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• Family caregivers save money for both the family and the state. When people age at home, the cost is lower than a nursing home and people would rather age at home than in an institution. 3. Priority 3 - Kupuna Care Program and ADRC — We support providing funding to help kupuna and other eligible residents get access to caregiving services. Kupuna Care: • AARP's request: For FY 2019-2021, $9 million per year • Established in 1999, Hawaii's Kupuna Care program provides long-term services and support to frail and vulnerable older adults who lack access to other comparable services. • Kupuna Care services include adult day care, assisted transportation attendant care, case management, chore help, homemaker/housekeeping, personal care, respite, and home -delivered meals. In short, services that allow them to remain at home. • Family caregivers deserve support. They are the backbone of the long-term services and supports systems in Hawaii. There are approximately 154,000 unpaid family caregivers in HI whose services, if paid for, are valued at approximately $2.1 billion annually. In 2015, on average, Hawaii's caregivers paid $5,531 in out-of-pocket costs and the costs have only increased. • Kupuna Care works in tandem with Kupuna Caregivers. ADRC Funding • AARP's request: For FY 2019-2021, $3.1 million per year • Aging and Disability Resource Centers (ADRC) is a one-stop shop to make it easier to obtain caregiving information and access care support and services. ADRCs reduce the fragmentation of care systems, recognizing that the care needs of older adults and people with disabilities are often similar so it also makes referrals to other helpful services. • ADRCs is a statewide informational system that is administered by the Executive Office on Aging (EOA) and implemented by each of the county Area Agencies on Aging (AAA). • ADRCs support the more than 154,000 unpaid family caregivers in Hawaii.