Title page

Contents

Highlights 2

Letter 5

Background 8

OAA Structure and Funding 8

Duplication, Overlap, and Fragmentation 10

OAA-Funded Services and Non-OAA Programs Support Older Adults through Overlapping Services That Can Be Complementary 11

ACL and Federal Partners Have Begun Coordinating Services for Older Adults Using Leading Practices 14

Conclusions 20

Recommendation for Executive Action 20

Agency Comments 21

Appendix I: Federal Programs for Older Adults that Overlap with Older Americans Act Funded Services 22

Appendix II: Comments from the Department of Health and Human Services 29

Appendix III: GAO Contact and Staff Acknowledgments 31

Figure 1. Components of the Older Americans Act of 1965, as amended, by Share of Total Fiscal Year 2024 Appropriations 9

Figure 2. Timeline of Key Milestones of the Interagency Coordinating Committee on Healthy Aging and Age-Friendly Communities 16

Figure 3. GAO's Leading Interagency Collaboration Practices and Key Considerations 18

Table 1. Non-Older Americans Act Health and Nutrition Programs Serving Older Individuals, by Agency 22

Table 2. Non-Older Americans Act Housing and Transportation Programs Serving Older Individuals, by Agency 24

Table 3. Non-Older Americans Act Employment and Community Service Programs Serving Older Individuals, by Agency 26

Table 4. Non-Older Americans Act Elder Justice and Finance Programs Serving Older Individuals, by Agency 27

Table 5. Non-Older Americans Act Programs Serving Multiple Needs of Older Individuals, by Agency 27

Table 6. Non-Older Americans Act (OAA) Programs That Do Not Overlap OAA Services, by Agency 28