The demand for long-term care in the United States is rapidly rising due to the high growth rate of the elderly population. Along with other states, New Hampshire and Vermont must develop financially viable strategies to ensure adequate and efficient programs for long-term care. Medicaid is the largest public source…
New Hampshire and Vermont, along with many other states, are currently struggling to contain the continually rising cost of Medicaid. In recent years, prescription drugs have been one of the largest and the fastest growing component of these costs in both states and across the nation. This report examines the…
The U.S. Environmental Protection Agency (EPA) defines a brownfield as "real property, the expansion, redevelopment, or reuse of which may be complicated by the presence or potential presence of a hazardous substance, pollutant, or contaminant." In both Vermont and New Hampshire, the majority of these locations are polluted with petroleum…
A current trend in the state parks systems of the United States is "privatization" of certain functions and services. Privatization, as defined by author and Director Emeritus of Florida State Parks, Ney C. Landrum, is the "transfer of responsibility for selected state park functions or activities from the state parks…
Effective Vermont river management is vital to preserving the economic value of floodplains and waterways while reducing the damage to human property and life. Waterways are an important feature in the Vermont environment, and play a great role in agriculture, nutrient transport, recreation, transportation, and providing drinking water. These rivers…
Given the large structural deficit of the State of New Hampshire and the significantly increased eligibility standards for Medicaid under the Patient Protection and Affordable Care Act (PPACA), the Rockefeller Center has been tasked with assessing the impact of the decision to opt-out of Medicaid in favor of a state-funded…
A Renewable Portfolio Standard (RPS) is a policy mandate that a given proportion of power supplied by retail electricity providers be derived from approved renewable sources. While there is no uniform approach to the construction or implementation of an RPS policy, several common and important features are shared by states…
Vermont's Career and Technical Education (CTE) program works with high schools to provide students with technical education programs for at least one of their last two secondary years, with the goal of satisfying Vermont's job placement and business demands. CTE offers 64 career and technical education programs in 15 regional…
New Hampshire legislators recently considered House Bill 624, which would have mandated that the legislature establish all state fees and fines through statute. This measure would have shifted control over the establishment and adjustment of fee amounts from state agencies to the legislature, except for those fees already set in…
In the context of an increasingly older population and rising medical costs, especially for the elderly population, New Hampshire policymakers have recently decided to shift the state’s resources for long-term care from institutional providers (e.g., county nursing homes) to home- and community-based care (HCBS). While national studies of HCBS show…