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The Centers for Medicare & Medicaid Services, the Social Security Administration, and other federal agencies with jurisdiction over programs for older

Federal and state governments should actively enforce the protections against the balance billing of Qualified Medicare Beneficiaries by providers.

Waiving certain provisions of the Medicare and Medicaid statutes are appropriate and even desirable under some circumstances.

The federal government must ensure that the entitlement nature of Medicaid applies to expansion populations.

When economic conditions permit, states should accumulate budget reserves adequate to maintain services during recessions.

Deficit-reduction efforts should avoid cuts in programs that serve low- and moderate-income populations.

Congress should allocate sufficient funds to support and maintain a robust public health infrastructure and population health.

National prevention and health-promotion outreach and education campaigns should be developed and implemented by federal, state, and local governments, alo