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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.

Public health officials and policymakers should recognize social isolation as a significant public health issue and social determinant of health.

Policymakers and the private sector should develop a standardized screening tool to identify individuals experiencing social isolation.

During times of crisis, state and local governments and the private sector should use evidence-based tools to identify, monitor, and address social isolation among older adults. 

Federal, state, and local policymakers should engage in robust, fully funded public health activities and programs.