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States should coordinate LTSS programs, policies, and budgets. This can be done in one state agency or across multiple agencies.

States should develop a comprehensive uniform assessment instrument to determine individual needs and develop a service plan. It should be used in all state LTSS programs. 

Congress should make pre-dispute mandatory arbitration provisions in LTSS contracts unenforceable. 

States should ensure that facility-specific survey results and other information regarding quality are made available to the public in a timely manner.

Policymakers should enact and strictly enforce antidiscrimination and civil rights laws.

States should coordinate mental health services among all appropriate health, LTSS, and aging-network services.

Congress should mandate the use of the Supplemental Poverty Meas

Congress should reauthorize the Elder Justice Act (EJA). It should fully fund the EJA and other programs that address elder abuse.

Policymakers should protect and enforce the fundamental right of all people to be free from discrimination. They should enact and enforce civil rights statutes.

Legislators should enact and strengthen laws against hate crimes. These laws should be vigorously enforced.