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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.
Policymakers should explore new, more consumer-centered systems for providing low-income assistance.
The federal government should require state CSBG and SSBG officials to consult with state and local agencies and organizations representing older people and other groups served by the programs.
Public health officials and policymakers should recognize social isolation as a significant public health issue and social determinant of health.
Policymakers and the private sector should develop a standardized screening tool to identify individuals experiencing social isolation.
During times of crisis, state and local governments and the private sector should use evidence-based tools to identify, monitor, and address social isolation among older adults.
Federal, state, and local policymakers should engage in robust, fully funded public health activities and programs.