States should coordinate LTSS programs, policies, and budgets, whether in one state agency or across state agencies.
States should develop a comprehensive uniform assessment instrument to determine individual needs and develop a service plan.
Congress should make pre-dispute mandatory arbitration provisions in LTSS contracts unenforceable.
States should ensure that survey results and other information regarding quality, including comparisons with national standards when possible, are made available to the public in
Policymakers should enact and strictly enforce antidiscrimination and civil rights laws.
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:
States should coordinate mental health services among all appropriate health, LTSS, and aging-network services.
Due to their regressive nature, raising state and local sales taxes should not be the first choice for increasing tax revenues.
States and localities should include services in the taxable base to reduce regressivity and improve neutrality.