The Current State | Saturday

S AT U R D AY

AS T R O N AU T- S C I E N T I S T S T O R Y M U S G R AV E T O G I V E K E Y N O T E A D D R E S S A veteran of six space flights, Dr. Story Musgrave has spent a total of 1,281 hours, 59 minutes and 22 seconds in space. He was selected as a scientist-astronaut by NASA in August 1967. He completed astronaut academic training and then worked on the design and development of the Skylab Program. He was the backup science-pilot for the first Skylab mission, and was a CAPCOM

for the second and third Skylab missions. Musgrave participated in the design and development of all Space Shuttle extravehicular activity equipment, including spacesuits, life support systems, airlocks, and manned maneuvering units.

Musgrave served in the U.S. Marine Corps as an aviation electrician and instrument technician, and as an aircraft crew chief while completing duty assignments in Korea, Japan, Hawaii, and aboard the carrier USS WASP in the Far East. He has flown 17,700 hours in 160 different types of civilian and military aircraft, including 7,500 hours in jet aircraft. He has earned FAA ratings for instructor, instrument instructor, glider instructor, and airline transport pilot, and U.S. Air Force Wings.

Musgrave will give the keynote address at the CSG 2018 National Conference closing plenary session and luncheon at noon, today, on Dec. 8.

Also during today’s luncheon, the CSG 2018 Toll Fellow class will graduate from one of the nation’s premier leadership development programs for state government officials, the Henry Toll Fellowship. For more than 30 years, the Henry Toll Fellowship has selected 48 of the nation’s top officials who represent all three branches of state government for a professional development experience unlike any other.

Saturday, Dec. 8 CSG Registration & Information Desk Open 7 a.m. – 4 p.m. | Madison Lobby

Buffet Breakfast

7 – 8 a.m | Ballroom BC

CSG Campaign Against Hunger Service Project 8 – 9:30 a.m. | Ballroom DE

Coffee Service

9:30 – 10 a.m. | Meeting Room Lobby

Federal Mid-Term Report: From POTUS to SCOTUS 10 – 11:30 a.m. | Meeting Room 9, 10

Reducing the Prevalence of Behavioral Health Conditions in Jail 10 – 11:30 a.m. | Meeting Room 4, 5

CSG Shared State Legislation: Part 2 10 a.m. – Noon | Meeting Room 6, 7, 8

CSG Midwestern Legislative Conference Executive Committee Meeting 10 a.m. – Noon | Riverview Room, Marriott, Lobby Floor

Guest and Spouse Activity: National Underground Railroad Freedom Center Women of Courage Tour

10:30 a.m. – Noon | Madison Street

CSG 2018 Toll Fellowship Graduation and Luncheon Noon – 2 p.m. | Ballroom BC

Guest and Spouse Activity: National Underground Railroad Freedom Center Faith to Freedom Tour

1:30 – 3 p.m. | Madison Street

Coffee and Soda Service

2 – 2:30 p.m. | Meeting Room Lobby

Sing Me A Story: The Night Before Christmas Presented by the Cincinnati Boychoir

Saturday, Dec. 8 Aronoff Center Reception to follow at the Northern Kentucky Convention Center, Event Center II, 1st Floor

CSG Executive Committee

2:30 – 4 p.m. | Meeting Room 1, 2, 3

Evening Event Sing Me A Story: The Night Before Christmas Presented by the Cincinnati Boychoir 5:30 p.m. | Aronoff Center

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Beth Connolly @bethconnolly20 • 11h Pleased that our @pewhealth team is presenting at #CSG2018 First up, a panel on state successes in using Medicaid to expand #opioid use disorder treatment.

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OFFICIALS SHARE LESSONS LEARNED FROM MARIJUANA LEGALIZATION There has been a sea change in public policy—and public opinion— around marijuana legalization from a decade ago. Medical marijuana laws exist in 33 states, while 10 states have legalized recreational marijuana. At a Friday session titled Growing Green: Marijuana Policy Impacts on State Budgets, policymakers and experts discussed the economic impacts of legalization as well as lessons learned from states that have already legalized.

An analysis by New Frontier Data on jobs and taxes that would be generated from full federal legalization of marijuana projected that payroll taxes, business taxes and a 15 percent federal sales tax would generate $108 billion over a seven-year period.

prepared for legalization, he said.

Friednash advised that policymakers who think legalization is even a possibility in their state do the research on economic and social impacts, looking at the data and experiences of states who’ve gone through the legalization process and have mature markets.

“The polling (in favor of legalization) keeps going up and up,” Friednash said. “It’s not a question of if; it’s a question of when. The country is really turning green.”

One challenge for state policymakers and regulators in states where marijuana has been legalized is bringing the illicit market into the legal domain, said Beau Whitney, vice president and senior economist at New Frontier Data. It is projected that in 2025 the illegal trade will still make up half the market, he said.

“Taxes are great revenue for the state, but they could dissuade participation in the legal market,” Whitney said. “So if states are too aggressive with their tax policy, it could prohibit growth.”

Consumers are also very price sensitive, so too-high taxes could drive them away from the legal market, he added.

Doug Friednash, an attorney at Brownstein Hyatt Farber Schreck who served as chief of staff to Colorado Gov. John Hickenlooper as the state passed and implemented policies to legalize recreational marijuana, spoke about his state’s experience with regulating the industry. In Colorado, 12 agencies are engaged in the execution of the state’s adult use and medical marijuana law, so each agency needs to be involved in and

PANELISTS DESCRIBE THE FUTURE OF ELECTRIFICATION Friday’s The Future of Electrification: Impact on Grid Infrastructure session started with two photos: one of an iron fueled by kerosene and another of an electric iron— both made by the same company. The first electric iron was made in 1930, and the last gas iron was made in 1982.

