Showing posts with label state governments. Show all posts
Showing posts with label state governments. Show all posts

Monday, October 15, 2012

Delta political leaders thrash three Ark. politicians for expressing racial and religious prejudice

A group of political leaders in the eight-state federal Delta region, stretching from southern Illinois to the mouth of the Mississippi, has condemned three Arkansas politicians for derogatory statements they made about Muslims and African Americans. The Mississippi Delta Grassroots Caucus, which supports and works with the federal Delta Regional Authority, said the statements "are the prejudiced views of a tiny minority and do not reflect the point of view of the vast majority of people in Arkansas." About 30 to 40 percent of the MDGC is African American, and the group says it has strong ties to the Muslim community.

The statements in question came from three state Republicans: Rep. Jon Hubbard, who said African Americans benefitted from slavery and criticized those who chastised him by saying "this reeks of Nazi-style political intimidation;" state House candidate Charlie Fuqua, who wrote in the book God's Law that all Muslims should be expelled from the U.S.; and state Rep. Loy Mauch, who said in a 2001 editorial that Abraham Lincoln was a terrorist. (Read more)

Wednesday, October 10, 2012

Farmers, energy firms hike bids to delist endangered species and protect them with voluntary agreements

The U.S. Fish and Wildlife Service is seeing increased interest in agreements to remove certain species from endangered lists, which would absolves the federal government from protecting them, in the wake of its decision to remove the dunes sagebrush lizard from the list this summer.

If a species is removed, its protection falls to voluntary state-led conservation agreements, and landowners don't have to follow federal protection policies. Voluntary agreements "have been a long time in the making," Allison Winter of Energy and Environment News reports. The Endangered Species Act has been shrouded in controversy since its 1973 enactment, she writes, even though environmentalists say its one of the most effective laws for protecting species. Critics of the act say it's become too cumbersome and restrictive on development. Voluntary agreements began during the Clinton administration, and more than 70 landowners have enrolled 1.1 million acres in conservation agreements, providing habitat for 41 species.

Ranchers, farmers, wind-energy companies and oil and gas companies are increasing requests for such agreements so they can increase development on previously protected land, and the FWS is trying to determine how to streamline the review process, Winter reports. The agency plans to issue final listing decisions for 251 species, and initial findings on hundreds of other species, as part of a legal settlement with environmental groups. Two high-profile candidates are the greater sage grouse and the lesser prairie chicken, the status of which could affect development across the West, Winter reports.

Tuesday, October 9, 2012

As dams crumble, states can't keep up with inspections and repairs; look up your local dams

"The number of deficient dams in the U.S. — those with structural or hydraulic issues that increase the risk of failure — is rising dramatically, outpacing the rate at which they can be fixed. But as austerity continues across governments, funds for inspection and upkeep are static or shrinking in most states," Jim Malewitz of Stateline reports. Last year, there were just 422 full-time state employees overseeing more than 87,000 dams in the entire country. Of those dams, 11,388 were listed as "high-hazard," which means they are likely to fail and cause deaths. Many dams exist in rural areas, where rivers have been dammed to create water supplies for urban areas. (Interior Department photo: employees inspect leaking dam)

There's little help on the way from state legislatures, and dam safety advocates hope federal legislators will pick up the slack. When it returns after the election the U.S. Senate will be asked to reauthorize the 2006 National Dam Safety Act, an annual $14 million program that expired a year ago. That program helped states retain staff, educate dam owners and buy essential equipment.

Most dams were built before 1970, including more than 2,000 that are more than 100 years old, and are very prone to damage that could cause failure. State dam inspectors have a hard time keeping up. Alabama doesn't have a safety program, leaving its more than 2,000 dams un-inspected. South Carolina employs fewer than two full time-equivalent workers to oversee its 2,380 dams.

With so many dams to inspect, states classify them by estimated hazard, but changing demographics can lead to faulty classifications. "Suburban development has pushed into rural areas where engineers long ago planned dam construction with only agriculture in mind," Malewitz explains. "Those dams were considered low-hazard; failure meant only flooded land -- not inundated homes or businesses or threatened lives." (Read more)

To look up dams in your area on the Corps' National Inventory of Dams, click here.

