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  • Milbank State Leadership Network State Health Policy Leadership

    Opportunities for Rural Transformation: Regional Public Colleges and Universities

    September 2025 Michael Meit Nicholas E. Hagemeier Andrew Koricich

    As state policymakers apply for the OBBBA’s Rural Health Transformation funding, they have a significant opportunity to partner with their RPCUs to address the research, and especially, the workforce training needs of their rural communities. More

  • Can Civility Survive? Lessons from Legislators on the Firestorms of Politics

    Milbank State Leadership Network State Health Policy Leadership

    Can Civility Survive? Lessons from Legislators on the Firestorms of Politics

    September 2025 Morgan McDonald

    The National Conference of State Legislators Summit’s opening sessions, which featured former Congresswoman Gabrielle Gifford and a tribute to slain Minnesota Speaker Emerita Melissa Hortman, zeroed in on the need for depolarization in state houses and beyond. More

  • Health Care Affordability

    State Health Care Spending Growth Trends Point to Need for Policy Action

    September 2025

    The third annual analysis of spending growth trends across cost growth target states finds all five exceeded their targets. More

  • Proposed Changes to How Medicare Pays Can Help Primary Care’s Chronic Condition

    Primary Care Transformation

    Proposed Changes to How Medicare Pays Can Help Primary Care’s Chronic Condition

    September 2025 Christopher F. Koller

    The Trump administration released a draft Medicare rule this summer that might have been missed amid HR1’s large funding cuts to Medicaid and the health insurance marketplaces. But the administration’s proposed changes to the 2026 Medicare Physician Fee schedule are an important step toward strengthening primary care — and following through on its commitment to “Make America Healthy Again.” More

  • Population Health

    Policy Options for Antimicrobial Resistance: Exploring Lessons From Environmental Governance

    September 2025 Isaac Weldon Kathleen Liddell Kevin Outterson

    Antimicrobial resistance (AMR) is a pressing global health crisis rooted in complex collective action problems. Despite the urgency, policy responses have not kept pace with the escalating threat of drug resistance. By recognizing the similarities between AMR governance and other shared-resource challenges in environmental governance, this article examines potential strategies for AMR governance. More

  • Health Equity Health IT

    Digital Health: An Opportunity to Advance Health Equity for People With Disabilities

    September 2025 Pankaj Jain Bhav Jain Rushabh Doshi Urvish Jain Henry Claypool Ariana Aboulafia Bonnielin K. Swenor

    Throughout the last 50 years, the disability rights movement has made significant progress in providing statutory protections for people with disabilities in the United States. More

  • Population Health

    The Ongoing Assault on Science and Truth

    September 2025 Alan B. Cohen

    The Trump administration’s efforts to eliminate all manner of diversity, equity, and inclusion (DEI) practices from government agencies, universities, and private sector workplaces has been coupled with steep funding cuts to key health agencies and the cancellation or freezing of medical research grants and contracts. It’s not just the careers of promising scientists and medical researchers that are at stake, but also the nation’s preeminent standing in the scientific community. Science unfortunately has become the latest victim in the culture wars taking place in the United States. More

  • Supporting State and Local Health Policy Leaders in a Polarized Policy Environment

    September 2025 Sofia Espinosa

    Welcoming the 2025-26 Milbank State Leadership Program Cohorts  As federal health agencies contract and fewer federal dollars are allocated… More

  • Celia Segel

    Celia Segel

    September 2025 Sofia Espinosa

    Celia Segel, MPP,is Chief of Staff at MassHealth, the Massachusetts Medicaid and Children’s Health Insurance Program. She plays a strategic role in… More

  • Laura Hall

    Laura Hall

    September 2025 Sofia Espinosa

    Laura Hall, MS, was first elected to the Alabama House of Representatives by special election in August 1993. She was re-elected in 1994, 1998, 2001,… More