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States should coordinate LTSS programs, policies, and budgets, whether in one state agency or across state agencies.

States should develop a comprehensive uniform assessment instrument to determine individual needs and develop a service plan.

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

States should ensure that survey results and other information regarding quality, including comparisons with national standards when possible, are made available to the public in

Enforcement of civil and criminal laws should avoid penalizing people with escalating fines, loss of rights, or criminal penalties when the person subject to enforcement cannot sa

The federal government should broadly interpret and vigorously enforce the ADA.

Governments should avoid enacting laws that are inconsistent with U.S. Supreme Court precedent on takings.

Policymakers should enact and strictly enforce antidiscrimination and civil rights laws.

States should coordinate mental health services among all appropriate health, LTSS, and aging-network services.

Public retirement systems should establish a maximum vesting period of five years for DB plans and one year for employers’ matching contr