COSTLY CURES Beyond the Reach of Many
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WELCOME ALL NEW LAWMAKERS PAGE 16 February 2017 COSTLY CURES Beyond the Reach of Many EXPORTS BY STATE PAYING FOR INFRASTRUCTURE SCHOOL CHOICE UPDATE Thanks to our sponsors for their generous support PLATINUM 1-800 CONTACTS, Inc. Entertainment Software Association Inuit Reynolds American Inc. Advance America Esri MAXIMUS State Farm Insurance Companies Amgen Genentech Mylan Takeda Pharmaceuticals USA, Inc. Anthem Gilead Sciences National Cable & TIAA Astellas Pharma US, Inc. Institute of Scrap Recycling Telecommunications Association University of Phoenix AT&T Industries, Inc. Novartis Visa Charter Communications International Paper Nuclear Energy Institute Walmart Comcast Cable Communications GOLD 21st Century Fox BlueCross BlueShield Association International Union of The Pew Charitable Trusts AARP Boehringer Ingelheim Operating Engineers PhRMA ADM Capital One Joe Foss Institute Philips Aircraft Owners and Pilots Association Cargill Leonine Public Affairs Premier Alliance of Automobile Manufacturers The Carpet & Rug Institute LexisNexis State Net Reason Foundation Amazon CenturyLink Lockridge Grindal Nauen PLLP Red Bull American Association for Justice Chevron Mallinckrodt Pharmaceuticals RELX, Inc. American Bankers Association Corvias Group MasterCard Worldwide Roche Diagnostics American Beverage Association Consumer Technology Association McKesson Specialty Health Salt River Project American College of Cardiology Cox Communications, Inc. McLane Company, Inc. Sanofi American Council of Life Insurers Crown Cork & Seal Company, Inc. Mead Johnson Nutrition SAS Institute American Dental Association CTIA— The Wireless Association Merck Securities Industry and Financial American Federation of State, County & Daiichi Sankyo, Inc. Microsoft Markets Association Municipal Employees Darden Restaurants, Inc. Motion Picture Association of America Siemens American Federation of Teachers Design-Build Institute of America National Apartment Association Society for Human Resource American Forest & Paper Association Dorsey & Whitney, LLP National Association of Convenience Management American Fuel & Petrochemical EdChoice Stores Sodexo Manufacturers Edison Electric Institute National Athletic Trainers’ Association Sprint American Gas Association Energy Future Holdings National Beer Wholesalers Association State & Federal Communications, Inc. American Heart Association Everytown for Gun Safety National Education Association Stateside American Hotel & Lodging Association Facebook National Electrical Manufacturers Target American Institute of CPAs Generic Pharmaceutical Association Association Tax Foundation American Optometric Association Google National Retail Federation Teva Pharmaceuticals USA American Retirement Association HIMSS National Rural Electric Cooperative T-Mobile American Society of Civil Engineers HP Inc. Association Transurban America’s Credit Unions IBM Natural Resources Defense Council Unilever United States, Inc. Anheuser-Busch Companies icitizen Novo Nordisk UPS AstraZeneca IGT NWEA Walgreens Bank of America Insured Retirement Institute PayPal Wells Fargo Bayer HealthCare Pharmaceuticals International Council of Pearson West, A Thomson Reuters Business Best Buy Shopping Centers Personal Care Products Council WSP Parsons Brinckerhoff SILVER 3M American Hospital Association Educational Testing Service National Association of Home Builders AAA American Medical Association ExxonMobil National Business Aviation Association Aflac America’s Health Insurance Plans GlaxoSmithKline National Federation of Independent Agrium AmerisourceBergen General Mills Business Air-Conditioning, Heating, and Ash Grove Cement Company Hallmark Cards Nike Refrigeration Institute Association of American Railroads The Hershey Company Northrop Grumman American Academy of Pediatrics Bristol-Myers Squibb InState Partners Property Casualty Insurers Association American Association of Nurse CEDIA International Bottled Water Association of America Practitioners The Coca-Cola Company John Deere Purdue Pharma LP American Chemistry Council CompTIA Johnson & Johnson Retail Industry Leaders Association American Coalition for Clean Coal Consumer Healthcare Products Johnson Controls Satellite Broadcasting and Electricity Association JPMorgan Chase & Co. Communications Association American Coatings Association CropLife America Mattel, Inc. Service Employees International Union American Electric Power Diageo North America, Inc. MultiState Associates Solar Energy Industries Association American Financial Services Association Dominion National Association of Toyota Motor North America American Gaming Association eBay, Inc. Chain Drug Stores USIC A National FEBRUARY 2017 VOL. 43 NO. 2 | CONTENTS Conference of