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Federal policymakers should develop a comprehensive system for financing Long-Term Services and Supports (LTSS) that includes a new social insurance program to provide a bas

The cost of a new social insurance LTSS program should be paid for with premiums, individual contributions through cost-sharing requirements, and general revenues.

Enforcement of civil and criminal laws should avoid penalizing people with escalating fines, loss of rights, or criminal penalties when the person subject to enforcement cannot sa

Legal services programs should be fully funded.

The federal government should broadly interpret and vigorously enforce the ADA.

The federal government should encourage and expedite funding for priority research, demonstration projects, and referral programs for the design an

Policymakers should require a comprehensive national background check prior to employment for all LTSS workers.

Congress and the states should ensure adequate Medicaid funding and maintain existing guarantees for Medicaid long-term

Federal and state governments should ensure that Medicaid reimbursement is sufficient to guarantee access to the full range of high-quality long-term services and supports i