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Grantmaking

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Driving Systems Change

We drive policy, program, and systems improvements through grantmaking to help older adults age well in their homes and communities. Our grants explore solutions around the real needs of older adults, focusing primarily on what those historically left out of decision-making say they need.

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    Mandala Change Group
    Mandala Chicago Group logo

    Mandala Change Group

    California Master Plan for Aging (MPA): Aging and Disability Lived Experience Advisory Board (AD-LEAB)

    Policies are often designed without input from the people most affected. Supported by the MPA Fund, Mandala Change Group, in partnership with the California Department of Aging (CDA), developed the Aging and Disability Lived Experience Advisory Board (AD-LEAB) to center the experiences and expertise of underserved and underrepresented older adults, adults with disabilities, and caregivers to address gaps in systems, programs, and services that further exacerbate inequities. At the end of the project, CDA will advance MPA priorities informed by lived experience, along with a replicable model.

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    Total Awarded: $108,790

    Award Year: 2024—2026

    California

    Multisector Plans for Aging

    Lutheran Services in America
    Lutheran Services in America logo

    Lutheran Services in America

    Rural Voices 2025

    In partnership with Public Policy Lab, Lutheran Services in America will analyze interviews from The People Say to identify key issues facing dually eligible older adults in rural areas. The project will surface policy priorities to improve access and quality of care and examine the impact of federal policies on Medicaid.

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    Total Awarded: $115,000

    Award Year: 2025—2026

    National

    Long-Term Care

    Caring Across Generations
    Caring Across Generations logo

    Caring Across Generations

    Project Medicaid Storytelling Project

    Caring Across Generations (CAG) will build and mobilize broad public support for Medicaid aging and disability care through informative, impactful, and aligned storytelling by capturing hundreds of new lived experience stories from Medicaid beneficiaries, caregivers, and direct care workers. The project will craft strategic messaging toolkits, templates, and other resources.

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    Total Awarded: $175,000

    Award Year: 2025—2026

    National

    Long-Term Care

    Center on Health Insurance Reform
    Center on Health Insurance Reforms logo

    Center on Health Insurance Reform

    Medicare Advantage Lived Experience Advisory Group

    Through this grant, the Center on Health Insurance Reform will create an advisory group, made up of older adults, to ensure that beneficiaries with lived experience in Medicare Advantage (MA) are informing policymakers on MA reform legislation and regulation.

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    Total Awarded: $199,935

    Award Year: 2025—2026

    National

    Long-Term Care

    United States of Care Campaign
    United States of Care logo

    United States of Care Campaign

    Medicaid Outreach and Education

    Sharing the stories of people with lived experience provides an opportunity to highlight what they need to live well at home and in community. USofCare, through this project, co-funded by the California Health Care Foundation, will work to educate policymakers on the compelling facts and arguments for how the Medicaid program impacts their constituents through elevating lived experience.

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    Total Awarded: $50,000

    Award Year: 2025—2026

    National

    Medicare-Medicaid Integration

    National Academy of Social Insurance

    National Academy of Social Insurance

    The Aging & Disability Health Policy Lab

    The Aging & Disability Health Policy Lab is a nonpartisan, non-profit initiative that will accelerate public policies at the state and federal levels to help older adults with limited incomes and people with disabilities age well. The Aging & Disability Health Policy Lab is housed at the National Academy of Social Insurance and made possible by initial support from The SCAN Foundation (TSF).

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    Total Awarded: $7,676,555

    Award Year: 2026—2028

    National

    Medicare Health and Social Supports

    Trustees of the University of Pennsylvania

    Trustees of the University of Pennsylvania

    Long-Term Care Financing Policy Brief

    There are newly emerging policy conversations about federal LTSS/LTCF innovation, both amongst legislative staff and within various aging and health care stakeholder coalitions. This project, which will result in a succinct policy brief on LTSS reform that will be disseminated to key federal policy staff, will support TSF’s larger strategic goal to elevate LTCF reform as an important policy and political issue that needs solutions urgently.

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    Total Awarded: $30,210.00

    Award Year: 2025—2026

    National

    Long-Term Care

    Project HOPE – The People-to-People Health Foundation Inc./Health Affairs
    Project HOPE the People to People Health Foundation Inc./Health Affairs logo

    Project HOPE – The People-to-People Health Foundation Inc./Health Affairs

    HCBS Definition and Consensus

    A shared language is essential to advancing effective home and community-based services (HCBS) policies, but the challenges go beyond terminology. Health Affairs, Forefront, will publish a series of articles in support of disseminating the HCBS definition developed by HRSI.

