The 75+ Health Assessment, an Australian Medicare funded activity for General Practice, was introduced in 1999, and remains largely unchanged despite major advances in geriatric medicine, primary care, and evidence on healthy ageing trajectories. The presentation critiques how the current item is failing ageing Australians and argues for urgent, evidence‑based reform. This is the “The Ageing Revolution,” that older people deserve. First, the assessment is heavily biomedical and deficit‑focused, overlooking contemporary priorities such as intrinsic capacity, frailty identification and staging, social participation, cognitive reserve, and person‑centred goal setting that are known to influence function and independence in later life. Second, it does not adequately address modifiable risk factors for disability and residential care admission, including sarcopenia, polypharmacy, sensory impairment, loneliness, and environmental barriers. Third, the static template and funding rules constrain team‑based, iterative care planning, limiting genuine integration of nurses, allied health, and community services at the point of care. As a result, the assessment risks becoming a compliance exercise rather than a lever for proactive, preventive, and relationship‑based care for people aged 75 and over. This presentation will illustrate how a contemporary, evidence‑informed redesign—aligned with WHO healthy ageing concepts and Australian primary care reform—could transform the 75+ Health Assessment into a powerful tool for improving older Australians’ experience of care, quality of life, and ageing trajectories. Join the revolution and support the call to action for the support of the AAG community to lobby the Federal Government to make the change.