The medical and demographic data on the health status of older citizens in the Republic Sakha (Yakutia) in 2000-2017 and the analysis of medical care for elderly patients in 2015-2017 demonstrated the urgent need to expand primary health care (including at home) and to organize specialized medical care for older citizens (including geriatric service) in one of the largest regions of Russia. The main directions of implementation in the Republic Sakha (Yakutia) of the Strategy of actions in the interests of the older generation of the Russian Federation until 2025 are given: the formation of the legislative basis, the creation of a three-level geriatric service, the introduction of new technologies for the provision of medical care to elderly residents of the Republic, training of personal. Measures are planned to implement the regional program «Older generation» of the National project «Demography» in order to improve the current medical and demographic situation and increase the life expectancy of the older generation and the whole population of Yakutia.