Authors of the report found California has a fragmented "non" system of long-term care services and supports for older adults and persons with disabilities. The report articulates the need for a person-centered system that provides individualized care in accordance with needs, is easy to navigate, facilitates transitions from levels of care, and overall maximizes the ability of people to age and receive care in their homes and communities rather than in institutions.

The study, which incorporates 2011-2012 California Health Interview Survey data on Californians 60 and over and 2009 CHIS data in the Center publication Stressed and Strapped: Caregivers in California, makes 30 legislative recommendations in 8 issue areas (state leadership, legislative leadership, system integration, fragmentation/lack of integrated data, infrastructure, workforce, funding, federal issues) for immediate action and provides a strategy to achieve improved coordination and a high-functioning comprehensive system.