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Passing responsibilities down to lower levels of government should be undertaken primarily to place services closer to the people being served and to maximize administrative

One indicator of smart fiscal practices is maintaining balance between spending and revenues. Occasionally deficits may be necessary.

When economic conditions permit, states should accumulate budget reserves adequate to maintain services during recessions.

DeficitThe amount by which annual expenditures exceed annual revenues.

The federal government must strive for long-term fiscal balance.

At the federal level, there are two categories of budgetary expenditures: entitlement

Federal policymakers should develop a comprehensive system for financing Long-Term Services and Supports

The cost of a new social insurance LTSSLTSS encompasses a broad range

Program participant cost-sharingThe share of insurance-covered costs that a person pays o

Some tax revenues for a new LTSSLTSS encompasses a broad range of assistance