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States should coordinate LTSS programs, policies, and budgets. This can be done in one state agency or across multiple agencies.

States should develop a comprehensive uniform assessment instrument to determine individual needs and develop a service plan. It should be used in all state LTSS programs. 

Congress should make pre-dispute mandatory arbitration provisions in LTSS contracts unenforceable. 

States should ensure that facility-specific survey results and other information regarding quality are made available to the public in a timely manner.

Due to their regressive nature, raising state and local sales taxes should not be the first choice for increasing tax revenues. 

States and localities should include services in the taxable base to reduce regressivity and improve neutrality. 

Exemptions from state retail sales taxes should be narrowly designed to reduce their regressive nature and avoid pyramiding. 

Policymakers at all levels of government should safeguard consumers against unfair, deceptive, or abusive practices.

Policymakers and the private sector should ensure that products, services, and emerging technologies are created using an inclusive design process with universal design principles.

Policymakers and the private sector should ensure that the benefits of the sharing economy extend to older adults and traditionally underserved market populations.