Thursday, September 20, 2012

Western foresters think terrorists might start fires

Western land managers said they received notice from the Federal Bureau of Investigation yesterday that terrorists might start forest fires in stands of beetle-killed trees to cause widespread chaos and cost the federal government millions in fighting them, Robert Gehrke of The Salt Lake Tribune reports. It's unlikely the threat will be realized, even though it could make forest neighbors more wary. There's also the possibility that media coverage could spread the idea in the wrong circles.

Utah Division of Forestry director Dick Buehler said the agency is taking the threat seriously. It was reported in May that an al-Qaida-affiliated magazine published articles encouraging people to set fires in the U.S., particularly in Utah, Idaho and Montana, Buehler told Gehrke. The threat referred to dry conditions and stands of dead, beetle-scarred trees, which he said was an indication that someone was paying attention to forest conditions. The division investigates every forest fire, and said none of this summer's were started by terrorists. FBI spokeswoman Deborah Bertram told Gehrke she couldn't confirm that an FBI bulletin regarding terrorist-started forest fires was sent, but Utah Rep. Ken Ivory said a "terrorism expert" told him forests were a target. (Read more)

Tuesday, September 18, 2012

Groups oppose leaving coal-ash regulation to states

More than 300 groups, saying they represent millions of people from all 50 states, sent a letter to the Senate last week opposing the Coal Ash Recycling and Oversight Act, which would prevent the federal government from regulating coal ash, which contains heavy metals including arsenic, lead and mercury. Billions of tons of it are stored in ponds, landfills and mines in almost every state. (Greenpeace photo of Tennessee coal ash pond)

The Coal Ash Recycling and Oversight Act was introduced last month and would prevent the Environmental Protection Agency from finalizing its proposed coal ash rule and from ever issuing coal ash regulations. The bill would reinforce an EPA decision from 2000 that waste from burning fossil fuels doesn't need to be regulated under the Solid Waste Disposal Act. The issue got fresh attention in December 2008, when a Tennessee Valley Authority coal-ash pond broke and released 1 billion tons of waste into the Emory and Clinch rivers in east Tennessee, Environmental News Service notes. TVA is a federal agency, but the pond had been regulated by the state.

EPA proposed coal-ash regulation in 2010, then backed off. The groups' letter says that the Coal Ash Recycling and Oversight Act would nullify "450,000 public comments, essentially silencing the voices of nearly half a million Americans who supported protective regulations." The groups say they have no confidence in state-by-state management of coal ash. (Read more)

Federal grants will improve telehealth services for rural veterans in Virginia, Montana and Alaska

A disproportionate number of veterans are in rural areas, and telehealth could soon improve their health care, which is often lacking because of limited resources or long-distance travel to Department ofVeterans Affairs  hospitals. The Department of Health and Human Services has partnered with the VA to provide almost $1 million to rural veterans' health care providers to improve VA telehealth and HHS state health information exchanges. The three states with the highest rates of rural veterans -- Virginia, Montana and Alaska -- will each receive about $300,000.

The VA said its telehealth system, once it's fully integrated nationwide, will be capable of providing at least 1.2 million medial consultations annually for veterans who would otherwise have to travel long distances to be treated, Robert Longley of About.com reports. Under the Honoring America's Veterans Act signed by President Obama last month, the VA is authorized to waive co-payments for veterans who use telehealth services. (Read more)

Thursday, September 13, 2012

Few state oil and gas agencies seek help from experts who review programs, suggest changes

There exists a team of oil and gas regulators, industry officials and environmental advocates who offer comprehensive reviews of state oil and gas oversight programs and make recommendations for improvement. It's called State Review of Oil and Natural Gas Environmental Regulations, but states aren't volunteering their oversight programs for evaluation. It's a predicament for STRONGER, Ellen Gilmer of Energy and Environment News reports.

