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D00A07 - Department of Aging[954]

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D00A07 - Department of Aging[954]
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DA.07

Department of Aging



Operating Budget Data

($ in Thousands)



FY 01 FY 02 FY 03 % Change

Actual Working Allowance Change Prior Year



General Fund $19,094 $22,142 $23,776 $1,634 7.4%

Special Fund 207 231 253 22 9.7%

Federal Fund 18,241 19,901 21,387 1,486 7.5%

Total Funds $37,541 $42,274 $45,416 $3,142 7.4%



Ä The 2003 allowance includes an increase of $2.7 million in general and federal funds for the Older Adults

Medicaid waiver program. Of this amount, $1.1 million is for increasing the number of individuals served

from 2,135 to 3,135 in fiscal 2003.



Ä There is a $410,000 increase in general funds to continue the Long-term Care Ombudsman initiative to

establish appropriate staffing ratios.



Ä There is $150,000 in new funds to support the Innovations in Aging program, created by legislation

passed during the 2001 legislative session.





Personnel Data

FY 01 FY 02 FY 03

Actual Working Allowance Change



Regular Positions 57.00 57.00 53.50 (3.50)

Contractual FTEs 10.00 8.00 7.00 (1.00)

Total Personnel 67.00 65.00 60.50 (4.50)



Vacancy Data: Regular Positions



Budgeted Turnover: FY 03 1.54 2.88%

Positions Vacant as of 12/31/01 7.00 12.28%



Ä Four abolished positions, two of which are related to the Older Adults Medicaid waiver, and one

contractual position were deleted due to cost containment measures.



Ä There is one new 0.5 position to administer the Innovations in Aging program.







Note: Numbers may not sum to total due to rounding.

For further information contact: Suzanne P. Freed Phone: (410) 946-5530

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DA.07 - Department of Aging



Analysis in Brief

Issues

Expanded Medicaid Waiver Helps Seniors Stay in the Community: Since 1993, the State has administered

a Medicaid waiver program helping low-income seniors prevent or delay their admission into nursing homes.

Initially, participation in the waiver was very low due to strict Medicaid eligibility requirements; only 135

seniors qualified in fiscal 2000. During the 1999 session, the General Assembly sought to expand the number

of options for these seniors by requiring an expansion of the Medicaid waiver. Since then, the program has

continued to expand in services as well as individuals served. The Department of Aging (MDOA) should

provide an update on the number of clients enrolled in the program, as well as the extent to which the

client-provider gap has been closed. Also, given that the senior population is expected to grow

significantly, MDOA should discuss how it can help ensure a sufficient level of home- and community-

based service providers.





Recommended Actions



Funds Positions

1. Add budget bill language requiring the Maryland Department of Aging

to identify by subprogram its grant initiatives in the State budget.

2. Reduce funding for expanded case management and administration of $ 1,122,278

the Older Adults Medicaid waiver program because the Department

of Legislative Services already recommended cutting the expanded

waiver services.

3. Delete funding and PIN for requested new administrative specialist 24,861 0.5

position because it does not fulfill the Spending Affordability

Committee’s recommendation for new positions.

Total Reductions $ 1,147,139 0.5









2

DA.07

Department of Aging



Operating Budget Analysis

Program Description



The Department of Aging (MDOA) serves as an advocate for the elderly. Its primary mission is to

protect the rights and quality of life for the senior citizens of Maryland. Established in 1975 as the Office of

Aging, the department receives its statutory authority under Article 70B, Annotated Code of Maryland and

the federal Older Americans Act of 1965, as amended. With the enactment of Chapter 573, Acts of 1998, the

department attained cabinet level status.



MDOA is charged with responsibilities delegated to the State under the Older Americans Act, not

otherwise designated by law to some other unit of State government. This includes planning, coordinating,

administering, and assessing public programs and services carried out at State and local levels in the areas

of income maintenance, nutrition, long-term care, public guardianship, housing, advocacy, employment,

education, recreation, and rehabilitation of the physically and mentally disabled.





Fiscal 2002 Actions



Cost containment measures reduced the fiscal 2002 budget by $217,000 in general and special funds,

primarily due to the hiring freeze. However, five contractual employees were added to the budget and will

assist with the processing of provider and client applications for the Older Adults Medicaid waiver.





