-------------------------------------------------------------------------------------------------------------------------------------------------------------
  **Program Name**  **Purpose**                     **Act\***        **Senate**                         **House of                             **Agency,
                                                    *Original Act*                                      Representatives**                      Office**
  ----------------- ----------------- ------------- ---------------- --------------- ------------------ ------------------- ------------------ ----------------
                                                                     **Committee**   **Subcommittee**   **Committee**       **Subcommittee**   

  **Independent     To assist states                Rehabilitation   Committee on    Varies             Committee on        Varies             Department of
  Living State      in maximizing the               Act of 1973, as  Health,                            Education and the                      Education,
  Grants**          leadership,                     amended, Title   Education,                         Workforce                              Office of the
                    empowerment,                    VII, Chapter 1,  Labor, and                                                                Assistant
                    independence, and               Part B, 29       Pensions                                                                  Secretary for
                    productivity of                 U.S.C.                                                                                     Special
                    individuals with                796a-796e-3.                                                                               Education and
                    disabilities, and                                                                                                          Rehabilitative
                    the integration                                                                                                            Services
                    and full                                                                                                                   
                    inclusion of                                                                                                               
                    individuals with                                                                                                           
                    disabilities into                                                                                                          
                    the mainstream                                                                                                             
                    American society,                                                                                                          
                    by providing                                                                                                               
                    financial                                                                                                                  
                    assistance for                                                                                                             
                    providing,                                                                                                                 
                    expanding, and                                                                                                             
                    improving the                                                                                                              
                    provision of                                                                                                               
                    independent                                                                                                                
                    living services.                                                                                                           

  **Centers for     The program                     Rehabilitation   Committee on    Varies             Committee on        Varies             Department of
  Independent       awards grants to                Act of 1973, as  Health,                            Education and the                      Education,
  Living**          locally run                     amended, Title   Education,                         Workforce                              Office of the
                    nonprofit                       VII, Chapter 1,  Labor, and                                                                Assistant
                    agencies that are               Part B, 29       Pensions                                                                  Secretary for
                    operated by                     U.S.C.                                                                                     Special
                    individuals with                796a-796e-3.                                                                               Education and
                    disabilities and                                                                                                           Rehabilitative
                    that offer                                                                                                                 Services
                    independent                                                                                                                
                    living services                                                                                                            
                    that include (1)                                                                                                           
                    information and                                                                                                            
                    referral, (2)                                                                                                              
                    independent                                                                                                                
                    living skills                                                                                                              
                    training, (3)                                                                                                              
                    peer counseling,                                                                                                           
                    and (4)                                                                                                                    
                    individual and                                                                                                             
                    systems advocacy.                                                                                                          

  **Special         Grants are made                 Older Americans  Committee on    Varies             \(1\) Committee on  Varies             Department of
  Programs for the  to any public or                Act of 1965,     Health,                            Education and the                      Health and Human
  Aging:            nonprofit private               P.L. 89-73, July Education,                         Workforce, (2)                         Services,
  Discretionary     agency,                         14, 1965, 79     Labor, and                         Energy and Commerce                    Administration
  Projects**        organization, or                Stat. 218,       Pensions                                                                  on Aging
                    institution.                    codified at 42                                                                             
                    These funds may                 U.S.C. sec. 3001                                                                           
                    be used to (1)                                                                                                             
                    demonstrate new                                                                                                            
                    methods and                                                                                                                
                    practices to                                                                                                               
                    improve the                                                                                                                
                    quality and                                                                                                                
                    effectiveness of                                                                                                           
                    programs and                                                                                                               
                    services, (2)                                                                                                              
                    evaluate existing                                                                                                          
                    programs and                                                                                                               
                    services, and (3)                                                                                                          
                    conduct applied                                                                                                            
                    research and                                                                                                               
                    analysis to                                                                                                                
                    improve access to                                                                                                          
                    and delivery of                                                                                                            
                    services to train                                                                                                          
                    professionals in                                                                                                           
                    the field.                                                                                                                 

