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State departments of transportation should provide adequate technical assistance to support effective, coordinated transportation planning for rural communities.
Congress should increase funding for tribal transportation programs.
Policymakers should streamline the process of obtaining tribal transit funding.
Efforts to balance the budget or address shortfalls should remain the purview of the legislative branch. They should be fully negotiated by elected officials.
When economic conditions permit, states should accumulate budget reserves adequate to maintain services during recessions.
Policymakers should increase food benefits and expand eligibility for food programs.
Governments should not limit their ability to address future economic and political changes and the need for investments.
Program participant cost-sharing for either community or institutional services should be modest. It should not favor one type of service over another.
Some tax revenues for a new LTSS program should be earmarked to an LTSS trust fund. This would build adequate reserves to cover later generations.
The federal government should create a public social insurance benefit that provides coverage for LTSS. It should be within Medicare or in a new public program.