The federal budget is extremely complex. It's not something people typically talk about at parties. But the truth is the budget affects every aspect of American life. It determines which priorities get funding and attention from government.

Recent budget proposals and requests have made it clear that older Americans have a lot at stake in the negotiations happening between now and September.

NCOA has been a leader on aging issues for 75 years. We're not strangers to the change that comes with a new Congress or administration. We've proudly worked with partners of all stripes to protect and strengthen aging services.

It's not an exaggeration to say that the changes underway at the U.S. Department of Health and Human Services (HHS)—along with what's in the FY26 budget request—would mean a lot of support for older Americans could soon disappear.

While we haven't heard about cuts to the Medicare Improvements for Patients and Providers Act (MIPPA), many programs operating under the Older Americans Act (OAA) are on the chopping block. Take a look at what's been proposed:

• Cutting $40 billion from HHS. This agency oversees most aging services programs in America, including Medicare and Medicaid.
• Eliminating protections for older Americans who have been abused or had their rights violated while in nursing homes or other long-term care environments.
• Eliminating funding sources for Meals on Wheels in 37 states.
• Eliminating the fund for healthy aging programs. This includes falls prevention, chronic disease self-management, substance abuse, and mental health services for older Americans.
• Eliminating Medicare counseling that helps people find the best, most affordable Medicare coverage.

In 5 years, an estimated 71 million Americans will be age 65 or older. Aging services that keep people healthy and safe will be needed more than ever.

But that's what's on the line between now and September. Congress will often be in recess and members will meet with constituents. That creates opportunities to educate.

We've talked for months about why MIPPA and the OAA are so effective. Now, we're doubling down on people power to help members of Congress understand the unique needs of older Americans.

The Bottom Line

We all want to age with health, independence, and financial security. MIPPA and the OAA have helped them do that by providing affordable health care, nutritious food, and much more—all on a comparably tiny budget.

Older Americans have few alternatives if these programs are cut. Reach out to your members of Congress and explain why these issues matter to you!

75 years of experience shows us that a healthier America requires investment in what older Americans need. If these cuts become reality, America would abandon the promises it has made to seniors.

That’s why we’re asking you to double down on our mission by making a donation. We know budgets are tight, but a gift of any size means NCOA's work can shine brightly, guiding older Americans to the resources they need to age well.

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