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Policymakers and the private sector should support the ability of people of all ages, ability levels, and backgrounds to travel.

Travel should be safe, including during declared public health crises. During such times, travel providers should be required to put in place and publicize safety protocols. 

Travel should include consumer protections, including transparent pricing and access to redress.

Food and nutrition programs should have adequate funding to engage in robust outreach efforts. 

Federal policymakers should develop a comprehensive system for financing Long-Term Services and Supports (LTSS) that includes a new social insurance program to provide a basic level of LTSS.

Ideally, the federal government should finance LTSS through a universal, comprehensive, and publicly administered program such as Medicare or similar social insurance program of shared risk. 

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 federal government should assume a much stronger role in ensuring the quality of services paid for by Medicaid in residential care settings.