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States and federal governments must ensure that all Medicaid beneficiaries have meaningful opportunities to exercise their statutory grievance and appeal r

Federal and state governments should conduct annual reviews to ensure that Medicaid’s rules for paying providers and managed care organizations do not unde

The federal government should require states to have procedures ensuring continuity of coverage for beneficiaries transitioning to Medicare.

Federal and state governments should:

All states should elect the option to expand Medicaid to cover uninsured populations with low incomes.

States should conduct robust outreach and enrollment activities to identify newly eligible individuals.

Policymakers should broaden the tax base by limiting tax preferences that do not efficiently achieve important policy goals. 

All levels of government should adopt policies ensuring that people who do not speak English or are limited in English proficiency have adequate language a