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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.
Modifications to retirement plans or plan formulas should hold harmless current beneficiaries and employees. They should also ensure the retirement security needs of future retirees.
Policymakers should explore new, more consumer-centered systems for providing low-income assistance.
Employers should be required to automatically enroll employees in their retirement plans.
The laws governing state and local retirement funds should be amended where necessary to provide surviving and divorced spouses of public retirees with at least the same protections that the Employ