Debra Miller

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At this session, two interstate compact experts discussed important legal events in 2018 and their impacts on developing interstate compacts. 

The U.S. Bureau of Labor Statistics estimates that the number of licensed occupations has risen from 5 percent of the U.S. workforce in the 1950s to about a quarter of the workforce today. Navigating the various state licensing processes can pose a significant challenge for workers due to different rules, regulations, fee structures and continuing education requirements. This panel looked at the rising use of occupational licensure compacts, particularly in the health care sector, to achieve professional licensure portability and...

States are continually looking for ways to ease the burdens of military spouses deploying to new states and military service members transitioning to the civilian workforce. This panel explored the policies that states are using to help military members and their families meet these challenges and how these initiatives may inform a broader approach to workforce mobility and state occupational licensure.
• Moderator: Marcus Beauregard, Department of Defense, Civilian Liasion Office
• Senator Carol Blood, Nebraska...

This panel examined how four professions have addressed interstate licensure reciprocity and portability. Panelists explained the mechanism for interstate licensure mobility in their profession, why they believe interstate licensure mobility is important for their members, and the benefits of licensure and licensure portability for both professionals and the public.

• Moderator: Nahale Kalfas, Attorney, The North Carolina Board of Examiners for Speech and Language Pathologists
• Michael Armstrong, National Council of...

This panel examined the evolution and current use of interstate compacts, discuss the history of interstate compacts and examine the scope of interstate problems states now tackle through compacts, with a focus on occupational licensure compacts. Additionally, the panel explored other forms of multistate cooperation and discussed why compacts are viewed as a superior solution to foster interstate cooperation, protect consumers and guard state sovereignty. As policymakers confront issues from health care delivery to infrastructure...

In the face of the devastating opioid crisis, states are confronted with financing and regulating complex -- and often disconnected -- systems of services to treat opioid use disorder. A comprehensive, sustainable service system must include a robust mix of high-quality treatment for acute needs linked to long-term supports for care maintenance with wraparound supports. This session provided an opportunity to hear from state leaders about the keys to creating and financing a high-functioning system to serve people with this disorder and their communities.  

This session was presented in partnership with the Pew Charitable Trusts and their Substance Use Prevention and Treatment Initiative.

Those in attendance at the "Growing Green: Marijuana Policy Impacts on State Budgets"  session at the CSG National Conference heard that states have collected what they characterized as significant but not game changing revenues. Friednash and Todd, both from Colorado, the first state to legalize sales of recreational marijuana, reinforced that marijuana revenues are but a sliver of overall state revenues. In his presentation, economist Beau Whitney presented estimates of other economic impacts of marijuana legalization...

The Council of State Governments hosted its 2018 National Conference from Dec. 5th - Dec. 8th in Northern Kentucky/Greater Cincinnati.

The meeting provided state leaders with a full agenda structured to tackle some of the most pressing issues facing state governments. If you would like to review the agendas and speakers, or get copies of the presentations and related materials, please

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The midterm elections moved more states into the legalized marijuana category. Voters in Michigan approved a ballot measure to make marijuana legal and to regulate businesses involved in selling it. That vote brought to ten the number of states with legalized recreational marijuana.
Medical marijuana laws exist in 33 states now, with Missouri and Utah added after voter referenda were approved in the November elections.

During the 2018 CSG National Conference in Northern Kentucky - Greater Cincinnati, attendees will have the opportunity to participate in a day-long policy academy on Wednesday, Dec. 5, 8 a.m.- 5 p.m. to consider state options to implement gaming in their states following the recent Murphy decision by the U.S. Supreme Court. 

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