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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
The federal government should assume a much stronger role in ensuring the quality of services paid for by Medicaid in residential care settings.
Federal agencies should monitor the progress of state efforts in developing common definitions of, and minimum standards for, services and facilities in assisted living residences and other residen
The Centers for Medicare & Medicaid Services, the states, and all other regulators should vigorously enforce all regulations in long-term services and supports (LTSS) facilities and home care w
The federal government and the states should provide incentives (including, but not limited to, grants and loans) for new, affordable models of LTSS.
The federal government and the states should require providers to hold residents’ beds for them during temporary absences as long as the residents’ fees continue to be paid.