Laws and regulations provide the crucial bases for consumer protections, but they are meaningful only with good oversight and regulatory enforcement. Advocacy can include directly engaging state agency officials who are responsible for oversight (informing them of problems and violations, holding them accountable for strong oversight, etc.) as well as working to improve regulatory oversight by engaging long-term care ombudsmen and policymakers. Advocates need to support oversight work and make sure that regulatory staff are empowered, both financially and politically, to provide meaningful oversight. The Government Accountability Office’s 2004 report, Examples of State Efforts to Improve Consumer Protections, focuses on state activities and regulatory practices of interest to advocates (http://www.gao.gov/new.items/d04684.pdf).
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