Public Information Document-Area Plan 2025-2027

Public Hearings will be held on March 27, 2025 at the Carmi Senior Center at 11:00 a.m. A second hearing will be held on our AAA’s zoom platform at 2:00 P.M. Written and oral testimony will be accepted at both hearings.

Written questions and comments about the proposed area plan should be submitted to the following address by 10:00 a.m. on April 11, 2025. Comments after this date will be considered in future amendments and revisions. Mrs. Holmes will accept questions and comments by phone through a prompt line at 217-262-0678. 

Shana A. Holmes, LL.M

Chief Executive Officer

Southeastern Illinois Agency on Aging, Inc.

602 E. 5th St.

                                                                                           Mt. Carmel, Illinois 62863

PUBLIC INFORMATION DOCUMENT

FY 2027-2028 AREA PLAN AMENDMENT ON AGING

Proposed by the:

Southeastern Illinois Agency on Aging, Inc.

Planning and Service Area 10

602 E. 5th St., Mt. Carmel, IL  62863

Phone:  217-262-0678    Fax:  610-854-9117

Website:  www.seiaoa.com

Serving Older Americans in the following nine counties:

Crawford, Edwards, Hamilton, Jasper, Lawrence,

 Richland, Wabash, Wayne and White.

Issued: January 15, 2025

Published: January 16, 2025

Notice

The Southeastern Illinois Area Agency on Aging publishes this Public Information Document as the official summary of the proposed Area Plan Amendment 2027-2028.

A summary of this document will be presented through one in person and one virtual Public Hearings (see schedule below). A summary of public comments will be presented to the Advisory Council on January 13 at 1:00 PM in a Zoom webinar or call-in option; and to SEIAoA’s Corporate Board on January 15 at 10:00 AM in a Zoom webinar or call-in option for final acceptance. Contact the program at 217-262-0678 or seiaoa.program@gmail.com

The purpose of this document and the public hearing is to present information about the Social and Nutrition Services available in Planning and Service Area 10 and allow for public commentary. This plan is being presented to the Illinois Department on Aging following provisions of the Illinois Act on Aging and the Older Americans Act of 1965 as amended.

The plan will be an amendment year of the three-year area plan 25-27, covering October 1, 2026 (FY 27), through September 30, 2027. This plan is ready for 2027.  This plan is an issue-based plan that will address a Statewide issue identified by the Illinois Department on Aging and the thirteen Area Agencies on Aging in the State of Illinois, as well as a local issue identified by the Southeastern Illinois Agency on Aging.

Public Hearings will be held on March 27, 2025 at the Carmi Senior Center at 11:00 a.m. A second hearing will be held on our AAA’s zoom platform at 2:00 P.M. Written and oral testimony will be accepted at both hearings.

Written questions and comments about the proposed area plan should be submitted to the following address by 10:00 a.m. on April 11, 2025. Comments after this date will be considered in future amendments and revisions. Mrs. Holmes will accept questions and comments by phone through a prompt line at 217-262-0678.

Summary of Public Hearing Testimony: Contact the office if interested in obtaining a copy of the summary of public hearing testimony, SEIAoA’s response to the testimony, and any action, if taken as a result of the testimony.

Shana A. Holmes, LL.M

Chief Executive Officer

Southeastern Illinois Agency on Aging, Inc.

602 E. 5th St.

Mt. Carmel, Illinois 62863

Public Hearings

The Public Hearings will present information about the national, state, and local initiatives, including:

●        proposed federal budget for FY 2025-2027

●        proposed Older Americans Act funding for FY 2025-2027

for services in Planning and Service Area 10, as allocated by Illinois Department on Aging (IDOA)

Service providers are experiencing a funding crisis based on the current Illinois Interstate Funding Formula and the Illinois funds released under the Older Americans Act Budget. Under the Illinois Department on Aging's direction, SEIAoA is required to present its plan for the allocation of the Older Americans Act and Illinois General Funds for services as contained in its AAA Planning Allocation Directive for the Area Plan of FY 2025-2027, under the new Amendment year of 27.

The Public Hearings provide information about SEIAoA’s proposed plans, budget, funding formula, and priorities for funding community-based services for older adults and family caregivers, including Coordinated Points of Entry/Senior Information Services, Legal Assistance, Congregate Meals, and Home Delivered Meals.

For more information contact Shana Holmes, Chief Executive Officer at southeasternaaaceoshana@gmail.com.

Southeastern Illinois Agency on Aging, Inc.

602 E. 5th St., Mt. Carmel, IL  62863

Phone:  217-262-0678    Fax:  610-854-9117

Website:  www.seiaoa.com

Facebook: Southeastern Illinois Area Agency on Aging

This document was made available to the public via senior centers (Jasper, Richland, Wabash, Wayne, Lawrence, White, Hamilton, Crawford and Edwards),  SEIAOA.COM, Facebook and Daily Republican Register newspaper.

Purpose of This Public Information Document

This Public Information Document summarizes the proposed FY 27 area plan amendment.  The plan

includes a strategy for distributing federal and state funds in the Southeastern Illinois Agency on
Aging (SEIAoA)’s nine-county rural/remote service area is Wayne, Wabash, Edwards, Richland, Jasper, Crawford, White, Lawrence, and Hamilton Counties.

These nine counties are designated by the Illinois Department on Aging (IDOA) as Planning and Service Area (PSA) 10. Because funding levels are determined by Federal and State government regulations,

allocation levels listed in this document and the Area Plan may change. If major changes are

required, public hearings will be scheduled to receive comments on the proposed changes. At

the time of publication of this Public Information Document, neither the FY 27 federal nor the FY

26 state appropriations have been finalized.

Purpose of the FY 27 Area Plan Amendment

Southeastern Illinois Agency on Aging’s FY 27 Area Plan aims to develop our new and existing initiatives. The Area Plan is a comprehensive planning, management, and funding document for aging services in Southeastern Illinois. Services outlined in the Area Plan promote the dignity and independence of older adults. In developing the Area Plan, SEIAoA assesses the needs of older adults and their caregivers, identifies issues for long-range planning, and sets priorities for funding.

2027 Area Plan “Amendment”

The fiscal year of the 2027 Area Plan Amendment.

Vision

Provide leadership on aging issues in the nine counties of PSA 10 by partnering with community

agencies to assess the preparedness of Illinois and our communities for the care of the aging

population and make recommendations to government officials in the areas of health and

human services, land use, housing, transportation, public safety, workforce, and economic

development, recreation, education, civic engagement, and emergency preparedness.

Mission

To assess the state’s preparedness for an aging population and provide recommendations to government officials in the areas of health and human services, land use, housing, transportation, public safety, workforce and economic development, recreation, education, civic engagement, and emergency preparedness.

History

In 1965, by order of President Lyndon B. Johnson, the Older Americans Act (OAA) was enacted,

and within it contains ten broad policy objectives aimed at improving the lives of older persons:

1.       an adequate income in retirement;

2.       the best possible physical and mental health;

3.       suitable housing;

4.       full restorative services for those who require institutional care;

5.       opportunity for employment;

6.       retirement in health, honor, and dignity;

7.       participate in and contribute to meaningful activity;

8.       efficient community services;

9.       an immediate benefit from proven research knowledge; and

10.   freedom, independence, and the free exercise of individual initiative.

Core Values

SEIAoA advocates for older adults, their family caregivers, and adults with disabilities in many ways. We advocate for programs, services, and funding with federal and state legislators. We inform legislators of the potential impact of pending legislation for older adults, their family caregivers, and adults with disabilities; especially regarding budget decisions on funding for programs and services.  

SEIAoA also plans and provides program development and coordination in the 9 counties we serve. We assess the needs of older adults and their family caregivers, seek input from the public in setting service priorities, develop new programs, and assist our funded providers in developing the direct services and programs they provide. We coordinate services through our Aging and Disability Network, various collaborations we belong to, and through regular attendance at elder association meetings, human service council meetings, and regional transportation meetings. On the state level, we coordinate through the Illinois Association of Area Agencies on Aging, the Adult Protective Service Program Advisory Committee, participation in various Balancing Incentive Program statewide committees, and the Adult Protective Service program.   

The primary source of our funding is the Older Americans Act from the federal government, but we also receive State of Illinois General Revenue Funds and a few other program grants. Unlike many other services provided utilizing state and federal funds, Older American Act services rely not only on federal funding and state funding but also on local matching funds and the donations received from the people who participate in the programs and services. 

Southeastern Illinois Agency on Aging has concentrated and assessed the resources and referrals.

The Southeastern Illinois Agency on Aging (one of 13 in the State of Illinois), with guidance from the Board of Directors, has collaborated with various agencies and formed various committees in our PSA such as: Aging and Disability Resource Center Committee, DHS, DORS, ECCOA, Shawnee Alliance, Inc. Advisory Council, 2^nd Judicial Court, Judge Tedeschi’s Committee, 1^st Judicial Circuit Chief Judge William J. Thurston, Williamson County Presiding Judge Stephen R. Green, A Trauma-Informed Courts and Community member, AOK Committee, and the I Plan Committee, which are all interested in helping to gather information and statistics which enables the Agency to assess the preparedness and awareness of the individuals and services offered within the nine counties in our area.

Southeastern Illinois Area Agency on Aging (PSA 10) is an independent not-for-profit organization. We employ 2 full-time and 4 part-time staff. We are governed by a Board of Directors and have input from an Advisory Council. The men and women serving on the Board of Directors and Advisory Council are predominantly older adults and they volunteer their time to be advocates and assist in developing community-based services for older adults, their families, and/or caregivers.

The following is a brief description of the Area Agency’s staff and their responsibilities:

Chief Executive Officer: reporting to the Board of Directors, the Chief Executive Officer has overall strategic and operational responsibility for SEIAoA, Inc. Nonprofit's staff, programs, expansion, and execution of its mission. Initially develops deep knowledge of the field, core programs, operations, and business plans.  The CEO is also a SHIP Coordinator and Trainer, AGINGIS Administrator, Program Operator, Auditor, Honor Flight Volunteer, Care Coordinator, Veterans Independence Program Coordinator, Red Cross Volunteer, AIRS Certified, Agency’s website administrator, Facebook page administrator, Adult Protective Services Supervisor and assistant with the State Community Care Program, sits on the Board of Directors for Illinois Mental Health Coalition and current Vice-President, member of the Illinois Mental Health Coalition Grant Committee; Community Care Program Advisory Committee Board of Director, ADRC Options Counselor, a Second Judicial Court Council Board Member, and an I4A Officer & Secretary (15 years/retired), directs all activities related to the Area Plan; establishes, develops and maintains effective working relationships with the Department on Aging and other Area Agencies on Aging; performs liaison work with elected and appointed officials of state and federal government and appropriate county, city, and local officials, directs the preparation of the agency’s annual budget and expenditures of agency budget consistent with agency goals and objectives, is responsible for hiring and terminating all staff of the agency, coordinates activities, and serves as liaison to Board of Directors and Board Committees; explores expanded opportunities for fundraising and financial stability and implements as feasible.

Fiscal Manager: Bookkeeper and Financial Administrator of the Area Agency.

Aging Paraprofessional: 1^st impressionist, Director’s assistant, Fiscal managers assistant, Advisory Council and ADRN meeting coordinator, SHIP counselor, caregiver organizer, general office assistant and referral specialist.

Aging Administrator: SHIP Counselor, AIRS Certified, Senior Medicare Patrol, ADRC Options Counselor, Administers the Special GRG GAP funding. SHIP/SHAP/MIPPA program reporter.

Aging Service Specialist: Administration and Supervision of the SEP (Senior Employment Program) assistance in employment-seeking activities of seniors over the age of 55.  Supervision and administration of the Long-Term Care Ombudsman Program, the Adult Protective Service Program and assistance with the State Community Care Program, Veterans Independence Program Administrator, and Senior Medicare Patrol; issued special GAP funds to the 60+, AIRS Certified, and an ADRC Options Counselor, Fatality Review Team and Pioneer Coalition. Grants management and administration and monitoring of Older Americans Act services. Administers respite funds to those requesting assistance to have a caregiver come within the home or temporary nursing home care.

Aging Professional: Writes the Area Plan and Public Information Document, visits and administers caregivers with information to caregiver, dementia and older Americans Act services. Case manager to the T-Care assessment and review system. A Dementia Friends representative. Program reporter.

Who We Are

The Southeastern Illinois Area Agency on Aging was founded in 1975 under an amendment to the Older Americans Act of 1965.  The Southeastern Illinois Area Agency on Aging is one of 13 area agencies in the State of Illinois.  There are 670 area agencies across the country. Southeastern Illinois Area Agency on Aging is part of a vast National Network dedicated to providing programs and services to protect the rights and support the needs of older Americans.  This Network includes the Federal Level (Administration on Aging), State Level (State Units on Aging), Regional Level (Area Agencies), and Local Level (Service Providers).  It is governed by a 9-member Board of Directors, which seeks advice from a 9-member Advisory Council. These Board and Council Members represent the nine counties in Planning and Service Area 10.

What We Do

The basic mission of the Southeastern Illinois Area Agency on Aging is to initiate and implement a comprehensive and coordinated service system that gives priority to those activities and services that have the greatest potential for meeting the needs of older persons within the planning and service area.  The Agency manages grants and contracts with other agencies to make services available to persons 60 years of age or older, or those caring for persons 60 years or older.

How We Do It - Service Delivery System

Community focal points: Senior Centers (Community Resource Centers and Café’s) in each of the nine counties are designated by the Area Agency on Aging to deliver multiple services such as Senior Health Insurance, Medicare Initiative Alignment Programs, Congregate and Home Delivered Meals, Information and Assistance, Options Counseling, Transportation and GAP funding for caregivers and relatives rearing relatives.

