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The report details the role of private equity in the U.S. medical debt crisis, specifically through the acquisition and consolidation of revenue cycle management (RCM) companies. It argues that private equity firms create 'end-to-end' service providers that facilitate medical debt through high-interest payment products and then collect that debt using aggressive tactics. The document highlights specific case studies of unlawful collection practices and the use of AI to optimize debt recovery, while calling for increased transparency and legislative protections for patients.

The document outlines strategies for regulators to direct utilities to incorporate Inflation Reduction Act (IRA) tax credits, rebates, and grants into their planning and procurement processes. It highlights specific actions taken by PUCs in Washington, Georgia, Oregon, and New Jersey to improve grid affordability and reliability by mandating the investigation of federal funding, creating financial incentives for matching requirements, and integrating federal rebates into state energy efficiency programs.

The U.S. transportation sector, responsible for nearly one third of national greenhouse gas emissions, is undergoing decarbonization through a combination of federal strategies, such as the U.S. National Blueprint for Transportation Decarbonization, and significant funding from the IIJA and Inflation Reduction Act. While progress is evident in the buildout of EV and hydrogen corridors and the growth of clean energy manufacturing jobs, the document argues that the U.S. is not yet on track to meet its goal of cutting all transportation greenhouse gas emissions by 2050. Regional efforts are concentrated in the West Coast (hydrogen and EV corridors), Midwest (battery manufacturing and freight networks), Gulf Coast (low-emissions shipping and hydrogen trucking), and East Coast (EV manufacturing and I-95 freight corridors). To accelerate progress, the document recommends a federal clean fuel standard, improved inter-agency coordination, and stronger community engagement.

The document argues that medical debt is a systemic issue in the United States, disproportionately affecting vulnerable populations and causing severe financial and physical harm. It specifically highlights the role of private equity in increasing healthcare costs and employing aggressive debt collection strategies through Revenue Cycle Management (RCM) companies. The authors support the CFPB's proposed rule to stop the reporting of medical debt to credit agencies, noting that such data is an unreliable indicator of financial responsibility and is often inaccurate.

The statement highlights a lawsuit against Windmill Farms and its owner, Instar Asset Management, alleging gender discrimination, unfair production quotas, and retaliation against unionizing workers. It argues that private equity's drive for quick profits often leads to poor working conditions and that Instar should recognize the union to protect both its investment and workers' rights.

The report finds that July 2024 temperatures were elevated in the eastern and western thirds of the United States, with the West Coast showing particularly high anomalies. Using the Climate Shift Index (CSI), the analysis identifies the Southwest as having the strongest climate signal, with cities averaging at least 14 days where temperatures were at least three times more likely due to climate change. Specific cities like Spokane, Washington, and Reno, Nevada, showed significant temperature anomalies and long-term warming trends since 1970.

The document outlines a strategy for decarbonizing the shipping sector in Washington state, focusing on the acceleration of zero or near-zero emission fuel (ZEF) supply chains and infrastructure. It evaluates the feasibility of e-fuels derived from green electrolytic hydrogen and biofuels from sustainable biomass based on emissions reductions, cost, scalability, and technological readiness.

RMI supported Washington State in creating the Transportation Electrification Strategy (TES) using a two-stage analytical approach. The first stage assessed EV adoption pathways and identified that reaching the 2030 goal of 100 percent zero-emissions passenger vehicle sales would result in 13.6 MMT of on-road emissions, which exceeds the target of less than 10 MMT CO2e needed to meet broader climate goals. To bridge this gap, the TES recommends point-of-sale rebates and low-cost leasing programs. The second stage utilized the GridUp tool's hyper-local travel data to forecast EV load and identify where grid investments are necessary to prevent bottlenecks and maintain affordability during the transition to electrified transportation and heating.

The report argues that private equity firms are compromising the 'just transition' to a green economy by utilizing temporary staffing models that lower job quality, wages, and safety. It highlights specific cases, such as Blackstone-owned Tradesmen International and American Securities-owned Solv Energy, to illustrate a pattern of OSHA violations, wage theft, and unfair labor practices. The document concludes that implementing portfolio-wide labor standards and increasing unionization are essential to protect workers and mitigate investment risks.

Climate Central reports that 89% of 242 analyzed U.S. locations have seen an increase in annual 'warning days' (heat index 80°F to 94°F) since 1979, with the most significant rises in the Ohio Valley and Upper Midwest. Between 1992 and 2022, 986 U.S. workers died from heat exposure, and from 1980 to 2016, an average of 421 million work hours were lost annually, costing $14 billion. The document highlights a lack of comprehensive federal heat standards, noting that only five states have such protections, while some states like Florida and Texas prohibit local municipalities from enacting their own heat safety laws.

