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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.

Government workers should continue to have access to defined benefit (DB) plans. 

Modifications to retirement plans or plan formulas should hold harmless current beneficiaries and employees. They should also ensure the retirement security needs of future retirees. 

Policymakers should explore new, more consumer-centered systems for providing low-income assistance. 

Policymakers should adopt plans that enhance the mobility of older adults and people with disabilities. Planning efforts should consider the effects of transportation plann

Policymakers should require shared mobility service providers to provide local jurisdictions with consumer travel data while protecting user privacy.