Maslow’s Hierarchy of Needs
About Us...
Prioritizes human needs, both physical &
psychological. Beginning at the base with the most
basic needs, individuals progress through the
hierarchy by meeting & mastering the higher levels
with the goal of reaching their fullest potential,
described by Maslow as Self-Actualization and associ-
The Area Agency on Aging 1-B is a nonprofit agency
serving and advocating on behalf of more than
620,000 older adults and adults with disabilities
residing in Livingston, Macomb, Monroe, Oakland, St.
Clair and Washtenaw counties.
Advocacy Platform 2013-2014
The agency helps these individuals and their family
caregivers to maintain their health and independence
by administering home and community based
services supported by the Older Americans Act and
the Michigan Office of Services to the Aging.
For more information on this platform please contact
the AAA1-B or visit our website to obtain source
documents: 1-800-852-7795, www.aaa1b.org.
Personal Care, Home Delivered and
Congregate Meals, Health Care
Homemaking, Personal Emergency
Response System, Housing, Medication
Management, Chore Assistance, Elder
Abuse Prevention, Home Injury Control,
Health and Wellness Promotion,
Care Management
Respite, Adult Day Care, Volunteer
Caregiving, Grandparents Raising
Grandchildren
Transportation, Legal Assistance, LongTerm Care Ombudsman
Vision & Hearing Services, Information &
Assistance, Resource Advocacy, Public
Education, Health Benefits Education
SEMCOG Population Projections, InfoGraphics by Infogr.am
This Platform focuses on issues, programs and
services designed to enhance the lives of older
adults and adults with disabilities at all levels of
Maslow’s Hierarchy with a priority on cost
efficient services to meet the most basic needs.
29100 Northwestern Highway Suite 400
Southfield, MI 48034
Follow our progress at reaching these
advocacy priorities on Twitter
@AdvocacyAAA1B
“[Older Michiganians] are leading
Michigan in our comeback. We are the
comeback state. We want to keep you
happy, we want to keep you healthy,
we want to keep you involved and we
need your help. So let’s stand
together... and reinvent Michigan!”
-Governor Rick Snyder,
Older Michiganians Day 2013
We promote polices and programs that support the most
basic needs of older adults and adults with disabilities to
live in the setting of their choice.

About 70% of adults 65+ will need some type of
long-term care services as they age

Malnutrition is associated with frequent hospital
admissions—for the cost of one inpatient day in
the hospital ($1,500), a homebound senior could
receive an entire years worth of home delivered
meals
Advocacy Priorities/Strategies:
1. Make Michigan a “No Wait List State” for home and
community based services
 2012 Wait Listed Individuals: 4980
 Total Funding Needed: $3,537,361
2. Rebalance Medicaid Long Term Care services to
promote home and community based options
 Number of State Wide Wait Listed Individuals
Likely to Enroll in MI Choice: 957 as of July 2013
 Average Annual Cost for Service per Individual:
$18,992
 Total State Funds Needed: $6,258,958
 Federal Funds Brought into Michigan: $12,363,352
 Savings Over the Cost of Medicaid Nursing Home
Care: $28,607,613
We promote policies and programs that support healthy
aging, reduce health care costs and protect older adults
and adults with disabilities.

1,500+ are waiting for OSA in-home services & over
1,400 individuals waiting for Meals on Wheels in
Michigan

In-Home Services waitlisted individuals not receiving
services are more than five times more likely to be
living in a nursing home after two years than those
who eventually received service

In-Home Services waitlisted individuals not receiving
services are more likely to die within two years than
those receiving services
Advocacy Priorities/Strategies:
1. Expand Medicaid to 133% of federal poverty level
to provide over 400,000 uninsured Michiganians with
affordable health coverage
 No cost to Michigan until 2017
 By 2023 the state will be responsible for 10% of
the costs with the federal government paying the
remaining 90%
 FY14 general fund savings of $206 million with a
projected 10 year savings of $1 billion
2. Prevent abuse and financial exploitation of
vulnerable older adults and adults with disabilities by
passage of 2013 HB 5030, 5031 and 5032
 No cost to the state or federal government
We promote polices and programs that provide social
interconnectedness and care giving support for older
adults and adults with disabilities.


Caregivers of waitlisted individuals who do not
receive services are three times more likely to
have their caregiving responsibilities interfere
with their work than caregivers of those receiving
services
Michigan has approximately 1 million family
caregivers who provide care valued at $10.5
billion
Advocacy Priorities/Strategies:
We promote policies and programs that provide
advocacy, assistance and answers on aging.

Michigan’s $20 per capita spending on public
transportation lags far behind the national
average of $34
Advocacy Priorities/Strategies:
1. Invest in Michigan’s public transportation and road
infrastructure
 Shared Cost to State and Federal Government:
$1.2 billion annually for 10 years
 $120 million increase to public transportation
 Savings to the State: $13 billion over 10 years
1. Reauthorize and strengthen the Older Americans
Act through 2018 reflecting an increase of $279
million or 12% from FY 2010 levels. Update greatest
social and economic need to include veterans, lesbian,
gay, bisexual, and transgender individuals, Holocaust
survivors and those with Alzheimer’s Disease
 No cost to the state
An investment of $1 million in Evidence-Based
Chronic Disease Self Management Programs will
serve 3,340 more participants and produce
nearly $2 million in health care expenditure
savings
We promote policies and programs that provide quality
of life throughout the aging process.

Older adults contribute $4 in state and local
taxes for every $3 in local services they use
Advocacy Priorities/Strategies:
2. Invest in Evidence-Based Chronic Disease Self
Management Programs (EBCDSMP) for seniors that
change lifestyles and lowers health care costs.
 Cost: $299.41 per participant
 Savings in health care expenditures: $590 per
program participant

$290.59 in savings over the cost of program
investment for Medicare/Medicaid
3. Restore federal cuts to the Low Income Home Energy
Assistance Program
 Cost to the Federal Government: $1.6 Billion
 LIHEAP Weatherization Assistance Program saves
participants $2.51 on energy costs for every $1
invested
3. Support expansion of innovative health care
options for seniors including the Program for AllInclusive Care for the Elderly (PACE)
1. Adopt policies that make Michigan a Retirement
Destination of Choice
 No cost to the state