The report examines how the increasing frequency and severity of climate-driven disasters lead insurance companies to raise premiums or withdraw coverage, particularly in high-risk areas of the US. This process creates a 'domino effect' where the lack of affordable insurance makes homes unmortgageable, reduces property values, and increases homelessness. The authors highlight a cycle where insurers profit from these increases and reinvest in fossil fuels, further exacerbating the climate crisis. The document warns that widespread mortgage defaults and the devaluation of lender security could lead to a systemic financial crisis with global implications.

The briefing establishes that fossil fuels are responsible for approximately 70% of carbon dioxide emissions since the industrial revolution, with a small number of companies contributing a disproportionate share. It highlights the role of attribution science in linking specific extreme weather events to climate change and details the growing trend of using the 'polluter pays' principle in litigation and legislation to hold these companies financially accountable. The document further argues that to meet the 1.5C target, global fossil fuel production must decrease significantly by 2030, supported by a transition to renewable energy and electric vehicles.

The research note advocates for "strong 45V rules" based on three pillars: incremental, deliverable, and hourly-matched clean electricity. The author contends that weakening these rules would allow dirty hydrogen production to qualify for subsidies, potentially increasing net CO2 emissions by 100-200 MMT per year and raising wholesale electricity prices by 10%. Conversely, strong rules are presented as a way to drive domestic manufacturing of flexible electrolyzers, align U.S. standards with the European Union, and ensure the long-term viability of the hydrogen industry beyond the tax credit's expiration.

The paper identifies systemic barriers in US school transportation, such as unreliable wheelchair lifts and the segregation of disabled students into separate buses. It argues that the transition to electric school buses (ESBs) presents an opportunity to improve health and equity, particularly for students of color in underresourced areas, provided that disabled youth are included in decision-making and universal design is adopted. The authors highlight the 'early adopter tax' and the risk of 'echo exposure'—where old diesel buses are transferred to other vulnerable community settings—and recommend that policymakers prioritize funding for accessible ESBs and enforce compliance with the ADA and IDEA.

The paper examines the barriers faced by students with disabilities during the transition to electric school buses in the US. It highlights systemic failures in current transportation, such as broken wheelchair lifts and the segregation of disabled students onto separate buses. The authors argue for the application of Disability Justice and Environmental Justice frameworks to ensure that the transition prioritizes marginalized communities and incorporates Universal Design. Key recommendations include involving disabled youth in decision-making, improving infrastructure like sidewalks, and ensuring that electric buses are more accessible than the gas-powered vehicles they replace.

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 asserts that Western US states must collaborate on regional electricity transmission expansion to realize significant economic gains. It highlights that energy export states could see their market access grow from $3 billion to $40 billion per year by 2050 with increased capacity, while states with clean energy standards could reduce costs by over 30% through expansive regional planning.

The report analyzes the federal permitting process for high-capacity electric transmission lines in the U.S., identifying systemic delays caused by poor interagency coordination, capacity shortages, and regulatory misalignment between federal and state authorities. Based on a dataset of 37 projects and case studies, it argues that while litigation is often cited as a primary barrier, it is rarely the sole cause of project failure. The authors recommend that the President prioritize transmission as a national priority, that Congress consolidate siting authority for multi-state projects, and that agencies adopt more agile, transparent, and collaborative environmental review processes, including expanded use of programmatic EISs and categorical exclusions.

Earthjustice warns that a new 'model' bill for cryptocurrency mining, promoted by the Satoshi Action Fund, would shield miners from local zoning and noise ordinances and interfere with utility regulators' ability to set fair electricity rates. The briefing details how proof-of-work mining strains electric grids, increases electricity costs for residents, causes significant noise and environmental pollution, and fails to deliver promised economic benefits.

The case Aji P. v. State of Washington involved a constitutional complaint by youth petitioners who argued that Washington's reliance on fossil-fuel-based energy and transportation systems infringed upon their "fundamental right to a healthful and pleasant environment". The claim was dismissed by the King County Superior Court and the Washington Court of Appeal, and the Supreme Court of Washington ultimately denied the petition for review without providing reasons. However, Chief Justice Steven Charles González dissented, arguing that the court should have decided whether climate change impacts are remediable under state law and that the lower court had "unnecessarily expand[ing] the political question doctrine".