State oil and gas regulatory officials are feeling pressure from the public and environmentalists to increase regulations on the booming industry, but Gilmer reports agency leaders are leery of STRONGER and the services it provides. They either don't have resources for it, or they fear increased public backlash. STRONGER's latest review was in 2007 in Tennessee. It did evaluate North Carolina's Department of Environmental and Natural Resources this year, but the state doesn't yet have any actual oil or gas wells.

The group has been evaluating hydraulic fracturing in Colorado, Arkansas, Oklahoma, Louisiana, Ohio and Pennsylvania since 2010, but "It's unclear which states will come next or whether checked-off states' evolving regulations merit further review," Gilmer writes. Mississippi officials have never asked for a review. Kansas officials seemed interested, but haven't asked. Gilmer reports that Texas could be a candidate, but officials there are writing new rules that will likely have to be finished before a review is requested. (Read more) Many state oil and gas agencies are dominates by people from the industries they regulate.

Emerald ash borer sighted in Mass. for first time

The emerald ash borer is eating its way up the East Coast, leaving swaths of dead or dying ash trees in its wake. It has been spotted in Massachusetts for the first time, officials said yesterday, in Berkshire County in the hilly western part of the state. Ash trees are the main component of the state's northern hardwood forest.

State officials said they are working with the U.S. Department of Agriculture to limit the beetle's impact on forests and the wood-products industry, Ros Krasny of Reuters reports. Massachusetts Department of Conservation and Recreation commissioner Ed Lambert said officials "are not taking its presence lightly" and are defining a quarantine area to limit movement of certain wood products, and working with landowners to properly treat and dispose of infested timber.

The invasive Asian beetle has destroyed tens of millions of trees in the U.S. since being accidentally introduced here in the 1990s. It was first discovered in Michigan in 2002, and has been found in 17 other states since then. Its larvae feed on the inner bark of trees, cutting off their ability to take in water and nutrients. Infested ash trees die within a few years. (Read more)

Wednesday, September 5, 2012

Wolves in Rockies going off endangered list; activists say hunting laws will threaten them

Wolves in the northern Rocky Mountain region of Wyoming are finally poised to be removed from the endangered species list by the U.S. Fish and Wildlife Service, but activists fear new state laws that expand hunting and trapping of wolves will threaten their newly established numbers. (Yellowstone National Park photo)

The agency announced the wolf population in Wyoming is officially "recovered," just like those in Idaho and Montana. When the decision takes effect in September, it will mark the end of a 17-year wolf recovery process in the region, Kim Murphy of the Los Angeles Times reports. Wolves had recovered so much in some places, ranchers were reporting frequent deaths of livestock, and state laws had been expanded to allow ranchers to protect herds with killing and trapping. In some instances, state agencies had employed helicopters to aerially kill wolves.

Legal action is expected from activists in Montana, where they contend newly authorized wolf traps could threaten Canada lynx, and in Wyoming, where critics argue that the state's wolf-control laws could "leave them vulnerable to wholesale killing through most of the state," Murphy reports. In Idaho, a proposed law would allow live-baiting of problem wolves with dogs, something attorneys for Earthjustice said has been discussed in Wyoming, too. (Read more)

Monday, September 3, 2012

Tool allows detailed examination of inspection reports from nursing homes all over the U.S.

Journalists now have a tool at their fingertips that will allow them to find out about problems in their local long-term care facilities. (iStock photo)

The application is operated by ProPublica, a nonprofit, investigative news group, and allows "anyone to easily search and analyze the details of recent nursing home inspections, most completed since January 2011," report Charles Ornstein and Lena Groeger.

The tool has features that the federal government's Nursing Home Compare tool lacks, including the ability to search using any keyword. Results can also be sorted according to the severity of the violation, and by state. It has already resulted in several significant news stories, Ornstein reports, giving examples and tips on how to use the application.

About 1.5 million people still live in nursing homes nationwide, though more seniors are living at home or in assisted-living facilities. The reports show there were almost 118,000 deficiencies cited against 14,565 homes. According to the Centers for Medicare and Medicaid Services, the average number of deficiencies for a nursing home inspected in the U.S. is eight. ProPublica's analysis shows Texas had the most deficiencies in the country by far, with 183. 

