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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

The federal government should require state CSBG and SSBG officials to consult with state and local agencies and organizations representing older people and other groups served by the programs.

Policymakers should explore new, more consumer-centered systems for providing low-income assistance. 

Policymakers should promote the creation of mixed-use livable communities.