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The federal government and states should encourage advance care planning.

Defined contribution plan account holders should have to obtain written spousal consent to take payment from the account in a form other than a joint-and-survivor annuity.

Higher levels of government should provide adequate resources when mandating functions to lower levels of government.

Services should be implemented and operated by the level of government that can most appropriately and efficiently deliver them. 

The Centers for Medicare & Medicaid Services (CMS) and the Medicare Payment Advisory Commission should regularly monitor and evaluate beneficiaries’ access to quality care.

CMS should continue making public the Medicare Current Beneficiary Survey data on access, health care utilization, and other relevant information.

Medicare should provide more adequate reimbursement for mental health and substance abuse services.

With respect to their formularies and preferred drug lists, plans should: