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States should make it as simple as possible for grandparents and other caregiver relatives to enroll children in their care in school or obtain medical treatment for them. 

States should distribute public revenue only to social service agencies that are formally accountable to taxpayers. This should be demonstrated by performance-based measures. 

Congress should mandate the use of the Supplemental Poverty Meas

Tax reform should focus on raising sufficient revenue. It should make the tax system more equitable and efficient. Reforms should: 

Reforming business taxes, such as corporate tax or a tax on the financial industry, should be considered in any effort to raise additional revenue. 

Policymakers should not tax the actuarial value of Medicare or the value of other in-kind benefits (see also

Limitations can be set on the exclusions for other employer-provided benefits such as life insurance, tuition, and parking.

Eligibility for the exclusion for employer-provided health insurance should be determined based on the employer's coverage rules. 

Lawmakers should maintain the tax-deferred status of employer-provided pensions as a critical way of promoting retirement savings. 

The threshold for the medical expense deduction should be kept as low as possible.