Healthcare Delivery

Governors know that improving the health of citizens is not only essential to ensuring they live productive lives, but also to controlling health care costs and balancing budgets; as a result, states are leading on a wide array of health reform initiatives.

Governors are focused on finding ways to pay for and deliver care that will lead to improved quality, better outcomes and lower costs in their states. To support these priorities, NGA provides information, research synthesis, policy analysis, technical assistance, special projects, and resources to Governors and their staff on healthcare delivery topics including: Healthcare workforce; Long-term care and older adults; Healthcare and pharmaceutical cost and coverage; Adverse Childhood Experiences (ACEs) and trauma informed care; Health equity. NGA also provides special opportunities for states to engage in more in-depth technical assistance such as through policy academies, learning collaboratives, workshops, and roundtables on these topics.

Services Available

  • Strategic planning facilitation and best practice guidance on healthcare delivery topics or initiatives
  • Strategic guidance, feedback and meeting facilitation support to Governor-appointed healthcare workforce, health equity, trauma, and insurance boards or commissions
  • Annual HHS Advisors Institute for state leaders on emerging healthcare delivery issues
  • Regular communications and briefings to health policy advisors on healthcare delivery topics
  • Customized research briefs and best practice presentations upon request

Featured Projects

Next Generation of the Healthcare Workforce Project Year 3 – Policy Academy and Knowledge Exchange Network

NGA launched the Next Generation of the Healthcare Workforce project in 2022 with support from HRSA. The project supports Governors’ offices and other senior state officials in implementing strategies to strengthen and grow the next generation of the healthcare workforce. Year three of this project will focus on a policy academy and learning network to lay the foundation for new initiatives, funding opportunities, or administrative policies for improving healthcare workforce.


Health Equity Learning Network

In 2023, the NGA Center convened states to discuss approaches and communication strategies regarding health equity. In 2024, the NGA Center will facilitate a learning network of states and territories interested in advancing their health equity goals.


Healthcare Delivery Library

Rural Health Learning Collaborative: Improving Access to Behavioral Health Care in Rural Areas

August 9–10, 2017 | Washington, DC The National Governors Association Center for Best Practices (NGA Center) Health Division hosted a multi-state convening as part of the Rural Health Learning Collaborative ...

Governors: Immediate Action Required to Stabilize Health Insurance Marketplaces in States

WASHINGTON—Today the National Governors Association (NGA) Health and Human Services Committee, led by Virginia Gov. Terry McAuliffe and Massachusetts Gov. Charlie Baker, released the following statement on cost-sharing reductions (CSRs) within individual health ...

Governors to Senate: Both Parties Should Cooperate on Nominations

WASHINGTON—The National Governors Association (NGA) today released the following statement on the confirmations of the President’s executive nominees by the Senate: “The nation’s governors rely on a strong, cooperative relationship ...

State Reporting: NGA Compact To Fight Opioid Addiction

In July 2016, 46 of the nation’s governors signed A Compact to Fight Opioid Addiction, marking the first time in more than 10 years that governors developed a compact through ...

Senate Health Reform Legislation

The Honorable Mitch McConnell Majority Leader United States Senate U.S. Capitol, S-230 Washington, D.C. 20510 Dear Leader McConnell, As Congress continues to debate changes to our nation’s health care system, ...

Governors to Congress: Don’t Let CHIP Expire

WASHINGTON—Earlier today the U.S. House of Representatives Energy and Commerce Subcommittee on Health held a hearing to examine the Children’s Health Insurance Program (CHIP) and the Community Health Center Fund ...

NGA Releases Bipartisan Ideas From 13 States to Improve Health Care

WASHINGTON—Today the National Governors Association (NGA) Center for Best Practices released Shared Priorities from the Governors’ Bipartisan Health Reform Learning Network, which summarizes a collection of bipartisan ideas from 13 states—California, ...

CHIP Reauthorization

The Honorable Orrin Hatch Chairman Senate Committee on Finance Washington, D.C. 20510 The Honorable Ron Wyden Ranking Member Senate Committee on Finance Washington, D.C. 20510 The Honorable Greg Walden Chairman ...

NGA Reacts to AHCA Passage, Urges Congress to Seek Governors’ Input

The bipartisan National Governors Association (NGA) released the following statement today on the passage of the American Health Care Act (AHCA) of 2017: “Governors share Congress’ goal of fostering a ...

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