

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.
We place the voices of older adults, especially those from communities of color, rural areas, and lower-income backgrounds, at the center of everything we do. By elevating lived experiences through grants like The People Say, we ensure that policies and programs reflect older adults’ real needs and priorities. Through partnerships with community organizations, advocates, and leaders with lived experience, we work to ensure that those most impacted help shape the decisions, solutions, and systems that affect their lives.
Our funding supports inclusive research that fills knowledge gaps and provides actionable insights for policymakers and program leaders. We focus on data that reflects diverse populations and informs equitable, people-centered policy change.
We fund cross-sector partnerships and initiatives like California’s Equity Community Organizing (ECO) Groups that connect stakeholders across sectors—including individuals with lived experience—to align strategies, foster collaboration, and build momentum for policy and systems change that supports aging in home and community.
Through storytelling, dissemination, and knowledge-sharing grants, we elevate what works. From local innovations to national policy lessons, we help scale solutions that improve the lives of older adults.


Center for Healthcare Strategies
Total Awarded: $281,158
Award Year: 2025
National
Medicare-Medicaid Integration

Brookings Institution
Developing a National Rural Strategy & Reimagining Rural Policy for the 21st Century
The project will launch a bipartisan commission working to improve federal policies that advance equitable rural prosperity in the 21st century. The Commission’s research will include older adults with lived experience, as well as experts in the field of aging. The Commission will propose a national rural strategy that identifies the opportunities and priorities for achieving equitable rural prosperity.
Total Awarded: $150,000
Award Year: 2025
National
Long-Term Care

Brookings Institution
Developing a National Rural Strategy & Reimagining Rural Policy for the 21st Century
The project will launch a bipartisan commission working to improve federal policies that advance equitable rural prosperity in the 21st century. The Commission’s research will include older adults with lived experience, as well as experts in the field of aging. The Commission will propose a national rural strategy that identifies the opportunities and priorities for achieving equitable rural prosperity.
Total Awarded: $150,000
Award Year: 2025
National
Long-Term Care

Providence Portland Medical Center
ECO Group Toolkit
To further advance systemic change through lived experience, the Center for Outcomes Research and Education (CORE) will create a Toolkit to support creation and operation of additional ECO Groups within and beyond California.
Total Awarded: $73,944
Award Year: 2025
National
Long-Term Care

Providence Portland Medical Center
ECO Group Toolkit
To further advance systemic change through lived experience, the Center for Outcomes Research and Education (CORE) will create a Toolkit to support creation and operation of additional ECO Groups within and beyond California.
Total Awarded: $73,944
Award Year: 2025
National
Long-Term Care

Benjamin Veghte, PhD
Supporting States in Preparing for the Long-Term Care Challenge: Lessons from Washington State
This project will result in the creation and dissemination of six strategy toolkits designed to help state policymakers and stakeholders as they consider long-term care financing (LTCF) solutions. Developed by the Executive Director of WA Cares, Washington state’s successful LTCF program, the toolkits will capture lessons learned and practical tips for how to advance LTCF policy at the state level.
Total Awarded: $144,920
Award Year: 2025
National
Long-Term Care

Benjamin Veghte, PhD
Supporting States in Preparing for the Long-Term Care Challenge: Lessons from Washington State
This project will result in the creation and dissemination of six strategy toolkits designed to help state policymakers and stakeholders as they consider long-term care financing (LTCF) solutions. Developed by the Executive Director of WA Cares, Washington state’s successful LTCF program, the toolkits will capture lessons learned and practical tips for how to advance LTCF policy at the state level.
Total Awarded: $144,920
Award Year: 2025
National
Long-Term Care

ATI Advisory
Medicaid HCBS/LTSS County-Level Data Dashboard
Affordable, accessible long-term care at home and in the community is essential for older adults to age well. This data analysis will result in a public-facing online data map that identifies all Medicaid Home- and Community-Based Services (HCBS) and institutional Long-Term Services and Supports (LTSS) users in the United States by county.
Total Awarded: $96,279
Award Year: 2025
National
Long-Term Care

ATI Advisory
Medicaid HCBS/LTSS County-Level Data Dashboard
Affordable, accessible long-term care at home and in the community is essential for older adults to age well. This data analysis will result in a public-facing online data map that identifies all Medicaid Home- and Community-Based Services (HCBS) and institutional Long-Term Services and Supports (LTSS) users in the United States by county.
Total Awarded: $96,279
Award Year: 2025
National
Long-Term Care

Imperial Valley Wellness Foundation
ECO Groups Phase 2
With co-funding from the California Health Care Foundation and Metta Fund, four California-based organizations will support “Equity Community Organizing Groups” (ECO Groups). In this second phase of the project, each community will begin to implement solutions that advance health care issues and address the needs in their community, ensuring that older adults are leading the efforts and lived experience is at the center.
Total Awarded: $125,000
Award Year: 2025
California
Long-Term Care

Imperial Valley Wellness Foundation
ECO Groups Phase 2
With co-funding from the California Health Care Foundation and Metta Fund, four California-based organizations will support “Equity Community Organizing Groups” (ECO Groups). In this second phase of the project, each community will begin to implement solutions that advance health care issues and address the needs in their community, ensuring that older adults are leading the efforts and lived experience is at the center.
Total Awarded: $125,000
Award Year: 2025
California
Long-Term Care

