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The report argues that decentralized election administration in the US has created a patchwork of transparency policies that can undermine democratic legitimacy and disproportionately affect marginalized communities. It provides specific recommendations for improving the accessibility and accuracy of voter files, the transparency of ballot processing and tracking, and the implementation of robust ballot curing and risk-limiting audit procedures.

The report details a decade of significant growth in U.S. solar and wind power, noting that solar generation increased more than eight-fold and wind more than doubled between 2014 and 2023. It highlights the leading roles of states like California and Texas, the emergence of small-scale solar, and the potential for these technologies to drive the U.S. toward its 2035 goal of 100% carbon pollution-free electricity, although current projections suggest the 2030 emissions target may be missed.

The Private Equity Stakeholder Project (PESP) warns that private equity's pursuit of outsized returns in the U.S. healthcare sector leads to 'looting' of hospitals through high leverage, sale-leaseback transactions, and debt-funded dividends. The document provides case studies of firms like Cerberus Capital Management (Steward Healthcare), Leonard Green & Partners (Prospect Medical Holdings), Apollo Global Management (Lifepoint Health and ScionHealth), and Pipeline Health to illustrate how these financial tactics result in reduced access to care, staffing shortages, and declining quality of care. PESP calls for increased regulatory oversight of for-profit hospital mergers and protections against extractive financial maneuvers.

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.

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.

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.

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.

The document analyzes the Rhode Island Department of Health's approval of an $85 million sale of 10 nursing homes to Tryko Partners and Kadima Healthcare. It highlights the use of 'standard conditions' regarding debt-to-equity ratios and the implementation of a five-year quality maintenance requirement to protect residents from the extractive business models of private equity. The author argues that while Rhode Island's quality measures are a positive step, the state's financing limits are too lenient, allowing debt levels that may divert funds from clinical care.

The Agricultural Management Assistance (AMA) program provides financial aid to agricultural producers in 16 specific US states to manage financial risk through conservation, marketing, and crop diversification. Administered by the NRCS, AMS, and RMA, the program is permanently authorized at $10 million per fiscal year and covers up to 75 percent of the cost for conservation practices like agroforestry and cover crops to mitigate climate change.

The report identifies 1,135 private equity-backed healthcare deals in 2023, noting a decline from 2021 peaks due to high interest rates and labor shortages. While outpatient care, dental care, and medtech were the most active subsectors, the report warns that the private equity model of short-term profit and high debt leads to cost-cutting and bankruptcies, as seen with Envision Healthcare and GenesisCare. It recommends expanding federal and state pre-merger reviews to protect healthcare quality and access.

In 2023, private equity dealmaking in US healthcare continued a two-year decline from its 2021 peak, driven by high interest rates and labor shortages. Despite this, the Private Equity Stakeholder Project (PESP) identified 1,135 unique deals, with add-on acquisitions comprising 64% of activity. Outpatient care, dental care, health IT, and medtech were the most active subsectors. The report highlights that high debt loads associated with private equity ownership led to several major bankruptcies in 2023, including Envision Healthcare and GenesisCare. PESP argues that the pursuit of short-term returns often results in cost-cutting that harms care quality and recommends expanding federal and state pre-merger review processes to include all private equity-backed healthcare transactions.

The Energy Policy Simulator (EPS) is a free, open-source tool developed by RMI and Energy Innovation to model the environmental, economic, and health impacts of energy policies across the lower 48 US states. The tool supports the Climate Pollution Reduction Grant (CPRG) program by enabling states to calculate GHG inventories, project emissions through 2050, build scenarios to meet reduction targets, and quantify the co-benefits of mitigation measures, such as public health improvements and economic development.

The report argues that while the Inflation Reduction Act (IRA) significantly advances U.S. climate goals, it is insufficient on its own to meet the 2030 NDC. Using the Energy Policy Simulator (EPS), the authors propose a comprehensive set of additional federal, state, and local policies across the electricity, industry, transportation, and building sectors. The electricity sector is identified as the primary driver for 2030 reductions due to its ability to decarbonize faster than sectors limited by slow stock turnover. Proposed measures include a nationwide 80 percent clean electricity standard, stricter tailpipe emissions standards, and the electrification of industrial and building heating. The report estimates that this combined policy pathway would create 2.7 million additional jobs, grow GDP by $700 billion, and avoid 3,900 premature deaths by 2030.

The report analyzes the impact of the Inflation Reduction Act (IRA) on the U.S. building sector, highlighting its potential to reduce annual emissions by 32 to 33 million metric tons of CO2e by 2030. It details various residential rebates (HEEHRA, HOMES), tax credits (25C, 25D, 45L), and commercial incentives (179D), while emphasizing that these must be paired with stricter appliance standards and updated building codes to overcome slow stock turnover. The document provides specific implementation guidance for State Energy Offices and utility regulators to ensure an equitable transition, particularly for low-to-moderate-income households.

The report details the ownership of Prospect Medical Holdings by Leonard Green & Partners from 2010 to 2021, alleging that the firm used dividend recapitalizations and sale-leaseback transactions to siphon $658 million in fees and dividends. This financial extraction occurred while Prospect hospitals suffered from low quality ratings, staffing shortages, and severe financial losses, eventually leading to service cuts and facility closures in states like Pennsylvania and Texas. The document argues that Leonard Green exited its majority stake in 2021, leaving the hospitals with substantial liabilities and diminished resources.

The report details a corporate campaign to implement municipal preemption laws that block local governments from accessing courts to recover climate-related damages. It identifies a 'triumvirate' of the U.S. Chamber of Commerce, ALEC, and NAM as the primary architects of this strategy, drawing parallels to previous industry efforts to avoid liability in the tobacco and opioid sectors. The document outlines specific legislative tactics used to stifle litigation and provides a framework for municipal leaders to recognize and repeal such preemption laws, while suggesting proactive legislative measures to protect local legal autonomy.

The document lists professional biographies for six individuals involved in energy and climate policy, including representatives from National Grid, the Business Council for Sustainable Energy, the American Clean Power Association, the Alliance to Save Energy, the Solar Energy Industries Association (SEIA), and Johnson Controls.

As of December 2021, 1,828 electric school buses were committed across 36 US states, representing a 57% increase since June 2021. California is the primary leader in adoption, holding nearly half of all commitments. While adoption correlates with high median household income, it is more evenly distributed across different poverty levels. The report notes that the vast majority of the US school bus fleet (95%) still relies on diesel, and that the Infrastructure Investment and Jobs Act has allocated $5 billion over five years to accelerate the transition to lower-emission buses.

Phosmet is a U.S. registered pesticide used in 40 states, primarily on orchards and grapes, and is currently under registration review. It is associated with serious health effects, including cancer, neurodevelopmental harm, and reproductive toxicity, with exposure occurring via food, drinking water, and occupational contact. The pesticide is applied to a significant percentage of several common crops, including peaches (55%) and nectarines (50%).

The study investigates deeper decarbonization in the Northeastern U.S., finding that Rhode Island could potentially reduce emissions by 80% by 2030 using existing technologies. While significant reductions of 70% to 80% are possible by 2030, 2040, or 2050, complete decarbonization is hindered by methane leakage from landfills and natural gas transmission, industrial emissions, and air travel.