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Unmarried domestic partners and spouses in same-sex marriages should be provided all the financial protections given to opposite-sex community spouses. 

The federal government should permit states to opt out of Medicaid estate recovery. 

The federal government should require all states to implement medically needy programs for people who need LTSS in all settings. 

The federal government should increase the minimum PNA for Medicaid participants in nursing facilities and residential care settings.

Programs that link Medicaid eligibility to the purchase of long-term care insurance (LTCI) should not limit the availability of Medicaid benefits for people with low incomes who need long-term serv

Partnership programs should require LTCI policies to provide comprehensive benefits and strong consumer protections, particularly regarding non-forfeiture, inflation protection, and premium stabili

Programs should require those selling partnership policies to educate consumers to make informed decisions about whether a partnership policy is right for them.

Policies and regulations should prioritize placing children in foster care with grandparents and other caregiver relatives whenever possible and appropriate.