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States Tackle the Tough Stuff Inside: Controlling Health Care Costs

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States Tackle the Tough Stuff Inside: Controlling Health Care Costs IN THE WAKE OF THE HEALTH CARE VERDICT PAGE 46 July/August 2012 STATES TACKLE THE TOUGH STUFF INSIDE: CONTROLLING HEALTH CARE COSTS SUPPORTING JOB GROWTH FINDING REVENUE KEEPING GOOD STAFF & Clean Air Air & Clean Reliable Electricity Nuclear Energy: dependence on foreign energy sources. energy foreign on dependence affordable electricity our and reduces and low-carbonportfolio more generates that be expanded as part of abalanced energy should energy Nuclear kilowatt-hour. per production costs that average about 2cents electricity with all sources of reliability Nuclear energy facilities have the highest gases. greenhouse more producing be built to meet this rising demand without 2035, advanced nuclear energy plants must electricity needs expected by to grow 24% our With electricity. carbon-free America’s Nuclear energy produces nearly of 70% more American jobs? creating while affordable is that electricity low-carbon more generate we can How Nuclear. Clean Air Energy. Nuclear. nei.org Pub: NCSL: State Legislatures Magagine Run Date: July/ August 2012 Size: 8.5” x 10.875” VER. : Full Page: Clean Air Ad 4CP: n n n n Client: NEI For Placement Questions: Patti Heck, Crossroads Media, 703.299.1760 For Ad Questions: Vizual, 703.437.8018 STATE LEGISLATURES | 07-08 .2012 VOL 38 N o- 7 | CONTENTS A NATIONAL CONFERENCE OF StatE LEgislaturES PUBLICATION JULY/AUGUST MAN E HOLD E © 2012 BRUC FEATURES 16 THE CONSERVATIVE DIFFERENCE 42 MANAGING THE GAP By Lou Cannon By Brian Weberg GOP lawmakers have enjoyed remarkable success in the As baby boomers retire, legislative staff managers are past two legislative sessions, but the long-term effects of cultivating the next crop of leaders. some efforts rest in the courts’ hands. 46 IN THE WAKE OF THE VERDICT 20 TAXING DECISIONS By Martha King By Louis Jacobson The U.S. Supreme Court’s ruling on the federal health law A few states are dipping their toes into new revenue streams. leaves lawmakers working out what it means for their states. 26 BOOSTING STATE ECONOMIES 49 A PAGE CHANGER By Suzanne Weiss By Bladen Finch Six legislative leaders talked with State Legislatures about Young people engage with the legislature through a efforts to improve the economy and spur job growth in their program like no other in Virginia. states. 54 BITTERSWEET VICTORY 28 GREAT IDEAS FOR CUTTING COSTS By Natalie Davis Six more strategies to manage the rising costs of health care. BettyLou DeCroce took her late husband’s seat in the New Jersey Legislature. He would have wanted it that way. 34 A RARE PAIR By Carol Knowles 61 TESTED BY TRAGEDY Two Illinois senators set partisanship aside and formed a By Edward P. Smith friendship across the aisle. New York Assembly Speaker Sheldon Silver is the recipient of this year’s top legislative leadership award. 38 FACING THE FUTURE By Karl Kurtz and Tim Rice Retiring colleagues, stagnant salaries and intensifying partisanship are top concerns of legislative staffers. STATE LEGISLATURES A NATIONAL CONFERENCE OF StatE 4 | CONTENTS | 07-08.2012 LEgislaturES PUBLICATION The people in your district who Executive Director VOICES 11 TRENDS AND TRANSITIONS ONLINE William T. Pound GPS searches, revenues rebound, Editor allocating the mortgage settlement, Karen Hansen will be the most a ected by 56 FOR THE RECORD VISIT WWW.NCSL.ORG/MAGAZINE electing women and marriage laws. Managing Editor Pollsters Peter Hart and Neil THIS MONTH FOR: Edward P. Smith Newhouse discuss the dominant Associate Editor Julie Lays higher electricity costs are those trends in this year’s election. 14 STATELINE Learn more about efforts to find ◆ Copy Editor News and happenings from around alternatives to transportation Leann Stelzer the nation—from paperless bonds funding. Contributors Jennie Drage Bowser who can least a ord them. to private sponsors. Visit NCSL’s web page on efforts Qiana Flores ◆ Jaime Rall states are making to curb health Anne Teigen 63 AS THEY SEE IT costs. Art Director Bruce Holdeman Quotes and cartoons from the Catch up on previous interviews with states. ◆ Advertising Sales Manager opinion leaders. LeAnn Hoff DEPARTMENTS (303) 364-7700 .................................... NCSL OFFICERS 4 THEN AND NOW President CORRECTIONS Senator Stephen Morris, Kansas President Elect 7 BOOK REVIEW The publisher of “The Sometime Governments” was misidentified in an item Representative Terie Norelli, in People & Politics in the May issue. The actual publisher is The Citizens New Hampshire Vice President 9 STATESTATS Conference on State Legislatures. And, in an article in Trends and Transitions, Senator Bruce Starr, Oregon Good-bye government jobs. the map incorrectly showed Pennsylvania as having enacted legislation Staff Chair allowing military designations on driver’s licenses. A bill has been introduced Michael Adams, Virginia Staff Vice Chair 10 PEOPLE & POLITICS in