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Policymakers should expand opportunities for people to volunteer in their communities. This includes older adults and people with disabilities.

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.

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 require a comprehensive national background check prior to employment for all LTSS workers.

Congress and the states should ensure adequate Medicaid funding and maintain existing guarantees for Medicaid long-term

Federal and state governments should ensure that Medicaid reimbursement is sufficient to guarantee access to the full range of high-quality long-term services and supports i