  **Special         Funds are awarded               Older Americans  Committee on    Varies             \(1\) Committee on  Varies             Department of
  Programs for the  to states to                    Act of 1965,     Health,                            Education and the                      Health and Human
  Aging: Grants for develop and                     P.L. 89-73, July Education,                         Workforce, (2)                         Services,
  Supportive        strengthen                      14, 1965, 79     Labor, and                         Energy and Commerce                    Administration
  Services and      comprehensive and               Stat. 218,       Pensions                                                                  on Aging
  Senior Centers**  coordinated                     codified at 42                                                                             
                    service delivery                U.S.C. sec. 3001                                                                           
                    systems through                                                                                                            
                    designated state                                                                                                           
                    Agencies on Aging                                                                                                          
                    and area Agencies                                                                                                          
                    on Aging. In                                                                                                               
                    addition to                                                                                                                
                    supportive                                                                                                                 
                    nutrition                                                                                                                  
                    services, these                                                                                                            
                    may be used to                                                                                                             
                    support other                                                                                                              
                    services,                                                                                                                  
                    including                                                                                                                  
                    renovation,                                                                                                                
                    acquisition and                                                                                                            
                    alteration, and                                                                                                            
                    construction of                                                                                                            
                    multipurpose                                                                                                               
                    senior centers.                                                                                                            
                    The objective of                                                                                                           
                    these services                                                                                                             
                    and centers is to                                                                                                          
                    maximize the                                                                                                               
                    informal support                                                                                                           
                    provided to older                                                                                                          
                    Americans to                                                                                                               
                    enable them to                                                                                                             
                    remain in their                                                                                                            
                    homes and                                                                                                                  
                    communities.                                                                                                               
                    Providing                                                                                                                  
                    transportation                                                                                                             
                    services, in-home                                                                                                          
                    services, and                                                                                                              
                    caregiver support                                                                                                          
                    services, this                                                                                                             
                    program ensures                                                                                                            
                    that elders                                                                                                                
                    receive the                                                                                                                
                    services they                                                                                                              
                    need to remain                                                                                                             
                    independent.                                                                                                               

  **Senior          The program                     Domestic         Committee on    Varies             Committee on        Varies             Federal Agency
  Companion         provides                        Volunteer        Health,                            Education and the                      Corporation for
  Program**         stipends,                       Service Act of   Education,                         Workforce                              National and
                    transportation,                 1973 (Volunteers Labor, and                                                                Community
                    physical                        in Service to    Pensions                                                                  Service
                    examinations,                   America) (VISTA)                                                                           
                    insurance, and                  (P.L. 93-113,                                                                              
                    meals for their                 Oct. 1, 1973, 87                                                                           
                    volunteers.                     Stat. 394)                                                                                 
                    Assignment of                   (codified at 42                                                                            
                    Senior Companions               U.S.C. sec.                                                                                
                    to adults may                   4950)                                                                                      
                    occur in                                                                                                                   
                    residential and                                                                                                            
                    nonresidential                                                                                                             
                    facilities and in                                                                                                          
                    their own homes.                                                                                                           

  **Medicaid Home-  Program gives                   Social Security  Committee on    \(1\) Health Care, \(1\) Committee on  Ways and Means:    Department of
  and               states                          Act (Aug. 14,    Finance         (2) Social         Ways and Means, (2) (1) Health, (2)    Health and Human
  Community-Based   flexibility to                  1935, c. 531,                    Security and       Committee on Energy Social Security;   Services,
  Services (HCBS)   design programs                 Title XIX, §                     Family Protection  and Commerce        Energy and         Centers for
  Waiver**          to meet the                     1915, as added                                                          Commerce:          Medicare and
                    specific needs of               and amended Aug.                                                        Subcommittee on    Medicaid
                    defined groups.                 13, 1981, P.L.                                                          Health             Services
                    States may create               97-35, Title                                                                               
                    programs to serve               XXI, §§ 2175(b),                                                                           
                    the elderly,                    2176, 2177(a)),                                                                            
                    people with                     Medicare and                                                                               
                    physical                        Medicaid                                                                                   
                    disabilities,                   Amendments of                                                                              
                    developmental                   1981 (P.L.                                                                                 
                    disabilities,                   97-35, Title                                                                               
                    mental                          XXI, Aug. 13,                                                                              
                    retardation or                  1981, 95 Stat.                                                                             
                    mental illness.                 783) (codified                                                                             
                    States may also                 at 42 U.S.C.                                                                               
                    target programs                 sec. 1396n)                                                                                
                    by specific                                                                                                                
                    illness or                                                                                                                 
                    condition as well                                                                                                          
                    as people with                                                                                                             
                    acquired or                                                                                                                
                    traumatic brain                                                                                                            
                    injury. States                                                                                                             
                    can make home-                                                                                                             
                    and                                                                                                                        
                    community-based                                                                                                            
                    services                                                                                                                   
                    available to                                                                                                               
                    individuals who                                                                                                            
                    would otherwise                                                                                                            
                    qualify for                                                                                                                
                    Medicaid only if                                                                                                           
                    they were in an                                                                                                            
                    institutional                                                                                                              
                    setting. States                                                                                                            
                    may offer a                                                                                                                
                    variety of                                                                                                                 
                    services to                                                                                                                
                    participants                                                                                                               
                    under an HCBS                                                                                                              
                    waiver program                                                                                                             
                    and are not                                                                                                                
                    limited to the                                                                                                             
                    number of                                                                                                                  
                    services that can                                                                                                          
                    be provided.                                                                                                               
                    States may use an                                                                                                          
                    HCBS waiver                                                                                                                
                    program to                                                                                                                 
                    provide a                                                                                                                  
                    combination of                                                                                                             
                    both traditional                                                                                                           
                    medical services                                                                                                           
                    as well as                                                                                                                 
                    nonmedical                                                                                                                 
                    services. There                                                                                                            
                    are no specific                                                                                                            
                    services that                                                                                                              
                    must be offered                                                                                                            
                    in an HCBS waiver                                                                                                          
                    program.                                                                                                                   