“The gas iron worked well for a long time … the electric was introduced by the Coleman company in 1930 as something new and exciting but in 1930 not everyone has electricity access and it’s the middle of the Great Depression,” said Paul Donohoo-Vallett of the U.S. Department of Energy.

“Electrification is fuel switching, taking a technology that runs on combusting fuels and using instead electricity to power it, to serve the same function,” he said.

Paige Jadun of the National Renewable Energy Laboratory described a multiyear, multipart Electrification Futures Study, which analyzes the impacts of electrification. It is available at www.nrel.gov/efs.

“We’ve developed a range of scenarios, looking at various levels of electrification in order to understand the impact on the power sector as well as on the broader economy,” Jadun said.

Finally, Richard Meyer of the American Gas Association discussed how emerging gas technologies could make cost-effective contributions to reduce greenhouse gas emissions.

Like with the iron, the transition is not inevitable and does not always happen quickly.

He suggested that policymakers contemplate three questions when considering electrification: Does it provide better value to the consumer? Can it reduce the environmental impacts of energy services? Does it allow the most efficient use of energy infrastructure?

The session was presented by the CSG Energy and Environmental Public Policy Committee and moderated by Nebraska state Sen. Carol Blood, a member of the committee.

Electric vehicles were used as an example of electrification in the transportation sector throughout the session.

“Now, we have more than 1 million electric vehicles on U.S. roads today and the number is going to increase dramatically in the next few years,” said Devashree Saha, CSG director of energy and environmental policy.

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STATE OFFICIALS DESCRIBE FUNDING OPTIONS FOR SUBSTANCE ABUSE TREATMENT In a session presented by the CSG Health Public Policy Committee on Friday, Opioid Crisis: How States Have Financed Treatment, panelists shared ideas about creating and financing systems to help people with substance abuse disorders, including opioid abuse.

Beth Connolly, project director of the Substance Use Prevention and Treatment Initiative at The Pew Charitable Trusts, talked about her work going into states and providing a systems assessment. Her organization provides states with targeted, actionable policy recommendations.

“I don’t think anybody would argue about the criticality of our work at this time,” Connolly said.

Ohio expanded Medicaid in January 2014. Tracy Plouck, population

health executive in residence at the College of Health Sciences and Professions at Ohio University, said there was improvement in the number of individuals who had health care coverage. Of all expansion enrollees over time, 10 percent have had a diagnosis of a substance use disorder.

“The ability to access treatment services has been greatly expanded by having health care coverage through Medicaid,” she said.

Virginia, a nonexpansion state, invested $22 million—$11 million from the general fund and $11 million in a federal match—into transforming the Medicaid benefit, said Katherine Neuhausen, chief medical officer of the Virginia Department of Medical Assistance Services.

Addiction treatment was expanded to anyone with a substance use disorder. The system was transformed and all services were carved into managed care to have one coordinated delivery system.

“We worked with all of our health plans … to transform our whole benefit,” Neuhausen said.

Dr. Gil Liu, medical director for the Kentucky Department of Medicaid Services and endowed chair for Urban Health Policy Research at the University of Louisville School of Medicine, said opioid deaths have had a “destructive effect across so many sectors” and that’s why he believes there has been an “all hands on deck approach” and so much collaboration within his state. “(Opioids) impair the state’s ability to have a productive workforce,” he said. “We are seeing just really, really heartbreaking stories of family disruption from the opioid epidemic.”

MORE THAN BABYSITTING: EXPERTS DISCUSS THE VALUE OF EARLY CHILDHOOD EDUCATION Wisconsin state Rep. Joan Ballweg opened Friday’s session, Working Families and the Struggle to Find Early Care and Education, which explored the importance of—and limited access to—quality child care in the U.S. Ballweg is co-chair of the Wisconsin Legislative Children’s Caucus, which was created to advance evidence-informed public policy that improves the life of Wisconsin children.

“See if there is someone out there that can make this initiative sustainable,” Ballweg said. “It doesn’t hurt if they can put a little money in their budget for it as well.”

The caucus not only educates the Legislature by bringing experts to the capitol to speak, but also takes their mission on the road by meeting legislators in their own towns and bringing in experts that are also their constituents to discuss issues specific to their districts.

Manno named three key issues in child care: availability, cost and quality. In Kentucky in 2017, there were 196,863 child care spots and 203,155 children under six that potentially needed care. Additionally, the average salary in Kentucky is $46,575 and care costs $7,609 annually on average, or 16 percent of wages. The Department of Health and Human Services defines child care as affordable when it costs 10 percent or less of income.

Ballweg advises legislators looking to create a similar caucus to utilize organizations that can help, such as CSG, and find a third-party administrative partner so that the caucus remains intact even with legislator turnover.

Charlotte Manno and Jennifer Grisham-Brown of the University of Kentucky’s Early Childhood Laboratory spoke about best practices in early childhood education gleaned from their research and experience.

Manno said the number one thing parents look for when choosing child care is proximity to home or work, rather than the highest level of quality.

“The majority of people don’t understand the levels of quality of care,” Manno said.

Less than 10 percent of child care in the U.S. is considered high quality, while 88 percent of parents say their child care is good or excellent. All states have some form of quality rating system in place.

Grisham-Brown said the No. 1 variable in all her research on early care that connected with positive outcomes for children is the education level of the teacher.

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CSG Campaign Against Hunger Service Project According to Feeding America, 1 in 6 people are struggling with hunger in Kentucky. CSG will continue our tradition of hosting a Campaign Against Hunger event at our annual conference. Please join us as we pack meals to benefit people struggling with hunger in our host state of Kentucky.

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