered into by the Secretary and such State agency, for the purposes of carrying out the provisions of this title, during such fiscal year in supplying

"(1) agriculture commodities and other foods for consumption by persons aged sixty-five or over, and

“(2) nonfood assistance in furtherance of the programs authorized under this title. "(b) The Secretary shall certify to the Secretary of the Treasury from time to time the amounts to be paid to any State under this section and the time or times such amounts are to be paid to any State under this section and the time or times such amounts are to be paid; and the Secretary of the Treasury shall pay to the State at the time or times fixed by the Secretary the amounts so certified.

"STATE PLANS

“SEC. 705. (a) Any State which desires to receive allotments under this title shall submit to the Secretary for approval a State plan for purposes of this title which—

"(1) establishes or designated a single State agency as the sole agency for administering or supervising the administration of the plan, which agency shall be the agency primarily responsible for coordination of State programs and activities related to the purposes of this title ;

“(2) sets forth such policies and procedures as will provide satisfactory assurance that allotments paid to the State under the provisions of this title will be expended

“(A) to make grants in cash or in kind to any public or private nonprofit institution or organization, agency, or political subdivision of a State (hereinafter referred to 'recipient of a grant or contract')

“(i) to carry out the program as described in section 706.

“(ii) to provide up to 90 per centum of the costs of the purchase and preparation of the food; delivery of the meals; and such other reasonable expenses as may be incurred in providing nutrition services to persons aged sixty-five or over. Recipients of grants of contracts may charge participating individuals for meals furnished but such charge shall not exceed a per meal limit to be established by each State agency, taking into consideration the income ranges of eligible individuals in local communities and other sources of income of the recipients of a grant or a contract.

"(iii) to provide up to 90 per centum of the costs of such supporting services as may be absolutely necessary such as the costs of

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