  **Social Services                                 Social Security  Varies          Varies             Varies              Varies             Department of
  Block Grant**                                     Act, Title XX,                                                                             Health and Human
                                                    as amended;                                                                                Services,
                                                    Omnibus Budget                                                                             Administration
                                                    Reconciliation                                                                             for Children and
                                                    Act of 1981                                                                                Families
                                                    (P.L. 97-35)                                                                               
                                                    (codified at 42                                                                            
                                                    U.S.C. sec. 1397                                                                           
                                                    et seq*.*)                                                                                 

  **Social          Enables each      Social                         Committee on    \(1\) Health Care, Committee on Ways   \(1\) Health, (2)  Social Security
  Security**        state, as far as  Security Act                   Finance         (2) Social         and Means           Social Security    Administration
                    practicable under (Old Age                                       Security                                                  
                    the conditions in Pension Act)                                                                                             
                    such state, to    (Aug. 14,                                                                                                
                    furnish financial 1935, ch.                                                                                                
                    assistance to     531, 49 Stat.                                                                                            
                    aged needy        620)                                                                                                     
                    individuals. The  (codified at                                                                                             
                    Social Security   42 U.S.C.                                                                                                
                    Act authorizes to sec. 301 et                                                                                              
                    be appropriated   seq.)                                                                                                    
                    for each fiscal                                                                                                            
                    year a sum                                                                                                                 
                    sufficient to                                                                                                              
                    carry out the                                                                                                              
                    purposes of the                                                                                                            
                    social security                                                                                                            
                    program. The                                                                                                               
                    money made                                                                                                                 
                    available under                                                                                                            
                    the Social                                                                                                                 
                    Security Act is                                                                                                            
                    used for making                                                                                                            
                    payments to                                                                                                                
                    states that have                                                                                                           
                    submitted plans                                                                                                            
                    for old-age                                                                                                                
                    assistance and                                                                                                             
                    had them approved                                                                                                          
                    by the Secretary                                                                                                           
                    of Health and                                                                                                              
                    Human Services.                                                                                                            

  **Supplemental    Establishes a     Social                         Committee on    \(1\) Health Care, Committee on Ways   \(1\) Health, (2)  Social Security
  Security Income** national program  Security Act,                  Finance         (2) Social         and Means           Social Security    Administration
                    to provide        (Old Age                                       Security                                                  
                    Supplemental      Pension Act)                                                                                             
                    Security Income   (Aug. 14,                                                                                                
                    to individuals    1935, ch.                                                                                                
                    who have attained 531, title                                                                                               
                    age 65 or are     XVI, Sec.                                                                                                
                    blind or          1601), as                                                                                                
                    disabled.         added P.L.                                                                                               
                                      92-603,\                                                                                                 
                                      title III,                                                                                               
                                      Sec. 301,                                                                                                
                                      Oct. 30,                                                                                                 
                                      1972, 86                                                                                                 
                                      Stat. 1465                                                                                               
                                      *(*codified                                                                                              
                                      at 42 U.S.C.                                                                                             
                                      sec. 1601 et                                                                                             
                                      seq*.*)                                                                                                  

  **Social Security To replace part   Social                         Committee on    \(1\) Health Care, Committee on Ways   \(1\) Health, (2)  Social Security
  Disability        of the earnings   Security Act                   Finance         (2) Social         and Means           Social Security    Administration
  Insurance**       lost because of a of 1935,                                       Security                                                  
                    physical or       Title II, as                                                                                             
                    mental            amended;                                                                                                 
                    impairment, or a  (P.L. 96-265)                                                                                            
                    combination of    (codified at                                                                                             
                    impairments,      42 U.S.C.                                                                                                
                    severe enough to  sec. 402,                                                                                                
                    prevent a person  416, 420-25)                                                                                             
                    from working.                                                                                                              
  -------------------------------------------------------------------------------------------------------------------------------------------------------------