Advocacy is the effort expended on behalf of seniors to represent and/or support them to

obtain services to which older persons are entitled. It consists of activities designed to induce a change in attitude including stereotypes towards older adults. 

Program development focuses on activities directly related to the establishment of a new service or the improvement, expansion, and/or integration of an existing service within a specific fiscal year.

Coordination activities are conducted in an effort to advance the development of a comprehensive and integrated service delivery system through the establishment of working relationships with other funding agencies and service providers.

What PSA 10 Anticipates

At the Federal Level:

A National Profile of Older Americans

Demographics

According to the most recent federal data, the older population in the United States continues to grow rapidly. Between 2023 and 2024, the number of adults aged 65 and older increased to approximately 61.2 million, reflecting a 3.1% rise in a single year. Older adults now represent nearly 19% of the total U.S. population, and this demographic is projected to expand steadily as the baby boomer generation ages and life expectancy remains high. Many states—and nearly half of all U.S. counties—now have more older adults than children.

Living Arrangements and Housing

Recent profiles of older Americans show that most older adults continue to live independently in their own homes, while a smaller portion reside in senior housing, assisted living, or long‑term care settings. However, housing challenges persist. Older adults—especially those in rural areas—face increasing difficulty accessing affordable, safe, and accessible housing, and many live in older homes that require modifications to support aging in place. Rising housing costs and limited availability of age‑friendly housing remain significant concerns.

Health Status and Healthcare

Federal aging indicators highlight that chronic health conditions remain widespread among older adults. The majority of individuals aged 65+ live with at least one chronic disease, and many manage multiple conditions such as heart disease, diabetes, arthritis, and cognitive impairment. Mental health concerns—including depression and anxiety—continue to affect a substantial portion of this population. Access to healthcare remains a central issue, with Medicare serving as the primary coverage source for older adults. Reports emphasize ongoing challenges related to long‑term care affordability, availability of home‑ and community‑based services, and disparities in access for rural and low‑income older adults.

Economic Security and Well-being

Economic well‑being remains uneven among older Americans. Many rely heavily on Social Security as their primary income source, while others draw from pensions, savings, or employment income. Despite these supports, a significant number of older adults continue to experience economic insecurity, with poverty rates remaining a concern—particularly for those living alone, in rural areas, or from historically marginalized groups. The latest national indicators also highlight the growing importance of social engagement, community participation, and reducing social isolation, all of which strongly influence quality of life and overall well‑being among older adults

Demographic Trends:

Life Expectancy: Advances in healthcare and improved living conditions have contributed to increased life expectancy. Older adults are living longer, with many reaching their 80s, 90s, and even surpassing 100 years of age.

Social Characteristics:

Living Arrangements: Older Americans may reside in various settings, including their own homes, with family members, in senior housing communities, or in assisted living facilities. Aging in place and providing supportive housing options are important considerations.

Caregiving and Support Networks: Many older Americans rely on informal caregivers, such as Senior Centers, Agencies on Aging, family members, or friends for assistance with daily activities and healthcare needs. Support programs for caregivers are vital to ensure the well-being of both older adults and their caregivers.

Civic Engagement: Older Americans contribute to their communities through volunteer work, civic engagement, and mentoring. Encouraging and facilitating their continued involvement in society promotes a sense of purpose and social connection.

The National Profile of Older Americans provides a snapshot of the diverse and growing older adult population in the United States. Understanding the demographic trends, health status, economic well-being, and social characteristics of older Americans is crucial for developing effective policies and programs that meet their unique needs. By recognizing and addressing the challenges and opportunities associated with an aging population, we can strive to create a society that supports and values the contributions of older Americans.

National Aging Policies 2027

The National Aging Policies 2027, aligned with Japan’s updated Guideline of Measures for the Aging Society, outline a forward‑looking action plan designed to support a rapidly aging population. This framework—often described as Japan’s roadmap for “building a society where people of all ages can live with peace of mind”—emphasizes extending healthy life expectancy, strengthening long‑term care and medical systems, and creating an “age‑free society” where older adults can continue contributing based on their abilities and motivation. Recent policy updates highlight the need to expand employment opportunities for older adults, enhance dementia support, modernize long‑term care through technology, and build community environments that allow older adults to remain active and independent throughout the aging process.

The key objectives of the National Aging Policies 2027 include:

Promoting Healthy Aging: The plan aims to improve the health and well-being of older adults by enhancing access to healthcare services, promoting preventive measures, and encouraging healthy lifestyles.

Ensuring Economic Security: The policy seeks to provide financial security for older adults by strengthening the pension system, encouraging private savings, and promoting employment opportunities for seniors.

Age-Friendly: The plan emphasizes the importance of creating an inclusive society where older adults can actively participate in various aspects of life, such as social, cultural, and community activities.

Strengthening the Support System: The policy focuses on improving the quality and availability of long-term care services, as well as supporting family caregivers and professional care providers.

Encouraging Innovation and Collaboration: The plan encourages the development of innovative technologies and services to support aging in place and promotes collaboration between government, private sector, and local communities to address aging-related issues.

Infrastructure: Expanding healthcare services and facilities, particularly in rural areas, to ensure timely access to medical care for older adults.

SESP Program: Encouraging employers to hire and retain older workers by promoting age-friendly workplaces and offering incentives for companies that implement age-friendly practices.

Long-Term Care Support: Developing and implementing comprehensive long-term care insurance programs to provide affordable and high-quality care services for older adults with varying needs.

Fiber Optics-Telehealth: Investing in research and development of innovative technologies and services to support independent living and improve the quality of life for older adults.

Caregiver Support: Implementing policies that support informal caregivers, such as family members, through respite care, training programs, and financial assistance to alleviate the caregiving burden.

Social Security: Protecting and strengthening the Social Security program to ensure the financial stability of older Americans during retirement.

Social Engagement: Promoting social engagement and combating social isolation among older adults through community programs, volunteer opportunities, and intergenerational initiatives.

Elder Abuse Prevention: Strengthening policies and resources to prevent and respond to elder abuse, neglect, and exploitation, including financial fraud.

Learning Libraries: Promoting digital literacy among older adults, ensuring access to technology, and bridging the digital divide to enable connectivity and participation in the digital age.

National aging policies in 2027 must address the multifaceted needs of older Americans across healthcare, economic security, social inclusion, lifelong learning, and research. By implementing comprehensive and inclusive policies, the United States can create an age-friendly society that respects and supports the dignity, well-being, and contributions of older adults. These policies should be continuously evaluated, updated, and implemented in collaboration with stakeholders, including older Americans, advocacy groups, service providers, and policymakers, to ensure their effectiveness and Relevant in an evolving landscape.

At the State Level:

The Illinois Association Area Agencies on Aging (I4A) represents the interests of older adults in Illinois and advocates for policies and programs that support their well-being. The state legislative priorities for FY 27 are crucial in addressing the evolving needs of the aging population in Illinois. These priorities encompass a wide range of areas, including healthcare, social services, housing, and community support. By focusing on these key areas, the I4A aims to enhance the quality of life for older adults and ensure that they have access to essential resources and support systems.

Healthcare

One of the primary legislative priorities for the Illinois Association Area Agencies on Aging is healthcare. This encompasses advocating for affordable and accessible healthcare services for older adults. The organization seeks to address issues related to Medicare, Medicaid, and other healthcare programs that directly impact the aging population. Additionally, initiatives aimed at improving mental health services and addressing chronic health conditions prevalent among older adults are also part of the healthcare focus.

Social Services

In terms of social services, the I4A prioritizes programs that promote independence and well-being among older adults. This includes advocating for funding and support for home and community-based services that enable seniors to age in place with dignity. Furthermore, the organization emphasizes the importance of preventing elder abuse and exploitation through legislative measures that safeguard vulnerable older adults.

Housing

Housing is another critical area of focus for the Illinois Association Area Agencies on Aging. The organization advocates for affordable housing options tailored to the needs of older adults, including accessible housing designs and supportive housing services. Ensuring that older adults have safe and suitable living arrangements is integral to their overall quality of life.

Community Support

Community support initiatives form a significant part of the state legislative priorities for FY 27. The I4A emphasizes the importance of fostering age-friendly communities that are inclusive and supportive of older adults. This involves advocating for transportation services, social engagement opportunities, and access to nutritious food options within local communities.

In summary, the Illinois Association Area Agencies on Aging has identified key legislative priorities for FY 27 that aim to address the diverse needs of older adults in Illinois. By focusing on healthcare, social services, housing, and community support, the organization seeks to advocate for policies and programs that enhance the well-being and quality of life for seniors across the state.

Illinois Association of Area Agencies on Aging Advocacy Documents:

I4A Fact Sheet HB 293 SB1766

Proposed State Budget for 2027

2027 Aging Budget Highlights for Southeastern Illinois AAA

Home and Community-Based Services

The proposed budget allocates a significant portion of funds to home and community-based services, which aim to help older adults live independently in their own homes and communities. These services include personal care, home-delivered meals, transportation, and respite care for caregivers. The funding will also support the expansion of the Community Care Program, which provides in-home services to eligible seniors.

Senior Nutrition Programs

Proper nutrition is crucial for the health and well-being of older adults. The proposed budget includes funding for senior nutrition programs, such as the Home-Delivered Meals Program and the Congregate Meals Program. These programs provide nutritious meals to seniors who are unable to prepare meals for themselves due to physical or financial limitations.

Caregiver Support

The proposed budget also includes funding for caregiver support programs, which aim to provide respite and resources for family caregivers. These programs include the Family Caregiver Relief Program, which offers temporary respite care for caregivers, and the Caregiver Support Line, which provides information and resources for caregivers.

Outreach and Advocacy

The State of Illinois Department on Aging is responsible for advocating for the rights and needs of older adults in the state. The proposed budget includes funding for outreach and advocacy efforts, such as the Senior Helpline, which provides information and assistance to seniors and their families, and the Long-Term Care Ombudsman Program, which advocates for the rights of residents in long-term care facilities.

Conclusion

The proposed State of Illinois Department on Aging budget for 2027 focuses on providing essential services and support for the state’s aging population. By investing in home and community-based services, senior nutrition programs, caregiver support, and outreach and advocacy, the budget aims to help older adults maintain their independence and quality of life.

At the Local Level:

Maximizing Resources

SEIAoA will collaborate with other organizations and government entities to build on and maximize the effectiveness of our limited resources. Budgets of each town continue to be small and donations from the mayor’s office and small townships are strained however, the agency will continue to research funding sources from other programs to diversify the sources of our funding. The program will continue to encourage the agencies we fund to collaborate and coordinate the services they provide with other local agencies.

Minimum Wage Increase=Magnified Funding Issues

Southeastern Illinois Area Agency on Aging will support the implementation of the Governor’s FY 27 budget. To emphasize key components of the budget, there are increased funds proposed for Home Delivered Meal services to older adults and an increase to assist with the minimum wage increase. Although the minimum wage increase was exclaimed at the federal and state level to be detrimental for rural Illinoisans, most votes moved in Northern Illinois setting the platform for the rest of the state. The challenge in Southeastern Illinois Area Agency on Aging and its providers continue to face, is the factor in which funds are administered to the 13 AAA’s in the state. The population factor at 41% within the Intrastate Funding Formula (IFF) exceeds in abundance over the rural factor of 9%. This remains to be a strong problem for our rural/remote Planning and Service Region 10 in Southeastern Illinois, and advocacy to highlight the concern held by our AAA and its providers will continue.

IDoA Intrastate Funding Formula (IFF)

Application of the Funding Formula IDoA-Intrastate Funding Formula (IFF)

As outlined by our needs assessment, funding through the Interstate Funding Formula (IFF), is not sustaining the changes of competitive wages and general inflation occurring in Illinois. SE Illinois is one of the most impoverished areas that has the lowest 9 county town population (higher in remote portion), within the Area Agencies on Aging Planning & Service Area statewide. Low infrastructure encourages a greater need of the formulary change due to inadequate sponsorships, donations, lower living wages for seniors, and the inability by most older adults to donate what is needed to support this very important service. SE Illinois acknowledges how the seniors would be hit hardest should their centers not be able to withstand higher wages, certifications, food costs, overhead, and staffing at minimal; not to mention vehicles, gas, and maintenance. A change in the IFF is much needed and a request has been made to Legislators and the Illinois Department on Aging, to not support a very archaic formulary based highly on population. A suggestion has been made that a larger base amount across all services be set for all the AAA’s to ensure fair funding for all older Illinoisans aging with dignity and respect. Below are the population estimates for FY26 for our area.

Needs Assessment and Planning Process

A profile of the older adults who live in the nine-county planning and service area is exhibited below:

(Source: IDOA Population Estimates for Fiscal Year 2023)

Objective: Identify areas for improvement in services for populations considered minority.

Results: Updated 2024 data indicate that the total population across the nine‑county PSA 10 region continued to decline, decreasing by approximately 0.8% from 2023 to 2024. This ongoing reduction reflects the broader depopulation trends seen in many rural areas of Southeastern Illinois.

Despite the overall decline, several older‑adult sub‑groups showed continued growth when compared to the 2019–2023 population surveys:

• Adults age 60+ increased by 1.1%
• Adults age 85+ increased by 1.4%
• Older adults living in poverty increased by 7.6%
• Rural‑residing older adults increased by 1.0%

These updated 2024 findings highlight a region where the general population is shrinking, yet the older‑adult population—particularly those with higher economic and health needs—is steadily rising. This shift underscores the increasing demand for aging services, targeted outreach, and resource allocation across PSA 10.

Strategy 1: Offer LiHeap enrollment assistance in White and Hamilton Counties through WADI.

