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Congress and the U.S. Department of Agriculture (USDA) should ensure that states do not deter the use of electronic benefit transfer (EBT) cards needed for services.
Governments should require full and timely disclosures of lobbying activities and expenditures. Restrictions should include provisions such as limits on gifts.
The federal government must not encourage the use of reverse mortgages to purchase private long-term care insurance.
Maintaining trust and confidence in the government requires strong democratic processes and government institutions.
Information about public-benefit programs should be shortened and simplified. This includes application forms, procedures, and program notices.
Government budgets reflect the priorities of policymakers. They specify what programs and activities the government will support and how to raise the money needed to fund them.
Program participant cost-sharing for either community or institutional services should be modest. It should not favor one type of service over another.
Some tax revenues for a new LTSS program should be earmarked to an LTSS trust fund. This would build adequate reserves to cover later generations.