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States should coordinate LTSS programs, policies, and budgets, whether in one state agency or across state agencies.

States should develop a comprehensive uniform assessment instrument to determine individual needs and develop a service plan.

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

States should ensure that survey results and other information regarding quality, including comparisons with national standards when possible, are made available to the public in

State and local governments should expand and strengthen consumer protections, as well as consumer outreach and education programs.

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.

Higher education institutions should set tuition and fees in a manner that ensures affordability and increases educational opportunities for all, including by establishing innovat

Policymakers should create or extend programs that would address reverse mortgage foreclosures.

Proceeds from reverse mortgages should not affect homeowners’ eligibility for public benefit programs.