While ProPublica ranks the states, nursing-home industry officials say "inspectors in different regions of the country have different thresholds for issuing a citation, and that could unfairly make one state's homes appear worse than another's," Ornstein and Groeger report. (Read more)

Friday, August 24, 2012

Romney would give states control over drilling on federal land, provide less support for renewable energy

Romney talks energy in Hobbs, N.M.
(NYT photo by Jim Wilson)

Mitt Romney proposed an end to a century of federal control over oil and gas drilling and coal mining on government land Thursday, in an energy plan that also calls for less support for renewable energy.

"The federal government owns about 28 percent of the 2.27 billion acres of land in the United States. But as of March 2012, only about 37 million acres were under lease for oil and gas operations, of which about 16.3 million acres have active oil and gas production or exploration, according to the Interior Department," Eric Lipton and Clifford Krauss of The New York Times write. "Under President Obama, officials in Washington have played a bigger role in drilling and mining decisions on federal lands in the states, and such involvement rankles many residents and energy executives, who prefer the usually lighter touch of local officials."

"The Romney campaign acknowledged that such a significant policy change would require the approval of Congress, the Times reports. "Getting such legislation passed, even if Republicans controlled the House and the Senate, would be very difficult, given certain opposition by Democrats and perhaps even some Republicans."  (Read more)

The National Journal reported month that some farmers are uneasy with the GOP ticket’s "opposition to renewable-energy policies that have helped them economically." Romney opposes a wind-energy tax credit "that has helped farmers bring in thousands of dollars in extra income by leasing their land to wind producers." His running mate, Rep. Paul Ryan, R-Wis., opposes the mandate for a certain amount of ethanol production, which has driven up demand — and probably prices — for corn. "Romney stands by his support of the ethanol mandate," but "Ryan’s record of full-throated opposition to it rubs corn and crop farmers the wrong way," Coral Davenport writes. "In addition, Ryan’s budget roadmap proposes deep cuts in renewable-energy and nutrition programs that help farmers." (Read more)

Tuesday, August 21, 2012

Federal appeals court strikes down EPA's cross-state air pollution rule

A federal appeals court has struck down the Environmental Protection Agency's air pollution rule for emissions that cross state lines, ruling that the EPA exceeded its statutory authority with the Cross State Air Pollution Rule, aimed at 28 Eastern states. More than a dozen states and several power companies challenged the rule last year, claiming it put undue burdens on them to implement.

"To put it colloquially, the good-neighbor provision requires upwind states to bear responsibility for their fair share of the mess in downwind states," the opinion of the three-judge panel says, but goez too far "by requiring steep pollution cuts from states beyond what they actually contribute to other states' air quality problems," Politico's Erica Martinson reports. The ruling also says the agency should not have set "implementation plans" for states telling them how and where to make pollution cuts to meet air emission limits.

Judge Judith Rogers disagreed with the majority, saying in her dissent that the ruling will result in "a redesign of Congress's vision of cooperative federalism between the states and the federal government in implementing the Clean Air Act based on the court's own notions of absurdity and logic that are unsupported by a factual record." The Natural Resources Defense Council's Clean Air Program senior attorney and Director John Walke said the majority "got the precedent badly wrong," and that the NRDC will urge the Obama administration to appeal the court's ruling. (Read more)

Monday, August 20, 2012

Anti-pill-mill law makes some Ky. doctors stop, or threaten to stop, writing prescriptions

Fighting prescription drug abuse, which has become epidemic in Appalachia and many other rural areas, isn't a simple matter of passing a law. Kentucky, one of the most over-medicated states, is learning that as some doctors are putting up their prescription pads, or threatening to stop prescribing, because they find a new law aimed at "pill mills" to be confusing and overreaching, reports Mike Wynn of The Courier-Journal in Louisville.

