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The analysis models three policy scenarios for Southern New England, ranging from the adoption of California's Advanced Clean Trucks (ACT) rule to a more aggressive '100 x 40 ZEV + Clean Grid' scenario. The findings indicate that transitioning the M/HD fleet to zero-emission vehicles (ZEVs) would yield significant net societal benefits, including reduced premature deaths, lower greenhouse gas emissions, and long-term cost savings for fleets and electricity customers. While initial purchase costs for ZEVs are higher, the report projects lifetime cost parity with combustion vehicles by 2035. Macroeconomic analysis suggests the transition would result in national net job gains and increased GDP, with new jobs in electrical component manufacturing and infrastructure construction offering higher average wages than the jobs they replace.