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    Total Awarded: $75,000.00

    Award Year: 2025—2026

    National

    Long-Term Care

    Camden Coalition of Healthcare Providers
    Camden Coalition logo

    Camden Coalition of Healthcare Providers

    2026 Putting Care at the Center

    This project will ensure the lived experience of older adults is included in the 2026 Putting Care at the Center Conference.

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    Total Awarded: $25,000.00

    Award Year: 2026

    National

    Special Projects

    Stories Change Power
    Stories Change Power logo

    Stories Change Power

    Storytelling for ECO Groups

    Supporting older adults to be at the center of identifying issues and co-designing solutions to independence at home and in the community is a cornerstone of systems changes. With co-funding from the California Health Care Foundation and Metta Fund, four California-based organizations will support Equity Community Organizing (ECO) Groups. This project provides training and technical assistance to the ECO Groups in support of developing and telling stories to inspire action.

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    Total Awarded: $25,000.00

    Award Year: 2026

    California

    Long-Term Care

    The Regents of the University of California, Davis
    UC Davis logo with white backgound

    The Regents of the University of California, Davis

    Advancing Rural Aging: California Rural Policy Brief Dissemination and Stakeholder Engagement

    With support from The SCAN Foundation, this project amplified the findings and recommendations from the Rural Aging Policy Brief Series to state and national audiences through coordinated dissemination and engagement activities, connecting data and lived experience to increase awareness and catalyze solutions for rural aging challenges.

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    Total Awarded: $112,898.00

    Award Year: 2026

    National

    Long-Term Care

    UMass Boston
    University of Massachusetts Boston logo with transparent background

    UMass Boston

    Developing a Microsite to Make LTSS Financing Initiatives Compendium a Searchable Web-based Tool

    To advance long-term service and support (LTSS) reforms policymakers might consider the history of policy efforts in this area as an important source of information and context. This project will create a user-friendly website to showcase the LTSS Compendium of legislative reform solutions proposed over the last 30 years, as well as those put forward by researchers and think tanks.

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    Total Awarded: $129,505.00

    Award Year: 2025—2026

    National

    Long-Term Care

    Justice in Aging
    Justice in Aging logo white background

    Justice in Aging

    Future of Aging: Policy Development

    To create the conditions for meaningful policy action, it is essential to develop consensus-driven, tactical policy recommendations that can be quickly and clearly shared when a policy window opens. However, historically, aging policy and advocacy groups have struggled to coalesce around specific recommendations that policymakers can champion. This project will entail coalition building and policy analysis/prioritization to bridge differing priorities and build a catalogue of actionable, stakeholder-vetted policy proposals that are positioned to advance the future of aging policy, including tactical action plans and one public-facing policy playbook.

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    Total Awarded: $366,540.00

    Award Year: 2026

    National

    Long-Term Care

    National Hispanic Council on Aging

    National Hispanic Council on Aging

    Voces de los Mayores – Amplifying Lived Experience to Shape Policy

    Sharing the stories of people with lived experience provides an opportunity to highlight what they need to live well at home and in community. Voces de los Mayores is a storytelling and civic engagement initiative that collects and uplifts the lived experiences of Hispanic older adults navigating long-term services and supports (LTSS) and healthcare systems. As a result of this project, up to 20 older adults will be trained to publicly share their stories.

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    Total Awarded: $65,000.00

    Award Year: 2025—2026

    National

    Long-Term Care

    National Association of Medicaid Directors

    National Association of Medicaid Directors

    NAMD Affinity Group Summit

    Access to and affordability of health care is central to older adults, especially those who are dually eligible, to remain in the community. With co-funding from AARP Foundation, Arnold Ventures, State Value Health Strategies and The Commonwealth Fund, this project will engage an affinity group of Medicaid leaders across all 50 states and territories to build cross-state and cross-disciplinary learning. This will be accomplished through ongoing technical assistance and a 2-day meeting of Medicaid leaders.

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    Total Awarded: $75,000.00

    Award Year: 2026

    National

    Special Projects