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Congress and the U.S. Department of Agriculture (USDA) should ensure that states do not deter the use of electronic benefit transfer (EBT) cards needed for services.
The federal government must not encourage the use of reverse mortgages to purchase private long-term care insurance.
Information about public-benefit programs should be shortened and simplified. This includes application forms, procedures, and program notices.
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.
The federal government should create a public social insurance benefit that provides coverage for LTSS. It should be within Medicare or in a new public program.
Policies and regulations should prioritize placing children in foster care with grandparents and other caregiver relatives whenever possible and appropriate.
Public-benefit programs should ensure that families headed by grandparents and other caregiver relatives receive sufficient support for economic security and well-being.
Food and nutrition programs should have adequate funding to engage in robust outreach efforts.