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LTSS consumers should have access to a full range of mental health services.

Funds should be provided for education and training for long-term services and supports (LTSS) workers, especially those in short supply, such as certified nursing assistant

Policymakers should remove barriers to the effective use of APRNs, such as GNPs, in all LTSS settings.

Federal and state governments must ensure that Medicaid and other public program reimbursements are sufficient to pay wages and benefits that will attract and retain LTSS wo

Policymakers should require a comprehensive national background check prior to employment for all LTSS workers.

Program participant cost-sharing for either community or institutional services should be modest. It should not favor one type of service over another.

Some tax revenues for a new LTSS program should be earmarked to an LTSS trust fund. This would build adequate reserves to cover later generations.