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The 2025 State Healthcare Policy Review tracks a national trend of state-level efforts to regulate private equity in healthcare. It categorizes legislative approaches into transparency and reporting, approval and enforcement authority, targeted prohibitions, and Corporate Practice of Medicine (CPOM) enforcement. The report details laws passed in states like Massachusetts, California, Indiana, Oregon, New Mexico, Washington, and Maine, while also tracking pending and failed legislation in other states.

The report outlines a comprehensive toolkit for U.S. states to decarbonize heavy industry, emphasizing a combination of financial incentives, demand-side market policies, and regulatory reforms. It identifies four critical subsectors—petroleum refining, chemicals, cement, and iron and steel—which together account for approximately 40 percent of U.S. industrial emissions. The guide details technology pathways including electrification, CCUS, and alternative production processes, while providing case studies from Missouri, Louisiana, and Colorado to illustrate effective state-level implementation of these strategies.

The policy brief examines the misalignment between legacy gas utility energy efficiency programs and current state climate goals in the United States. It highlights how traditional cost-effectiveness tests often prioritize short-term gas appliance rebates over high-impact weatherization and electrification. Using examples from states like New York and Massachusetts, the document proposes six strategic reforms to redirect ratepayer funding toward long-term decarbonization and building efficiency.

The document highlights the environmental and health risks associated with spreading sewage sludge on approximately 70 million acres of U.S. farmland, noting that such sludge often contains per- and polyfluoroalkyl substances (PFAS). It criticizes the EPA for failing to finalize risk assessments for PFOA and PFOS and for underestimating the risks of over 150 other PFAS chemicals detected in sludge. The text cites specific farm failures in Maine and Michigan due to contamination and notes that while some states like Maine have banned the practice, others still encourage it. The author calls for federal regulations, the protection of local government authority to restrict sludge use, and corporate accountability for clean-up.

A coalition of 42 organizations, including Earthjustice and the NRDC, submitted comments on the EPA's Draft Sewage Sludge Risk Assessment for PFOA and PFOS. The coalition argues that the EPA's assessment confirms that these 'forever chemicals' in sewage sludge pose unacceptable risks to human health and the environment, particularly through land application on farms. They claim the EPA's risk calculations are underestimates because they use low-end concentration models and ignore combined exposure effects. The document calls for the prompt finalization of the assessment, the establishment of numerical limitations and management practices under the Clean Water Act, and the expansion of future risk assessments to include other PFAS, synthetic organic fluorine compounds, and microplastics. Additionally, they advocate for stricter pretreatment standards for industrial dischargers to prevent PFAS from entering publicly-owned treatment works.

The report examines how private equity firms use 'energy transition funds' to invest in 'false solutions'—technologies that are unproven, promote continued fossil fuel use, or lack accountability. It analyzes six specific industries: carbon capture, carbon trading, gas certification, hydrogen, biomass, and renewable natural gas. Through case studies of firms like BlackRock (GIP), Warburg Pincus, Quantum Capital Group, and Apollo, the report demonstrates a gap between sustainability claims and actual portfolio holdings, which remain heavily invested in fossil fuels. It concludes by providing due diligence resources for institutional investors to mitigate climate-related financial risks.

The Private Equity Stakeholder Project (PESP) testified in support of Maine's LD 985 (SP 416), arguing that a moratorium on private equity ownership of hospitals is necessary to protect health systems from extractive investment practices. PESP highlights that private equity has invested over $1 trillion in US healthcare over the last decade, leading to horizontal consolidation across various medical specialties. The organization claims these practices include looting safety net hospitals, stripping real estate, and cutting less profitable services. Furthermore, PESP notes a high correlation between private equity ownership and healthcare bankruptcies, stating that 21% of healthcare bankruptcies in 2024 involved private equity-owned companies.

The analysis reveals a significant increase in fire weather days across much of the contiguous U.S., with the western U.S. experiencing far more frequent fire weather than the east. While the western U.S. has seen strong increases, particularly in the Southwest during spring and summer, parts of the eastern U.S. have also seen impactful increases, especially in the Southeast and Northeast. The study emphasizes that while human activity causes 87% of wildfires, fire weather primes the landscape for these fires to ignite and spread.

