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States should coordinate LTSS programs, policies, and budgets. This can be done in one state agency or across multiple agencies.
States should develop a comprehensive uniform assessment instrument to determine individual needs and develop a service plan. It should be used in all state LTSS programs.
Congress should make pre-dispute mandatory arbitration provisions in LTSS contracts unenforceable.
States should ensure that facility-specific survey results and other information regarding quality are made available to the public in a timely manner.
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.
Exemptions from state retail sales taxes should be narrowly designed to reduce their regressive nature and avoid pyramiding.
Policymakers should enact and strictly enforce antidiscrimination and civil rights laws.
States should coordinate mental health services among all appropriate health, LTSS, and aging-network services.