State Legislatures Publication Executive Director William T. Pound Director of Communications Karen Hansen Thanks to our sponsors for their generous support Editor Julie Lays NCSL’s national magazine of policy and politics Assistant Editor PLATINUM Kevin Frazzini FEATURES DEPARTMENTS Contributing Editor 1-800 CONTACTS, Inc. Entertainment Software Association Inuit Reynolds American Inc. Jane Carroll Andrade SHORT TAKES ON NCSL NEWS PAGE 4 Advance America Esri MAXIMUS State Farm Insurance Companies Online Magazine COSTLY CURES Page 10 Ed Smith BY MICHAEL BOOTH Connections, support, expertise and ideas from NCSL Amgen Genentech Mylan Takeda Pharmaceuticals USA, Inc. Mark Wolf Anthem Effective but very expensive drugs are forcing state Medicaid Gilead Sciences National Cable & TIAA Advertising Sales Astellas Pharma US, Inc. Institute of Scrap Recycling Telecommunications Association University of Phoenix Manager directors to make some tough decisions. FROM THE EXECUTIVE DIRECTOR PAGE 5 AT&T LeAnn Hoff Industries, Inc. Novartis Visa (303) 364-7700 NCSL stands with you. Charter Communications [email protected] International Paper Nuclear Energy Institute Walmart Comcast Cable Communications Contributors TRENDS PAGE 6 Dick Cauchi Kevin Pula The latest on school choice, financial crimes GOLD Jim Reed Rich Williams against the elderly and tools to encourage 21st Century Fox BlueCross BlueShield Association International Union of The Pew Charitable Trusts AARP Boehringer Ingelheim Operating Engineers PhRMA Art Director financial independence Bruce Holdeman ADM Capital One Joe Foss Institute Philips Aircraft Owners and Pilots Association Cargill Leonine Public Affairs Premier NCSL President NEWSMAKERS PAGE 8 Alliance of Automobile Manufacturers Senator Daniel T. Blue The Carpet & Rug Institute LexisNexis State Net Reason Foundation North Carolina A look at who’s making news under Amazon CenturyLink Lockridge Grindal Nauen PLLP Red Bull American Association for Justice Chevron Mallinckrodt Pharmaceuticals RELX, Inc. NCSL Staff Chair the domes Raúl E. Burciaga American Bankers Association Corvias Group MasterCard Worldwide Roche Diagnostics Director, Legislative American Beverage Association Consumer Technology Association McKesson Specialty Health Salt River Project Council Service New Mexico STATELINE PAGE 18 American College of Cardiology Cox Communications, Inc. McLane Company, Inc. Sanofi From these newsy tidbits, you’ll American Council of Life Insurers Crown Cork & Seal Company, Inc. Mead Johnson Nutrition SAS Institute Denver Office 7700 East First Place discover which state is the healthiest, American Dental Association CTIA— The Wireless Association Merck Securities Industry and Financial Denver, Colorado American Federation of State, County & Daiichi Sankyo, Inc. Microsoft Markets Association 80230 which is the fastest growing and Municipal Employees Darden Restaurants, Inc. Motion Picture Association of America Siemens (303) 364-7700 which is the latest to have a group of American Federation of Teachers Design-Build Institute of America National Apartment Association Society for Human Resource Washington, D.C., citizens wanting to secede. American Forest & Paper Association Dorsey & Whitney, LLP National Association of Convenience Management Office 444 N. Capitol St. American Fuel & Petrochemical EdChoice Stores Sodexo N.W., Suite 515 Manufacturers Edison Electric Institute National Athletic Trainers’ Association Sprint Washington, D.C. STATESTATS PAGE 29 20001 American Gas Association Energy Future Holdings National Beer Wholesalers Association State & Federal Communications, Inc. (202) 624-5400 The ins and outs of exports American Heart Association Everytown for Gun Safety National Education Association Stateside ©2017 BRUCE HOLDEMAN American Hotel & Lodging Association Facebook National Electrical Manufacturers Target State Legislatures (ISSN 0147-0641) is ETHICS 101: YES, NO, MAYBE SO PAGE 30 American Institute of CPAs Generic Pharmaceutical Association Association Tax Foundation published 10 times a A ROCKY ROAD Page 20 American Optometric Association Google National Retail Federation Teva Pharmaceuticals USA year by the National BY SCOTT RODD How do you avoid conflicts of interest? Conference of State American Retirement Association HIMSS National Rural Electric Cooperative T-Mobile Legislatures. How can we afford to fix our aging highways and bridges? American Society of Civil Engineers HP Inc. Association Transurban ©2017, All rights reserved. Reproduction THE FINAL WORD PAGE 31 America’s Credit Unions IBM Natural Resources Defense Council Unilever United States, Inc. in whole or in part North Carolina Senate Minority Anheuser-Busch Companies icitizen Novo Nordisk UPS without permission is BACK STORIES Page 24 prohibited. Requests Leader and NCSL