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States should coordinate LTSS programs, policies, and budgets. This can be done in one state agency or across multiple agencies.

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.

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.

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

Policymakers should establish and enforce uniform standards to safeguard the integrity of the electoral process.

Policymakers should encourage and promote maximum participation in the electoral process.

Federal legislation should provide a minimum level of consumer protections. It should preserve states’ ability to provide additional protections to consumers.