Healthcare Foundation Northern Sonoma County
ECO Groups Phase 2
With co-funding from the California Health Care Foundation and Metta Fund, four California-based organizations will support “Equity Community Organizing Groups” (ECO Groups). In this second phase of the project, each community will begin to implement solutions that advance health care issues and address the needs in their community, ensuring that older adults are leading the efforts and lived experience is at the center.
Total Awarded: $125,000
Award Year: 2025
California
Long-Term Care

Healthcare Foundation Northern Sonoma County
ECO Groups Phase 2
With co-funding from the California Health Care Foundation and Metta Fund, four California-based organizations will support “Equity Community Organizing Groups” (ECO Groups). In this second phase of the project, each community will begin to implement solutions that advance health care issues and address the needs in their community, ensuring that older adults are leading the efforts and lived experience is at the center.
Total Awarded: $125,000
Award Year: 2025
California
Long-Term Care

California Black Women’s Health Project
ECO Groups Phase 2
With co-funding from the California Health Care Foundation and Metta Fund, four California-based organizations will support “Equity Community Organizing Groups” (ECO Groups). In this second phase of the project, each community will begin to implement solutions that advance health care issues and address the needs in their community, ensuring that older adults are leading the efforts and lived experience is at the center.
Total Awarded: $125,000
Award Year: 2025
California
Long-Term Care

California Black Women’s Health Project
ECO Groups Phase 2
With co-funding from the California Health Care Foundation and Metta Fund, four California-based organizations will support “Equity Community Organizing Groups” (ECO Groups). In this second phase of the project, each community will begin to implement solutions that advance health care issues and address the needs in their community, ensuring that older adults are leading the efforts and lived experience is at the center.
Total Awarded: $125,000
Award Year: 2025
California
Long-Term Care

Booker T. Washington Community Service Center
ECO Groups Phase 2
With co-funding from the California Health Care Foundation and Metta Fund, four California-based organizations will support “Equity Community Organizing Groups” (ECO Groups). In this second phase of the project, each community will begin to implement solutions that advance health care issues and address the needs in their community, ensuring that older adults are leading the efforts and lived experience is at the center.
Total Awarded: $10,000
Award Year: 2025
California
Long-Term Care

Booker T. Washington Community Service Center
ECO Groups Phase 2
With co-funding from the California Health Care Foundation and Metta Fund, four California-based organizations will support “Equity Community Organizing Groups” (ECO Groups). In this second phase of the project, each community will begin to implement solutions that advance health care issues and address the needs in their community, ensuring that older adults are leading the efforts and lived experience is at the center.
Total Awarded: $10,000
Award Year: 2025
California
Long-Term Care

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.
Total Awarded: $115,000
Award Year: 2025
National
Medicare-Medicaid Integration

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.
Total Awarded: $115,000
Award Year: 2025
National
Medicare-Medicaid Integration

Justice in Aging
The Future of Aging Policy Playbook
This planning grant for a potential multi-phase project is to support the foundational work needed to identify playbook and convening goals, audience; draft guiding principles that can be shared with aging policy leaders in advance of a Spring 2026 national event.
Total Awarded: $75,000
Award Year: 2025
National
Long-Term Care, Medicare Health and Social Supports, Medicare-Medicaid Integration, Multisector Plans for Aging

Justice in Aging
The Future of Aging Policy Playbook
This planning grant for a potential multi-phase project is to support the foundational work needed to identify playbook and convening goals, audience; draft guiding principles that can be shared with aging policy leaders in advance of a Spring 2026 national event.
Total Awarded: $75,000
Award Year: 2025
National
Long-Term Care, Medicare Health and Social Supports, Medicare-Medicaid Integration, Multisector Plans for Aging

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.
Total Awarded: $175,000
Award Year: 2025
National
Long-Term Care

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.
Total Awarded: $175,000
Award Year: 2025
National
Long-Term Care

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.
Total Awarded: $199,935
Award Year: 2025
National
Medicare Health and Social Supports

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.
Total Awarded: $199,935
Award Year: 2025
National
Medicare Health and Social Supports

United States of Care Campaign
Medicaid Outreach and Education
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.
Total Awarded: $50,000
Award Year: 2025
National
Long-Term Care, Medicare-Medicaid Integration

United States of Care Campaign
Medicaid Outreach and Education
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.
Total Awarded: $50,000
Award Year: 2025
National
Long-Term Care, Medicare-Medicaid Integration

Mandala Change Group
California Master Plan for Aging (MPA): Aging and Disability Lived Experience Advisory Board (AD-LEAB)
With support from the MPA Fund, Mandala Change Group will partner with the California Department of Aging to develop the Aging and Disability Lived Experience Advisory Board (AD-LEAB), bringing the experiences and expertise of underserved and underrepresented older adults, adults with disabilities, and caregivers to inform MPA implementation.
Total Awarded: $108,790
Award Year: 2024
California
Multisector Plans for Aging

Mandala Change Group
California Master Plan for Aging (MPA): Aging and Disability Lived Experience Advisory Board (AD-LEAB)
With support from the MPA Fund, Mandala Change Group will partner with the California Department of Aging to develop the Aging and Disability Lived Experience Advisory Board (AD-LEAB), bringing the experiences and expertise of underserved and underrepresented older adults, adults with disabilities, and caregivers to inform MPA implementation.
Total Awarded: $108,790
Award Year: 2024
California
Multisector Plans for Aging