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.
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 (LTSS) that includes a new
The cost of a new social insurance LTSS program should be paid for with premiums, individual contributions through
Program participant cost-sharingThe share of insurance-covered costs that a person pays ou