Pennsylvania, but it has not yet passed. Patsy Spaw, Texas Immediate Past President Senator Richard Moore, Massachusetts Immediate Past Staff Chair THEN & NOW Tim Rice, Illinois .................................... Denver Office 25 YEARS AGO DID YOU KNOW … WHOSE CAPITOL IS IT? 7700 East First Place Denver, Colorado 80230 (303) 364-7700 The North Dakota Capitol was Washington, D.C. Office constructed after a fire destroyed 444 North Capitol Street, N.W. the first capitol on the night of Dec. Suite 515 Washington, D.C. 20001 28, 1930. In the midst of the Great (202) 624-5400 Depression, the Legislative Assembly Website www.ncsl.org/magazine .................................... State Legislatures (ISSN 0147- 0641), the national magazine of policy and politics, is published monthly by the National Conference of State Legislatures except July/August Articles from the August 1987 issue and October/November, which are combined. Postmaster: of State Legislatures: Send address changes to: State Legislatures, 7700 East First Place, Denver, CO 80230. RE-EMPLOYING UNEMPLOYMENT FUNDS © 2012, All Rights Reserved. “Dissatisfied with simply maintaining Opinions expressed in this magazine do not necessarily the unemployed with unemployment reflect the policy of NCSL. insurance funds, states are searching Go to www.ncsl.org/bookstore/ to You see it every day. The families and businesses in your district are struggling to make ends meet. Over for new ways to get around the subscribe. United States—$49 per year; foreign—$55. Teachers only 60 million Americans with annual incomes below $50,000 already pay 21% of their after-tax income on inflexibilities in the system and put $25 (enter promo code SLMTEA). people back to work.” decided to build a tower rather than a Single copy: $6.50. energy. But thanks to electricity from coal, power bills throughout most of America have remained stable traditional domed capitol for economic Letters to the Editor may be mailed to the Denver office and affordable. Without coal as a dominant fuel for power generation, electricity costs would spike, DO RABBITS HAVE RIGHTS? reasons. It was a bargain, costing only or sent by e-mail to: edward. “As public outcry against the use of [email protected]. Send requests 46 cents per cubic foot to build. It was for permission to reprint to resulting in even greater hardship. Learn why supporting coal is one of the best ways you can positively animals in research and testing grows, finished for less than its $2 million Edward Smith in Denver. Send state legislators are being asked to take subscriptions and changes of limit. The 19-story art deco tower sits address to the Denver office Attn: impact local job growth and the long-term economic outlook for your constituents at AmericasPower.org. a more active role in regulating animal on 132 acres. On a clear day, from the Marketing Department. research within their states.” observation deck on the top floor, you To find out, go to: www.ncsl.org/magazine Periodically, NCSL rents mailing labels to outside organizations. If can see for 35 miles. you prefer your name not be used, IT’S HIP TO BE HEALTHY —From “A Celebration of State please send a written request. “The wellness revolution, in which Capitols” by Richard Gibson and the State Legislatures is indexed in Americans everywhere are exercising the PAIS Bulletin and Expanded North Dakota Office of Management Academic Index. It is also more and eating less, is moving from available in microform and and Budget electronically through University the health club to the statehouse.” Microfilms Inc. (UMI) at (800) 521-0600. The people in your district who will be the most a ected by higher electricity costs are those who can least a ord them. You see it every day. The families and businesses in your district are struggling to make ends meet. Over 60 million Americans with annual incomes below $50,000 already pay 21% of their after-tax income on energy. But thanks to electricity from coal, power bills throughout most of America have remained stable and affordable. Without coal as a dominant fuel for power generation, electricity costs would spike, resulting in even greater hardship. Learn why supporting coal is one of the best ways you can positively impact local job growth and the long-term economic outlook for your constituents at AmericasPower.org. BFF_ad_Layout 1 7/2/12 12:25 PM Page 1 We expect to know what’s in our food so we can choose what we think is best for ourselves and our children. But what goes into our children’s health care? As pediatricians, we know a lot about the care that’s best for a child to grow up healthy, happy, and full of promise. That’s why, in partnership with the US Department of Health and Human Services, we developed Bright Futures, the recognized gold standard of children’s preventive health care. Bright Futures guidelines provide a set of principles, strategies, and tools to improve the health and well-being of all children, with health care that is culturally-appropriate and delivered in a child’s medical home.
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