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PJM is facing a capacity crisis driven by surging demand from data centers and a slow interconnection process that takes over eight years to bring new generation online. This delay has caused capacity market prices to skyrocket, with the total capacity bill rising from $2.2 billion in December 2022 to $16.1 billion in the latest auction. The author identifies long study timelines and high transmission network upgrade costs as primary barriers, noting that PJM has connected fewer new resources relative to peak demand than ERCOT or CAISO. To fix this, the document recommends implementing third-party automation software, reforming Energy Resource Interconnection Service (ERIS) to be a faster pathway, integrating advanced transmission technologies (ATTs), and prioritizing proactive regional transmission planning.

The report analyzes methane abatement policies across various jurisdictions, including the US, Canada, EU, Mexico, Nigeria, Colombia, and Norway, while detailing technical requirements for controlling emissions from equipment such as pneumatic controllers, pumps, and storage tanks.

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 argues that KKR's use of leveraged buyouts (LBOs) often leads to financial instability and labor abuses in its portfolio companies. It documents a pattern of health and safety violations, anti-union activities, and wage theft across various sectors, including healthcare and landscaping. The document also highlights KKR's role in high-profile bankruptcies, such as Toys "R" Us and Envision Healthcare, and alleges that the firm has engaged in antitrust violations by obscuring information from the US government during mergers and acquisitions.

Private equity firms have invested nearly $200 billion in data center-related industries since January 2022, driving a strategy of acquiring vertically integrated retail energy utilities and fossil fuel power plants to secure power for AI infrastructure. BlackRock's Global Infrastructure Partners (GIP) has acquired ALLETE Inc. and is pursuing a $38 billion takeover of AES, while Blackstone has invested in the Potomac Energy Center and is seeking to acquire TXNM Energy. The report argues that this expansion risks creating stranded high-emitting assets if AI demand is overestimated, while already causing increased electricity costs for ratepayers—rising up to 267% in some data center hubs—and significant environmental degradation. Organized community resistance has already delayed or blocked $64 billion in data center projects across 24 U.S. states.

The document argues that fusion energy is transitioning from laboratory research to commercial viability, with many U.S. startups projecting grid connection by the first half of the 2030s. It outlines how states can create competitive advantages by implementing specific regulatory reforms, such as becoming an NRC Agreement State to manage radiological licensing, and by adopting legislative tools like explicitly defining fusion as a clean energy source in state statutes. The brief also suggests financial mechanisms including state-level investment tax credits, the creation of dedicated fusion energy funds, and the repurposing of retired fossil fuel sites—termed "fusion brightfields"—to leverage existing grid infrastructure. Additionally, it emphasizes the importance of developing specialized workforces and innovation hubs around universities and national laboratories to support the industry's growth.

The briefing highlights a rising utility debt crisis in the US, where household debt grew to $23 billion by June 2025. It argues that targeted affordability programs—such as arrearage management plans, percentage-of-income payment plans, discount rates, and energy efficiency upgrades—benefit both vulnerable customers and the broader ratepayer base by reducing bad debt, collection costs, and service instability.

The report examines how private equity (PE) firms consolidate the ambulatory surgery center (ASC) market through leveraged buyouts and 'roll-up' strategies, often increasing prices by nearly 50% within five years. It details a 'second wave' of consolidation where corporate giants like UnitedHealth and non-profit systems like Ascension acquire these PE-built networks, potentially bypassing antitrust scrutiny. Case studies on AmSurg, Regent Surgical Health, and Surgery Partners illustrate risks including high debt burdens, operational opacity, and pressures on clinical staffing and revenue.

The report documents a significant increase in private equity (PE) and venture capital (VC) ownership within the U.S. PACE sector, noting that 15% of all programs now have such backing. It highlights the risks of leveraged buyouts and debt-driven strategies, using InnovAge as a case study to illustrate how aggressive growth and investor payouts can lead to financial instability and regulatory sanctions for care deficiencies. The document also examines the use of federal Opportunity Zone tax incentives to attract healthcare investment and calls for stronger oversight to prevent extractive financial practices in publicly funded elder care.

The report identifies 'electoral cumulative inequalities' where precincts with majority populations of color consistently exhibit lower voter turnout and higher ballot rejection rates compared to majority-White precincts. Analyzing data from battleground counties in Arizona, Georgia, Michigan, North Carolina, Ohio, Pennsylvania, and Wisconsin, the authors argue that these disparities are systemic and not solely explained by state-level factors. The study highlights that communities with the lowest turnout also face the highest rates of ballot rejections, further diminishing their political representation. The authors advocate for more equitable ballot design and increased election data transparency to mitigate these inequities.

