CSG Midwest
Wisconsin has received federal approval of changes to its Medicaid program that include requiring work for some enrollees and charging higher premiums based on the results of a health risk assessment. The approved waiver centers on childless adults applying for and receiving coverage through the public health insurance program. According to The Washington Post, Wisconsin also had originally sought to become the first state in the nation to impose drug tests on some of its Medicaid population. This requirement did not receive federal approval.
CSG Midwest
A bipartisan deal on how to manage the nation’s water resources has potentially big implications for the Great Lakes and the region’s states — authorization of a nearly $1 billion project at the Soo Locks, movement on a plan to stop Asian carp, and more money to protect drinking water.
Signed into law in October, the Water Resources Development Act (WRDA) also establishes new programs to research the eradication of zebra mussels and Asian carp and to explore technologies that prevent harmful algal blooms in the Great Lakes.
CSG Midwest

Key developments include shifts in partisan control in one of the region's legislatures and four governor's offices, Michigan's legalization of recreational marijuana and the state's redistricting overhaul, and Nebraska's Medicaid expansion.

The number of transactions conducted with credit and debit cards has grown steadily in the United States over the last decade. Electronic transactions conducted with credit cards and debit cards increased from 27 billion in 2001 to 105 billion in 2016, an annual increase of about 19 percent.

This trend has caused U.S. governments to encourage their agencies to use electronic payment methods even as the agencies continue to accommodate cash and check payments. During the CSG 2018 National Conference in Northern Kentucky – Greater Cincinnati Dec. 6-8, CSG will release a report titled Cash-less State Governments: Electronic Collections & Benefit Disbursements.

Kentucky is a leading state for logistics—the transport of goods from point of origin to point of consumption. With the growth of e-commerce as well as the expansion of Kentucky’s auto industry and other economic sectors, the state has been able to parlay its infrastructure assets and prime location into billions of dollars in investments from some of the biggest players in logistics.

CSG Midwest
Two years ago, four public universities in South Dakota began offering in-state tuition to Iowa undergraduate students. In October, state officials announced that the plan had begun to pay off.
CSG Midwest
In North Dakota, two features of the state’s economy have persisted for years now: some of the lowest jobless rates in the nation, and workforce shortages challenging individual employers and entire economic sectors. 
“By most estimates, we have over 20,000 unfilled jobs,” notes North Dakota Sen. Brad Bekkedahl.
Would scholarships or a loan-forgiveness program — with some strings attached — help fix this mismatch between worker supply and demand? And which of these two options would work best? Those questions were explored during the legislative interim and will likely emerge again when lawmakers convene in early 2019.
CSG Midwest
Two Midwestern states announced plans this fall to do more to prevent elder abuse. In Ohio, a new $1.3 million project will seek to raise public awareness, create an online referral system to report abuse, and establish new county-level collaborations. Much of the money for this new initiative is coming from a federal grant. This year, too, Ohio has expanded its mandatory-reporter law. Under HB 49, which took effect in September, many more individuals must report cases of elder abuse or face fines. The list of mandatory reporters now includes pharmacists, certified public accountants, financial planners, real estate agents and first-responders, among others.
CSG Midwest
A summertime ban on E15 sales may soon be eliminated by the federal government, a move expected to help the Midwest’s corn producers and ethanol industry. In October, President Donald Trump directed the U.S. Environmental Protection Agency to initiate a rulemaking process that allows for year-round sales.
CSG Midwest
In the 1930s, farmers throughout the Midwest were going out of business in record numbers, and corporations were buying the farmland at rock-bottom prices. In response, several Midwestern states passed bans on corporate farming and foreign land ownership. One of the first was North Dakota — via an initiated measure approved by voters in 1932.
That Depression-era law has faced a mix of legislative and legal challenges over the past three years, but it’s still standing.
Most recently, in September, U.S. District Court Judge Daniel Hovland issued a decision in a closely watched case that pitted the state against the North Dakota Farm Bureau.

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