NGA Issue Library

Our nation’s Governors are dedicated to leading bipartisan solutions that improve citizens’ lives. Through NGA, Governors identify priority issues and deal with matters of public policy and governance at the state, national and global levels. NGA teams work side-by-side with state leaders to identify challenges and develop solutions. View NGA products below, filterable by content type and topic.

Testimony – REAL ID

Chairman Sensenbrenner, Ranking Member Scott, distinguished members of the committee; my name is David Quam, Director of Federal Relations for ...
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Strategies for States to Encourage and Fund Community Care Teams

Strategies for States to Encourage and Fund Community Care Teams outlines the role that community care teams can play in ...
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Long-Term Services and Supports: Challenges and Opportunities for States in Difficult Budget Times

An effective system of long-term services and supports (LTSS) is essential to enable older adults and persons with disabilities to ...
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Hearing Statement – Marketplace Fairness Act

The National Governors Association (NGA) urges Congress to level the playing field between out-of-state and in-state retailers by authorizing states ...
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State Perspectives on Insurance Exchanges: Implementing Health Reform in an Uncertain Environment

The three major components of the Patient Protection and Affordable Care Act of 2010 (ACA) — insurance reform, Medicaid expansions, ...
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State Health Insurance Exchanges and Children’s Coverage: Issues for State Design Decisions

As states consider implementation options under the Affordable Care Act, they face a series of critical decisions that will affect ...
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Sustaining State Health Information Exchange: A State Toolkit

Many tools have been proposed to correct the ills of the health care system, but there is likely no single ...
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Testimony – Governor Markell D Block

Chairman Rockefeller, Ranking Member Hutchison and distinguished members of the committee, my name is Jack Markell, Governor of the state ...
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Testimony – Senate Budget State Fiscal Situation

Chairman Conrad, and members of the committee, on behalf of the nation’s governors, thank you for the opportunity to appear ...
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Testimony – D Block Senate Commerce

On behalf of the nation’s governors, the National Governors Association (NGA) wishes to thank Chairman Rockefeller, Ranking Member Hutchison and ...
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State Roles in Delivery System Reforms

With the cost of health care rising faster than the gross domestic product (GDP), it is vital for the United ...
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Shaping a Healthier Generation: Healthy Kids, Healthy America State Profiles of Progress

Through the Healthy Kids, Healthy America program, the NGA Center supported 15 states as they worked to develop policies to ...
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