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Federal and state governments should monitor compliance with the Nursing Home Reform Act and other laws and regulations affecting nursing facilities.
States should require that all beds in a nursing facility be certified for Medicaid and Medicare as a condition for the facility’s participation in Medicaid.
States should require adequate numbers of appropriately trained staff to ensure a high quality of care.
Quality measures: Participant preferences and satisfaction should be used as key quality measures.
Modifications to retirement plans or plan formulas should hold harmless current beneficiaries and employees. They should also ensure the retirement security needs of future retirees.
States should establish state-facilitated savings arrangements that will increase employee participation in retirement plans.
Policymakers should encourage measures to increase individuals’ ability to save for retirement.
Policymakers should allow employers to provide student loan-repayment aid as a tax-free benefit.