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States should coordinate LTSS programs, policies, and budgets, whether in one state agency or across state agencies.

States should develop a comprehensive uniform assessment instrument to determine individual needs and develop a service plan.

Congress should make pre-dispute mandatory arbitration provisions in LTSS contracts unenforceable.

States should ensure that survey results and other information regarding quality, including comparisons with national standards when possible, are made available to the public in

Policymakers should enact and strictly enforce antidiscrimination and civil rights laws.

States should coordinate mental health services among all appropriate health, LTSS, and aging-network services.

Public retirement systems should establish a maximum vesting period of five years for DB plans and one year for employers’ matching contr

States and localities should move toward full funding of their retirement systems.

Policymakers should enact and update public financing systems for elections. This includes increasing matching funds, particularly for small donations.

Federal, state, and local governments should maintain substantial penalties for violations of campaign finance laws.