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States should distribute public revenue only to social service agencies that are formally accountable to taxpayers. This should be demonstrated by performance-based measures.
Congress should mandate the use of the Supplemental Poverty Meas
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.
The federal government and the states should enact laws that establish the right of residents in nursing facilities and residential care settings—or their legally recognized decision-makers—to use
Agencies that refer individuals to nursing facilities and residential care settings should be required to inform the facility when an applicant poses a potential threat to the safety of other resid
States should provide adequate funding to enable state LTSS ombudsmen to visit all facilities.