Master Plan for Aging Implementation

Senior couple with looking into each others eyes

Report #276, January 2024


California’s rapidly aging population brings new challenges for the state, including housing, affordability, health care, long-term care, and social supports. The state has already made significant investments to begin to tackle these challenges through implementation of the California Master Plan for Aging, and in its latest report, the Little Hoover Commission identified ways to help strengthen these efforts.

Since releasing the Master Plan in 2019, California has launched an impressive 227 implementing initiatives, each intended to propel the state toward the plan’s ultimate goals: housing for all states and ages, health reimagined, inclusion and equity, effective caregiving, and aging and affordability.

“California’s Master Plan attempts to address an enormous number of extremely complicated issues. The Commission applauds the state’s ambitious efforts to envision such a comprehensive approach to our changing population,” said Chair Pedro Nava. “With so many lives impacted, we must make sure that California does not falter in its delivery of the Master Plan”

In its new report, Early Implementation of California’s Master Plan for Aging, the Commission reviewed early implementation efforts and found much to celebrate. Yet, to sustain forward momentum, it offers nine targeted recommendations to improve oversight and accountability through the duration of this important 10-year effort.

Ongoing success will require administrative changes, such as clarifying and codifying leadership roles among administrative agencies and ensuring a means for stakeholder participation. It also will require strengthening the ability of the Legislature to provide input and oversight of this whole-of-government effort.

These state leaders, along with stakeholders and the public, must be armed with reliable, up-to-date information about the Master Plan’s costs, progress, and success – what work is underway, what has been accomplished, what has stopped, and what has been achieved. To this end, California must better articulate a clear path forward for the Master Plan, with milestone targets and metrics that may be used to hold leaders accountable for progress.

“California must ensure the Master Plan’s efforts are laser focused on developing practical solutions that address the needs of our older population, particularly those who are traditionally under-represented or of limited means,” said Vice Chair Anthony Cannella. “The recommendations in our report lay a foundation to sustain this focus through budgetary highs and lows and eventual changes in Administration that will occur as we approach the Master Plan’s 2030 end date.

Written testimony from hearing witnesses can be found in the corresponding event agenda.

If you would like more information about this study, please contact Tamar Foster at To be notified electronically of meetings, events, or when the review is complete, please subscribe to Little Hoover Commission updates:


  • Hearing on the Implementation of California’s Master Plan for Aging (Part 2)
    Public Hearing: August 24, 2023
    Agenda / Testimony
  • Hearing on the Implementation of California’s Master Plan for Aging (Part 1)
    Public Hearing: July 27, 2023
    Agenda / Testimony