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The policy brief argues that while performance incentive mechanisms (PIMs) can drive regulatory outcomes and affordability, they require intentional evaluation to ensure benefits outweigh costs. RMI recommends that PUCs implement recurring and transparent evaluations via web-based dashboards, assess PIMs as a holistic portfolio rather than in silos, create informal stakeholder dialogue spaces to reduce administrative burdens, and utilize existing design guidelines to standardize retrospective evaluations.

The policy brief outlines six priorities for U.S. states to leverage the One Big Beautiful Bill Act (OBBBA) and other federal incentives: immediate electric vehicle fleet conversion, permitting and interconnection reform, filling financial gaps via public-private partnerships and aggregate purchasing, improving energy affordability, launching home energy rebates, and attracting cleantech manufacturing. It emphasizes the urgency of acting before federal tax credits expire, specifically noting a September 30, 2025, deadline for EV credits and a July 2026 construction start deadline for certain solar and wind credits.

The document examines how climate change is creating a home insurance crisis in the U.S., characterized by skyrocketing premiums and widespread policy non-renewals. It asserts that 'Big Oil' companies, who knew about the risks of fossil fuels as early as 1954, are responsible for these conditions. The report highlights specific state-level crises in Florida, California, and Hawaiʻi, and advocates for policy solutions—such as subrogation and legislative surcharges—to shift the financial burden from policyholders to the fossil fuel industry.

Between 1980 and 2024, the U.S. experienced 403 billion-dollar disasters resulting in over $2.9 trillion in direct costs and nearly 17,000 deaths. The frequency and cost of these events have risen sharply, with the average time between disasters dropping from 82 days in the 1980s to 19 days in the last decade. Tropical cyclones are the costliest event type, while severe storms are the most frequent.

The report analyzes the incursion of private equity into private duty nursing (PDN), a critical service for medically complex individuals. It argues that the private equity business model—characterized by leveraged buyouts, roll-up strategies, and high debt—diverts Medicaid funds away from direct patient care to service debt and generate investor returns. Through case studies of Team Select Home Care and Aveanna Healthcare, the document illustrates how these financial pressures lead to staffing shortages, low wages, and compromised patient safety. It highlights the 'preferred payer' strategy used by Aveanna to deprioritize patients with lower-reimbursing payers and notes industry opposition to the CMS 80/20 pass-through rule. The report concludes with policy recommendations including antitrust enforcement, limits on healthcare debt, and the expansion of paid family caregiver programs.

Private equity firms control nearly 9% of Michigan's private sector workforce, with investments often linked to public pension funds like the State of Michigan Investment Board. The document details how this ownership model has contributed to bankruptcies in the automotive, retail, and hospitality sectors, as well as labor disputes and service reductions in healthcare and waste management. Specific examples include the bankruptcy of Joann and IAC Group, and child labor allegations at Hearthside Food Solutions.

The Regional Clean Hydrogen Hubs program is designed to demonstrate localized hydrogen production and end-use to create a synergistic national hydrogen economy. The author warns that planned funding cuts by the Trump administration would jeopardize an estimated 334,280 jobs and tens of billions of dollars in private sector investment. The document emphasizes that a network of hubs is necessary to create a viable market for hydrogen-fueled equipment and to maintain U.S. leadership in low-carbon hydrogen production and technology exports.

An event attribution study found that human-induced climate change increased the likelihood of the April 2025 extreme rainfall in the Central Mississippi river valley by approximately 40% and its intensity by 9%, though observational data suggests these increases could be as high as a factor of 2 to 5 in likelihood and 13-26% in intensity. The event caused at least 24 fatalities and estimated economic damages between $80 and $90 billion, with significant agricultural losses in Arkansas. The study highlights that while climate change amplified the event, effective early warnings from the US National Weather Service prevented a larger catastrophe, despite current staffing shortages in NWS field offices.

Over 10 million US homes still rely on delivered fuels like oil and propane, which are expensive and polluting. Transitioning these households to air-source heat pumps (ASHPs) and heat pump water heaters (HPWHs) could save US customers nearly $8 billion annually in energy bills and significantly reduce carbon and air pollution. The document advocates for state-level policy changes, such as allowing fuel switching in utility energy efficiency programs and implementing clean heat standards, alongside targeted outreach and contractor training to support rural and low-income households.

The report argues that the private equity business model, characterized by high debt and a focus on short-term returns, is incompatible with the goals of value-based care (VBC). It details how three VBC companies—CareMax, Cano Health, and Clinical Care Medical Centers (CCMC)—filed for Chapter 11 bankruptcy in 2024 due to unsustainable debt levels. The document highlights that these companies served vulnerable dual-eligible Medicare and Medicaid populations and that their failures accelerated healthcare consolidation, as assets were bought by vertically integrated insurers like Humana. It concludes with policy recommendations to limit debt in leveraged buyouts and increase antitrust enforcement.

