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Substate organizations authorized under the Older Americans Act of 1965 to develop a comprehensive, coordinated system of community-based services for older adults within their planning and service area. State Units on Aging designate, provide federal and state funding, and monitor operations of AAAs. Eight states and the District of Columbia do not have AAAs and, therefore, serve the roles of both state and area agency. AAA's responsibilities include planning; development of local funding resources; and contracting with local service provider organizations to provide authorized services which include information and referral/assistance, outreach, case/care management, escort, transportation, homemaker/chore, personal care, home repair and rehabilitation, home delivered meals, congregate meals, adult day care, elder abuse prevention, nursing home ombudsman, legal assistance, employment and training, health promotion and disease prevention and senior centers as well as services that support caregivers including respite care, counseling and education programs. AAAs may provide a number of other services in situations where local service provider options are limited.