Background: Older adults are currently the fastest aging population in Canada and the United States, yet, have the lowest levels of health literacy in the population. Research supports that consequences of low health literacy are poorer related health outcomes and health status. The aim of this scoping review was to summarize the extent of the literature of health literacy on health outcomes in older adults and identify strategies that aim to increase health literacy. Methods: A scoping review was completed via online search of the literature using Medline, ERIC and PsychInfo databases, using key terms: functional health literacy and older adults. Inclusion criteria included the following: explicit focus on health literacy, publication in English, older adult population, primary research studies conducted in Canada or USA. Results: The initial search yielded 238 articles, after title screening and abstract reviewing 48 articles were screened for the full text. 15 articles met the inclusion criteria and were included. This scoping review identified several interventions in heart failure, asthma, hypertension and diabetes, that aim to increase health literacy in the elderly population, however no studies found change in health literacy and health outcomes in the long term. Conclusion: There is much future work needed to address health literacy in older adults on interventions, long term health outcomes and education for health care providers.