MISSOURI
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RETIREMENT COUNSELING

Pre-Retirement Education Training Programs for Clergy

Training in pre-retirement education for clergy of major religious
denominations has been presented through the interfaith commission
on aging of the state council of churches and a university extension
program. Plans are being developed for further trainings for denomi-
national executives. The training programs are designed to assist
clergy in meeting needs of pre-retirees who are preparing for later
years and of already-retired elders who need post-retirement counsel-
ing. To make retirement information accessible for rural and urban
residents who are out of the mainstream, it is planned that each
denomination participating in the training sessions will offer the train-
ing to other urban and rural clergy in different communities. Clergy
will become an additional resource to pre-retirees and elders who need
support regarding retirement.

Interfaith commission on aging of state council of churches initiated
program. SUA provides legal information and possible funding.
University faculty and extension service, Social Security, bank and
RSVP personnel provide input.

VERIFIED:

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DISTRICT OF COLUMBIA

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DAY CARE

Geriatric Day Care Program Provides Short-Term Care

This program provides short term day care services
to elders who are recovering from illnesses and cannot
be alone. Services emphasize social support, independ-
ence to return to pre day care life. Referrals are made
from three hospitals in area, and rotation of patients
back to community is emphasized. Home health aides
assist elders to remain in own homes and help them
return to homes after day care.

Associated Catholic Charities administers program through grant from SUA. SUA monitors, evaluates program. Urban Mass Transit Act (UMTA) provides funds for van to transport patients. Coordination with American Association of Retired Persons, Episcopal Ministry to the Elderly, Howard University Hospital and Providence Hospital. Washington Urban League, a nutrition program, provides meals to center. Center located in same building as day care center for children.

District of Columbia, citywide. Most useful to residents of north east area - residential core - city

area.

Expects to serve 60 different elders in one year. E1ders who are recovering from accidents or illnesses and who cannot be alone all day. Serves 20 older people daily per week. Three months is average use of center by one person.

Operational since 10/76. Catholic Charities submitted formal application, 8/76. Hopes Department of Human Resources will fund welfare recipients in program.

Catholic Charities contracts with SUA through Title III, Older Americans Act funds of $35,600. UMTA funds utilized for van.

Catholic Charities Geriatric Day Care Program, Plan
for Project.

Lillian Jones, Program Analyst

Department of Human Resources

Office on Aging

1329 "E" Street

Washington, D.C. 20015 (202) 724-5622 (SUA)

NEW JERSEY

Program

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DRUGS

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State Finances Pharmaceutical Assistance Program

The Pharmaceutical Assistance to the Aged Program (S.B.
755) extends financial assistance to older persons
whose level of income exceeds Medicaid defined need.
For prescription drugs and insulin purchased from New
Jersey pharmacists, the program provides yearly reim-
bursements at a rate of 80% of reasonable cost after
payment of an income-based deductible. Some of the
reimbursement application documentation has included 1)
an itemized listing, by national drug code, of all
drugs purchased within the year, 2) names and addresses
of all pharmacies where drugs are purchased, 3) proof
of age.
Should be followed as potential model for
national health policy.

Lobbying and advocacy efforts of the New Jersey Independent Pharmaceutical Association, SUA, and elder organizations such as National Council of Senior Citizens and American Association of Retired Persons. The Division of Medical Assistance and Health Services administers the program.

Statewide.

Increasing the spendable income of the low income elderly who have additional burdens of chronic illness. Social Security age limitations are used.

One of the surviving components of earlier and more comprehensive legislation on catastrophic illness, S.B. 755 was first introduced in 1974 to address the problem of certain elderly paying too large a percentage of their incomes on drugs. The bill passed 8/75 and was implemented 1/76. After the first full year of operation, the SUA and its Advisory Body are revising the initial reimbursement application.

Carries a state general service appropriation of $2.5 million.

Copy of legislation. Pharmaceutical Assistance Pro-
gram Application/Claim instructions.

James Pennestri, Director

New Jersey Division on Aging

P.O. Box 2768

363 West State Street

Trenton, New Jersey 08625 (609) 292-3765 (SUA)

RHODE ISLAND
Legislation

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Proposed Legislation Would Require Pharmacists to Keep
Elder Drug Profiles

The State Advisory Body proposes legislation to require pharmacists to keep drug profiles on elder customers. Profiles would provide review of person's drug purchases, facilitate monitoring drug therapies involving multiple physicians and avert purchase of duplicate or conflicting medications.

Legislative route: State Advisory Body proposes idea
to SUA which conducts research and drafts bill. If
enacted, Department of Health would implement legis-
lation. Voluntary route: SUA and Advisory Body elicit
cooperation of Rhode Island Pharmacist Association to
have Drug Profiles instituted voluntarily by pharmacists.

Statewide.

Elder drug consumers, especially those seeing more
than one physician.

Bill defeated in committee. SUA is working closely with Rhode Island Pharmacists Association which is cooperating with Advisory Body in supporting this issue. Several pharmacists have already implemented the Drug Profile System. Advisory Body expects voluntary implementation will occur without legislation.

Costs to be absorbed by pharmacies and Department of
Health. No new appropriations anticipated.

WEST VIRGINIA

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DRUGS

SUA Will Help Implement Prescription Drug Price Posting

Legislation will require pharmacies to publicly post
prices for the 100 most commonly prescribed drugs,
by both generic and retail names. Additional infor-
mation concerning services provided by the pharmacy,
home delivery of drugs, etc., will also be posted.
For many smaller pharmacies these additional services
help compensate the consumer for slightly higher drug
prices. The new law will be implemented by the State
Board of Pharmacy. They will monitor compliance with
the new regulations and handle complaints.
A key
partner in implementing the law is the SUA; they will
educate the elders about the new law and encourage
active consumer input to assure compliance.

The West Virginia Commission on Aging strongly supported the legislation; elder groups in the state advocated for its passage.

Statewide.

Institutional impact: 1) reconciliation of the prob-
lem that many smaller pharmacies felt would unfairly
put them at a disadvantage in competition larger re-
tail firms; posting of "services" should compensate
for price differences, 2) save money for consumers.
Population impact: 1) the legislation will benefit
all residents of the state, 2) of particular inter-
est to elders and others on expensive drug mainte-
nance programs for their health.

Bill passed in 1976. Early implementation and prob-
lem solving phase.

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Legislative Services

Room E132

State Capitol

Charleston, West Virginia 25305 (304) 348-2040 (Legis.)

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