Strategy 2: Utilizing Senior Employment Program (SEP) at our Agency, we will expand to locate open positions at the senior centers. Due to a need for additional funding at our senior centers and our inability to find sponsors since we mainly have mom and pop shops, we turn to townships however, due to extremely small tax bases in rural Illinois, Townships in rural Southeastern Illinois face significant financial constraints that directly affect their ability to support older adults, fund community programs, or contribute meaningfully to aging‑service initiatives. Due to the economic decline, we will stay persistent and deeply connected to our communities to find ways to support financial assistance to the centers.

Office of Older American Services

A Listing of Services and Partners in PSA 10

Access Services include Information and Assistance, and Transportation.

In-Home Services include Home Delivered Meals, and Telephone Reassurance.

Community-based Services are Education, Congregate Meals, Health Screening, Strong for Life, Legal Assistance, Family Caregiver Support Services Program Training and Education, Information & Assistance, Respite, Grandparents Raising Grandchildren Support Groups, and Gap Filling Services, employment opportunities and training for the Older Worker. 

The Senior Employment Specialist Program links older persons seeking employment with Illinois Job Service and Local Job Training Partnership Act Programs.

Responding to Abuse, Neglect, and Exploitation – SWAN is the sponsoring Agency for the Illinois Adult Protective Services Program in Area 10 under a grant from the Illinois Department on Aging.  PSA 10 works closely with SWAN to ensure accuracy, procedures, and consumer needs are being met.

Advocacy in Action - informs seniors, persons with disabilities, and caregivers about legislation and public policies and takes positions on the issues. Presents our positions to elected officials at the local, state, and federal levels.

Healthy Aging Programs such as – Matter of Balance, Fairfield Memorial Hospital

Resources and Referrals - The Area Agency on Aging (one of 13 in the State of Illinois), with guidance from the Board of Directors has collaborated with various agencies and formed various committees in our PSA such as the Aging and Disability Resource Center Committee, DHS, DORS, ECCOA, Shawnee Alliance, Inc. Advisory Council, 2nd Judicial Court, Judge Tedeschi’s Committee, AOK Committee, and the I Plan Committee, which are all interested in helping to gather information and statistics which enables the Area Agency to assess the preparedness and awareness of the individuals and services offered within the nine counties in our area. SEIAoA will also work with our providers to increase the opportunity for funding and transportation, telephone reassurance, and education. This will help our older adults stay active during the day, prevent missed physician appointments, and educate them on how staying active will improve their health.

Area Plan Initiatives for FY 2025-2027

A Statewide Initiative was included in the 2025-2027 Area Plan and will continue to be a focus of services for the “3-Year Area Plan.”

Statewide Initiatives:

I: Increase statewide visibility of the Aging Network to connect Illinoisans with supports and services that encourage independence, dignity, and quality of life as we age. This goal aligns with the broader mission of the Aging Network, which encompasses a range of programs and services designed to support older adults and their caregivers. By enhancing visibility and awareness of these resources, the goal seeks to ensure that individuals across the state can access the assistance they need to age with dignity and maintain their well-being.

Our Agency is actively supporting this initiative by engaging directly with the community at health fairs held across our entire service area. Furthermore, we are amplifying our reach by providing informative brochures and other useful handouts to collaborating local agencies and consistently encouraging both our dedicated providers and valued clients to spread the word about the services we offer.

II: Drive continuous caregiver and dementia trainings that emphasize person-centered and trauma informed services while maximizing effectiveness of services delivered through the Aging Network.

Supporting this initiative involves a broad range of work across several key areas, such as provider and employee training, assessment tools, data collection, and continuous improvement cycles. We aim to work on these areas by scheduling trauma-informed care training for our senior centers and conducting comprehensive analyses of existing services and resources within the Aging Network to identify redundancies, gaps in service, and opportunities for better coordination.

III: Improve public awareness and knowledge regarding the needs of caregivers and the resources and services available statewide in Illinois, while fostering greater caregiver engagement in person-centered, trauma-informed, and evidence-based programs.

Our agency aims to spread the word about caregiver burnout and the services we offer to help alleviate some of the burden placed on caregivers. We currently offer a caregiver education program in each of our 9 counties, along with a respite program for caregivers across our PSA to inform, offer older Americans Act services and avoid burnout.

Local Initiatives:

To increase access to transportation for rural Illinois residents through our partnership with Rides Mass Transit and the Connecting Rural Older Illinoisans grant, which provides financial aid to caregivers transporting older adults to essential locations.

In Southeastern Illinois 20-30%  of rural older adults are most in need of transportation assistance for medical appointments, grocery shopping, social activities, and pharmacy trips. Utilizing Connecting Rural Older Illinoisans' dollars help them so they do not fall through the cracks of other social support systems that are available in larger, more metropolitan areas. Enhancing access to transportation services can be achieved through more efficient systems that allow for readily making transportation appointments and the strategic pre-scheduling of rides, thereby reducing wait times and improving overall convenience. One of our initiatives to support older adults in our community is a transportation reimbursement program, funded by the Connecting Rural Older Illinoisans grant. This program enables us to reimburse family members and caregivers who transport older adults to essential appointments and locations, including medical facilities and grocery stores. Additionally, we continuously advocate for increased public transportation services in our area.

Needs Assessment/Planning Process

FY 2025-2027

SEIAoA’s overarching goal is to provide programs so that senior clients can age with dignity in their homes.  Two surveys were conducted among the clients in the nine-county service area.  The first survey was more program-specific to determine the quality of services the agency provides.  The second survey was more senior-specific and addressed concerns directly related to living at home. In total we received 76 responses from both surveys. The objectives and questions addressed below were based on IDoA guiding principles.

Objective I

Presented the Performance Outcomes Report to Constituents on Older Americans Act Services - Legal, Nutrition, Caregiver Advisory and Senior Information Services.

Objective II

Obtained input from participants on how we can improve the services provided and how to improve service delivery.

Objective III

Served as an advocacy platform to inform lawmakers how vital these programs are to the constituents and that they must be preserved and increased.

Questions asked during County Conversations held in October and November of 2025:

• How can we improve the OAA services provided?

• How can we improve OAA service delivery?

These conversations were held in Wayne and White counties at the local senior centers. Other organizations, service providers, and older adults were invited to attend. Advertisements for these conversations were achieved through flyers at the senior centers and posts on SEIAOA’s Facebook page.

Feedback from these two county conversations included more caregiver and dementia education, mental health supports, expanded/easier transportation with RIDES Mass Transit, retaining staff at senior centers, reducing rural isolation which includes those who live outside the city limits and community partners emphasized the need for more geographic challenges to be met strategically.

2027 Planning Priorities Survey

(Next Survey Scheduled October 2026 (FY 28)

The 2027 (2025-2027) Planning Priorities Needs assessment was sent through a public service announcement, social media, and as a mass email to consumers seeking an assessment of needs and planning on Legal, Nutrition, Caregiver/Grandparents Serving Grandchildren, and Coordinated Points of Entry/Senior Information Services. Final Dated October 2025 (FY26). Of the 410 surveys sent out, we received 101 responses from the clients who were asked to rate the services provided by them as adequate or inadequate.

Data: The clients rated PSA 10 with 100% adequacy in the areas of Information and Assistance, Legal, Ombudsman, GAP help, and Options Counseling.  There was an opportunity to give insight into the minimum wage impact with 10 written responses. High concerns are listed about the ability of their senior community center's upkeep, staffing, meals, affordability with donations, and having a center to come home to or to provide for the homebound. The Interstate Funding Formula was described as a funding point from SE Illinois AAA and how little it can supply in funding when most of the brunt is left to come from an impoverished community with low infrastructure, jobs, and seniors with low income. *The food insecurity rate is at a solid 18% in PSA 10. The need for senior community resource centers is at greatest need for funding assistance. In a 9-county region lacking infrastructure, donors, and is considered rural/remote, a look at a change in the funding formula by legislatures and the Department on Aging is requested.

*Most southeastern Illinois counties: ~14–18% food insecurity

Some higher‑need pockets: up to ~20–22%

This means southeastern Illinois experiences higher‑than‑average food insecurity compared to the state overall.

Strategies: There were three areas where seniors voiced inadequate service in transportation (42%).  One solution listed was the addition of the CROI Rural transportation grant, and when looking at the cost for long-distance travel, the time it takes to get to an appointment, and the need for longer hours of operation beyond 5 p.m. from Rides Mass Transit District, we see a higher need for more regular and longer operating hours for the routes in each of our rural counties. In the area of Home Delivery Meals, 21% voiced concerns about changes in the menu and suggested that more options be made available. The third area of concern (32%), is the inability of the senior centers to keep up with building maintenance and staffing.

Needs Assessment – Daily Concerns Survey

The 2027 (2025-2027) Planning Priorities Needs assessment was sent through a public service announcement, social media, and as a mass email to consumers seeking an assessment of needs on concerns in the homes of the senior citizens dated October 2025 (FY 26). Again, to design programs to keep seniors aging in their homes, the survey addressed problems or concerns they had with options of no problem, minor problem, and serious problem.

Data Results: The highest areas of concern in the serious problem category were falling and needing ramps in and out of the home (17%); completing household chores (24%) and increasing health conditions (22%).  In order to combat the concerns of completing household chores, referrals are being sent to Community Care Units (CCU’s). Falls and accidents are being reduced through evidence-based programs such as Matter of Balance through Fairfield Memorial Hospital. Increased medical conditions are being addressed through programs like Stress Busters, which targets depression and anxiety in seniors and their caregivers.

Concerns of Older Adults in Southeastern Illinois

The most significant concerns identified in the minor‑problem category continue to center on increasing medical conditions (63%), Home Maintenance Difficulties (55%), and depressed mood (54%), reflecting trends seen across rural older‑adult populations in recent community assessments. To address these needs, strategies include connecting older adults to Senior Life Solutions at Fairfield Memorial Hospital, which provides structured support for managing depression and anxiety; the Stress Busters program offered through our agency, which equips participants with practical coping tools; and the Senior Enrichment Centers at Wabash General Hospital and Hamilton Memorial Hospital, which offer social engagement, wellness activities, and education aimed at reducing isolation and supporting emotional well‑being.

This bar chart illustrates the percentage of senior citizens who reported "no problem" with various issues. The issues are listed on the y-axis, and the percentage of responses noting "no issue" is on the x-axis, ranging from 0% to 50%. In essence, while a large percentage of seniors reported no issues with safety (crime), employment, the higher topics out of 49 of the 100 show there was more concern with affordable housing, access to health care and maintenance to their home.

Percentage of Older Adults Reporting “No Issues” (N = 100)

(Using 49% overall reporting no issues, distributed across categories with low percentages)

PPDSR Service and Program Projections

DIRECT Service Waivers-Current budget for FY 27 based on funding letter 26AP2

Options Counseling – III-B (partial service): Options counseling for aging individuals is a valuable and necessary service that provides essential support and guidance to help them navigate the complexities and challenges associated with the aging process. Options counseling is justified as it empowers them, adopts a person-centered approach, provides comprehensive assessments, offers information and education, advocates for their needs, takes a holistic perspective, encourages proactive planning, and ensures continuity of care. By providing support and guidance, options counseling enhances the well-being and quality of life for aging individuals during this important stage of their lives. We plan to put $10,000 toward this service.

Stress Busters - III-D: Direct Service is provided by the agency serving Wayne and Wabash Counties. This budget projection is anticipated to be $16,098. These funds will be used to serve Stress Busters programs to supply advocacy, development, and coordination. This is the most responsive and affordable evidence-based program for our rural and remote area.

Information and Assistance - III-B, Caregiver I&A – IIIE, Other Relatives I&A – IIIE (partial service): The agency conducts intake assessments to gather detailed information on individuals who may be experiencing social isolation. This process utilizes a scoring tool designed to identify the key factors contributing to an individual's sense of loneliness. Afterwards, a referral to a senior center is made for necessary services. We have budgeted $16,800 for this service.

Case Management – III-E (direct service): We recognize the essential role that caregivers play in the lives of aging individuals, often managing complex and demanding responsibilities. To support and advocate for caregivers in PSA 10, we have allocated $88,600. This funding aims to alleviate the emotional and physical burdens faced by caregivers, ensuring they have the necessary tools and support to continue their vital work. By investing in caregiver support services, we strive to enhance the well-being of both caregivers and the individuals they care for, fostering a more resilient and compassionate community.

 Alzheimer’s and Dementia Related Disorders (ADRD) Supportive GAP (direct service): This program is designed to offer comprehensive support systems and safety precautions to keep individuals with Alzheimer's or dementia at home for as long as possible. This initiative recognizes the importance of a safe and familiar environment in maintaining the well-being and quality of life for those affected. By providing tailored care plans, caregiver training, and access to necessary resources, we aim to empower both caregivers and individuals with Alzheimer's or dementia. The program, which we have allocated $11,760 towards, focuses on enhancing safety measures, such as home modifications, medical alert systems, and regular wellness checks, to ensure a secure living space. Moreover, it promotes the use of cognitive therapies, social engagement activities, and respite care services to support the mental and emotional health of the patients and their caregivers.

 Dementia friendly initiative (direct service): By actively engaging in initiatives like Dementia-Friendly Communities, and with an allocation of $5,040, our primary goals are to foster a society that's more aware and understanding of dementia, and to promote brain health and risk reduction strategies. We aim to achieve this by collaborating across public, private, not-for-profit, and healthcare sectors to better support individuals living with dementia and their care partners. Our efforts are dedicated to addressing the evolving needs of this population, developing welcoming social and cultural environments, and enhancing the physical accessibility of public spaces and systems, ultimately creating a truly dementia-friendly world.

