Legal Regulation of Sustainable Delivery of Government-Procured Public Elderly Care Services in China’s Moderately Aging Society: Dilemmas and Legalization Pathways

As China rapidly transitions to a moderately aging society, the sustainable delivery of public elderly care services has emerged as a critical legal and governance challenge. Government procurement has become a pivotal mechanism through which the state engages both social and market actors in providing elderly care services. However, the sustainability of this service delivery mechanism remains constrained by fragmented legal norms, unstable fiscal guarantees, inconsistent service standards, weak supervision, and regional inequalities. This article examines how legal regulation can support the sustainable delivery of government-procured public elderly care services in China. Based on qualitative, desk-based legal and policy analysis, it reviews the evolution of China’s national and local regulatory framework, assesses the current system from the perspectives of institutional, fiscal, social, and governance sustainability, and identifies key legal and institutional dilemmas, arguing that China should construct a hierarchical legal framework, establish stable fiscal guarantee rules, develop unified service standards, strengthen whole-process supervision, and improve legal mechanisms for regional coordination. These reforms would enhance the rule-of-law foundation of government-procured elderly care services and provide a reference for other aging societies seeking sustainable public service delivery models.