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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.

All levels of government should adopt policies ensuring that people who do not speak English or are limited in English proficiency have adequate language a

Millions of people receive access to health insurance coverage through provisions of the Affordable Care Act. However, millions still remain uninsured.

All levels of government and the private sector should adequately fund and support antifraud and anti-abuse efforts.

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