Medical Licensing Compact Seen as Innovative Possibility

Population growth, an aging population and a dramatic rise in the number of insured Americans resulting from the Patient Protection and Affordable Care Act are creating a growing need for more primary care physicians nationwide. Despite the growing demand for health services, only 6 percent of doctors are licensed in three or more states, according to Lisa Robin, chief advocacy officer for the Federation of State Medical Boards. One possible solution to growing concerns about physician shortages may be an increased on license portability as a means to promote telehealth and allow doctors to more easily work across state lines. 


State Implications of Immigration Bill Become Clearer

The much-anticipated immigration reform bill has started to take shape in Washington, D.C., and states now have a better idea of what to expect.

A few weeks ago, Capitol Hill Ideas took a look at the State Criminal Alien Assistance Program, known as SCAAP, which is the primary way states are reimbursed for the cost of detaining criminal illegal immigrants. Funding for the program has been in flux for the past several years, and it now appears that immigration overhaul funds SCAAP through 2015.


Gov. John Kitzhaber on Coordinating Care to Cut Medicaid Costs

10 Questions with Oregon Gov. John Kitzhaber: Coordinating Care to Cut Medicaid Costs

Oregon Gov. John Kitzhaber, a physician, says his state’s new approach to Medicaid under a federal waiver has fundamentally changed the way health care is organized and delivered. It established coordinated care organizations, which are moving away from a fee-for-service model.


Medicaid: Change is on the horizon; states prepare for turning point in health program

Stateline Midwest ~ May 2013

Since its inception in 1965, Medicaid has been a critical part of our nation’s safety net. And as both enrollment and spending have been steadily increasing — and a new federal health law is poised to take full effect — the strength of that net is being tested.


Proposed Food Safety Act Rules Raise Questions

The Food Safety Modernization Act of 2011 made sweeping changes to how America ensures its food supply is safe. What remains to be seen is just how the Food and Drug Administration will enact those changes.


2013 Update on the Panama Canal Expansion and Ports in the Atlantic and Gulf Coast States

The ongoing Panama Canal expansion is perhaps the most transformative global transportation project now in progress. Upon completion in 2014, the expanded Panama Canal will facilitate an even greater flow of trade between Asia and the Americas and will substantially impact the volume of trade reaching Gulf and Atlantic Coast ports in the United States. The impetus for the expansion of the Canal, approved by the people of Panama in October 2006, sprang from that nation’s desire to continue as a pivotal player in global trade patterns and strategically leverage its greatest asset—the Panama Canal—for its own economic well-being. 


Greece, NY Takes Prayer Case to SCOTUS

Earlier this week, the U.S. Supreme Court agreed to hear oral arguments in the case of Greece, NY v. Galloway, Susan. The case originated in the city of Greece, NY where prayer is common at local legislative meetings. However, a group of citizens from the town sued the city in February 2008 not because of the action of praying, but because the prayers are explicitly Christian.


While Some States Turn to Public-Private Partnerships, Tolls for Big Transportation Projects, Others Face a Backlash

I have an article in this week’s edition of the Capitol Ideas E-Newsletter profiling Maryland’s new law governing public-private partnerships (P3s) and previewing Maryland Lt. Gov. Anthony Brown’s appearance next month at the InfraAmericas U.S. P3 Infrastructure Forum in New York City. For those interested in some additional reading on the subjects of P3s and tolling, here are some links and items worthy of note.


US Department of Education Receives Testimony About SARA

The US Dept. of Education recently announced a series of public hearings to solicit comments on a host of topics, including, but not limited to:

 

  • State Authorization
  • Gainful employment;
  • Credit Hour Conversions; and
  • Campus Safety.

The first of these hearings occurred May 21 in Washington, DC.  In the course of the discussion Department officials received considerable testimony about state authorization, including the difficulties of complying with varying state authorization requirements for institutions wishing to offer degree programs in multiple states.  During the testimony there was considerable support for The State Authorization Reciprocity Agreement (SARA) and other forms of interstate compacts that would allow states to govern distance learning short of federal regulations. 


West Virginia Among States Still Considering Transportation Funding Options

A blue ribbon panel in West Virginia said this week the state needs an additional $1.13 billion to $1.28 billion a year to build and maintain the state’s road system. They’ll take the month of June to assess the possible revenue options at a series of public hearings. There are also reports this week on a number of states facing disappointment on the transportation revenue front or still hoping to get something done in the waning days of legislative sessions.


Wyoming Becomes Latest to Adopt State Lottery: Where Does the Lottery Revenue Go?

Wyoming's legalization of a state lottery in March 2013 made it the 44th state with such a lottery. While Hawaii and Utah continue to ban all forms of gambling, the other states without lotteries (Alabama, Alaska, Mississippi, and Nevada) profit from casinos and other forms of gambling, but have yet to cash in on lottery revenues which totaled more than $19 billion last year.


End of the Driving Boom Could Have Broad Policy Implications for Transportation

Last week’s “Traffic Volume Trends” report by the Federal Highway Administration showed that Americans drove 3.7 billion miles fewer in the month of March than they did in the same month a year ago. This isn’t an anomaly.  Also last week, the US Public Interest Research Group (US PIRG) and the Frontier Group jointly released a report entitled “A New Direction: Our Changing Relationship with Driving and the Implications for America’s Future” that said such declines are part of a trend that is likely to continue. That trend, the report says, throws into question whether transportation planning and public policy accurately reflect America’s changing transportation preferences and priorities.


Must Read: Governing’s Inside Look at Setting Up a Health Exchange

Governing reporter Dylan Scott wrote today about the start-up operations at the Rhode Island health insurance exchange. The staff’s white board counts down the 138 days to October 1 when uninsured Rhode Islanders will be able to buy health insurance through the exchange.  

Scott’s article provides insight into exchanges – how government is moving into selling health insurance and the challenges ahead. It’s a must read for anyone struggling to understand this new government endeavor.


Obama Administration Approves More NCLB Waiver Requests

The U.S. Department of Education approved three additional waivers for No Child Left Behind this week, bringing to 37 the number of states that have been granted federal waivers since fall 2011.  Alaska, Hawaii and West Virginia are the latest states to be granted flexibility from provisions of NCLB, which has been due for reauthorization since 2007.


Duncan Takes Push for Expanded Preschool to House Committee

U.S. Education Secretary Arne Duncan took his case for $75 billion to expand pre-kindergarten to the House Education and Workforce Committee on Tuesday. Duncan called the plan to make preschool available to more four-year-old children, "the smartest use of our education dollars.”


Storm Recovery and SmartGrid Infrastructure Webinar - June 12

Mark your calendars for the next installment in CSG's webinar series entitled, "Storm Recovery—Building Stronger, Smarter Electrical Grids." The program will start at 2 PM/Eastern on June 12th and you can register here for the event.