Governor’s Proposed Budget



As shown in Exhibit 1, the fiscal 2003 allowance grows by $3.1 million, or 7.4% over the fiscal 2002

working appropriation. The largest increase is due to the expansion of the Older Adults Medicaid waiver,

discussed below. Personnel changes account for 5.4% of the fiscal 2003 growth. Four positions responsible

for the Medicaid waiver (two), monitoring the continued care community (one), and agency accounting tasks

(one) were abolished due to cost containment. Also, one contractual position was abolished. These position

reductions are offset by a new 0.5 position designated for providing support to the Innovations in Aging

Advisory Council and administering the Innovations in Aging competitive grant program.





Older Adults Medicaid Waiver Expands by 1,000



The 2003 allowance includes an increase of $2.7 million in general and federal funds for the Older Adults

Medicaid waiver. Of this amount, a little less than a half, $1.1 million, is dedicated toward increasing the

number served from 2,135 to 3,135. There is also $0.65 million to annualize the fiscal 2002 expansion to

2,135 individuals. In addition, the allowance demonstrates an increase of $0.87 million in federal



3

DA.07 - Department of Aging



Exhibit 1





Governor’s Proposed Budget

Department of Aging

($ in Thousands)

General Special Fund Federal

How Much It Grows: Fund Fund Total

2002 Working Appropriation $22,142 $231 $19,901 $42,274



2003 Governor’s Allowance 23,776 253 21,387 45,416

Amount Change $1,634 $22 $1,486 $3,142



Percent Change 7.4% 9.7% 7.5% 7.4%



Where It Goes:

Personnel Expenses

Employee and retiree health insurance and retirement contribution increases . . . . . . . . . $278

Decreased deferred compensation match, end of SB 1 surcharge, elimination of sick

leave incentive pilot and other adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186

Annualize fiscal 2002 general salary increase and fiscal 2003 increments . . . . . . . . . . . 130

Net fiscal 2003 cost containment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (305)



Four abolished positions offset by a 0.5 new position . . . . . . . . . . . . . . . . . . . . . . . . . . (121)



Expansion of Older Adults Medicaid Waiver

Annualization of fiscal 2002 expansion to 2,135 participants ($654,000) plus expansion

to 3,135 participants in fiscal 2003 ($1,122,278) and an accounting correction so that

federal reimbursements are reflected in MDOA ($875,000) . . . . . . . . . . . . . . . . . . . . . 2,651



Grants to Area Agencies on Aging and Other Operating Expenses

Continuation of Long-term Care Ombudsman initiative to establish staffing ratios . . . . 410

New funding for the Innovations in Aging Services Advisory Council and grant awards

for new models of service delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 150

Reduction in the Senior Health Insurance Counseling and Advocacy federal grant . . . . . (78)



Reduction in contractual staff, telecommunications, and computer equipment offset by

increases for a new office workstation and other operating expenses . . . . . . . . . . . . . . . (159)



Total $3,142

Note: Numbers may not sum to total due to rounding.



4

DA.07 - Department of Aging









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DA.07 - Department of Aging



funds for the program. This increase, however, only reflects an accounting correction MDOA must make in

order to show its federal fund reimbursements from DHMH as a revenue source.





Program Grants to Local Aging Agencies



In fiscal 2003, the department will continue to allocate the majority of funds to cover local agencies on

aging (LAAs) case management and direct services. Exhibit 2 shows the distribution of the grants among

the various programs administered by LAAs.



Very few programs will receive increased grants in fiscal 2003. The Long-term Care Ombudsman

initiative, in its third year of improving staff ratios for monitoring elder care facilities, increases by $410,000

in general funds. According to MDOA, due to budget constraints, the program will receive only half of the

planned funding needed for the third year of the program, with hopes to complete the initiative in fiscal 2004.



Also, $150,000 in new funding is provided for the Innovation in Aging Services Program. This program

was developed during the 2001 legislative session to promote new models of service delivery for the senior

population. The legislation authorizes the creation of an Aging Services Advisory Council and a competitive

grant process for nonprofits and other organizations developing innovative ways to serve the growing senior

population.



