Overview
The Master Plan for Aging released its Final Report on June 30, 2025.
Throughout the MPA process, more than 100 proposals were developed thanks in particular to thousands of hours of work by external stakeholders and members of the public. These proposals and the MPA Council commentary are being submitted to the Governor and shared with policymakers and the public to inform policymaking. These proposals represent a starting point for discussion. Further discussion is necessary between relevant state agencies and stakeholders to both refine these proposals and assess which may be appropriate to adopt and implement.
Read the Final Report below or find translated versions of the report here.
For a keyword searchable database visit the Pillar Proposals page.
Caregiving, Workforce and Community-Based Services
Overview
There is a shortage of workers in caregiving roles which has led to services and supports becoming more expensive and less accessible for older adults and others with disabling conditions.
Proposals
Financial Sustainability of Services and Providers
Overview
Healthcare facilities, agencies and aging services are at risk of closure due to the inability to modernize services and facilities. This directly impacts patients and residents of financially distressed facilities and communities relying on the facilities, agencies and aging services as well as employees.
Proposals
- Fund Aging Services
- Medicaid Rate Reform
- Interagency Integration of Social and Healthcare Services
- Support PACE Expansion and Enrollment
- Diversifying Long-Term Care (LTC) Facility Services
- Hospice and Palliative Care Support and Reform
- Cross System Care Coordination Through the 1115 Medicaid Waiver
- Expanding Flexibility for Long-Term Care Facilities
- Elevate Integrated Care Programs
- Assisted Living Reform
- Continuing Care Retirement Communities Oversight Reform
- Coordination of Homecare and Aging Services at OMH Housing Through 1115 Waiver
- Adult Day Health Care Family Caregiver Program
- Adult Care Facility (ACF) Voucher Demonstration
- Facilitating Nursing Home Reform Efforts
- Reactivate and Modify the Voluntary Residential Health Care Facility Rightsizing Demonstration Program
- Nursing Home Capital Assistance
- Improve Nursing Home Quality Incentive Pool
- Strengthen Our Centers Grant Program: Improvements for Community-Based Older Adult Service Organizations
- Expand the Young Adult Unit Demonstration Program
- Continuity of Medical Treatment and Medication Access in Short- and Long- Term Care Facilities
- Expand Licensure for Family Type Home for Adults
Prevention
Overview
Individuals and informal caregivers must navigate a complex care and supports systems creating obstacles to supporting healthy aging across the lifespan.
Proposals
- Evaluate Payor Support for Preventive Services and Supports
- Support Older Adults Aging in Place in OMH Licensed and Permanent Housing
- More Effective Care Integration Through Plans
- Review and Update of the Patient Review Instrument (PRI)
- Community Immunization Program
- Prevention Curriculum
- Benefits Program Expansion
- Ecosystem Demonstration Pilot
- Firearm Retirement Plan
- Support Services for Older New Americans
- Promotion of the Annual Wellness Visit
- Multilayered Awareness and Intervention Practices
- Training on the Needs of Older Adults with Substance Use Disorders
- Prevention and Geriatrics Continuing Medical Education (CME)
- Food As Medicine Promotion
- Paid Time Off for Preventative Healthcare Visits
- Expand the Wellness Initiative for Senior Education and Screening Brief Intervention Referral to Treatment (WISE-SBIRT) Model
- Employment Supports for Menopause
- Training on the Sexual Health and Intimacy Needs for Older Adults
Housing
Overview
Assuring access to affordable, secure housing, in a community with needed services which enables older adults to age in place in the setting of their choice.
Proposals
- Addressing Housing Supply
- Incorporate Age-Friendly Principles Into Community Design
- Eviction Prevention
- Strengthen Home Modification Programs
- 62+ Housing Exemption for Kinship Caregivers
- Expand the Empire State Supportive Housing Initiative (ESSHI)
- Supporting Community Housing Models
- Increase Funding for the Age-Friendly, Accessible, and ADA-Compliant Downtown and Community Revitalization
- Affordable and Accessible Housing for Unhoused People with Disabilities through Medicaid Redesign Team (MRT) Capital and Supportive Housing Opportunity Program (SHOP)
- Consideration for Older Adults in Local Law
- Funding Infrastructure Upgrades and Investing in Municipalities
- Upgrades to the RESTORE program
- Expand Co-Located Housing Types for Older Adults
- Maximize Affordable Housing Impact
- Landlord Accessibility Education
- Zoning Incentive to Develop Worker Housing
- Communication Access in Direct Care, Assisted Living, Nursing Homes, and Memory Care for Deaf, DeafBlind, and Hard of Hearing
Affordability of Basic Needs
Overview
Older adults who cannot afford the basic requirements of daily life due to underemployment or unemployment and inadequate safety net programs.
Proposals
- LTSS Finance Reform
- Establishing the Office of Benefits Coordination
- Improving Use of Medicare Savings Program
- Increase Utilization of the Elderly Pharmaceutical Insurance Coverage Program (EPIC)
- Expand STAR Benefits
- Fund the Office for Older Workers & Expand Workforce Development Initiative
- Establish a Lifetime Financial Planning Program
Serving Historically Underserved Communities
Overview
Many historically underserved communities, and particularly Black and Brown communities as well as veterans, have diminished access to needed services.
Proposals
- Encourage Transportation Network Integration and Growth
- Support Electronic Health Records Adoption
- Improve Retirement Opportunities for People with Intellectual and Developmental Disabilities
- Fund the NYS Adaptive Living Program
- Loan Forgiveness for Nurses in Medically Underserved Areas
- Affordable Housing and Support Services for Older Veterans
- Lifelong Learning Program and Employment Support for Older Veterans
- Enhanced Health & Wellbeing for Older Veterans
- Adapt California’s CalAIM program to New York through an 1115 Medicaid Waiver
- Facilitate Access to Release Mechanisms for Older Incarcerated Individuals
- Establish a Law Clinic Benefits Coordination Program
Social Engagement
Overview
Maintaining opportunities for meaningful social and civic engagement across the lifespan to address isolation and loneliness and help older adults to thrive.
Proposals
Combating Elder Abuse, Ageism, Ableism and Stigma
Overview
Address financial, exploitation; physical, sexual, and emotional abuse; and neglect of older adults, in part due to inadequate identification of and support for people at risk.
Proposals
- Improve Public Awareness of Financial Scams and Fraud
- Address Financial Exploitation of Older Adults
- Promote Scam Recovery and Prevention
- Improve Guardianship
- Challenging Ageism, Ableism and Abuse
- Establish Public Awareness Programs for Scam Recovery
- Elder Abuse and Elder Justice Forum
- Elder Abuse Research Forum
- Inclusive Disaster Response and Preparedness
- Compensation for Victims of Scams and Financial Exploitation
- Combat Ageism in the Workplace
- Training Regarding Emergency Preparedness for Individuals with Disabilities
- Require Aging and Intellectual and Developmental Training
- Anti-Stigma and Education Campaigns
Technology
Overview
Older adults tend to struggle with technological development or technological inaccessibility which could create challenges to care for or empower the aging and their families. Expanding existing assistive technologies is required and when it comes to privacy raise awareness of cybersecurity threats.
Proposals
- Integrate Data and Case Management Across Care Settings
- Meaningful Access to Technology
- Statewide Uniform Care Platform
- AgeTech and Assistive Technology Incubator
- Involving the User in the Design and Development of Technology
- Improve Cognitive Health Data Accessibility
- Digital Map of Health for Older New Yorkers