Statewide initiative III: Improve public awareness and knowledge regarding the needs of caregivers and the resources and services available statewide in Illinois, while fostering greater caregiver engagement in person-centered, trauma-informed, and evidence-based programs (direct service): $33,600.

 Administrative and Administratively-Related Funds:

Advocacy-Coordination-Program Development – III-B: The agency is operating Title III-B Information and Assistance to deliver and coordinate services for seniors in our area while providing advocacy for their unmet needs. Information and Assistance is a central access point to services in PSA 10 including call and response, walk-ins, and distributing a wide variety of education materials. This funding also supports a partial cost to maintain and implement the resource inventory throughout our network. We plan to put $132,855 toward this service.

Congregate Meals Program – Title III-C1: The agency plans to allocate $28,641 to oversee the congregate meal sites. This funding is essential to ensure the smooth operation and management of meal services, providing nutritious meals and fostering social engagement among older adults in our community.

 Home Delivered Meals - Title III-C2: The agency plans to allocate $45,379 for the oversight of these services, ensuring that homebound seniors receive nutritious meals and regular wellness checks, fostering their health and well-being, and enabling them to maintain their independence within their own homes.

 Assistive Services – Title III-E: To oversee the caregiver and grandparents raising grandchildren programs, we have allocated $14,258. This funding is aimed at ensuring that both caregivers and grandparents have access to critical resources, support, and guidance to manage their unique and challenging roles. By investing in these programs, we aim to enhance the well-being of these individuals and promote the stability and health of the households they support.

 Ombudsman Program – Title VII: The agency is dedicated to advocating for the rights and well-being of older adults in long-term care facilities. The Ombudsman Program provides a crucial service by investigating and resolving complaints made by or on behalf of these residents, ensuring their voices are heard, and their rights are protected. Through this program, we strive to improve the quality of care and life for older adults in our community. We plan to allocate $1,137 for advocacy efforts in this program.

 Title VII Elder Abuse and Neglect Prevention: The agency is committed to protecting older adults from abuse and neglect. To support this mission, we have allocated $215 for multi-disciplinary team efforts. These teams will meet once a quarter to review fatalities and address critical issues related to elder abuse and neglect. By investing in this initiative, we aim to enhance our community's awareness and response to these serious concerns, ensuring the safety and well-being of our senior population.

 Planning and Service/Community-Based Services: To oversee our planning and service and community-based services, we have allocated $29,426. This funding will support the development and implementation of programs that address the diverse needs of our aging population, ensuring access to vital resources and fostering a supportive community environment. By investing in these services, we aim to enhance the overall well-being and quality of life for older adults, promoting their independence and active participation in the community.

Service Justification: Title III-B Access Services

Options Counseling: Options counseling for aging individuals is a valuable and necessary service that provides essential support and guidance to help them navigate the complexities and challenges associated with the aging process. Options counseling is justified as it empowers them, adopts a person-centered approach, provides comprehensive assessments, offers information and education, advocates for their needs, takes a holistic perspective, encourages proactive planning, and ensures continuity of care. By providing support and guidance, options counseling enhances the well-being and quality of life for aging individuals during this important stage of their lives. We plan to put $29,200 towards this service.

Information and Assistance: Overall, providing information and assistance to aging individuals is justified as it helps them make informed decisions, maintain their health and independence, secure their financial well-being, foster social engagement, support caregivers, plan for end-of-life, protect their rights, and navigate the challenges and opportunities that come with aging. We plan to put $314,022 towards this service.

Transportation: Funding transportation for aging individuals is justified as it promotes mobility and independence, facilitates access to healthcare, enhances safety and security, fosters age-friendly communities, supports caregivers, contributes to the economy, improves public health, and promotes equity and social justice. By investing in transportation options, society recognizes and values the needs and contributions of aging individuals, enhancing their quality of life, and promoting an inclusive and age-friendly society. Our agency has budgeted $94,526.

Service Justification: III-B In-Home

Telephone Reassurance: Social connectivity is needed to live a life well flourished. Aging can cause circumstances that restrict mobility through driving or health issues. Staying engaged with social circles is important to reduce chronic isolation, negative health outcomes, loneliness, and overall well-being. A survey through the Administration of Community Living (May 2016), showed approximately 29 percent of persons 65 and older live alone. This number is twice as high in women compared to men. To induce the connective pattern to social isolation will use the UCLA Loneliness Scale to measure and assess loneliness and companionship to identify connections and disconnect from others surrounding them and use the buddy system to connect those at risk. For this service, we have allotted $19,383.

Service Justification: Title III-B Communication Services

Education: Funding education for aging individuals is justified as it supports lifelong learning, promotes cognitive health and social engagement, enhances skills and employment opportunities, fosters technology and health literacy, facilitates intergenerational learning, enriches cultural experiences, encourages civic engagement, and challenges ageism. By investing in education for aging individuals, society recognizes their potential, supports their well-being, and contributes to building a more inclusive and age-friendly society. We have allotted $481 for education services in our PSA.

Health Screening: Health screening plays a crucial role in maintaining and improving the quality of life for aging individuals. Early detection of diseases, preventive measures, and timely interventions can minimize the impact of health conditions, reduce symptom burden, and enhance overall well-being. Regular health screenings contribute to the overall health and vitality of aging individuals, enabling them to live active, fulfilling, and independent lives. We have budgeted $481 for health screenings.

Legal Assistance: Funding legal assistance for aging individuals is justified as it ensures equal access to justice, protects against exploitation and abuse, assists with estate planning and asset protection, supports health and long-term care planning, addresses guardianship and conservatorship matters, combats age discrimination, promotes consumer protection, and contributes to advocacy and policy development. By investing $20,000 in legal services, the agency recognizes the importance of legal rights and protections for aging individuals, empowering them to navigate legal complexities and safeguard their well-being.

Service Justification: Title III-C-1 Community Services

Congregate Meals: A nutritious meal, in the congregate setting, will promote better health and provide seniors with social interaction with their peers. Seniors receive a nutritionally balanced meal at the congregate meal site. This may be the only nutritious meal they will eat all day, either due to budget constraints or because many seniors who live alone will not cook an entire meal. For many, this is the one opportunity each day they must visit with their peers. We have allotted $304,526 for this vital service.

Service Justification: Title III-C-2 Access

Home-Delivered Meals: Many homebound seniors do not have family or anyone nearby with whom they have contact. Many are not physically able to prepare nutritious meals and do not have anyone to help them with this need. For those who have family members helping them in the home, a home-delivered meal lessens the burden for the full-time caregiver. For socially isolated seniors, a home-delivered meal is more than just a meal. The social benefits and connections made through a meal provider help an older adult receive pamphlets with education, face-to-face contact, and self-identity connections. Isolation is a weight that weighs heavily on older adults and although not having family, friends, or other connections to the outside world plays a part in isolation there is another link and that is through nutrition. With this in mind, the agency has budgeted $1,315,086 for home-delivered meal services.

Home Delivery Meals by County Denied or Waiting as of July 30, 2025

Home Delivery Meals by County Unserved and Need Additional Funding

We have 6 congregate sites (Crawford, Edwards, Jasper, Richland, Wabash, and Wayne) offering meals five days a week and three sites providing meals four days a week, with an optional supplemental meal: Lawrence, White, and Hamilton County centers. Our PSA includes 9 meal providers, all of which currently offer home-delivered meals for home-bound seniors.

Total Title III-E Assistance Services - $102,382-Based upon 26AP2 Funding Letter

Title III-E C/S/T Services Service: Information and Assistance, Relatives Raising Relatives, Caregivers of Older Adults, Caregiver Training and Education. Many Grandparents or Relatives are being found in the role of parent to their relatives; many of these Grandparents or Relatives live on limited incomes, may have various health problems of their own, and wonder how they are going to meet the physical and emotional needs of these children as they grow older. Relatives who find themselves in this new role need information on how to access to GAP funding or legal assistance services available to them and may need help with knowing their rights as a grandparent or relative, financial information, and counseling.

Respite (Evidence-Based): Respite Services are of benefit to both the caregiver and the person being given the care. Many times, it is very stressful for the caregiver as they begin to take over all the responsibilities of caring for another person.  The caregiver may still work or have other family members that require a lot of their attention as well. They begin to feel overwhelmed and frustrated with so many obligations. Many times, being able to get away and relax for even just a little while or having time to attend support groups can be extremely helpful.

Gap Filling Care, GRG, ADRD Supportive Gap (Evidence-Based): Many seniors fall in between the gaps of eligibility for different services. Many times, they are not old enough for Medicare, Benefits Access Application, etc. yet their income is just above the level for Medicaid. With rising medical and pharmaceutical costs, utility costs, and overall living expenses, many seniors find themselves having to go without much-needed attention. A senior’s life drastically changes when they become a Grandparent Raising a Grandchild or a Relative Raising a Relative. There are Grandparenting or Relative Role changes. When they were grandparents, they may have been able to afford the extra “finer things” for their grandchildren, but once they take on the parenting role and total support of the grandchild, they can no longer afford these luxuries. The gap-filling services can “send a kid to camp” to help build their self-esteem, pay for Little League baseball, or it may be used for the necessities that every child needs. Based on a consumer-directed model, SEIAoA will provide limited funds that people with dementia and/or their primary caregivers may spend on services and supports that enhance their ability to live in the community. There are only a few Hospitals active in supporting those with Dementia and Alzheimer’s. Our centers are supporting those with Alzheimer’s and Dementia with OAA services, however, to find community support in a rural/remote region without additional funding to help in SE Illinois.

Increases or Decreases in Funding

If there’s an increase in funds for Title III-B, Title III-C1, Title III-C2, Title III-D, General

Revenue Funds for Home Delivered Meals and General Revenue Funds for Community-Based Services, the money would be apportioned according to the Area Agency Funding Formula. Title III-E funds will be distributed on an as needed basis with the exception of Information and Assistance which would be distributed by the Area Agency Funding Formula. Legal Service would likely continue at the current level. If there were to be increases in the CBS funding, the increase would go to the Service Providers to permit them to increase the number of hours or persons served.

If there was a decrease in funds for Title III-B, Title III-C1, Title III-C2, Title III-D, the Information and Assistance portion of Title III-E and General Revenue Funds for Home Delivered Meals and General Revenue Funds for Community Based Services would be apportioned according to the Area Agency Funding Formula.

Funding Possibilities: There are several other funding possibilities that can be explored to support the aforementioned services. Grants are an essential source of funding, especially when they come from government agencies or private foundations dedicated to community welfare and senior care. It is crucial to identify applicable grants and apply for them diligently to secure the necessary funds. Donations also play a vital role in sustaining these initiatives. Engaging with local communities, businesses, and philanthropic individuals can generate substantial support. Creating awareness about the program's impact and the needs of the caregivers and seniors can encourage generous contributions.

Data Processing

Data captured for each of these deliverables have been processed through a system we have used for many years called AgingIS. The average cost per quarter for AgingIS is $4,336.00. We are told by the Illinois Department on Aging all of the Area Agencies on Aging will now move to a new data recording platform called SalesForce. Training on this program has yet to begin. A changeover is expected in the next year.

Budget:

References of Top Sources:

1. U.S. Census Bureau: The U.S. Census Bureau is a primary source for demographic data and statistics related to the older population in the United States. It provides accurate and up-to-date information on population trends and characteristics.
2. Administration of Community Living (ACL): The ACL is a federal agency dedicated to addressing the needs of older adults. It produces authoritative reports and resources that offer insights into various aspects of aging in America.
3. Centers for Disease Control and Prevention (CDC): The CDC is a leading authority on public health issues, including those affecting older adults. Its research and publications contribute valuable information on the health status and healthcare needs of older Americans.

Budget: Source: “FY 2024 Detailed Budget Pages,” Illinois Department on Aging.

These sources were instrumental in providing reliable information for understanding the national profile of older Americans in 2023.

1. Meals on Wheels America: Meals on Wheels America is a national organization dedicated to addressing senior hunger and isolation by providing nutritious meals, friendly visits, and safety checks to older adults. The organization’s advocacy efforts and expertise in senior nutrition make it a highly authoritative source on this topic.
2. National Association of Nutrition and Aging Services Programs (NANASP): NANASP is a leading association focused on advocating for sound public policy, education, and research in nutrition and aging services. As a prominent voice in this field, NANASP’s insights contribute significantly to understanding the impact of federal funding on senior nutrition programs.
3. Official Government Budget Proposal: The official budget proposal from the President’s Fiscal Year 2025 serves as a primary source for understanding the administration’s priorities and allocations for various programs, including those related to senior nutrition funding. This document provides crucial information for analyzing the proposed budgetary measures impacting senior nutrition initiatives.
4. U.S. Department of Health and Human Services (HHS) - The official website of HHS provides detailed information on federal programs such as the Older Americans Act (OAA) Title VII’s Ombudsman Program and its budget allocation.
5. Illinois Government Official Website: The official website of the Illinois government provides detailed information on Governor Pritzker’s proposed state budget and related initiatives.
6. Local News Outlets: Local news outlets such as The Chicago Tribune or The State Journal-Register offer comprehensive coverage of Governor Pritzker’s proposed budget and its impact on aging-related programs in Illinois.
7. Policy Research Organizations: Reports and analyses from reputable policy research organizations such as The Civic Federation or The Center for Tax and Budget Accountability offer valuable insights into state budgets and their implications for specific demographic groups like seniors.
8. AARP - A leading organization focused on advocating for and supporting the needs of older adults. Used to gain insights into best practices for increasing visibility and engagement within the aging community.
9. National Association of Area Agencies on Aging (n4a) - A national organization representing the interests of local Area Agencies on Aging. Used to understand the current state of the Aging Network and identify areas for improvement in visibility and outreach.
10. Centers for Disease Control and Prevention (CDC) - A federal agency providing resources and guidance on healthy aging. Used to inform the development of SMART goals by referencing their research on effective strategies for increasing awareness and engagement within the aging community.
11. Census - Illinois Department on Aging

PUBLIC INFORMATION DOCUMENT

FY 2027-2028 AREA PLAN AMENDMENT ON AGING

Proposed by the:

Southeastern Illinois Agency on Aging, Inc.

