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

Policymakers should expand disclosure requirements for all funds spent on elections or ballot initiatives.

Policymakers should protect against deceptive or misleading political fundraising practices. 

All voters should be able to cast an absentee ballot (known as no-excuse absentee voting or no-excuse vote-by-mail). Election officials should make absentee voting easy and convenient.

Elections should be administered in a transparent and nonpartisan manner. Poll workers should take training on best practices for ensuring nonpartisanship is upheld during elections.

Medicare should work with purchasers and payers in the public and private sectors to align their respective incentive programs.

Policymakers should employ selective use of incentives for evidence-based services in Medicare to encourage beneficiaries to seek high-quality, efficient, safe, and equitable care.

Medicare should not use incentives to discriminate based on a beneficiary’s health status, lifestyle, or behaviors.

The Centers for Medicare & Medicaid Services (CMS) and the Medicare Payment Advisory Commission should regularly monitor and evaluate beneficiaries’ access to quality care.