The U.S. public EV charging network grew more than six-fold between 2016 and 2025, reaching nearly 196,000 ports. While California leads in total numbers and northeastern states lead in density, significant coverage gaps remain in the southern, central, and plains regions. To support a projected 33 million EVs by 2030, the U.S. may need 1 million additional public chargers, including 170,000 DC fast chargers.

The report argues that current US energy efficiency programs are overly complex, resulting in low participation rates (0.5% to 3% of households) and significant barriers for low-to-moderate income (LMI) families. To drive heat pump adoption and meet climate targets, the document recommends simplifying incentive structures (e.g., using $/unit instead of $/BTUh), aligning equipment specifications with federal standards like ENERGY STAR, and providing up-front discounts with prompt contractor reimbursement. It emphasizes the need for long-term funding (3-5 years), market development through workforce training, and a 'climate-forward' framework that prioritizes greenhouse gas reductions over simple energy savings. For equity, it suggests partnering with community-based organizations, setting LMI-specific budget targets, and funding pre-electrification measures like electrical panel upgrades.

The report examines 26 state-level Priority Climate Action Plans (PCAPs) submitted under the Climate Pollution Reduction Grants (CPRG) program, finding that most plans rely on generalities and high-cost incentives rather than sector-specific strategies. It argues that states must transition from high-level commitments to tailored, long-term roadmaps that prioritize cost-effective tools, such as operating-cost supports and regulatory standards, while leveraging co-benefits like public health improvements and workforce development to maintain American industrial competitiveness against international peers like China and the EU.

A coalition of 123 organizations argues that dismantling the EPA's Office of Research and Development (ORD) and the Integrated Risk Information System (IRIS) would undermine the scientific basis for protecting public health from toxic chemicals. The letter specifically opposes H.R. 1415 and S. 623, asserting that IRIS provides essential, peer-reviewed toxicity evaluations used for Superfund cleanups, air toxics standards, and drinking water safeguards. The authors warn that removing these scientific resources would increase risks of cancer and birth defects, particularly in industrial areas like Geismar, Louisiana, and Houston, Texas.

The document warns of a rare two-day 'Moderate Risk' of severe weather in the Midwest and Deep South on March 14-15, 2025, driven by temperatures 15-25°F above mid-March averages. It links this early-season warmth to human-caused climate change and notes a long-term increase in Convective Available Potential Energy (CAPE) and the frequency of extreme tornado outbreaks in the U.S.

In 2024, wind and solar combined to generate 17% of US electricity, surpassing coal (15%) for the first time. While solar generation grew by a record 27% and battery storage expanded rapidly, overall power sector CO2 emissions rose slightly by 0.7% because a 3% increase in electricity demand drove higher gas generation. Despite this, carbon intensity reached a record low of 384 gCO2/kWh.

The report analyzes the US synthetic nitrogen fertilizer market, which is highly centralized with 71% of capacity held by four producers. It evaluates seven ammonia production pathways, ranging from mature 'blue ammonia' (SMR with CCS) to lab-scale electrochemical and photochemical methods. The document identifies key barriers to green ammonia adoption, including high financing risks, lack of industrial standards, and the absence of long-term offtake agreements from farmers. It highlights state-level incentives in North Dakota, Minnesota, Illinois, New York, and Michigan, alongside federal support via the Inflation Reduction Act's 45V clean hydrogen production tax credit, which offers up to $3/kg of hydrogen.

In 2024, wind and solar produced 17% of US electricity, overtaking coal for the first time as coal fell to 15%. This transition is evident in 24 states, driven by market dynamics, cost-effectiveness, and policy mandates like the Climate and Equitable Jobs Act in Illinois.

The report documents a shift in IDD services from non-profit providers to private equity-owned platforms, highlighting risks such as cost-cutting, financial extraction through dividend recapitalizations, and systemic quality failures. It provides case studies of companies like Sevita, Help at Home, and Broadstep Behavioral Health to illustrate patterns of abuse, neglect, and regulatory non-compliance.

The United States has the world's second-largest pipeline of gas-fired power plants in development, totaling over 85 GW, largely fueled by speculation regarding AI energy needs. However, most of these projects are in early stages, and there is a significant risk that they could become stranded assets if AI power demand does not materialize. The report highlights that renewables and storage are currently cheaper and faster to deploy than new gas power, while specific regions like Texas and the PJM Interconnection area are seeing the highest concentration of these developments.