Planning and Service Area 10

602 E. 5th St., Mt. Carmel, IL  62863

Phone:  217-262-0678    Fax:  610-854-9117

Website:  www.seiaoa.com

Serving Older Americans in the following nine counties:

Crawford, Edwards, Hamilton, Jasper, Lawrence,

 Richland, Wabash, Wayne and White.

Issued: January 15, 2025

Published: January 16, 2025

Notice

The Southeastern Illinois Area Agency on Aging publishes this Public Information Document as the official summary of the proposed Area Plan Amendment 2027-2028.

A summary of this document will be presented through one in person and one virtual Public Hearings (see schedule below). A summary of public comments will be presented to the Advisory Council on January 13 at 1:00 PM in a Zoom webinar or call-in option; and to SEIAoA’s Corporate Board on January 15 at 10:00 AM in a Zoom webinar or call-in option for final acceptance. Contact the program at 217-262-0678 or seiaoa.program@gmail.com

The purpose of this document and the public hearing is to present information about the Social and Nutrition Services available in Planning and Service Area 10 and allow for public commentary. This plan is being presented to the Illinois Department on Aging following provisions of the Illinois Act on Aging and the Older Americans Act of 1965 as amended.

The plan will be an amendment year of the three-year area plan 25-27, covering October 1, 2026 (FY 27), through September 30, 2027. This plan is ready for 2027.  This plan is an issue-based plan that will address a Statewide issue identified by the Illinois Department on Aging and the thirteen Area Agencies on Aging in the State of Illinois, as well as a local issue identified by the Southeastern Illinois Agency on Aging.

Public Hearings will be held on March 27, 2025 at the Carmi Senior Center at 11:00 a.m. A second hearing will be held on our AAA’s zoom platform at 2:00 P.M. Written and oral testimony will be accepted at both hearings.

Written questions and comments about the proposed area plan should be submitted to the following address by 10:00 a.m. on April 11, 2025. Comments after this date will be considered in future amendments and revisions. Mrs. Holmes will accept questions and comments by phone through a prompt line at 217-262-0678.

Summary of Public Hearing Testimony: Contact the office if interested in obtaining a copy of the summary of public hearing testimony, SEIAoA’s response to the testimony, and any action, if taken as a result of the testimony.

Shana A. Holmes, LL.M

Chief Executive Officer

Southeastern Illinois Agency on Aging, Inc.

602 E. 5th St.

Mt. Carmel, Illinois 62863

Public Hearings

The Public Hearings will present information about the national, state, and local initiatives, including:

●        proposed federal budget for FY 2025-2027

●        proposed Older Americans Act funding for FY 2025-2027

for services in Planning and Service Area 10, as allocated by Illinois Department on Aging (IDOA)

Service providers are experiencing a funding crisis based on the current Illinois Interstate Funding Formula and the Illinois funds released under the Older Americans Act Budget. Under the Illinois Department on Aging's direction, SEIAoA is required to present its plan for the allocation of the Older Americans Act and Illinois General Funds for services as contained in its AAA Planning Allocation Directive for the Area Plan of FY 2025-2027, under the new Amendment year of 27.

The Public Hearings provide information about SEIAoA’s proposed plans, budget, funding formula, and priorities for funding community-based services for older adults and family caregivers, including Coordinated Points of Entry/Senior Information Services, Legal Assistance, Congregate Meals, and Home Delivered Meals.

For more information contact Shana Holmes, Chief Executive Officer at southeasternaaaceoshana@gmail.com.

Southeastern Illinois Agency on Aging, Inc.

602 E. 5th St., Mt. Carmel, IL  62863

Phone:  217-262-0678    Fax:  610-854-9117

Website:  www.seiaoa.com

Facebook: Southeastern Illinois Area Agency on Aging

This document was made available to the public via senior centers (Jasper, Richland, Wabash, Wayne, Lawrence, White, Hamilton, Crawford and Edwards),  SEIAOA.COM, Facebook and Daily Republican Register newspaper.

Purpose of This Public Information Document

This Public Information Document summarizes the proposed FY 27 area plan amendment.  The plan

includes a strategy for distributing federal and state funds in the Southeastern Illinois Agency on
Aging (SEIAoA)’s nine-county rural/remote service area is Wayne, Wabash, Edwards, Richland, Jasper, Crawford, White, Lawrence, and Hamilton Counties.

These nine counties are designated by the Illinois Department on Aging (IDOA) as Planning and Service Area (PSA) 10. Because funding levels are determined by Federal and State government regulations,

allocation levels listed in this document and the Area Plan may change. If major changes are

required, public hearings will be scheduled to receive comments on the proposed changes. At

the time of publication of this Public Information Document, neither the FY 27 federal nor the FY

26 state appropriations have been finalized.

Purpose of the FY 27 Area Plan Amendment

Southeastern Illinois Agency on Aging’s FY 27 Area Plan aims to develop our new and existing initiatives. The Area Plan is a comprehensive planning, management, and funding document for aging services in Southeastern Illinois. Services outlined in the Area Plan promote the dignity and independence of older adults. In developing the Area Plan, SEIAoA assesses the needs of older adults and their caregivers, identifies issues for long-range planning, and sets priorities for funding.

2027 Area Plan “Amendment”

The fiscal year of the 2027 Area Plan Amendment.

Vision

Provide leadership on aging issues in the nine counties of PSA 10 by partnering with community

agencies to assess the preparedness of Illinois and our communities for the care of the aging

population and make recommendations to government officials in the areas of health and

human services, land use, housing, transportation, public safety, workforce, and economic

development, recreation, education, civic engagement, and emergency preparedness.

Mission

To assess the state’s preparedness for an aging population and provide recommendations to government officials in the areas of health and human services, land use, housing, transportation, public safety, workforce and economic development, recreation, education, civic engagement, and emergency preparedness.

History

In 1965, by order of President Lyndon B. Johnson, the Older Americans Act (OAA) was enacted,

and within it contains ten broad policy objectives aimed at improving the lives of older persons:

1.       an adequate income in retirement;

2.       the best possible physical and mental health;

3.       suitable housing;

4.       full restorative services for those who require institutional care;

5.       opportunity for employment;

6.       retirement in health, honor, and dignity;

7.       participate in and contribute to meaningful activity;

8.       efficient community services;

9.       an immediate benefit from proven research knowledge; and

10.   freedom, independence, and the free exercise of individual initiative.

Core Values

SEIAoA advocates for older adults, their family caregivers, and adults with disabilities in many ways. We advocate for programs, services, and funding with federal and state legislators. We inform legislators of the potential impact of pending legislation for older adults, their family caregivers, and adults with disabilities; especially regarding budget decisions on funding for programs and services.  

SEIAoA also plans and provides program development and coordination in the 9 counties we serve. We assess the needs of older adults and their family caregivers, seek input from the public in setting service priorities, develop new programs, and assist our funded providers in developing the direct services and programs they provide. We coordinate services through our Aging and Disability Network, various collaborations we belong to, and through regular attendance at elder association meetings, human service council meetings, and regional transportation meetings. On the state level, we coordinate through the Illinois Association of Area Agencies on Aging, the Adult Protective Service Program Advisory Committee, participation in various Balancing Incentive Program statewide committees, and the Adult Protective Service program.   

The primary source of our funding is the Older Americans Act from the federal government, but we also receive State of Illinois General Revenue Funds and a few other program grants. Unlike many other services provided utilizing state and federal funds, Older American Act services rely not only on federal funding and state funding but also on local matching funds and the donations received from the people who participate in the programs and services. 

Southeastern Illinois Agency on Aging has concentrated and assessed the resources and referrals.

The Southeastern Illinois Agency on Aging (one of 13 in the State of Illinois), with guidance from the Board of Directors, has collaborated with various agencies and formed various committees in our PSA such as: Aging and Disability Resource Center Committee, DHS, DORS, ECCOA, Shawnee Alliance, Inc. Advisory Council, 2^nd Judicial Court, Judge Tedeschi’s Committee, 1^st Judicial Circuit Chief Judge William J. Thurston, Williamson County Presiding Judge Stephen R. Green, A Trauma-Informed Courts and Community member, AOK Committee, and the I Plan Committee, which are all interested in helping to gather information and statistics which enables the Agency to assess the preparedness and awareness of the individuals and services offered within the nine counties in our area.

Southeastern Illinois Area Agency on Aging (PSA 10) is an independent not-for-profit organization. We employ 2 full-time and 4 part-time staff. We are governed by a Board of Directors and have input from an Advisory Council. The men and women serving on the Board of Directors and Advisory Council are predominantly older adults and they volunteer their time to be advocates and assist in developing community-based services for older adults, their families, and/or caregivers.

The following is a brief description of the Area Agency’s staff and their responsibilities:

Chief Executive Officer: reporting to the Board of Directors, the Chief Executive Officer has overall strategic and operational responsibility for SEIAoA, Inc. Nonprofit's staff, programs, expansion, and execution of its mission. Initially develops deep knowledge of the field, core programs, operations, and business plans.  The CEO is also a SHIP Coordinator and Trainer, AGINGIS Administrator, Program Operator, Auditor, Honor Flight Volunteer, Care Coordinator, Veterans Independence Program Coordinator, Red Cross Volunteer, AIRS Certified, Agency’s website administrator, Facebook page administrator, Adult Protective Services Supervisor and assistant with the State Community Care Program, sits on the Board of Directors for Illinois Mental Health Coalition and current Vice-President, member of the Illinois Mental Health Coalition Grant Committee; Community Care Program Advisory Committee Board of Director, ADRC Options Counselor, a Second Judicial Court Council Board Member, and an I4A Officer & Secretary (15 years/retired), directs all activities related to the Area Plan; establishes, develops and maintains effective working relationships with the Department on Aging and other Area Agencies on Aging; performs liaison work with elected and appointed officials of state and federal government and appropriate county, city, and local officials, directs the preparation of the agency’s annual budget and expenditures of agency budget consistent with agency goals and objectives, is responsible for hiring and terminating all staff of the agency, coordinates activities, and serves as liaison to Board of Directors and Board Committees; explores expanded opportunities for fundraising and financial stability and implements as feasible.

Fiscal Manager: Bookkeeper and Financial Administrator of the Area Agency.

Aging Paraprofessional: 1^st impressionist, Director’s assistant, Fiscal managers assistant, Advisory Council and ADRN meeting coordinator, SHIP counselor, caregiver organizer, general office assistant and referral specialist.

Aging Administrator: SHIP Counselor, AIRS Certified, Senior Medicare Patrol, ADRC Options Counselor, Administers the Special GRG GAP funding. SHIP/SHAP/MIPPA program reporter.

Aging Service Specialist: Administration and Supervision of the SEP (Senior Employment Program) assistance in employment-seeking activities of seniors over the age of 55.  Supervision and administration of the Long-Term Care Ombudsman Program, the Adult Protective Service Program and assistance with the State Community Care Program, Veterans Independence Program Administrator, and Senior Medicare Patrol; issued special GAP funds to the 60+, AIRS Certified, and an ADRC Options Counselor, Fatality Review Team and Pioneer Coalition. Grants management and administration and monitoring of Older Americans Act services. Administers respite funds to those requesting assistance to have a caregiver come within the home or temporary nursing home care.

Aging Professional: Writes the Area Plan and Public Information Document, visits and administers caregivers with information to caregiver, dementia and older Americans Act services. Case manager to the T-Care assessment and review system. A Dementia Friends representative. Program reporter.

Who We Are

The Southeastern Illinois Area Agency on Aging was founded in 1975 under an amendment to the Older Americans Act of 1965.  The Southeastern Illinois Area Agency on Aging is one of 13 area agencies in the State of Illinois.  There are 670 area agencies across the country. Southeastern Illinois Area Agency on Aging is part of a vast National Network dedicated to providing programs and services to protect the rights and support the needs of older Americans.  This Network includes the Federal Level (Administration on Aging), State Level (State Units on Aging), Regional Level (Area Agencies), and Local Level (Service Providers).  It is governed by a 9-member Board of Directors, which seeks advice from a 9-member Advisory Council. These Board and Council Members represent the nine counties in Planning and Service Area 10.

What We Do

The basic mission of the Southeastern Illinois Area Agency on Aging is to initiate and implement a comprehensive and coordinated service system that gives priority to those activities and services that have the greatest potential for meeting the needs of older persons within the planning and service area.  The Agency manages grants and contracts with other agencies to make services available to persons 60 years of age or older, or those caring for persons 60 years or older.

How We Do It - Service Delivery System

Community focal points: Senior Centers (Community Resource Centers and Café’s) in each of the nine counties are designated by the Area Agency on Aging to deliver multiple services such as Senior Health Insurance, Medicare Initiative Alignment Programs, Congregate and Home Delivered Meals, Information and Assistance, Options Counseling, Transportation and GAP funding for caregivers and relatives rearing relatives.

Advocacy is the effort expended on behalf of seniors to represent and/or support them to

obtain services to which older persons are entitled. It consists of activities designed to induce a change in attitude including stereotypes towards older adults. 

Program development focuses on activities directly related to the establishment of a new service or the improvement, expansion, and/or integration of an existing service within a specific fiscal year.

