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Congress and the U.S. Department of Agriculture (USDA) should ensure that states do not deter the use of electronic benefit transfer (EBT) cards needed for services.
The federal government must not encourage the use of reverse mortgages to purchase private long-term care insurance.
Information about public-benefit programs should be shortened and simplified. This includes application forms, procedures, and program notices.
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.
Efforts to reform entitlement spending should recognize the following factors:
Higher levels of government should provide adequate resources when mandating functions to lower levels of government.