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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.

Due to their regressive nature, raising state and local sales taxes should not be the first choice for increasing tax revenues. 

States and localities should include services in the taxable base to reduce regressivity and improve neutrality. 

Exemptions from state retail sales taxes should be narrowly designed to reduce their regressive nature and avoid pyramiding. 

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.