"Patients who have never been a problem are bound up in all of this," Greg Hood, Kentucky chapter governor of the American College of Physicians, told Wynn. "There are so many unintended consequences." Hood's group and the Kentucky Medical Association are trying to determine how many clinics are declining to write prescriptions, but neither is advocating that approach. According to state offices of the Drug Enforcement Administration, only three in-state doctors have voluntarily surrendered their DEA registration — required for prescribing controlled substances — in recent weeks for reasons related to the new law. (Read more)

Thursday, August 16, 2012

As drought keeps expanding, state officials try to help people with dried-up wells

Here's a follow-up to our report this week about the crippling Midwest drought drying up water wells used by people living in rural areas. There's no official number of wells that have gone dry, David Mercer of The Associated Press reports, but state and local government officials, well diggers and water haulers across the Midwest say there are many more dry wells than in previous summers. Drought has caused wells that typically go dry in late August or September to stop producing in June.

Many are forced to dig deeper to find water, and the deeper the well, the more expensive it is. Mercer reports the cost ranges from several thousand dollars to tens of thousands for more extreme cases. He also writes that laws in at least two Midwestern states are determining how residents can regain running water. In Indiana, the Department of Natural Resources is going to determine the extent to which large water users are responsible for residents' wells drying up and make them proportionally share costs of repair. Missouri state officials will help farmers pay to keep their wells wet. They've already agreed to spend more than $18 million on 3,700 wells. (Read more)

The drought continues to expand. (Click on map for larger image)

Wednesday, August 15, 2012

Delaware, Maryland entice and train young farmers with grants and no-interest loans

Cara and Philip Sylvester, on their farm
in Delaware (State photo)
Two states have recently introduced programs that make it easier for young people to start farming.

In Maryland's Montgomery County, this month County Executive Isiah Leggett announced an initiative that will train young farmers and place them on privately owned land to grow sustainable crops and livestock for five years or more. The Washington Post reports that county officials hope to approve five to 10 participants this winter and prepare them to farm in the spring. Funded by a federal Small Business Administration grant, the New Farmer Pilot Project aims to help build small farms at a time when the county is struggling to preserve farming. (Read more)

In Delware, 10 young farm families and individuals are on their way to owning their dreams with help from an economic development program designed to boost agribusiness in The First State. The farmers from Kent and Sussex counties all received help purchasing land – nearly 900 acres total – from the Delaware Young Farmers Program, marking its first year. The no-interest loan program was launched in July 2011 by Gov. Jack Markell as a way to reduce the capital investment for young people looking to set up agribusiness operations. It was funded through $3 million in the fiscal 2012 budget. (Read more)

Monday, July 30, 2012

Regional network suggests Appalachian coal states put some severance tax dollars into endowments

A coalition of citizens' groups in Central Appalachia is recommending that Eastern coal states follow the example of their Western counterparts and put part of their severance-tax revenue into endowments that would permanently provide earnings to help their regional economies. Seven states in the West "use severance taxes to create permanent trust funds that can help state economies in the future," reports Paul J. Nyden for the Sunday Gazette-Mail in Charleston, W.Va. "Many of those funds add up to billions of dollars."

A study by the Central Appalachia Regional Network notes that severance taxes represent a significant portion of state government income in two Central Appalachian states: nearly 9 percent of state revenues in West Virginia and 3.3 percent in Kentucky. In four other states covered by the group -- Maryland, Ohio, Tennessee and Virginia -- severance taxes generate less than one-tenth of 1 percent of the states' total revenues.

CARN, a diverse group of regional organizations assembled and funded by the W.K Kellogg Foundation, proposed that a minimum of 1 percent of all severance taxes be placed into permanent endowments in each state. "This would not only help these states meet many of their economic challenges but ensure that future generations benefit from the mineral wealth that is in their communities," said Ted Boettner, executive director of the West Virginia Center on Budget and Policy. The CARN study is available here.

The Kentucky-based Mountain Association for Community Economic Development, which is not part of CARN, earlier this year suggested a similar plan financed by an increase in the severance tax. If Kentucky raised the tax to 5.5 percent from 4.5 percent, it could create more than $700 million in a fund by 2035, MACED said.

