Master Plans for Aging: State Examples
This brief highlights four examples of states—California, Colorado, Massachusetts, and Texas—that have implemented or developed comprehensive strategies to support aging.
California Executive Order N-14-19 (2019) seeks to elevate the health and wellbeing of older Californians as a priority for the state. The executive order calls for the creation of a Master Plan for Aging to serve as a blueprint for state government, local communities, private organizations and philanthropy to prepare the state for an increasingly aging population.
Creating the plan included over a year of collaboration through public engagement, stakeholder outreach, community roundtables, and coordination with existing state efforts. The executive order specifically outlined this process by calling for the creation of a Stakeholder Advisory Committee, a Long-Term Services and Supports (LTSS) Subcommittee, and a Research Subcommittee. These three committees comprise 78 members from local government, health care providers, health plans, employers, community-based organizations, academia, researchers and consumers.
California’s Master Plan for Aging, released in January 2021, outlines five goals and 23 strategies to build an “age-friendly” California by 2030. Goals include: “1) housing for all stages and ages, 2) health reimagined, 3) inclusion and equity, not isolation, 4) caregiving that works and 5) affording aging.” For each strategy, the plan identifies indicators to measure progress. The Data Dashboard for Aging captures progress and shows how these indicators change over time. For example, “dementia in focus” is one of many strategies to achieve goal #2: “health reimagined.” As one of the handful of indicators to measure progress within this strategy, the dashboard details the number of dementia-related deaths per 100,000 adults age 65 or older.
Colorado House Bill 1033 (2015) created a multi-disciplinary private and public sector stakeholder group to develop a comprehensive strategic action plan on aging in Colorado through the year 2030. The bill sets out requirements for the planning group membership and duties. The group released an original Strategic Action Plan on Aging in 2016, and issued updates to the plan in 2018, 2019 and 2020 (forthcoming).
Colorado’s Strategic Action Plan on Aging was crafted through collaboration among community organizations, public agencies and others to create a vision, goals and recommendations for aging in the state. The plan’s goals address various areas such as workforce, affordable housing, transportation, health and human services. Specifically, one goal relating to economic stability states, “Colorado seniors and their families will be more financially secure and prepared to meet the challenges of aging.”
The plan also identifies concrete recommendations to achieve its goals. For example, a recommendation from the 2016 plan lays out steps that the Colorado General Assembly could take to increase retirement savings by Coloradoans. The planning group identifies Senate Bill 200 (2018) as one of many of the plan’s “successes to date.” This legislation relates to Public Employees Retirement Association (PERA) reforms aimed to reduce the overall risk of the retirement plan and fully fund the program over the coming decades.
Massachusetts Executive Order 576 (2017) established the Governor’s Council to Address Aging, charged with developing a plan to improve public and private efforts to support healthy aging in communities. In 2018, the council released its plan, the Governor’s Council to Address Aging in Massachusetts Blueprint Recommendations, which outlined 28 recommendations and 67 action steps. The recommendations were put forth by five workgroups examining housing, transportation, caregiving, employment, and innovation and technology. The blueprint suggests community input is integral, as “all recommendations will be implemented with input and support from older adults and family caregivers, and from economically, racially, and culturally diverse communities.”
The Governor’s Council Blueprint indicated that while 19 of the 28 recommendations may be implemented without additional funding or legislation, at least nine recommendations may require state legislation or budget support. One of the nine recommendations potentially requiring legislation addresses affordable housing and economic security for older adults through increased awareness and use of property tax deferral programs.
Texas Executive Order R.P. 42 (2005) created the Aging Texas Well Advisory Committee and strategic plan, which is updated every two years. The strategic plan “is a comprehensive proposal to identify and discuss aging policy issues, guide state government readiness and promote increased community preparedness for an aging Texas.” The advisory committee identifies policy areas affecting older adults such as caregiving, community support, employment, health and long-term care, housing, transportation and spirituality. The first Aging Texas Well plan was released in 2015, with periodic updates issued every couple of years.
The Texas Department of Aging and Disability Services staff developed strategic plan mandates with input from the Aging Texas Well Advisory Committee. Each mandate is accompanied by various activities to be carried out by Aging Texas Well partners, including other state agencies, educational institutions, non-governmental organizations and private organizations. For example, mandate #3 requires a review of state policy, specifically directing the state health and human services agency to review state policies affecting the lives of older Texans. Aligning with this mandate, Texas Senate Bill 1693 (2017) charged the Aging Texas Well Advisory Committee with facilitating a study on the prevalence of vision loss among older Texans and providing recommendations for improving and expanding vision loss services.