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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.

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

Social Security should cover all workers, including all newly hired state and local government workers.

Any changes to the determination and appeals process should ensure the following:

Employers should be required to automatically enroll employees in their retirement plans.

Government workers should continue to have access to defined-benefit plans.