Based on preliminary information from the Center for Medicare/Medicaid Services, formerly the Health

Care Financing Administration, MDOA anticipates a reduction of $78,005 in the Senior Health Insurance

Counseling and Advocacy program federal grant.









6

DA.07 - Department of Aging



Exhibit 2





Two-year Trend in Direct Services Funding

Fiscal 2002 Appropriation Fiscal 2003 Allowance Overall

GF FF Total GF FF Total Increase



Vulnerable Elderly

Ombudsman/

Elder Abuse $1,372,776 $439,231 $1,812,007 $1,782,776 $439,231 $2,222,007 $410,000

Guardianship 872,676 0 872,676 872,676 0 872,676 0

Client Services

Senior Care 7,059,299 0 7,059,299 7,059,299 0 7,059,299 0

Health Insurance

Counseling 143,854 273,646 417,500 143,854 195,641 339,495 (78,005)

General Support

Services/Other 244,000 5,690,431 5,934,431 244,000 5,690,431 5,934,431 0

Community Services

Health Promotion 0 299,062 299,062 0 299,062 299,062 0

Senior Centers 97,856 0 97,856 97,856 0 97,856 0

Info and Assistance 990,155 0 990,155 990,155 0 990,155 0

Curbing Medicaid

Abuse 0 170,023 170,023 0 170,023 170,023 0

Innovations in Aging 150,000 150,000 150,000

Nutrition Services

Congregate Meals * 852,011 6,159,766 7,011,777 852,011 6,159,766 7,011,777 0

Home Delivered

Meals 818,401 2,520,383 3,338,784 818,401 2,520,383 3,338,784 0

Housing Services

Assisted Living

Subsidy 3,537,328 0 3,537,328 3,537,328 0 3,537,328 0

Congregate Housing

* 1,777,128 0 1,777,128 1,777,128 0 1,777,128 0

Medicaid Waiver 1,353,915 1,680,429 3,034,344 2,242,054 3,443,137 5,685,191 2,650,847

Info Technology 171,000 0 171,000 171,000 0 171,000 0

Total $19,290,399 $17,232,971 $36,523,370 $20,588,53 $19,067,674 $39,656,212 $3,132,842

* Independent Living

Source: Maryland Department of Aging









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DA.07 - Department of Aging



Performance Analysis: Managing for Results



Exhibit 3 demonstrates MDOA’s Managing for Results (MFR) submission. This is the first year that

performance could be analyzed for three consecutive years for all agencies. However, MDOA revised its

outcome indicators from last year making it difficult to establish trends.





Exhibit 3





Program Measurement Data

Department of Aging

Fiscal 1999 through 2003



Ann. Ann.

Actual Actual Est. Actual Est. Est. Chg. Chg.

1999 2000 2001 2001 2002 2003 99-01 01-03



Enable seniors to live in the most appropriate setting in the community for

as long as possible



% of disabled seniors

receiving community-

based support services n/a 14.14% n/a 14.30% 17.89% 17.47% n/a 10.5%



Ensure vulnerable seniors are treated with dignity and protected against abuse,

exploitation, and consumer fraud



% of long-term care

resident complaints

resolved to satisfaction n/a 57% n/a 70% 75% 80% n/a 6.9%



Provide expanded choices in services, vendors, and activities



Enrolled Medicaid

providers 127 150 500 309 600 750 98.4% 55.8%



Enhance the quality and quantity of nutrition, health education, fitness, and social activities



Home-delivered meals

(thousands) 1,380 1,374 1,400 1,406 1,413 1,420 0.7% 0.5%



Serve as primary resource of information on aging issues



Referrals made by

MDOA and aging

network n/a 104,664 n/a 100,590 101,596 102,602 n/a 1.0%



Source: Maryland Department of Aging









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DA.07 - Department of Aging



MDOA, in partnership with the local area agencies on aging, is dedicated to promoting and enhancing

choice, independence, and dignity within the senior population. With the recent Olmstead decision requiring

that the disabled be placed in the least restrictive possible environment, MDOA is working to help seniors

stay in their homes and/or receive community-based services. As Exhibit 3 demonstrates, MDOA anticipates

a growing number of disabled seniors receiving services between fiscal 2001 and 2003. Many of these

individuals will be served through the Older Adults Medicaid waiver, the Congregate Housing Services

program, and the Senior Care program. In turn, MDOA expects growth in the number of providers.

