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Testimony for the Senate Democratic Policy Committee Hearing: Healthcare Accessibility and Hospital Closure Impacts
The Private Equity Stakeholder Project (PESP) testifies that private equity firms use extractive financial tactics—such as high leverage, sale-leasebacks, and debt-funded dividends—to maximize returns, often resulting in the bankruptcy or closure of hospitals. The document highlights specific cases including Prospect Medical Holdings, Steward Health Care, and Apollo Global Management's Lifepoint/ScionHealth, noting severe impacts on patient safety and staffing. PESP proposes state-level policy solutions including stricter merger reviews, financial transparency, anti-looting measures, and joint and several liability for investors.
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Document type: Statement
Siting for a Cleaner, More Equitable Grid in Massachusetts
The document outlines the GIS-based methodology used to assess the proximity of electricity generating units and substations to environmental justice (EJ) populations in Massachusetts. It details the data sources used, including S&P Global and utility plans, and explains the criteria for identifying EJ neighborhoods based on state law. The analysis specifically focused on utility-scale projects and proposed infrastructure to ensure that future siting decisions do not replicate past failures of overburdening vulnerable populations.
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Document type: Report
Siting for a Cleaner, More Equitable Grid in Massachusetts
The analysis reveals that over 80% of existing polluting electricity generating units and nearly 70% of substations in Massachusetts are located in or near environmental justice (EJ) neighborhoods. It warns that current trends in proposed infrastructure, including a new fossil-fuel peaker plant and several substations, continue to overburden these communities. The authors recommend integrating cumulative impact assessments, expanding the Energy Facilities Siting Board to include EJ and Indigenous representation, and prioritizing public health and climate targets in siting decisions.
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Document type: Fact sheet
fact-sheet-climate-jobs-2024
In 2022, the United States had over 4.2 million climate jobs, with clean energy job creation outpacing overall job growth. Energy efficiency was the largest sector with 2.2 million jobs, followed by public transportation (821,220) and electricity transmission and distribution (over 703,000). Significant growth was observed in clean vehicles, which grew by 14.7%, and grid modernization, which saw an 11.6% increase in electricity transmission and distribution. Federal laws like the Inflation Reduction Act are expected to create over 303,500 annual construction jobs and 100,000 permanent jobs. Adaptation and resilience jobs are emerging across all 50 states, though exact total figures are unavailable.
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Document type: Fact sheet
State of the US Clean Energy Transition: Recent Progress, and What Comes Next
The U.S. clean energy sector saw record growth in 2023, particularly in solar installations and EV sales, supported by the Inflation Reduction Act and Bipartisan Infrastructure Law. However, the transition faces significant headwinds from rising interest rates, supply chain shortages for transformers, and a lagging transmission system. To meet 2035 carbon-free electricity goals, annual renewable installation rates must nearly double, and transmission capacity may need to double or triple.
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Document type: Report
2023: 5th-Hottest U.S. Year with Record Billion-Dollar Disasters
In 2023, the contiguous U.S. experienced its 5th-hottest year on record, with an annual average temperature 2.4°F above the 20th century average. The year saw a record 28 billion-dollar disasters, resulting in an estimated 492 lives lost and over $93 billion in damages. Severe storms were the primary driver, accounting for 68% of these events. The frequency of such disasters has increased significantly, with the average time between events dropping to 12 days in 2023, compared to 82 days in the 1980s.
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Document type: Fact sheet
THE ENERGY IS ABOUT TO SHIFT
New England's energy transition requires a massive shift from fossil fuel reliance to a decarbonized grid, with peak electricity demand projected to double to 55 GW by 2050. The report argues for a 'clean energy portfolio approach' combining solar, offshore wind, energy storage, and interregional transmission to ensure reliability and affordability. It highlights significant sociopolitical barriers, including community opposition and outdated permitting processes, and recommends comprehensive state-level reforms and proactive community engagement to accelerate deployment.
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Document type: Report
WRI’s U.S. ENERGY OUTCOMES 2024
In 2024, WRI supported over 150 U.S. cities and counties in accelerating clean energy deployment and helped over 60 cities claim more than $12 million in tax credits via the Inflation Reduction Act's elective pay mechanism. The organization advanced next-generation geothermal technologies, launched a database of 50 community benefits frameworks for transmission projects, and supported the deployment of electric school buses (ESBs) through initiatives like the RVXDS project in California. WRI also focused on reforming power markets and grids, providing technical assistance to the PJM Cities and Communities Coalition and researching interregional transmission procurement.
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Document type: Report
A Blueprint to Decarbonize Affordable Housing
Allston Brighton Community Development Corporation (CDC) is implementing deep energy retrofits (DER) at three residential properties in Boston to reduce energy consumption by an average of 55 percent across 103 units. By conducting portfolio-wide Capital Needs Assessments and leveraging a diverse stack of local and federal funding—including an expected $8 million in support—the CDC aims to eliminate on-site fossil fuel combustion and improve tenant well-being. The project utilizes guidance from RMI’s REALIZE-MA initiative and LISC’s 1000 Apartment Challenge to navigate the complex predevelopment phase and align with Massachusetts' climate goals and Boston's Building Energy Reduction and Disclosure Ordinance (BERDO).
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Document type: Case study
Community Benefits Agreements
The report examines Community Benefits Agreements (CBAs) as legally binding contracts between developers and communities to ensure equitable outcomes in energy transitions. Through nine case studies and an analysis of DOE, DOT, and EPA guidelines, it identifies critical failure points—such as lack of representative stakeholders and poor enforceability—and proposes best practices for planning, negotiation, and monitoring to better align project development with community needs.
