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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.

State policymakers should prohibit the use of credit scores or reports to determine the rates or deposits of essential residential utility 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 that all beds in a nursing facility be certified for Medicaid and Medicare as a condition for the facility’s participation in Medicaid.

Quality measures: Participant preferences and satisfaction should be used as key quality measures.