Already, the number of Medicaid providers has more than doubled between fiscal 1999 and 2001 and is

expected to do so again by the end of fiscal 2002.



A second major initiative of the agency is the Long-term Care Ombudsman program. As mentioned earlier,

legislation was enacted to increase the number of ombudsman monitoring long-term care facilities to ensure

seniors’ safety. Since fiscal 2000, the number of advocates (staff and volunteers) has doubled. In that time,

these advocates have received an increase of 1,000 complaints, reflecting the greater coverage of facilities

the program is supporting. The number of complaints resolved satisfactorily increased 13 percentage points.

This improvement is anticipated to continue, with 80% of complaints resolved successfully by fiscal 2003.









9

DA.07 - Department of Aging



Issues

1. Expanded Medicaid Waiver Helps Seniors Stay in the Community



Since 1993, the State has administered a Medicaid waiver program for low-income seniors wanting to

prevent or delay their admission into nursing homes. MDOA provides case management and administration,

while the Department of Health and Mental Hygiene (DHMH) provides the waiver services.



Participation in the waiver was very low due to strict Medicaid eligibility requirements; only 135 seniors

qualified in fiscal 2000. During the 1999 session, the General Assembly sought to expand the number of

options for these seniors by requiring an expansion of the Medicaid waiver. Since then, the program has

continued to expand in services as well as individuals served.





Older Adults Medicaid Waiver Continues to Expand



As required by 1999 legislation, MDOA applied to, and was approved by, the federal government to make

its program less restrictive and to serve more individuals. In July 2000, the waiver was expanded to serve

five jurisdictions formerly not participating in the waiver program: Caroline, Frederick, Kent, Harford, and

Talbot counties. Beginning in January 2001, the age eligibility limit was lowered from 62 to 50 years of age.

The expanded waiver also increased the types of services eligible for Medicaid reimbursement, listed below

in Exhibit 4. These changes are expected to bring total participation to 2,135 by the end of fiscal 2002. In

fiscal 2003, the program will provide services to 3,135 people at a cost of $36.7 million (cost includes funds

in the DHMH budget).



Howard County currently has the largest enrollment with 198 participants. Baltimore and Anne Arundel

counties follow with 114 and 98 participants, respectively. The smallest enrollments are in Allegany, Calvert,

Kent, Somerset, and Talbot. These counties have two or fewer enrolled participants, although 30 applicants

are currently pending enrollment in these areas. Reasons for the low enrollment in these jurisdictions include:

shorter participation time in the waiver; lack of available local government funding to support staffing; and

few certified providers.





Lack of Certified Providers Holding Back Enrollment of Program Participants



With the expansion of waiver slots and services, there is a greater demand for certified providers. Because

more families are selecting services provided in their own home, such as personal care, MDOA expects a

higher demand for home-directed services. Moreover, other similar waivers, such as Maryland Community

Choices for disabled adults between ages 29 and 50, are seeking the same types of providers. Yet, the supply

of providers is not keeping pace with this demand.









10

DA.07 - Department of Aging



Exhibit 4



Older Adults Medicaid Waiver Services



Service Medicaid Maximum Reimbursement Rate

Assisted Living $1,530 per month for Level II care

$1,930 per month for Level II care

Assistive Devices $100 maximum cap

Behavior Consultation Services $35/hour

Dietitian/Nutritionist Services $55/hour

Environmental Accessibility Adaptations $3,000 limit per participant over a lifetime

Environmental Assessments $350 per assessment

Family or Consumer Training $55 per hour

Home Health Medicaid’s current reimbursement methodology

for State Plan home health services

Home-Delivered Meals $5 per delivered meal

Personal Care $9 to $15 per hour for aide services

$55 per hour for agency nurse monitors

Personal Emergency Response Systems Medicaid pays the actual approved cost

Respite Care $64 to $138 per day, or $9 to $11.50 per hour

Senior Center Plus $40 per day

Case Management Administered through Area Agencies on Aging



Source: Department of Aging









Exhibit 5 demonstrates the supply/demand gap. Of the 2,412 seniors who have applied to the program,

only 888, or 36% are enrolled. The remainder are still in the process of finding approved providers and

establishing a service plan. According to MDOA, the supply of providers is not evenly distributed throughout

the State, preventing enrollment of participants. In many counties, for example, there are no providers that

can provide environmental adaptation and environmental assessment. Also, providers have not yet been

identified in certain jurisdictions for dietitian/nutrition services and home delivered meals.







