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States should mandate public disclosure of disciplinary actions taken by health regulatory boards and make this information easily accessible to consumers.

Current federal regulations and policies should be interpreted to allow Advanced Practice Registered Nurses (APRNs) and physician assistants (PAs) to fully

States should require that all beds in a nursing facility be certified for Medicaid and Medicare as a condition for the facility’s participation in Medicaid. 

States should require adequate numbers of appropriately trained staff to ensure a high quality of care.

Quality measures: Participant preferences and satisfaction should be used as key quality measures.

The Centers for Medicare & Medicaid Services, the states, and all other regulators should vigorously enforce all regulations in long-term services and supports (LTSS) facilities and home care w

The federal government and the states should provide incentives (including, but not limited to, grants and loans) for new, affordable models of LTSS.

The federal government and the states should require providers to hold residents’ beds for them during temporary absences as long as the residents’ fees continue to be paid.