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directive that services are to go to "older individuals with economic or social needs." The definition is as follows: <br />(33) the term "legal assistance"— <br />(A) means legal advice and representation provided by an attorney to older individuals with <br />economic or social need;... (emphasis added)' <br />As further guidance for targeting legal services, since 1992, state agencies are required to include assurances <br />in their State Plan that area agencies on aging will give priority to legal problem areas of particular significance <br />to the target populations. The priority issues include: income, health care, long-term care, nutrition, <br />housing, utilities, protective services, defending older persons against guardianship, abuse, neglect and age <br />discrimination." <br />The 1991 Senate Committee report explains that the priority list is included: ... in response to concerns that <br />many area agencies on aging have not established legal assistance programs which include sufficient outreach, <br />targeting and community education components,... It is the Committee's expectation that these provisions will <br />ensure that services are targeted to those in greatest social and economic need." <br />Requirements to Target vs. Prohibition Against Means Testing <br />As noted, while targeting is clearly required throughout the OAA, means testing is prohibited. The balance <br />of targeting services to those in greatest need while avoiding means testing can present a real challenge, <br />particularly at the local service provider level. Understanding Congress' prohibition on means testing and the <br />purposes of targeting can help providers achieve that balance. <br />"Means testing" is a process of using income and resources to determine eligibility for services. Initially, the <br />OAA Regulations contained the means testing prohibitions—for OAA services generally 12 and for legal services <br />specifically. For legal services, the regulations state that: "a legal assistance provider may not require an older <br />person to disclose information about income or resources as a condition for providing legal assistance under this <br />part." 13 <br />The means testing prohibition can present a particular challenge to providers who also receive funding from <br />the Legal Services Corporation (LSC). LSC grantees are required to means test. Providers who receive funding <br />from both LSC and ACL/AoA must be careful to assure their compliance with requirements of both funding <br />sources. <br />Cost -Sharing vs. Voluntary Contributions in the 2000 Amendments <br />The 2000 Amendments brought—for the first time in the OAA—cost-sharing which is a form of means <br />testing that uses a sliding fee scale linked to an older person's income. Any type of means testing had been a <br />source of disagreement in prior reauthorizations. After much debate during the 2000 reauthorization process, <br />Congress agreed to permit cost sharing for certain OAA services, for example, home and community based <br />services. <br />However, for purposes of this discussion, the important, point is that while the Act now allows some cost <br />9 42 USC. §3002(33) (2016) The uniqueness of the targeting requirement in the legal assistance definition is highlighted by <br />comparing it to the definition of "information and assistance service." (I&A) Although I&A contains language that it be targeted <br />to those with greatest social and economic needs and those at risk for institutional placement, it clearly prefaces this by defining <br />I&A service as one that "serves the entire community of older individuals." 42 USC §3002(28) (2016). Legal assistance, on the <br />other hand, is defined as a service to be delivered to elders with economic or social need and does not require serving the entire <br />community <br />10 42 U.S.C. §3027(a)(11)(E)(2016). <br />11 S. Rep No 151, 102d Cong at 91 (1991) <br />12 45 C.F.R. §1321.67 (2012) <br />13 45 C.F.R. §1321.71(d) (2012). <br />Issue Brief 3 <br />