11

DA.07 - Department of Aging



Exhibit 5





Supply and Demand for Older Adults Medicaid Waiver Services



Enrolled/Approved Pending Total

Clients 888 1,524 2,412

Providers* 764 675 1,439

• Assisted Living 351 153 504

• In-Home Services 413 522 935



* Providers can serve more than one program participant.



Source: Department of Aging









Reimbursement rates have also held back the amount of participating providers. While rates for

professional services have generally been sufficient to attract providers, some services are not attracting

providers due to low reimbursement rates. For example, assisted living rates have attracted facilities with 16

or fewer beds. But, large facilities do not find these rates high enough to cover their costs. Also,

reimbursement rates for personal care, $11.50 to $15 per hour, are not enough to attract providers into the

program.



According to MDOA, the provider gap is beginning to close, thereby helping more individuals enroll in

the program. Reasons for this recent growth include:



Ä the number of authorized providers is increasing, particularly for in-home services;



Ä staff in local aging agencies are becoming more experienced in designing care plans that use providers

already available in the community; and



Ä MDOA, together with other State agencies, has launched a provider recruitment initiative, including job

fairs and other outreach.



MDOA should provide an update on the number of clients enrolled in the program, as well as the

extent to which the client-provider gap has been closed. Also, given that the senior population is

expected to grow significantly in the future, particularly the baby boom generation, MDOA should

discuss how it can help ensure a sufficient level of home- and community-based service providers.









12

DA.07 - Department of Aging









13

DA.07 - Department of Aging



Recommended Actions



1. Add the following language:



Provided that the Maryland Department of Aging (MDOA) shall establish separate subprograms

through the State Budget and Financial Management Information System for each program initiative

included in its budget. MDOA shall work with the Department of Legislative Services to determine

the appropriate subprograms to be identified in the budget. In addition, MDOA shall conform its

2002 actual and 2003 working appropriations to these subprograms.



Explanation: The Maryland Department of Aging does not currently identify its grant programs

separately in the State budget. As a result, it is difficult to monitor the changes in resources

associated with each program. It is particularly critical to monitor expenditures for the Older Adults

Medicaid waiver program, which is not currently budgeted separately from other grant programs.

Amount Position

Reduction Reduction

2. Reduce funding for expanded case management and $ 561,139 GF

related administrative costs for the Older Adults $ 561,139 FF

Medicaid waiver program. The program plans to expand

to 3,135 participants in fiscal 2003. However, the

Department of Legislative Services has recommended

cutting these expanded services in the Medicaid budget

due to underfunding of base Medicaid costs for current

program levels. Therefore, expanded case management

and related administrative costs are not needed.

3. Delete funding and PIN for the requested administrative 24,861 GF 0.5

specialist position. The Spending Affordability

Committee recommended that new positions be limited

to: critical public safety and homeland needs; facilities

scheduled to open fiscal 2003; and those addressing

workload increases in higher education and essential

services at 24-hour facilities. This position does not fulfill

these requirements.

Total Reductions $ 1,147,139 0.5

Total General Fund Reductions $ 586,000

Total Federal Fund Reductions $ 561,139









14

DA.07 - Department of Aging



Appendix 1





Current and Prior Year Budgets

Current and Prior Year Budgets

Department of Aging

($ in Thousands)



General Special Federal Reimb.

