Program FY 2020 

Final 

FY 2020 

Supp 

Funding 

FY 2021 

Enacted

FY 2021 

Supp 

Funding 

 FY 2022 

President's 

Budget 

FY 2022 +/- 

FY 2021

Health & Independence for Older Adults

Home & Community-Based Supportive Services..................... 390.074 200.000 392.574 460.000 550.574 158.000

Nutrition Services..................................................................... 936.753 720.000 951.753 918.000 1,341.385 389.632

Congregate Nutrition Services (non-add)............................. 510.342 80.000 515.342 300.000 468.954 (46.388)

Home-Delivered Nutrition Services (non-add)..................... 266.342 640.000 276.342 618.000 703.431 427.089

Nutrition Services Incentive Program (non-add)................. 160.069 - 160.069 - 169.000 8.931

Preventive Health Services....................................................... 24.848 - 24.848 44.000 26.339 1.491

Chronic Disease Self-Management Education [PPHF]/1......... 8.000 - 8.000 - 8.000 -

Elder Falls Prevention [PPHF]/1.............................................. 5.000 - 5.000 - 5.000 -

Native American Nutrition & Supportive Services.................. 34.708 30.000 35.208 23.670 70.208 35.000

Aging Network Support Activities............................................ 12.461 - 16.461 - 19.446 2.985

Holocaust Survivor Assistance {non-add}............................ 5.000 - 5.000 - 5.000 -

Care Corp (non-add)............................................................ - - 4.000 - 4.240 0.240

Subtotal, Health & Independence for Older Adults.............. 1,411.844 950.000 1,433.844 1,445.670 2,020.952 587.108

Caregiver & Family Support Services

Family Caregiver Support Services.......................................... 185.936 100.000 188.936 145.000 249.936 61.000

SGRG (non-add)...................................................................... 0.300 - 0.300 0.300 -

Raise (non-add)........................................................................ 0.400 - 0.400 0.400 -

Native American Caregiver Support Services.......................... 10.306 - 10.806 8.330 15.806 5.000

Alzheimer's Disease Program................................................... 26.500 - 27.500 - 30.060 2.560

 Alzheimer's Disease from Direct Appropriations {Non-Add}.............. 11.800 - 12.800 - 15.360 2.560

 Alzheimer's Disease from PPHF {Non-Add} /1................................... 14.700 - 14.700 - 14.700 -

Lifespan Respite Care............................................................... 6.110 - 7.110 - 14.220 7.110

Subtotal, Caregiver & Family Support Services.................... 228.852 100.000 234.352 153.330 310.022 75.670

Protection of Vulnerable Adults

Long-Term Care Ombudsman Program................................... 17.885 20.000 18.885 10.000 29.885 11.000

Prevention of Elder Abuse & Neglect...................................... 4.773 - 4.773 - 5.059 0.286

Senior Medicare Patrol Program/HCFAC /3.......................... 18.000 - 20.000 - 20.000 -

Senior Medicare Patrol Program/HCFAC Wedge Funding ... - - 2.000 - (2.000)

Elder Rights Support Activities ............................................... 3.874 - 3.874 - 4.400 0.526

Elder Justice/ Adult Protective Services .................................. 12.000 188.000 14.000 188.000 15.000 1.000

Elder Justice - Opioids (non-add) ......................................................... 2.000 - 2.000 - 3.000 1.000

Elder Justice - Guardianship (non-add)................................................ - 2.000 - 2.000 -

Elder Justice - Infrastructure................................................................. 10.000 - 10.000 - 10.000 - Elder Justice - State APS Grants/ARP Funding/Other Activities 

{non-add}/4/5 - 188.000 - 188.000 - -

Subtotal, Protection of Vulnerable Adults............................. 56.532 208.000 63.532 198.000 74.344 10.812

Disability Programs, Research & Services

State Councils on Developmental Disabilities.......................... 78.000 - 79.000 - 88.480 9.480

Developmental Disabilities Protection and Advocacy.............. 40.784 - 41.784 - 46.798 5.014

Disabilities 41.619 - 42.119 - 47.173 5.054

Projects of National Significance............................................. 12.250 - 12.250 - 13.100 0.850

Independent Living................................................................... 116.183 85.000 116.183 - 148.228 32.045

Limb Loss Resource Center...................................................... 4.000 - 4.000 - 4.200 0.200

Limb Loss Resource Center - Direct Appropriations (non-add)................ 4.000 - 4.000 - 1.465 (2.535)

Limb Loss Resource Center - PHS Evaluation (non add).......................... - - - - 2.735 2.735

