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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.

Policymakers should promote the creation of mixed-use livable communities.

National, state, and local parks should be age-friendly, accessible, and sufficiently funded. They should be equitably located throughout communities.

Policymakers should enact comprehensive planning statutes, regulations, and incentives that create communities that promote the independence and active community eng

Planning activities and goals should be inclusive and equitable. They should support positive outcomes for all community members, including people from groups that are discriminated against.