Coordination activities are conducted in an effort to advance the development of a comprehensive and integrated service delivery system through the establishment of working relationships with other funding agencies and service providers.

What PSA 10 Anticipates

At the Federal Level:

A National Profile of Older Americans

Demographics

According to the most recent federal data, the older population in the United States continues to grow rapidly. Between 2023 and 2024, the number of adults aged 65 and older increased to approximately 61.2 million, reflecting a 3.1% rise in a single year. Older adults now represent nearly 19% of the total U.S. population, and this demographic is projected to expand steadily as the baby boomer generation ages and life expectancy remains high. Many states—and nearly half of all U.S. counties—now have more older adults than children.

Living Arrangements and Housing

Recent profiles of older Americans show that most older adults continue to live independently in their own homes, while a smaller portion reside in senior housing, assisted living, or long‑term care settings. However, housing challenges persist. Older adults—especially those in rural areas—face increasing difficulty accessing affordable, safe, and accessible housing, and many live in older homes that require modifications to support aging in place. Rising housing costs and limited availability of age‑friendly housing remain significant concerns.

Health Status and Healthcare

Federal aging indicators highlight that chronic health conditions remain widespread among older adults. The majority of individuals aged 65+ live with at least one chronic disease, and many manage multiple conditions such as heart disease, diabetes, arthritis, and cognitive impairment. Mental health concerns—including depression and anxiety—continue to affect a substantial portion of this population. Access to healthcare remains a central issue, with Medicare serving as the primary coverage source for older adults. Reports emphasize ongoing challenges related to long‑term care affordability, availability of home‑ and community‑based services, and disparities in access for rural and low‑income older adults.

Economic Security and Well-being

Economic well‑being remains uneven among older Americans. Many rely heavily on Social Security as their primary income source, while others draw from pensions, savings, or employment income. Despite these supports, a significant number of older adults continue to experience economic insecurity, with poverty rates remaining a concern—particularly for those living alone, in rural areas, or from historically marginalized groups. The latest national indicators also highlight the growing importance of social engagement, community participation, and reducing social isolation, all of which strongly influence quality of life and overall well‑being among older adults

Demographic Trends:

Life Expectancy: Advances in healthcare and improved living conditions have contributed to increased life expectancy. Older adults are living longer, with many reaching their 80s, 90s, and even surpassing 100 years of age.

Social Characteristics:

Living Arrangements: Older Americans may reside in various settings, including their own homes, with family members, in senior housing communities, or in assisted living facilities. Aging in place and providing supportive housing options are important considerations.

Caregiving and Support Networks: Many older Americans rely on informal caregivers, such as Senior Centers, Agencies on Aging, family members, or friends for assistance with daily activities and healthcare needs. Support programs for caregivers are vital to ensure the well-being of both older adults and their caregivers.

Civic Engagement: Older Americans contribute to their communities through volunteer work, civic engagement, and mentoring. Encouraging and facilitating their continued involvement in society promotes a sense of purpose and social connection.

The National Profile of Older Americans provides a snapshot of the diverse and growing older adult population in the United States. Understanding the demographic trends, health status, economic well-being, and social characteristics of older Americans is crucial for developing effective policies and programs that meet their unique needs. By recognizing and addressing the challenges and opportunities associated with an aging population, we can strive to create a society that supports and values the contributions of older Americans.

National Aging Policies 2027

The National Aging Policies 2027, aligned with Japan’s updated Guideline of Measures for the Aging Society, outline a forward‑looking action plan designed to support a rapidly aging population. This framework—often described as Japan’s roadmap for “building a society where people of all ages can live with peace of mind”—emphasizes extending healthy life expectancy, strengthening long‑term care and medical systems, and creating an “age‑free society” where older adults can continue contributing based on their abilities and motivation. Recent policy updates highlight the need to expand employment opportunities for older adults, enhance dementia support, modernize long‑term care through technology, and build community environments that allow older adults to remain active and independent throughout the aging process.

The key objectives of the National Aging Policies 2027 include:

Promoting Healthy Aging: The plan aims to improve the health and well-being of older adults by enhancing access to healthcare services, promoting preventive measures, and encouraging healthy lifestyles.

Ensuring Economic Security: The policy seeks to provide financial security for older adults by strengthening the pension system, encouraging private savings, and promoting employment opportunities for seniors.

Age-Friendly: The plan emphasizes the importance of creating an inclusive society where older adults can actively participate in various aspects of life, such as social, cultural, and community activities.

Strengthening the Support System: The policy focuses on improving the quality and availability of long-term care services, as well as supporting family caregivers and professional care providers.

Encouraging Innovation and Collaboration: The plan encourages the development of innovative technologies and services to support aging in place and promotes collaboration between government, private sector, and local communities to address aging-related issues.

Infrastructure: Expanding healthcare services and facilities, particularly in rural areas, to ensure timely access to medical care for older adults.

SESP Program: Encouraging employers to hire and retain older workers by promoting age-friendly workplaces and offering incentives for companies that implement age-friendly practices.

Long-Term Care Support: Developing and implementing comprehensive long-term care insurance programs to provide affordable and high-quality care services for older adults with varying needs.

Fiber Optics-Telehealth: Investing in research and development of innovative technologies and services to support independent living and improve the quality of life for older adults.

Caregiver Support: Implementing policies that support informal caregivers, such as family members, through respite care, training programs, and financial assistance to alleviate the caregiving burden.

Social Security: Protecting and strengthening the Social Security program to ensure the financial stability of older Americans during retirement.

Social Engagement: Promoting social engagement and combating social isolation among older adults through community programs, volunteer opportunities, and intergenerational initiatives.

Elder Abuse Prevention: Strengthening policies and resources to prevent and respond to elder abuse, neglect, and exploitation, including financial fraud.

Learning Libraries: Promoting digital literacy among older adults, ensuring access to technology, and bridging the digital divide to enable connectivity and participation in the digital age.

National aging policies in 2027 must address the multifaceted needs of older Americans across healthcare, economic security, social inclusion, lifelong learning, and research. By implementing comprehensive and inclusive policies, the United States can create an age-friendly society that respects and supports the dignity, well-being, and contributions of older adults. These policies should be continuously evaluated, updated, and implemented in collaboration with stakeholders, including older Americans, advocacy groups, service providers, and policymakers, to ensure their effectiveness and Relevant in an evolving landscape.

At the State Level:

The Illinois Association Area Agencies on Aging (I4A) represents the interests of older adults in Illinois and advocates for policies and programs that support their well-being. The state legislative priorities for FY 27 are crucial in addressing the evolving needs of the aging population in Illinois. These priorities encompass a wide range of areas, including healthcare, social services, housing, and community support. By focusing on these key areas, the I4A aims to enhance the quality of life for older adults and ensure that they have access to essential resources and support systems.

Healthcare

One of the primary legislative priorities for the Illinois Association Area Agencies on Aging is healthcare. This encompasses advocating for affordable and accessible healthcare services for older adults. The organization seeks to address issues related to Medicare, Medicaid, and other healthcare programs that directly impact the aging population. Additionally, initiatives aimed at improving mental health services and addressing chronic health conditions prevalent among older adults are also part of the healthcare focus.

Social Services

In terms of social services, the I4A prioritizes programs that promote independence and well-being among older adults. This includes advocating for funding and support for home and community-based services that enable seniors to age in place with dignity. Furthermore, the organization emphasizes the importance of preventing elder abuse and exploitation through legislative measures that safeguard vulnerable older adults.

Housing

Housing is another critical area of focus for the Illinois Association Area Agencies on Aging. The organization advocates for affordable housing options tailored to the needs of older adults, including accessible housing designs and supportive housing services. Ensuring that older adults have safe and suitable living arrangements is integral to their overall quality of life.

Community Support

Community support initiatives form a significant part of the state legislative priorities for FY 27. The I4A emphasizes the importance of fostering age-friendly communities that are inclusive and supportive of older adults. This involves advocating for transportation services, social engagement opportunities, and access to nutritious food options within local communities.

In summary, the Illinois Association Area Agencies on Aging has identified key legislative priorities for FY 27 that aim to address the diverse needs of older adults in Illinois. By focusing on healthcare, social services, housing, and community support, the organization seeks to advocate for policies and programs that enhance the well-being and quality of life for seniors across the state.

Illinois Association of Area Agencies on Aging Advocacy Documents:

I4A Fact Sheet HB 293 SB1766

Proposed State Budget for 2027

2027 Aging Budget Highlights for Southeastern Illinois AAA

Home and Community-Based Services

The proposed budget allocates a significant portion of funds to home and community-based services, which aim to help older adults live independently in their own homes and communities. These services include personal care, home-delivered meals, transportation, and respite care for caregivers. The funding will also support the expansion of the Community Care Program, which provides in-home services to eligible seniors.

Senior Nutrition Programs

Proper nutrition is crucial for the health and well-being of older adults. The proposed budget includes funding for senior nutrition programs, such as the Home-Delivered Meals Program and the Congregate Meals Program. These programs provide nutritious meals to seniors who are unable to prepare meals for themselves due to physical or financial limitations.

Caregiver Support

The proposed budget also includes funding for caregiver support programs, which aim to provide respite and resources for family caregivers. These programs include the Family Caregiver Relief Program, which offers temporary respite care for caregivers, and the Caregiver Support Line, which provides information and resources for caregivers.

Outreach and Advocacy

The State of Illinois Department on Aging is responsible for advocating for the rights and needs of older adults in the state. The proposed budget includes funding for outreach and advocacy efforts, such as the Senior Helpline, which provides information and assistance to seniors and their families, and the Long-Term Care Ombudsman Program, which advocates for the rights of residents in long-term care facilities.

Conclusion

The proposed State of Illinois Department on Aging budget for 2027 focuses on providing essential services and support for the state’s aging population. By investing in home and community-based services, senior nutrition programs, caregiver support, and outreach and advocacy, the budget aims to help older adults maintain their independence and quality of life.

At the Local Level:

Maximizing Resources

SEIAoA will collaborate with other organizations and government entities to build on and maximize the effectiveness of our limited resources. Budgets of each town continue to be small and donations from the mayor’s office and small townships are strained however, the agency will continue to research funding sources from other programs to diversify the sources of our funding. The program will continue to encourage the agencies we fund to collaborate and coordinate the services they provide with other local agencies.

Minimum Wage Increase=Magnified Funding Issues

Southeastern Illinois Area Agency on Aging will support the implementation of the Governor’s FY 27 budget. To emphasize key components of the budget, there are increased funds proposed for Home Delivered Meal services to older adults and an increase to assist with the minimum wage increase. Although the minimum wage increase was exclaimed at the federal and state level to be detrimental for rural Illinoisans, most votes moved in Northern Illinois setting the platform for the rest of the state. The challenge in Southeastern Illinois Area Agency on Aging and its providers continue to face, is the factor in which funds are administered to the 13 AAA’s in the state. The population factor at 41% within the Intrastate Funding Formula (IFF) exceeds in abundance over the rural factor of 9%. This remains to be a strong problem for our rural/remote Planning and Service Region 10 in Southeastern Illinois, and advocacy to highlight the concern held by our AAA and its providers will continue.

IDoA Intrastate Funding Formula (IFF)

Application of the Funding Formula IDoA-Intrastate Funding Formula (IFF)

As outlined by our needs assessment, funding through the Interstate Funding Formula (IFF), is not sustaining the changes of competitive wages and general inflation occurring in Illinois. SE Illinois is one of the most impoverished areas that has the lowest 9 county town population (higher in remote portion), within the Area Agencies on Aging Planning & Service Area statewide. Low infrastructure encourages a greater need of the formulary change due to inadequate sponsorships, donations, lower living wages for seniors, and the inability by most older adults to donate what is needed to support this very important service. SE Illinois acknowledges how the seniors would be hit hardest should their centers not be able to withstand higher wages, certifications, food costs, overhead, and staffing at minimal; not to mention vehicles, gas, and maintenance. A change in the IFF is much needed and a request has been made to Legislators and the Illinois Department on Aging, to not support a very archaic formulary based highly on population. A suggestion has been made that a larger base amount across all services be set for all the AAA’s to ensure fair funding for all older Illinoisans aging with dignity and respect. Below are the population estimates for FY26 for our area.

Needs Assessment and Planning Process

A profile of the older adults who live in the nine-county planning and service area is exhibited below:

(Source: IDOA Population Estimates for Fiscal Year 2023)

Objective: Identify areas for improvement in services for populations considered minority.

Results: Updated 2024 data indicate that the total population across the nine‑county PSA 10 region continued to decline, decreasing by approximately 0.8% from 2023 to 2024. This ongoing reduction reflects the broader depopulation trends seen in many rural areas of Southeastern Illinois.

Despite the overall decline, several older‑adult sub‑groups showed continued growth when compared to the 2019–2023 population surveys:

• Adults age 60+ increased by 1.1%
• Adults age 85+ increased by 1.4%
• Older adults living in poverty increased by 7.6%
• Rural‑residing older adults increased by 1.0%

These updated 2024 findings highlight a region where the general population is shrinking, yet the older‑adult population—particularly those with higher economic and health needs—is steadily rising. This shift underscores the increasing demand for aging services, targeted outreach, and resource allocation across PSA 10.

Strategy 1: Offer LiHeap enrollment assistance in White and Hamilton Counties through WADI.

Strategy 2: Utilizing Senior Employment Program (SEP) at our Agency, we will expand to locate open positions at the senior centers. Due to a need for additional funding at our senior centers and our inability to find sponsors since we mainly have mom and pop shops, we turn to townships however, due to extremely small tax bases in rural Illinois, Townships in rural Southeastern Illinois face significant financial constraints that directly affect their ability to support older adults, fund community programs, or contribute meaningfully to aging‑service initiatives. Due to the economic decline, we will stay persistent and deeply connected to our communities to find ways to support financial assistance to the centers.