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Document type: Report
PRIVATE EQUITY IN DURABLE MEDICAL EQUIPMENT
The report argues that private equity firms have consolidated the US Durable Medical Equipment (DME) industry, using high-debt strategies that lead to severe cost-cutting. This has resulted in delayed critical repairs for wheelchair users, fraudulent billing practices in respiratory care, and active lobbying against 'right to repair' legislation. The authors recommend state and federal interventions to ensure timely repairs, combat fraud, and limit industry consolidation.
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Document type: Report
The Need for US Indoor Air Quality Guidelines
The report highlights a critical gap in US public health policy: the lack of comprehensive, science-based indoor air quality (IAQ) guidelines. While the US regulates outdoor air via the Clean Air Act, indoor environments—where people spend approximately 90% of their time—remain largely unregulated. The document details how pollutants like nitrogen dioxide from gas stoves and wildfire smoke exacerbate health risks, particularly for vulnerable populations. It reviews existing international models from the WHO and Health Canada, and limited US efforts in states like California and Texas. RMI recommends that the EPA use its authority under the Superfund Amendments and Reauthorization Act (SARA) to develop federal guidelines, which could then inform building codes, product safety standards, and electrification efforts to reduce combustion pollution.
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Document type: Report
Inflation Reduction Act Home Energy Rebates: Program Guidance for State Energy Offices
The document outlines various real-world examples and tools that State Energy Offices can use to implement IRA Home Energy Rebates. It highlights strategies for equity mapping, workforce analysis, consumer outreach, and contractor certification. Key examples include Greenlink Analytics for equity data, the Love Electric campaign in Colorado for consumer awareness, and NYSERDA's Clean Heat Connect for supply chain alignment. The guide emphasizes the importance of people-centered support, weatherization integration, and comprehensive contractor training to ensure program success and equitable outcomes.
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Document type: Guide
2023 Fall Package
Analysis of 241 U.S. locations from 1970 to 2022 shows that fall temperatures have increased by an average of 2.4°F in 232 cities, with the most intense warming occurring in the Southwest. This trend is characterized by an increase in above-normal fall days, which prolongs risks related to heat-related illness, wildfires, and allergies, while increasing energy demand for cooling.
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Document type: Fact sheet
POLICY PRIORITIES TO ENSURE OFFSHORE WIND PLAYS A CENTRAL ROLE IN OUR NET-ZERO FUTURE
The report argues that the U.S. must implement ambitious long-term capacity targets, holistic transmission planning, and strategic infrastructure investments to achieve a net-zero future. It emphasizes the need for coordinated site identification, streamlined permitting, and the development of a domestic supply chain and workforce to support a potential build-out of 250 to 750 GW of offshore wind by 2050.
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Document type: Report
PRIVATE EQUITY PROFITS FROM DISASTER at the Expense of Workers, Communities, and Climate
The report argues that private equity firms have consolidated the disaster restoration market, leading to a decline in workplace standards and community protections. It details systemic wage theft, numerous OSHA safety violations—particularly regarding asbestos—and the paradox of firms profiting from disaster cleanup while owning high-emitting fossil fuel assets. The document calls for legislative action, such as the Climate Resilience Workforce Act, and stricter labor standards for private equity owners.
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Document type: Report
How Real Estate Investment Trusts (REITs) Can Drive Solar Development
REITs in the US control approximately 38.5 billion sq. ft. of solar-appropriate surface area, capable of generating over 25 percent of electricity used in US commercial buildings. While on-site solar is economically viable for 90 percent of the top 50 REITs by 2025, adoption is hindered by tax credit complexities, IRS recapture rules, and risks associated with tenant turnover and low energy intensity in industrial warehouses. Community solar is proposed as a solution to these barriers, offering additional tax credit bonuses of 10–20 percent when serving low- and moderate-income residents. Currently, only nine US states support rooftop community solar, though some leading REITs like Prologis, Lineage Logistics, Blackstone, Brookfield, and Hartz Mountain have already installed significant capacity.
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Document type: Guide
Understanding California’s Advanced Clean Truck Regulation
The Advanced Clean Truck (ACT) regulation requires original equipment manufacturers (OEMs) of medium- and heavy-duty vehicles to sell an increasing percentage of zero-emissions vehicles (ZEVs) or near-zero-emissions vehicles (NZEVs) between 2024 and 2035. Compliance is managed through a credit-based system where OEMs can generate credits via sales, purchase them from others, or bank them for future use. The regulation aims to reduce up to 17 million tons of CO2 emissions by 2040 and has been adopted by six other US states.
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Document type: Fact sheet
Reality Check: The Missing Pieces of New York’s “Climate Math” Debate
The briefing examines the debate over New York's transition to a 20-year global warming potential (GWP20) timeframe and the inclusion of upstream and biogenic emissions. It argues that this accounting method increases the avoided temperature rise by 66% compared to old methods and could avoid up to $240 billion in damages. The author contends that changing the accounting timeframe does not increase physical emissions and that affordability can be maintained through strategic policy design and federal funding.
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Document type: Briefing
Understanding California’s Advanced Clean Cars II Regulation
The Advanced Clean Cars II (ACC II) regulation aims to reduce light-duty vehicle emissions in California by 50% by 2040, mandating that 100% of new vehicle sales be zero-emission vehicles (ZEVs) or plug-in hybrid electric vehicles (PHEVs) by 2035. The regulation applies to original equipment manufacturers (OEMs) selling more than 4,500 light- and medium-duty vehicles annually, utilizing a 'vehicle value' accounting system to track compliance. OEMs can accrue value through ZEV and PHEV sales, environmental justice credits, and flexibility measures such as trading, banking, and pooling values.
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Document type: Guide