Administration For Community Living Provides Assistance To Senior Citizens And Americans With Disabilities To Age In Place
Today, U.S. Senators Kirsten Gillibrand, Bernie Sanders, Ron Wyden, and Tammy Baldwin led a group of 22 senators in slamming Secretary of Health and Human Services Robert F. Kennedy Jr.’s decision to dismantle the Administration for Community Living (ACL), a critical federal agency that helps seniors and people with disabilities live independently and fully participate in their communities. ACL provides home-delivered and congregate meals for older adults, Medicare enrollment assistance, peer supports, community living activities, and support for family caregivers, among other functions. The Trump administration recently announced that it would dismantle the agency, fire over half its workforce, and scatter its functions across several different agencies. The lawmakers are calling on Secretary Kennedy to halt this shortsighted effort that will cause tangible and enduring harm to older adults and people with disabilities.
“For over a decade, ACL and its expert staff have coordinated services across federal, state, and local governments to ensure that older adults and people with disabilities live healthy, connected, independent lives in the community,” wrote the senators. “In fact, ACL saves the Federal government and taxpayers money by keeping older adults and people with disabilities out of institutions; for example, it costs less to feed a senior for an entire year through the Older Americans Act than it does for a senior to spend one night in a hospital. Transferring ACL programs to the Administration for Children and Families, Assistant Secretary for Planning and Evaluation, and Centers for Medicare & Medicaid Services—also reeling from your devastating staffing reductions— will create havoc and disrupt delivery of bipartisan supported programs such as home-delivered and congregate meals for older adults, Medicare enrollment assistance, peer supports, community living activities, and interventions to support family caregivers.”
The senators added, “Interruption to nutrition programs means millions of older adults may go hungry without the over 220 million meals they rely on. 53 million family caregivers will be left without support, forcing some to leave the workforce to care for their loved ones. Vital evidence-based research and services for people with developmental disabilities will be in jeopardy. Your illegal attempt to dismantle ACL will have far-reaching implications…We strongly urge HHS to consider the needs of seniors, people with disabilities, and those who care for them, and halt this effort to dismantle ACL.”
The letter was signed by Senators Chuck Schumer (D-NY), Bernie Sanders (D-VT), Ron Wyden (D-OR), Tammy Baldwin (D-WI), Amy Klobuchar (D-MN), Mazie Hirono (D-HI), Lisa Blunt Rochester (D-DE), Chris Coons (D-DE), Tammy Duckworth (D-IL), Jeff Merkley (D-OR), Jack Reed (D-RI), Mark Kelly (D-AZ), Angela Alsobrooks (D-MD), Andy Kim (D-NJ), John Fetterman (D-PA), Ruben Gallego (D-AZ), Richard Blumenthal (D-CT), Tim Kaine (D-VA), Elizabeth Warren (D-MA), Raphael Warnock (D-GA), and Mark Warner (D-VA).
The full text of the letter to Secretary Kennedy is available here or below:
Dear Secretary Kennedy,
We are writing in opposition to the proposed dismantling of the Administration for Community Living (ACL) as outlined in the Department of Health and Human Services (HHS) fact sheet on March 26, 2025. ACL is essential to administering the critical programs established and funded by Congress that ensure older adults and people with disabilities can live in their communities with the dignity, security, and independence they deserve. Scattering its functions among several different agencies and firing over half of its workforce is in direct conflict with the fiscal year 2025 appropriations bill that Congress just passed and will cause tangible and enduring harm to older adults and people with disabilities.
The vague proposal to improve “efficiency” by shuttering ACL will achieve the exact opposite. ACL was created in 2012 to bring together the Administration on Aging, the Office on Disability, and the Administration on Developmental Disabilities to enhance coordination of services.
For over a decade, ACL and its expert staff have coordinated services across federal, state, and local governments to ensure that older adults and people with disabilities live healthy, connected, independent lives in the community. In fact, ACL saves the Federal government and taxpayers money by keeping older adults and people with disabilities out of institutions; for example, it costs less to feed a senior for an entire year through the Older Americans Act than it does for a senior to spend one night in a hospital. Transferring ACL programs to the Administration for Children and Families, Assistant Secretary for Planning and Evaluation, and Centers for Medicare & Medicaid Services—also reeling from your devastating staffing reductions— will create havoc and disrupt delivery of bipartisan supported programs such as home-delivered and congregate meals for older adults, Medicare enrollment assistance, peer supports, community living activities, and interventions to support family caregivers.
ACL was created to further the fundamental principle that older adults and people with disabilities should be able to live independently and fully participate in their communities. ACL has grown significantly since its creation in 2012 as it took on programs Congress transferred from other agencies. These functions include a research institute, independent living, assistive technology, and traumatic brain injury programs; paralysis and limb-loss resource centers; and programs to assist in the navigation of Medicare benefits and the health care system.
Last month Congress passed a fiscal year 2025 appropriations bill that provides funding for ACL to continue to carry out these important functions and programs. The proposed reorganization is a brazen disregard of that law. HHS has always worked closely with Congress on reorganizations such as this, including in the establishment of ACL. This time, HHS has refused to provide any information to Congress or the American people regarding exactly how these changes would take place, and how they would be enacted without resulting in delays in the implementation of programs, activities, and functions Congress just funded and tasked ACL with carrying out. There have been reports that the Department fired the entire staff of the Office of Grants Management, which raises additional concerns about how funding will reach the thousands of community-based organizations that rely on it. The obvious conclusion is these are haphazard changes, and HHS has not considered the impact they will have on older Americans and people with disabilities. You claim a mission of making Americans healthier and a commitment to “radical transparency” but both of those assertions fall flat with this proposal.
Any interruption to the effective delivery of programs administered by ACL will have detrimental consequences. For example, a breakdown in adult protective services, long-term care ombudsman programs, and other protection and advocacy programs means that older adults and people with disabilities will be more vulnerable to abuse and neglect. Interruption to nutrition programs means millions of older adults may go hungry without the over 220 million meals they rely on. 53 million family caregivers will be left without support, forcing some to leave the workforce to care for their loved ones. Vital evidence-based research and services for people with developmental disabilities will be in jeopardy. Your illegal attempt to dismantle ACL will have far-reaching implications.
ACL is critical to safeguarding the self-determination of older adults and people with disabilities. These populations should not have their decision-making power undermined and government programs they depend on put at risk simply because you decided that burying these programs within other agencies would be “more efficient.” An overwhelming majority of people prefer to live and age in their own homes where they can continue to be active members of their communities. The resources and programs administered by ACL are critical to achieving that goal, and dismantling ACL will undoubtedly harm efforts to ensure that people with disabilities and older adults can maintain and accomplish such goals.
We strongly urge HHS to consider the needs of seniors, people with disabilities, and those who care for them, and halt this effort to dismantle ACL. While we strongly oppose the decision to dismantle ACL, it is critical that HHS be transparent and provide information to Congress and the American public about the steps it is taking and plans to take with regard to ACL and all of its functions. Please respond to the following questions by April 30, 2025.
###