Office of Older American Services

A Listing of Services and Partners in PSA 10

Access Services include Information and Assistance, and Transportation.

In-Home Services include Home Delivered Meals, and Telephone Reassurance.

Community-based Services are Education, Congregate Meals, Health Screening, Strong for Life, Legal Assistance, Family Caregiver Support Services Program Training and Education, Information & Assistance, Respite, Grandparents Raising Grandchildren Support Groups, and Gap Filling Services, employment opportunities and training for the Older Worker. 

The Senior Employment Specialist Program links older persons seeking employment with Illinois Job Service and Local Job Training Partnership Act Programs.

Responding to Abuse, Neglect, and Exploitation – SWAN is the sponsoring Agency for the Illinois Adult Protective Services Program in Area 10 under a grant from the Illinois Department on Aging.  PSA 10 works closely with SWAN to ensure accuracy, procedures, and consumer needs are being met.

Advocacy in Action - informs seniors, persons with disabilities, and caregivers about legislation and public policies and takes positions on the issues. Presents our positions to elected officials at the local, state, and federal levels.

Healthy Aging Programs such as – Matter of Balance, Fairfield Memorial Hospital

Resources and Referrals - The Area Agency on Aging (one of 13 in the State of Illinois), with guidance from the Board of Directors has collaborated with various agencies and formed various committees in our PSA such as the Aging and Disability Resource Center Committee, DHS, DORS, ECCOA, Shawnee Alliance, Inc. Advisory Council, 2nd Judicial Court, Judge Tedeschi’s Committee, AOK Committee, and the I Plan Committee, which are all interested in helping to gather information and statistics which enables the Area Agency to assess the preparedness and awareness of the individuals and services offered within the nine counties in our area. SEIAoA will also work with our providers to increase the opportunity for funding and transportation, telephone reassurance, and education. This will help our older adults stay active during the day, prevent missed physician appointments, and educate them on how staying active will improve their health.

Area Plan Initiatives for FY 2025-2027

A Statewide Initiative was included in the 2025-2027 Area Plan and will continue to be a focus of services for the “3-Year Area Plan.”

Statewide Initiatives:

I: Increase statewide visibility of the Aging Network to connect Illinoisans with supports and services that encourage independence, dignity, and quality of life as we age. This goal aligns with the broader mission of the Aging Network, which encompasses a range of programs and services designed to support older adults and their caregivers. By enhancing visibility and awareness of these resources, the goal seeks to ensure that individuals across the state can access the assistance they need to age with dignity and maintain their well-being.

Our Agency is actively supporting this initiative by engaging directly with the community at health fairs held across our entire service area. Furthermore, we are amplifying our reach by providing informative brochures and other useful handouts to collaborating local agencies and consistently encouraging both our dedicated providers and valued clients to spread the word about the services we offer.

II: Drive continuous caregiver and dementia trainings that emphasize person-centered and trauma informed services while maximizing effectiveness of services delivered through the Aging Network.

Supporting this initiative involves a broad range of work across several key areas, such as provider and employee training, assessment tools, data collection, and continuous improvement cycles. We aim to work on these areas by scheduling trauma-informed care training for our senior centers and conducting comprehensive analyses of existing services and resources within the Aging Network to identify redundancies, gaps in service, and opportunities for better coordination.

III: Improve public awareness and knowledge regarding the needs of caregivers and the resources and services available statewide in Illinois, while fostering greater caregiver engagement in person-centered, trauma-informed, and evidence-based programs.

Our agency aims to spread the word about caregiver burnout and the services we offer to help alleviate some of the burden placed on caregivers. We currently offer a caregiver education program in each of our 9 counties, along with a respite program for caregivers across our PSA to inform, offer older Americans Act services and avoid burnout.

Local Initiatives:

To increase access to transportation for rural Illinois residents through our partnership with Rides Mass Transit and the Connecting Rural Older Illinoisans grant, which provides financial aid to caregivers transporting older adults to essential locations.

In Southeastern Illinois 20-30%  of rural older adults are most in need of transportation assistance for medical appointments, grocery shopping, social activities, and pharmacy trips. Utilizing Connecting Rural Older Illinoisans' dollars help them so they do not fall through the cracks of other social support systems that are available in larger, more metropolitan areas. Enhancing access to transportation services can be achieved through more efficient systems that allow for readily making transportation appointments and the strategic pre-scheduling of rides, thereby reducing wait times and improving overall convenience. One of our initiatives to support older adults in our community is a transportation reimbursement program, funded by the Connecting Rural Older Illinoisans grant. This program enables us to reimburse family members and caregivers who transport older adults to essential appointments and locations, including medical facilities and grocery stores. Additionally, we continuously advocate for increased public transportation services in our area.

Needs Assessment/Planning Process

FY 2025-2027

SEIAoA’s overarching goal is to provide programs so that senior clients can age with dignity in their homes.  Two surveys were conducted among the clients in the nine-county service area.  The first survey was more program-specific to determine the quality of services the agency provides.  The second survey was more senior-specific and addressed concerns directly related to living at home. In total we received 76 responses from both surveys. The objectives and questions addressed below were based on IDoA guiding principles.

Objective I

Presented the Performance Outcomes Report to Constituents on Older Americans Act Services - Legal, Nutrition, Caregiver Advisory and Senior Information Services.

Objective II

Obtained input from participants on how we can improve the services provided and how to improve service delivery.

Objective III

Served as an advocacy platform to inform lawmakers how vital these programs are to the constituents and that they must be preserved and increased.

Questions asked during County Conversations held in October and November of 2025:

• How can we improve the OAA services provided?

• How can we improve OAA service delivery?

These conversations were held in Wayne and White counties at the local senior centers. Other organizations, service providers, and older adults were invited to attend. Advertisements for these conversations were achieved through flyers at the senior centers and posts on SEIAOA’s Facebook page.

Feedback from these two county conversations included more caregiver and dementia education, mental health supports, expanded/easier transportation with RIDES Mass Transit, retaining staff at senior centers, reducing rural isolation which includes those who live outside the city limits and community partners emphasized the need for more geographic challenges to be met strategically.

2027 Planning Priorities Survey

(Next Survey Scheduled October 2026 (FY 28)

The 2027 (2025-2027) Planning Priorities Needs assessment was sent through a public service announcement, social media, and as a mass email to consumers seeking an assessment of needs and planning on Legal, Nutrition, Caregiver/Grandparents Serving Grandchildren, and Coordinated Points of Entry/Senior Information Services. Final Dated October 2025 (FY26). Of the 410 surveys sent out, we received 101 responses from the clients who were asked to rate the services provided by them as adequate or inadequate.

Data: The clients rated PSA 10 with 100% adequacy in the areas of Information and Assistance, Legal, Ombudsman, GAP help, and Options Counseling.  There was an opportunity to give insight into the minimum wage impact with 10 written responses. High concerns are listed about the ability of their senior community center's upkeep, staffing, meals, affordability with donations, and having a center to come home to or to provide for the homebound. The Interstate Funding Formula was described as a funding point from SE Illinois AAA and how little it can supply in funding when most of the brunt is left to come from an impoverished community with low infrastructure, jobs, and seniors with low income. *The food insecurity rate is at a solid 18% in PSA 10. The need for senior community resource centers is at greatest need for funding assistance. In a 9-county region lacking infrastructure, donors, and is considered rural/remote, a look at a change in the funding formula by legislatures and the Department on Aging is requested.

*Most southeastern Illinois counties: ~14–18% food insecurity

Some higher‑need pockets: up to ~20–22%

This means southeastern Illinois experiences higher‑than‑average food insecurity compared to the state overall.

Strategies: There were three areas where seniors voiced inadequate service in transportation (42%).  One solution listed was the addition of the CROI Rural transportation grant, and when looking at the cost for long-distance travel, the time it takes to get to an appointment, and the need for longer hours of operation beyond 5 p.m. from Rides Mass Transit District, we see a higher need for more regular and longer operating hours for the routes in each of our rural counties. In the area of Home Delivery Meals, 21% voiced concerns about changes in the menu and suggested that more options be made available. The third area of concern (32%), is the inability of the senior centers to keep up with building maintenance and staffing.

Needs Assessment – Daily Concerns Survey

The 2027 (2025-2027) Planning Priorities Needs assessment was sent through a public service announcement, social media, and as a mass email to consumers seeking an assessment of needs on concerns in the homes of the senior citizens dated October 2025 (FY 26). Again, to design programs to keep seniors aging in their homes, the survey addressed problems or concerns they had with options of no problem, minor problem, and serious problem.

Data Results: The highest areas of concern in the serious problem category were falling and needing ramps in and out of the home (17%); completing household chores (24%) and increasing health conditions (22%).  In order to combat the concerns of completing household chores, referrals are being sent to Community Care Units (CCU’s). Falls and accidents are being reduced through evidence-based programs such as Matter of Balance through Fairfield Memorial Hospital. Increased medical conditions are being addressed through programs like Stress Busters, which targets depression and anxiety in seniors and their caregivers.

Concerns of Older Adults in Southeastern Illinois

The most significant concerns identified in the minor‑problem category continue to center on increasing medical conditions (63%), Home Maintenance Difficulties (55%), and depressed mood (54%), reflecting trends seen across rural older‑adult populations in recent community assessments. To address these needs, strategies include connecting older adults to Senior Life Solutions at Fairfield Memorial Hospital, which provides structured support for managing depression and anxiety; the Stress Busters program offered through our agency, which equips participants with practical coping tools; and the Senior Enrichment Centers at Wabash General Hospital and Hamilton Memorial Hospital, which offer social engagement, wellness activities, and education aimed at reducing isolation and supporting emotional well‑being.

This bar chart illustrates the percentage of senior citizens who reported "no problem" with various issues. The issues are listed on the y-axis, and the percentage of responses noting "no issue" is on the x-axis, ranging from 0% to 50%. In essence, while a large percentage of seniors reported no issues with safety (crime), employment, the higher topics out of 49 of the 100 show there was more concern with affordable housing, access to health care and maintenance to their home.

Percentage of Older Adults Reporting “No Issues” (N = 100)

(Using 49% overall reporting no issues, distributed across categories with low percentages)

PPDSR Service and Program Projections

DIRECT Service Waivers-Current budget for FY 27 based on funding letter 26AP2

Options Counseling – III-B (partial service): Options counseling for aging individuals is a valuable and necessary service that provides essential support and guidance to help them navigate the complexities and challenges associated with the aging process. Options counseling is justified as it empowers them, adopts a person-centered approach, provides comprehensive assessments, offers information and education, advocates for their needs, takes a holistic perspective, encourages proactive planning, and ensures continuity of care. By providing support and guidance, options counseling enhances the well-being and quality of life for aging individuals during this important stage of their lives. We plan to put $10,000 toward this service.

Stress Busters - III-D: Direct Service is provided by the agency serving Wayne and Wabash Counties. This budget projection is anticipated to be $16,098. These funds will be used to serve Stress Busters programs to supply advocacy, development, and coordination. This is the most responsive and affordable evidence-based program for our rural and remote area.

Information and Assistance - III-B, Caregiver I&A – IIIE, Other Relatives I&A – IIIE (partial service): The agency conducts intake assessments to gather detailed information on individuals who may be experiencing social isolation. This process utilizes a scoring tool designed to identify the key factors contributing to an individual's sense of loneliness. Afterwards, a referral to a senior center is made for necessary services. We have budgeted $16,800 for this service.

Case Management – III-E (direct service): We recognize the essential role that caregivers play in the lives of aging individuals, often managing complex and demanding responsibilities. To support and advocate for caregivers in PSA 10, we have allocated $88,600. This funding aims to alleviate the emotional and physical burdens faced by caregivers, ensuring they have the necessary tools and support to continue their vital work. By investing in caregiver support services, we strive to enhance the well-being of both caregivers and the individuals they care for, fostering a more resilient and compassionate community.

 Alzheimer’s and Dementia Related Disorders (ADRD) Supportive GAP (direct service): This program is designed to offer comprehensive support systems and safety precautions to keep individuals with Alzheimer's or dementia at home for as long as possible. This initiative recognizes the importance of a safe and familiar environment in maintaining the well-being and quality of life for those affected. By providing tailored care plans, caregiver training, and access to necessary resources, we aim to empower both caregivers and individuals with Alzheimer's or dementia. The program, which we have allocated $11,760 towards, focuses on enhancing safety measures, such as home modifications, medical alert systems, and regular wellness checks, to ensure a secure living space. Moreover, it promotes the use of cognitive therapies, social engagement activities, and respite care services to support the mental and emotional health of the patients and their caregivers.

 Dementia friendly initiative (direct service): By actively engaging in initiatives like Dementia-Friendly Communities, and with an allocation of $5,040, our primary goals are to foster a society that's more aware and understanding of dementia, and to promote brain health and risk reduction strategies. We aim to achieve this by collaborating across public, private, not-for-profit, and healthcare sectors to better support individuals living with dementia and their care partners. Our efforts are dedicated to addressing the evolving needs of this population, developing welcoming social and cultural environments, and enhancing the physical accessibility of public spaces and systems, ultimately creating a truly dementia-friendly world.

Statewide initiative III: Improve public awareness and knowledge regarding the needs of caregivers and the resources and services available statewide in Illinois, while fostering greater caregiver engagement in person-centered, trauma-informed, and evidence-based programs (direct service): $33,600.

