At the same time the federal government has announced a new emphasis on reviewing how well states enforce Medicaid eligibility rules, it has offered a new tool to help states improve accuracy and speed up the eligibility determination process.
In June 2018, the Trump administration announced new initiatives to increase Medicaid program integrity. These initiatives include assuring that states effectively enforce Medicaid beneficiary eligibility rules. The Government Accountability Office (GAO) estimates that improper Medicaid payments totaling $11.3 billion were made in 2017 because of state errors in eligibility determinations.

On Jan. 14, the U.S. Department of Justice issued a memo that reinterpreted a 1961 law designed to combat organized crime involvement in gambling. The Wire Act of 1961 specifically applies to anyone “in the business of betting or wagering” who “uses a wire communication facility for the transmission in interstate or foreign commerce of bets or wagers or information assisting in the placing of bets or wagers on any sporting event or contest.” Evolving telecommunications technology raised questions about the law’s applications, especially once online lottery sales became feasible.
In 2009, the New York State Lottery Division and then-Illinois Gov. Pat Quinn wrote to the DOJ separately to ask for clarification concerning interstate transmission of lottery data. New York argued that all lottery tickets would be bought and sold within the state, but that transaction data may be rerouted to data centers in other states to deal with heavy network traffic and weather issues. They also pointed out that New York had used this system since 2005, and over 40 state lotteries used similar systems. Quinn explained that their state lottery was a pilot program implemented to avoid “an unprecedented fiscal crisis,” and the program was “a key part of the State’s strategy to address this crisis and raise additional revenue to fund critical state programs…”

There is a tremendous pressure on cities. Already, 1.4 million people around the world are moving to cities and by 2050 they are expected to provide for 70 percent of the world’s population. Although this influx can fuel economic growth and cultural vibrancy, it can also strain cities’ abilities to keep their residents safe, healthy and prosperous. In the wake of recent natural disasters and civic threats, there is a real sense of urgency to make cities more resilient and sustainable.

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Guest

In March, ADAPT Pharma, a subsidiary of Emergent BioSolutions and CSG Associate, announced the expansion of its program offering free NARCAN Nasal Spray – the leading community use naloxone – to U.S. high schools and eligible colleges and universities. NARCAN Nasal Spray 4mg is the only FDA-approved, needle-free formulation of naloxone for the emergency treatment of a known or suspected opioid overdose. As part of this effort, ADAPT Pharma will:

• Expand free NARCAN Nasal Spray availability by eliminating the prior 20,000 cartons cap for eligible colleges and universities
• Double the allocation to high schools from one free carton (two 4mg doses) to two free cartons (four 4mg doses)
• Extend the term of the free NARCAN Nasal Spray offer until it is in every high school and eligible college and university in the United States

The 2018 CSG National Conference in Northern Kentucky/Greater Cincinnati in December featured a day-long policy academy on “The Intersection of Innovation and Infrastructure.” The event included policy discussions on autonomous and connected vehicles and truck platooning, state strategies for advancing the electric vehicle marketplace, ride-hailing and mobility innovations, how to enable the technology underpinning infrastructure innovation and the infrastructure investments and policy changes needed to drive innovation forward. In addition, Michael Stevens, chief innovation officer for the city of Columbus, Ohio, gave a keynote address about the city’s multi-million-dollar smart city initiative. Here’s a summary of what took place along with select comments from the day’s speakers. Below you’ll also find a variety of links to articles and reports that drive the conversation forward on many of these topics.