Fund Fund Fund Fund Total



Fiscal 2001



Legislative

Appropriation $19,362 $198 $17,075 $0 $36,635

Deficiency

Appropriation 0 0 0 0 0

Budget

Amendments 525 72 3,365 0 3,962

Reversions and

Cancellations (793) (63) (2,199) 0 (3,055)

Actual

Expenditures $19,094 $207 $18,241 $0 $37,541





Fiscal 2002



Legislative

Appropriation $22,358 $232 $17,905 $0 $40,495

Budget

Amendments (216) (1) 1,996 0 1,779

Working

Appropriation $22,142 $231 $19,901 $0 $42,274





Note: Numbers may not sum to total due to rounding.









15

DA.07 - Department of Aging



Fiscal 2001

There were $792,875 in general fund reversions as a result of receiving federal fund reimbursements

related to expenditures incurred in fiscal 2000. Also, $2.2 million in federal funds were cancelled because

no funds from the Baltimore City Older American Fund Act were drawn down.





Fiscal 2002



Cost containment reduced the 2002 working appropriation $217,000 in general and special funds. This

is offset by a $2.0 million increase in federal funds for the Older Adults Medicaid Waiver. These funds

correct the accounting error MDOA had made in not budgeting the federal fund match for the Medicaid

waiver in the original appropriation.









16

Object/Fund Difference Report

Department of Aging

FY02

FY01 Working FY03 FY02 - FY03 Percent

Object/Fund Actual Appropriation Allowance Amount Change Change



Positions



01 Regular 57.00 57.00 53.50 (3.50) (6.1%)

02 Contractual 10.00 8.00 7.00 (1.00) (12.5%)



Total Positions 67.00 65.00 60.50 (4.50) (6.9%)



Objects



01 Salaries and Wages $ 4,181,347 $ 4,506,982 $ 4,674,912 $ 167,930 3.7%

02 Technical & Spec Fees 229,138 257,830 248,817 (9,013) (3.5%)

03 Communication 101,174 96,927 69,628 (27,299) (28.2%)

04 Travel 15,042 44,938 47,938 3,000 6.7%

07 Motor Vehicles 4,060 16,038 13,736 (2,302) (14.4%)

08 Contractual Services 148,273 158,956 161,848 2,892 1.8%

09 Supplies & Materials 104,590 25,130 26,130 1,000 4.0%









17

10 Equip - Replacement 105,414 7,500 80,484 72,984 973.1%

11 Equip - Additional 0 54,885 1,250 (53,635) (97.7%)

12 Grants, Subsidies, Contr 32,506,970 37,023,370 40,006,212 2,982,842 8.1%

13 Fixed Charges 82,125 81,203 84,865 3,662 4.5%

14 Land & Structures 63,088 0 0 0 0.0%

DA.07 - Department of Aging









Total Objects $ 37,541,221 $ 42,273,759 $ 45,415,820 $ 3,142,061 7.4%



Funds



01 General Fund $ 19,093,689 $ 22,141,853 $ 23,775,747 $ 1,633,894 7.4%

03 Special Fund 206,912 230,887 253,303 22,416 9.7%

05 Federal Fund 18,240,620 19,901,019 21,386,770 1,485,751 7.5%



Total Funds $ 37,541,221 $ 42,273,759 $ 45,415,820 $ 3,142,061 7.4%





Note: Full-time and contractual positions and salaries are reflected for operating budget programs only.

Appendix 2

Fiscal Summary

Department of Aging

FY02 FY02

FY01 Legislative Working FY01 - FY02 FY03 FY02 - FY03

Unit/Program Actual Appropriation Appropriation % Change Allowance % Change





01 General Administration $ 37,541,221 $ 39,994,815 $ 41,773,759 11.3% $ 44,915,820 7.5%

02 Senior Centers Operating Fund 0 500,000 500,000 500,000 0%



Total Expenditures $ 37,541,221 $ 40,494,815 $ 42,273,759 12.6% $ 45,415,820 7.4%





General Fund $ 19,093,689 $ 22,357,853 $ 22,141,853 16.0% $ 23,775,747 7.4%

Special Fund 206,912 231,887 230,887 11.6% 253,303 9.7%

Federal Fund 18,240,620 17,905,075 19,901,019 9.1% 21,386,770 7.5%



Total Appropriations $ 37,541,221 $ 40,494,815 $ 42,273,759 12.6% $ 45,415,820 7.4%









18

DA.07 - Department of Aging

Appendix 3


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