The Union of Concerned Scientists (UCS) reports that utilities in seven PJM states passed over $4.3 billion in data center connection costs to all customers in 2024. This occurs because large data centers (100–1,000 MW) require high-voltage transmission infrastructure, which falls under federal FERC jurisdiction and is typically allocated across all customers, unlike low-voltage distribution connections. UCS finds that in 95% of cases, these costs are not paid by the data center owners. The brief recommends that FERC and state PUCs require utilities to track and assign these specific costs to the customers causing them.

The document warns that intensifying hurricanes, fueled by fossil fuel-driven climate change, are posing an escalating threat to US communities, especially those near petrochemical facilities. It highlights a systemic failure where the US government is dismantling essential safety agencies and forecasting tools, while insurance companies profit from fossil fuel investments while withdrawing coverage from vulnerable homeowners. The authors call on state and local leaders to implement safety rules and halt fossil fuel expansion to protect residents from toxic releases and financial ruin.

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.

The briefing identifies the "Pennsylvania Plus" (Penn+) region—covering the Marcellus and Utica basins—as a prime location for a differentiated gas market due to its high supply of low-methane gas and strong infrastructure. It notes that while supply is ample, buyer demand is hindered by lack of awareness, reporting uncertainties, and perceived costs. The author urges corporate buyers to commit to low-leakage gas by 2030 and pilot transactions to catalyze supply-chain mitigation.

Earthjustice reports on its efforts to secure and defend health protections against pollution and toxic chemicals. The organization highlights the use of 'citizen suits' under the Clean Air Act and Clean Water Act to hold polluters accountable, such as litigation against Suncor Energy and the County of Hawai‘i. The report emphasizes a strategic shift toward state and local legal avenues—including constitutional 'right to a healthy environment' claims in Hawai’i and New York—to mitigate the impact of federal rollbacks by the Trump administration. Key achievements include pushing for bans on PFAS in menstrual products in New York, reducing flame retardants in Washington state, and implementing zero-emissions truck rules in California. The document also details the projected life-saving impacts of federal rules secured in 2024, such as the Air Toxics Rule and the Mercury and Air Toxics Rule Update.

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.

This report by Global Energy Monitor (GEM) analyzes the potential for repurposing abandoned and soon-to-be-closed surface coal mines into solar photovoltaic (PV) power plants. It argues that these sites are ideal for solar development due to their existing proximity to grid infrastructure and the need for land reclamation, offering a pathway to align clean energy goals with local job creation and environmental restoration.

The Department of Energy (DOE) has ordered the J.H. Campbell coal plant in Michigan and units of the Eddystone oil and gas plant in Pennsylvania to remain open, overturning planned retirements. Earthjustice contends these orders are an illegal abuse of Section 202(c) of the Federal Power Act, as there is no evidence of a reliability risk. The document asserts that these actions override state regulators and market decisions to prop up uncompetitive fossil fuels, potentially costing utility customers millions and hindering the transition to clean energy.

The report finds that private equity-backed fossil fuel infrastructure in the U.S. causes between $11.3 and $15.1 billion in annual human health damages, resulting in nearly 1,000 premature deaths and 1,500 emergency room visits each year. A small group of firms, specifically ArcLight, Energy Capital Partners (ECP), and Quantum Capital, are responsible for approximately 20% of these impacts. The General J.M. Gavin coal plant in Ohio is identified as the single most harmful facility, causing an estimated $1.7 billion in annual health impacts. Regional analysis highlights a disproportionate burden in the Mid-Atlantic/New England area, where people are three times more likely to die from this pollution than in the rest of the U.S., and in Texas, which ranks first in asthma onset and symptoms due to its large population and proximity to the Permian Basin.

The report finds that private equity-backed fossil fuel facilities in the U.S. cause between $11.3 and $15.1 billion in annual human health damages, resulting in nearly 1,000 premature deaths and 1,500 emergency room visits per year. A small group of firms, specifically ArcLight, Energy Capital Partners, and Quantum Capital, are responsible for approximately 20% of these impacts. The General J.M. Gavin coal plant in Ohio is identified as the single most harmful facility, accounting for roughly 19% of all health impacts in the study. Regional analysis highlights disproportionate burdens in the Mid-Atlantic/New England area and the Permian Basin, with Texas ranking first in asthma onset and symptoms due to its large population and proximity to extraction sites.