Paralysis Resource Center........................................................ 9.700 - 9.700 - 10.185 0.485

Paralysis Resource Center - Direct Appropriations (non add)................. 9.700 - 9.700 - 3.553 (6.147)

Paralysis Resource Center - PHS Evaluation (non add)........................... - - - - 6.632 6.632

Traumatic Brain Injury............................................................. 11.321 - 11.321 - 11.887 0.566

Traumatic Brain Injury - Direct Appropriations non add........................ 11.321 11.321 4.148 (7.173)

Traumatic Brain Injury - PHS Evaluation non add................................... - - - - 7.739 7.739

NIDILRR.................................................................................. 111.970 - 112.970 - 118.619 5.649

Subtotal, Disability Programs, Research & Services............. 425.827 85.000 429.327 - 488.670 59.343

Administration for Community Living All-Purpose Table (dollars in millions)
Division FY 2020 

Final 

FY 2020 

Supp 

Funding 

FY 2021 

Enacted

FY 2021 

Supp 

Funding 

 FY 2022 

President's 

Budget 

FY 2022 +/- 

FY 2021

Consumer Information, Access and Outreach

Aging and Disability Resource Centers.................................... 8.119 50.000 8.119 - 23.457 15.338

State Health Insurance Assistance Program............................. 52.115 - 52.115 - 55.242 3.127

Voting Access for People with Disabilities (HAVA)............... 7.463 - 7.963 - 9.963 2.000

Assistive Technology ............................................................... 37.000 - 37.500 - 44.000 6.500

/2 - - - 10.000 - -

Medicare Improvements for Patients and Providers Act 

[TRA/BBA] 37.500 - 50.000 - 50.000 -

Aging and Disability Resource Centers {non-add}.............. 5.000 - 5.000 - 5.000 -

Area Agencies on Aging {non-add}...................................... 7.500 - 15.000 - 15.000 -

National Center for Benefits Outreach and Enrollment 

{non-add} 12.000 - 15.000 - 15.000 -

State Health Insurance Assistance Program {non-add}/6.... 13.000 - 15.000 - 15.000 -

Subtotal, Consumer Information, Access & Outreach.......... 142.197 50.000 155.697 10.000 182.662 26.965 

Program Administration ........................................................... 41.063 - 41.063 - 47.063 6.000

Subtotal, Program Level/4..................................................... 2,306.315 1,393.000 2,357.815 1,807.000 3,123.713 765.898

Less: Funds From Mandatory Sources

HCFAC Funds for Senior Medicare Patrol Program /3......... (18.000) - (20.000) - (20.000) -

Senior Medicare Patrol Program/HCFAC Wedge Funding ... - - (2.000) - - 2.000

Public Health Service Evaluation ........................................... - - - - (17.106) (17.106)

Prevention & Public Health Fund/1.......................................... (27.700) - (27.700) - (27.700) -

Medicare Improvements for Patients and Providers Act/6....... (37.500) - (50.000) - (50.000) -

Total, Discretionary Budget Authority.................................... 2,223.115 2,258.115 3,008.907 750.792

NEF.............................................................................................. 9.826

ACL Data .......................................................................... 2.000

ACL Reporting Enhancements .......................................... 0.500

ACL.gov Enhancements .................................................... 1.000

ACL Security Mitigation and Enhancements..................... 4.326

ACL Using Available Data to Visually Represent the 

Aging Disability Network

 2.000

5/Included in the ARP is $188 million for FY 2022 Elder Justice activities under Subtitle B of Title XX of the Social Security Act, at least $100 million of 

which must be used for State APS formula grants under Section 2042(b) of the Act. These funds are not reflected in this table.

4/Of the $188 million provided for Elder Justice activities under Subtitle B of Title XX of the Social Security Act, over 90% of funding will go out as State APS 

formula grants under Section 2042(b) of the Act.

6/ Elder Rights Support Activities funding levels have been lowered in FY 2020 and FY 2021 for comparability purposes to adjust for an Elder Justice/APS line 

7/ Funding is currently appropriated to CMS which transfers it, via an Intra-Departmental Delegation of Authority (IDDA)--to ACL to administer. 

1/ These programs are paid for out of the Prevention and Public Health Fund.

3/The FY 2020 appropriation states that SMP/HCFAC can be paid for with discretionary CMS HCFAC appropriations and/or HCFAC Wedge funds, the 

amount based on the Secretary of HHS's determination but no less than the $20 million floor provided in appropriations language. The FY 2022 amount is a 

placeholder for the Secretary’s final decision.

2/Funding for the National Technical Assistance Center on Grandparents and Kinship Care is available until FY 2025.