State Profile: Florida Selected State Background Characteristics Population Total Pop. (millions) 17.4 293.7 Pop. 60+ (thousands) 3,787.4 48,883.4 % 60+ 21.8 16.6 National Ranking 60+ 1 % White (60+) 79.3 81.4 % African American (60+) 7.2 8.5 % Hispanic/Latino (60+) 11.9 6.1 % Asian (60+) 1.0 2.9 % Native Hawaiian/ Pacific Islanders (60+) % American Indian/ Alaska Native (60+) % Two or More Races (60+) 0.0 0.1 0.2 0.5 0.4 0.6 Pop. 65+ (thousands) 2,927.6 36,294.0 % Pop. 65+ 16.8 12.4 National Ranking 65+ 1 Pop. 85+ (thousands) 379.6 4,859.6 % Pop. 85 2.2 1.7 National Ranking 85+ 1 Economic Indicators Per Capita Income $31,460 $33,041 Median Household Income $40,171 $44,473 Total State Expenditures Per Capita $2,982 $4,009 % Pop. 65+ Below Poverty 9.7 9.4 % Pop. 50+ Who Did Not Visit Doctor Due to Cost 9.3 8.1 Socio-Demographics Average Household Size 2.5 2.6 Average Family Size 3.0 3.1 % Pop. in Rural Area 6.3 16.9 Households with Persons 65+ (millions) % Persons Age 65+ Living Alone 2.02 25.2 27.1 29.8 % Pop. 65+ in Major Cities 29.4 40.1 % Households with Internet Access Informal Caregivers 55.7 54.7 # of Caregivers 1,720,000 34,000,000 # of Caregiving Hours (millions) Value of Caregiving (millions) % Grandparents Living with Grandchildren % with Responsibility for the Grandchildren 1,860 36,720 $17,300 $350,000 3.1 3.4 1.2 1.4 Where to Call to Arrange Help in the Home for Elderly Relatives or Friends % Relative or Friend 25.1 21.5 % Self 19.7 17.2 % Medical Support 18.9 21.6 % Religious Support 0.4 0.4 % Area Agency on Aging 1.5 2.0 % Other 2.9 4.5 % Don t Know 31.6 32.7 Updated November 2007. Data sources for selected characteristics are available at http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=1185 1
Selected State Background Characteristics Long-Term Care Medicaid Spending on Long-Term Care % Spending on Nursing Facilities % Spending on Home Health & Personal Care # of Certified Nursing Facilities % of Certified Facilities with Family Councils # of Certified Nursing Facility Beds (thousands) Certified Nursing Facility Occupancy Rate Average Cost Per Day in a Nursing Home Average Assisted Living Monthly Cost Average Daily Cost for Adult Day Services Average Hourly Cost for Home Health Care Average Hourly Cost for Personal/Home Care Nursing Facility Residents as % of 65+ Pop. # of Licensed Adult Day Facilities 59.0 46.0 32.6 37.3 658 15,209 65.3 43.2 77.4 1,579.9 88.6 85.5 $201 $213 $2,658 $2,969 $51.66 $61 $17 $19 $15.66 $18 2.4 3.8 165 3,407 Care Receivers % Pop. 21-64 Years w/disability 11.9 12.1 % Pop. 65+ w/disability 36.4 39.6 % 65+ by Type of Disability Sensory 14.3 16.0 Physical 27.4 30.2 Self-Care 7.7 9.3 Mental 10.0 10.9 Difficulty Going Outside Home 14.3 16.3 Medicare Prescription Drug Plans # of Companies Offering PDPs 18 # of PDP 43 # of Companies Offering Medicare Advantage Drug Plans 37 # of Home Health Aides 30,120 751,480 Median Hourly Wage Certified Nursing Assistant $10.34 $10.67 Home Health Aide $9.44 $9.34 Personal Care/Home Care Aide $8.61 $8.54 Updated November 2007. Data sources for selected characteristics are available at http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=1185 2
