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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.

When economic conditions permit, states should accumulate budget reserves adequate to maintain services during recessions.

Deficit-reduction efforts should avoid cuts in programs that serve low- and moderate-income populations.

Federal policymakers should develop a comprehensive system for financing Long-Term Services and Supports (LTSS) that includes a new social insurance program to provide a bas

The cost of a new social insurance LTSS program should be paid for with premiums, individual contributions through cost-sharing requirements, and general revenues.

Efforts to balance the budget or address shortfalls should remain the purview of the legislative branch.

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.

Policymakers should provide for transparency and honesty in the budget process.