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 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 projects that by 2050, approximately 2.5 million people in 1.4 million homes across the contiguous U.S. will be at risk from severe coastal floods under the SSP2-4.5 pollution pathway. Florida, New York, and New Jersey face the highest risks in terms of population and housing, while Louisiana has the largest land area at risk. New York City is identified as the city with the highest number of people at risk. The analysis highlights that older adults and socially vulnerable populations are disproportionately exposed to these risks.

Analysis of 144 U.S. weather stations shows that 88% of cities experienced increased hourly rainfall intensity between 1970 and 2024, with an average increase of 15% across those locations. The highest average regional increases occurred in the Upper Midwest (+18%), Northern Rockies and Plains (+16%), and Ohio Valley (+15%). Individual cities with the largest increases include Wichita, Kansas (+38%), Reno, Nevada (+37%), Fairbanks, Alaska (+37%), and El Paso, Texas (+37%). Projections indicate that with 2°C of global warming, 85% of U.S. counties are likely to see a 10% or higher increase in precipitation on the heaviest 1% of days, with particularly high intensification expected in Alaska (43%) and Hawaii (30%).

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.

Batteries are scaling up rapidly in the US, supporting record solar growth and reducing reliance on gas and coal. In 2024, California and Nevada became the first states to exceed a 30% annual solar share. California's battery capacity grew nearly twentyfold between 2020 and 2024, allowing batteries to become the largest electricity source during evening hours in April 2024. Texas also saw significant growth, installing 3.9 GW of utility-scale battery capacity in 2024. Nationally, the US added 36 GW of new solar capacity in 2024, with 10 GW of utility-scale batteries added, reflecting a trend toward co-located solar-plus-battery projects.

In December 2024, 166 out of 191 analyzed U.S. cities were warmer than normal, with the most significant anomalies occurring in Montana. While long-term warming trends are evident—with 189 of 191 stations showing positive trends since 1970—daily climate attribution via the Climate Shift Index (CSI) remained generally low, though specific cities in Puerto Rico, Hawaii, and Alaska saw several days where temperatures were significantly more likely due to climate change.

The document examines how current electricity rate designs in the U.S. often overcharge heat pump users because their peak demand occurs in winter, while grid peaks typically occur in summer. Using data from NIPSCO in Northern Indiana, the brief demonstrates that aligning rates with the actual cost of service could save electrified customers hundreds of dollars annually. It proposes several rate reform options—including seasonal heating rates, time-varying rates, and separate customer classes—while emphasizing the need for affordability measures for low-income households and the long-term evolution of rates as the grid transitions to clean energy.

The document outlines how warming winters in the US affect agriculture, health, and the economy, while offering reporting strategies and expert resources for journalists.

The document outlines how winters are warming faster than any other season in nearly 75% of the United States, leading to significant disruptions in agriculture, health, and the economy. It provides specific regional examples—such as crop failures in Michigan, declining snow crab populations in Alaska, and increased winter tornadoes—while offering professional advice for reporters on handling climate variability and connecting local events to global fossil fuel consumption.

The document examines the prevalence of perfluoroalkyl and polyfluoroalkyl substances (PFAS), known as "forever chemicals," in the U.S. environment and population. It details the health risks, including cancer and immune suppression, and outlines the regulatory response led by the EPA's 2021 Strategic Roadmap and the 2024 National Primary Drinking Water Regulation. The brief also covers state-level phase-outs, legislative efforts in the 118th Congress, and technical challenges in remediating PFAS from water and soil.

As of June 2024, the U.S. has 12,164 committed electric school buses, with 67% funded by the EPA's Clean School Bus Program. Adoption is widespread across 49 states, with California leading in total numbers, while the Southeast has seen significant recent growth. The report finds that deployment is increasingly equitable, with a majority of buses now located in high-poverty districts and areas with high air pollution, though adult asthma rates show a more even distribution.