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Policymakers should adopt minimum service standards and consumer protections to ensure fair terms and conditions.

Policymakers should ensure network reliability and resiliency for utility and telecommunications services.

Policymakers should ensure affordable and reliable access to essential communications and utility services for all.

Policymakers should ensure that universal service funds are calculated fairly and distributed equitably.

Policymakers should establish a definition of “universal service” for the energy industry that is similar to the one in the Telecommunications Act of 1996.

Regulators and lawmakers should ensure that consumers with low incomes can afford their utilities. This includes telecommunications, energy, and water.

Federal and state governments should monitor compliance with the Nursing Home Reform Act and other laws and regulations affecting nursing facilities.

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.