 Administrative and Administratively-Related Funds:

Advocacy-Coordination-Program Development – III-B: The agency is operating Title III-B Information and Assistance to deliver and coordinate services for seniors in our area while providing advocacy for their unmet needs. Information and Assistance is a central access point to services in PSA 10 including call and response, walk-ins, and distributing a wide variety of education materials. This funding also supports a partial cost to maintain and implement the resource inventory throughout our network. We plan to put $132,855 toward this service.

Congregate Meals Program – Title III-C1: The agency plans to allocate $28,641 to oversee the congregate meal sites. This funding is essential to ensure the smooth operation and management of meal services, providing nutritious meals and fostering social engagement among older adults in our community.

 Home Delivered Meals - Title III-C2: The agency plans to allocate $45,379 for the oversight of these services, ensuring that homebound seniors receive nutritious meals and regular wellness checks, fostering their health and well-being, and enabling them to maintain their independence within their own homes.

 Assistive Services – Title III-E: To oversee the caregiver and grandparents raising grandchildren programs, we have allocated $14,258. This funding is aimed at ensuring that both caregivers and grandparents have access to critical resources, support, and guidance to manage their unique and challenging roles. By investing in these programs, we aim to enhance the well-being of these individuals and promote the stability and health of the households they support.

 Ombudsman Program – Title VII: The agency is dedicated to advocating for the rights and well-being of older adults in long-term care facilities. The Ombudsman Program provides a crucial service by investigating and resolving complaints made by or on behalf of these residents, ensuring their voices are heard, and their rights are protected. Through this program, we strive to improve the quality of care and life for older adults in our community. We plan to allocate $1,137 for advocacy efforts in this program.

 Title VII Elder Abuse and Neglect Prevention: The agency is committed to protecting older adults from abuse and neglect. To support this mission, we have allocated $215 for multi-disciplinary team efforts. These teams will meet once a quarter to review fatalities and address critical issues related to elder abuse and neglect. By investing in this initiative, we aim to enhance our community's awareness and response to these serious concerns, ensuring the safety and well-being of our senior population.

 Planning and Service/Community-Based Services: To oversee our planning and service and community-based services, we have allocated $29,426. This funding will support the development and implementation of programs that address the diverse needs of our aging population, ensuring access to vital resources and fostering a supportive community environment. By investing in these services, we aim to enhance the overall well-being and quality of life for older adults, promoting their independence and active participation in the community.

Service Justification: Title III-B Access Services

Options Counseling: Options counseling for aging individuals is a valuable and necessary service that provides essential support and guidance to help them navigate the complexities and challenges associated with the aging process. Options counseling is justified as it empowers them, adopts a person-centered approach, provides comprehensive assessments, offers information and education, advocates for their needs, takes a holistic perspective, encourages proactive planning, and ensures continuity of care. By providing support and guidance, options counseling enhances the well-being and quality of life for aging individuals during this important stage of their lives. We plan to put $29,200 towards this service.

Information and Assistance: Overall, providing information and assistance to aging individuals is justified as it helps them make informed decisions, maintain their health and independence, secure their financial well-being, foster social engagement, support caregivers, plan for end-of-life, protect their rights, and navigate the challenges and opportunities that come with aging. We plan to put $314,022 towards this service.

Transportation: Funding transportation for aging individuals is justified as it promotes mobility and independence, facilitates access to healthcare, enhances safety and security, fosters age-friendly communities, supports caregivers, contributes to the economy, improves public health, and promotes equity and social justice. By investing in transportation options, society recognizes and values the needs and contributions of aging individuals, enhancing their quality of life, and promoting an inclusive and age-friendly society. Our agency has budgeted $94,526.

Service Justification: III-B In-Home

Telephone Reassurance: Social connectivity is needed to live a life well flourished. Aging can cause circumstances that restrict mobility through driving or health issues. Staying engaged with social circles is important to reduce chronic isolation, negative health outcomes, loneliness, and overall well-being. A survey through the Administration of Community Living (May 2016), showed approximately 29 percent of persons 65 and older live alone. This number is twice as high in women compared to men. To induce the connective pattern to social isolation will use the UCLA Loneliness Scale to measure and assess loneliness and companionship to identify connections and disconnect from others surrounding them and use the buddy system to connect those at risk. For this service, we have allotted $19,383.

Service Justification: Title III-B Communication Services

Education: Funding education for aging individuals is justified as it supports lifelong learning, promotes cognitive health and social engagement, enhances skills and employment opportunities, fosters technology and health literacy, facilitates intergenerational learning, enriches cultural experiences, encourages civic engagement, and challenges ageism. By investing in education for aging individuals, society recognizes their potential, supports their well-being, and contributes to building a more inclusive and age-friendly society. We have allotted $481 for education services in our PSA.

Health Screening: Health screening plays a crucial role in maintaining and improving the quality of life for aging individuals. Early detection of diseases, preventive measures, and timely interventions can minimize the impact of health conditions, reduce symptom burden, and enhance overall well-being. Regular health screenings contribute to the overall health and vitality of aging individuals, enabling them to live active, fulfilling, and independent lives. We have budgeted $481 for health screenings.

Legal Assistance: Funding legal assistance for aging individuals is justified as it ensures equal access to justice, protects against exploitation and abuse, assists with estate planning and asset protection, supports health and long-term care planning, addresses guardianship and conservatorship matters, combats age discrimination, promotes consumer protection, and contributes to advocacy and policy development. By investing $20,000 in legal services, the agency recognizes the importance of legal rights and protections for aging individuals, empowering them to navigate legal complexities and safeguard their well-being.

Service Justification: Title III-C-1 Community Services

Congregate Meals: A nutritious meal, in the congregate setting, will promote better health and provide seniors with social interaction with their peers. Seniors receive a nutritionally balanced meal at the congregate meal site. This may be the only nutritious meal they will eat all day, either due to budget constraints or because many seniors who live alone will not cook an entire meal. For many, this is the one opportunity each day they must visit with their peers. We have allotted $304,526 for this vital service.

Service Justification: Title III-C-2 Access

Home-Delivered Meals: Many homebound seniors do not have family or anyone nearby with whom they have contact. Many are not physically able to prepare nutritious meals and do not have anyone to help them with this need. For those who have family members helping them in the home, a home-delivered meal lessens the burden for the full-time caregiver. For socially isolated seniors, a home-delivered meal is more than just a meal. The social benefits and connections made through a meal provider help an older adult receive pamphlets with education, face-to-face contact, and self-identity connections. Isolation is a weight that weighs heavily on older adults and although not having family, friends, or other connections to the outside world plays a part in isolation there is another link and that is through nutrition. With this in mind, the agency has budgeted $1,315,086 for home-delivered meal services.

Home Delivery Meals by County Denied or Waiting as of July 30, 2025

Home Delivery Meals by County Unserved and Need Additional Funding

We have 6 congregate sites (Crawford, Edwards, Jasper, Richland, Wabash, and Wayne) offering meals five days a week and three sites providing meals four days a week, with an optional supplemental meal: Lawrence, White, and Hamilton County centers. Our PSA includes 9 meal providers, all of which currently offer home-delivered meals for home-bound seniors.

Total Title III-E Assistance Services - $102,382-Based upon 26AP2 Funding Letter

Title III-E C/S/T Services Service: Information and Assistance, Relatives Raising Relatives, Caregivers of Older Adults, Caregiver Training and Education. Many Grandparents or Relatives are being found in the role of parent to their relatives; many of these Grandparents or Relatives live on limited incomes, may have various health problems of their own, and wonder how they are going to meet the physical and emotional needs of these children as they grow older. Relatives who find themselves in this new role need information on how to access to GAP funding or legal assistance services available to them and may need help with knowing their rights as a grandparent or relative, financial information, and counseling.

Respite (Evidence-Based): Respite Services are of benefit to both the caregiver and the person being given the care. Many times, it is very stressful for the caregiver as they begin to take over all the responsibilities of caring for another person.  The caregiver may still work or have other family members that require a lot of their attention as well. They begin to feel overwhelmed and frustrated with so many obligations. Many times, being able to get away and relax for even just a little while or having time to attend support groups can be extremely helpful.

Gap Filling Care, GRG, ADRD Supportive Gap (Evidence-Based): Many seniors fall in between the gaps of eligibility for different services. Many times, they are not old enough for Medicare, Benefits Access Application, etc. yet their income is just above the level for Medicaid. With rising medical and pharmaceutical costs, utility costs, and overall living expenses, many seniors find themselves having to go without much-needed attention. A senior’s life drastically changes when they become a Grandparent Raising a Grandchild or a Relative Raising a Relative. There are Grandparenting or Relative Role changes. When they were grandparents, they may have been able to afford the extra “finer things” for their grandchildren, but once they take on the parenting role and total support of the grandchild, they can no longer afford these luxuries. The gap-filling services can “send a kid to camp” to help build their self-esteem, pay for Little League baseball, or it may be used for the necessities that every child needs. Based on a consumer-directed model, SEIAoA will provide limited funds that people with dementia and/or their primary caregivers may spend on services and supports that enhance their ability to live in the community. There are only a few Hospitals active in supporting those with Dementia and Alzheimer’s. Our centers are supporting those with Alzheimer’s and Dementia with OAA services, however, to find community support in a rural/remote region without additional funding to help in SE Illinois.

Increases or Decreases in Funding

If there’s an increase in funds for Title III-B, Title III-C1, Title III-C2, Title III-D, General

Revenue Funds for Home Delivered Meals and General Revenue Funds for Community-Based Services, the money would be apportioned according to the Area Agency Funding Formula. Title III-E funds will be distributed on an as needed basis with the exception of Information and Assistance which would be distributed by the Area Agency Funding Formula. Legal Service would likely continue at the current level. If there were to be increases in the CBS funding, the increase would go to the Service Providers to permit them to increase the number of hours or persons served.

If there was a decrease in funds for Title III-B, Title III-C1, Title III-C2, Title III-D, the Information and Assistance portion of Title III-E and General Revenue Funds for Home Delivered Meals and General Revenue Funds for Community Based Services would be apportioned according to the Area Agency Funding Formula.

Funding Possibilities: There are several other funding possibilities that can be explored to support the aforementioned services. Grants are an essential source of funding, especially when they come from government agencies or private foundations dedicated to community welfare and senior care. It is crucial to identify applicable grants and apply for them diligently to secure the necessary funds. Donations also play a vital role in sustaining these initiatives. Engaging with local communities, businesses, and philanthropic individuals can generate substantial support. Creating awareness about the program's impact and the needs of the caregivers and seniors can encourage generous contributions.

Data Processing

Data captured for each of these deliverables have been processed through a system we have used for many years called AgingIS. The average cost per quarter for AgingIS is $4,336.00. We are told by the Illinois Department on Aging all of the Area Agencies on Aging will now move to a new data recording platform called SalesForce. Training on this program has yet to begin. A changeover is expected in the next year.

Budget:

References of Top Sources:

1. U.S. Census Bureau: The U.S. Census Bureau is a primary source for demographic data and statistics related to the older population in the United States. It provides accurate and up-to-date information on population trends and characteristics.
2. Administration of Community Living (ACL): The ACL is a federal agency dedicated to addressing the needs of older adults. It produces authoritative reports and resources that offer insights into various aspects of aging in America.
3. Centers for Disease Control and Prevention (CDC): The CDC is a leading authority on public health issues, including those affecting older adults. Its research and publications contribute valuable information on the health status and healthcare needs of older Americans.

Budget: Source: “FY 2024 Detailed Budget Pages,” Illinois Department on Aging.

These sources were instrumental in providing reliable information for understanding the national profile of older Americans in 2023.

1. Meals on Wheels America: Meals on Wheels America is a national organization dedicated to addressing senior hunger and isolation by providing nutritious meals, friendly visits, and safety checks to older adults. The organization’s advocacy efforts and expertise in senior nutrition make it a highly authoritative source on this topic.
2. National Association of Nutrition and Aging Services Programs (NANASP): NANASP is a leading association focused on advocating for sound public policy, education, and research in nutrition and aging services. As a prominent voice in this field, NANASP’s insights contribute significantly to understanding the impact of federal funding on senior nutrition programs.
3. Official Government Budget Proposal: The official budget proposal from the President’s Fiscal Year 2025 serves as a primary source for understanding the administration’s priorities and allocations for various programs, including those related to senior nutrition funding. This document provides crucial information for analyzing the proposed budgetary measures impacting senior nutrition initiatives.
4. U.S. Department of Health and Human Services (HHS) - The official website of HHS provides detailed information on federal programs such as the Older Americans Act (OAA) Title VII’s Ombudsman Program and its budget allocation.
5. Illinois Government Official Website: The official website of the Illinois government provides detailed information on Governor Pritzker’s proposed state budget and related initiatives.
6. Local News Outlets: Local news outlets such as The Chicago Tribune or The State Journal-Register offer comprehensive coverage of Governor Pritzker’s proposed budget and its impact on aging-related programs in Illinois.
7. Policy Research Organizations: Reports and analyses from reputable policy research organizations such as The Civic Federation or The Center for Tax and Budget Accountability offer valuable insights into state budgets and their implications for specific demographic groups like seniors.
8. AARP - A leading organization focused on advocating for and supporting the needs of older adults. Used to gain insights into best practices for increasing visibility and engagement within the aging community.
9. National Association of Area Agencies on Aging (n4a) - A national organization representing the interests of local Area Agencies on Aging. Used to understand the current state of the Aging Network and identify areas for improvement in visibility and outreach.
10. Centers for Disease Control and Prevention (CDC) - A federal agency providing resources and guidance on healthy aging. Used to inform the development of SMART goals by referencing their research on effective strategies for increasing awareness and engagement within the aging community.
11. Census - Illinois Department on Aging