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Federal and state governments should monitor compliance with the Nursing Home Reform Act and other laws and regulations affecting nursing facilities.
States should require adequate numbers of appropriately trained staff to ensure a high quality of care.
Quality measures: Participant preferences and satisfaction should be used as key quality measures.
Policymakers should explore new, more consumer-centered systems for providing low-income assistance.
Taxation is the primary way governments fund essential programs and services. The following principles support this goal while also ensuring equity in how revenues are raised.
Congress and state legislatures should ensure that all lawfully present non-citizen residents who qualify for essential low-income benefits have access to them.
Asset limits for public-benefit programs should be increased to ensure that they do not discourage saving. These limits should then be indexed to keep up with inflation.
The federal Supplemental Security Income (SSI) benefit level should be increased to bring beneficiaries up to the poverty level. States should supplement those benefit payments.
Federal and state governments should ensure that long-term services and supports (LTSS) programs cover services that support and supplement caregiving by relatives, friends, and neighbors.