Book of the States 2014

Chapter 6 of the 2014 Book of the States contains the following articles and tables:

Disasters demand attention. They don’t care about government shutdowns, continuing resolutions or sequestration. Political ideology and party partisanship are immaterial to them. Disasters also don’t discriminate. They occur in red states, in blue states and every shade in between. Borders drawn on a map make no difference. So, whether it’s a tornado in Moore, Okla., a chemical spill in West Virginia or wildfires in Colorado, there are undeniable realities when it comes to disasters. 1) They will occur. 2) Some people will need help. 3) Communities will want to recover. Because disasters can be arbitrary and capricious, the only way to truly manage them is to learn from the last one, while mitigating and preparing to the best of one’s ability for the next event. At the end of the day, that determines success or failure, life or death. For disasters, all the rest are just details.

The FBI has been using fingerprints to link perpetrators and crimes since at least 1924 and switched over to using computers to track fingerprints in October 1980. Since July 1999, the FBI has been using the Integrated Automated Fingerprint Identification System, the largest fingerprint database in the world.2 Increasingly, state laws require fingerprint-based criminal background checks for licensure of various health professions.

State Medicaid programs are large and complex and their directors are faced with implementing changes required by the Affordable Care Act at the same time they continue to work with limited resources, both fiscal and human. Medicaid programs are also leading by example in major transformations of the health care system, including payment reforms, quality oversight, system accountability, and targeted care coordination.