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All levels of government should adopt policies ensuring that people who do not speak English or are limited in English proficiency have adequate language a

Millions of people receive access to health insurance coverage through provisions of the Affordable Care Act. However, millions still remain uninsured.

States and localities should carefully evaluate the effectiveness of the incentives they offer to attract or retain businesses. 

When considering bond financing, state and local policymakers should: 

Public retirement systems should establish a maximum vesting period of five years for DB plans and one year for employers’ matching contributions to defined contribution or hybrid plans. 

States and localities should move toward full funding of their retirement systems. 

Public health officials and policymakers should recognize social isolation as a significant public health issue and social determinant of health.

Policymakers and the private sector should develop a standardized screening tool to identify individuals experiencing social isolation.

During times of crisis, state and local governments and the private sector should use evidence-based tools to identify, monitor, and address social isolation among older adults.