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

Testimony – Short-term Medicaid Reform (Ray Scheppach)

Governor Sundquist, Governor King and Members of the Commission, I appreciate the opportunity to appear before you today on the National Governors Association's Medicaid Reform proposal. On June 15, 2005, ...
MCH Update: States Protect Health Care Coverage During Recent Fiscal Downturn

MCH Update: States Protect Health Care Coverage During Recent Fiscal Downturn

Medicaid is the nation’s largest health insurance program for low-income persons. The data in this report show state efforts around health care coverage for low-income women and children during the ...

Testimony – Long Term Care Insurance Partnerships

Mr. Chairman and members of the committee, my name is Ray Scheppach, and I am the Executive Director of the National Governors Association. I appreciate the opportunity to appear before ...

Testimony – Medicaid Intergovernmental Transfers

Introduction The Medicaid program is the largest and most important health care program in the country. It currently provides $300 billion per year in critical health care and long-term care ...
MCH Update 2002: State Health Coverage for Low-Income Pregnant Women, Children, and Parents

MCH Update 2002: State Health Coverage for Low-Income Pregnant Women, Children, and Parents

Since 1990, the NGA Center has reported on the status of state Medicaid coverage of children and pregnant women and innovative maternal and child health initiatives. This has served as ...
MCH Update 2001: Trends in State Health Insurance Coverage of Pregnant Women, Children, and Parents

MCH Update 2001: Trends in State Health Insurance Coverage of Pregnant Women, Children, and Parents

Since 1990, the NGA Center has reported on the status of state Medicaid coverage of children and pregnant women and innovative maternal and child health initiatives. This has served as ...

Testimony – Medicare, Prescription Drugs, and Current Coverage Options

Mr. Chairman and members of the committee, I appreciate the opportunity to appear before you today on behalf of the nation's Governors. Prescription Drug Coverage for Seniors One of the ...
Maternal and Child Health (MCH) Update: States Have Expanded Eligibility and Increased Access to Health Care for Pregnant Women and Children

Maternal and Child Health (MCH) Update: States Have Expanded Eligibility and Increased Access to Health Care for Pregnant Women and Children

In January 2001, the Health Care Financing Administration (HCFA) announced that more than 3.3 million previously uninsured children now have health insurance through state SCHIP programs. States are now beginning ...

Testimony – Medicare Reform

Mr. Chairman and members of the committee, I appreciate the opportunity to appear before you today on behalf of the nation's Governors. One of the most critical responsibilities we have ...

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