State System of Home and Community-Based Services (HCBS) Legislation Enacted Within the Last Three Years (2001-2003) that Addresses Family Caregiving Issues Task Force or Commission Specifically to Examine Family Caregiver Issues of Task Force: Single Point of Entry for State System of HCBS Single Point of Entry Includes Access to State s Caregiver Support Uniform Assessment Tool for All HCBS s for the Elderly and Adults with Disabilities Assessment Includes Caregiver Component At Least One State with Consumer-Directed Option for Family Caregivers HB 27e (Enacted 2002) Appropriated s for Alzheimer's caregiver support programs. No No No Yes State Information Administrative Structure Administering State Agency Organizational Unit or Person Specifically Designated for Caregiving s or Activities Geographic Region Served Local Administrative Responsibility Family Caregiver Support () Aged & Disabled Adult Medicaid HCBS Waiver () Respite for Elders Living in Everyday Families () Home Care for the Elderly () Community Care for the Elderly () Alzheimer's Disease Initiative () Department Department Department Department Department Department of Elder Affairs of Elder Affairs of Elder Affairs of Elder Affairs of Elder Affairs of Elder Affairs Yes Yes Yes Yes Yes Yes Statewide Statewide Multi-county Statewide Statewide Statewide AAA AAA AAA AAA AAA AAA Francisco, CA: Family Caregiver Alliance. 3
Funding & Caseload Major sources of program ing FY 2001 Expenditures FY 2002 Expenditures FY 2003 Expenditures FY 2001 A/D Waiver Respite Participants FY 2002 A/D Waiver Respite Participants OAA, Title III-E Medicaid HCBS State general State general Client Client Client waiver contribution contribution contribution Tobacco State general State general Tobacco $8,721,584 $9,047,970 n/a n/a $42,364,370 n/a (respite only) $10,083,438 $11,273,116 $1,330,044 $9,529,461 $42,364,370 $12,025,763 (respite only) $11,046,746 $100,620,265 $1,330,044 $9,529,461 $42,364,370 $11,394,025 (total waiver) 2,739 3,635 Eligibility Caregiver Age Requirement Care Receiver Age Requirement Care Receiver Functional Status Requirement Client Population 19+ None None 18+ None None None 18+ 60+ 60+ 60+ 18+ 2 ADLs Diagnosis of dementia or related disorder/ requires supervision Nursing home level of care bound Nursing home level of care Nursing home level of care Diagnosis of dementia or related disorder/ requires supervision Assessment Assesses Uniform Assessment Tool Includes Caregiver Assessment No Yes No Yes Yes Yes Yes Yes Yes Yes Francisco, CA: Family Caregiver Alliance. 4
Assessment (cont d) Areas Addressed by Caregiver Assessment Ability of Ability of Ability of Care duration Ability of Care duration Services All Caregivers Eligible for Have Access to Same Package of Services Services Provided Specifically to Family Caregivers No No No No No No maker/ maker/ maker/c hore/ personal care maker/ maker/ maker/ Francisco, CA: Family Caregiver Alliance. 5
Services (cont d) Types of Respite Adult day Adult day Adult day Adult day Adult day Care Offered Caregiver Must No No Yes Yes No No Live with Care Receiver to Receive Respite Respite Cap No cap No cap 4 hours/week No cap No cap No cap Uniform Respite Cap Across Sites Yes Entity that Formulates the Respite Cap Administering state agency Consumer Direction Consumer- A voucher or Direct None A voucher or None None Directed Options budget for respite and/or supplemental Direct payments to family members for the purchase of goods or Families have a choice of respite providers payments to family members for the purchase of goods or budget for respite and/or supplemental Direct payments to family members for the purchase of goods or Families have a choice of respite providers Family Members Yes Yes No Yes No No Can Be Paid to Provide Care Types of Services Families Can Be Paid to Provide maker/ chore Personal care Any service needed Personal care Francisco, CA: Family Caregiver Alliance. 6