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Passing responsibilities down to lower levels of government should be undertaken primarily to place services closer to the people being served and to maximize administrative
Policymakers should expand opportunities for people to volunteer in their communities. This includes older adults and people with disabilities.
Public retirement systems should establish a maximum vesting period of five years for DB plans and one year for employers’ matching contributions to defined contribution or hybrid plans.
Social Security should cover all workers, including all newly hired state and local government workers.
Public health officials and policymakers should recognize social isolation as a significant public health issue and social determinant of health.
Policymakers and the private sector should develop a standardized screening tool to identify individuals experiencing social isolation.
Medicare, Medicaid, and other payers should reimburse providers for the use of a standardized tool, including during “Welcome to Medicare” and Annual Wellness visits.
During times of crisis, state and local governments and the private sector should use evidence-based tools to identify, monitor, and address social isolation among older adults.