Friday, July 27, 2012

Mayor's courts of Ohio are a relic unlikely to change, since they fatten small-town coffers

They've been called "Boss Hogg backwood justice," and the more specific "rap sheet" against local mayor’s courts in rural Ohio says some judges spend public funds on holiday parties and flower arrangements, fail to properly account for hundreds of thousands of dollars, and use speed-trap traffic fines to prop up village budgets, Justin Conley and Rebecca McKinsey report for the Columbus Dispatch. Despite longstanding criticism, they write, "No one seems willing or able to make changes" to fix what's wrong with the courts, which dispense justice to tens of thousands of Ohioans and demand fines totaling millions of dollars every year.

The state doesn’t require the mayors or magistrates in the courts to have law degrees, and is hardly paying attention to them, write Conley and McKinsey, fellows in Ohio University’s Statehouse News Bureau. The state Supreme Court doesn't go after the officials when they violate the law by failing to provide information to the high court, and "The state auditor’s office, which has found repeated instances of misspending and other problems, says it doesn’t have enforcement power to take corrective action." Former state Sen. Kevin Coughlin, a Cuyahoga Falls Republican, said he thinks mayor's courts "have no place in a modern society where you have to have complete integrity in your judicial system.”

The senior justice of the Supreme Court, Paul E. Pfeifer, is the most vocal critic of mayor's courts. “People . . . come out of there feeling like they just participated in a bad spaghetti western,” he said, “where the cabinet maker or coffin maker takes off his apron, sits on a bench with a gavel and metes out justice.” Like many critics, Pfeifer said mayor’s courts are often more about fattening a community’s bottom line than protecting its residents. Some collect far more from mayor’s courts than from all local taxes combined.

There were 318 mayor’s courts in Ohio in 2011, and 76 percent of them were in villages with fewer than 5,000 residents. Supporters, many with ties to small communities, say mayor’s courts are convenient, easy to navigate and inexpensive. “For every one that may not be up to snuff, there are a hundred that do an excellent job,” Magistrate Charles "Kip" Kelsey told the Dispatch. “The fact that Louisiana and Ohio are the only two states that have these mayor’s courts — are we then backward? Or maybe we’re forward. I like to think that maybe we’re progressive." New York and West Virginia have similar courts. (Read more)

Thursday, July 26, 2012

How many oil and gas inspectors per well does your state have? it may be hard to tell

The protection of property and the environment from damage by oil and gas operations depends greatly on the strength and attitude of state regulatory agencies, but their relative strength in personnel terms can be hard to calculate, Ellen Gilmer of Environment & Energy News reports.

"A recent overview of state shale gas regulations showcases major gaps in data available to compare, state by state, the force of oil and gas agencies," Gillmer writes. "Oklahoma, for one, doesn't know how many producing wells it has. . . . This lack of data comes at a time when understanding the workload of state inspectors has become crucial as states grapple with booming shale development and often shriveling budgets."

The analysis by the environmental think tank Resources for the Future uses maps to illustrate state  regulation. We reported on it here.

Monday, July 16, 2012

Report says hydraulic fracturing laws need overhaul; Nationwide says it won't cover fracking damage

"Most states aren’t doing enough to ensure the water safety and health of communities near gas wells where hydraulic fracking takes place," according to a new report by a Washington, D.C.-based research and advocacy group, OMB Watch. Those states that do have chemical disclosure policies in place, the report says, "have loopholes that essentially allow companies to circumvent disclosure regulations." According to the report, only 13 of the 30 states with natural-gas drilling have passed some legislation regulating fracking, which pumps large volumes of water mixed with chemicals and sand into rock formations to release gas.

OMB Watch was founded to watch the federal Office of Management and Budget, often a roadblock for regulatory changes. Sean Moulton, director of federal information policy for the group, told Stateline, "No one state has established a chemical disclosure policy strong enough to protect the water supply of communities near gas wells. No state currently has laws in place requiring gas companies to test water supplies before drilling takes place, making it difficult to determine what’s causing contamination if water becomes polluted after fracking has begun." (Read more)

In related news, Nationwide Mutual Insurance Co. has become the first major company to say it won't cover damage related to fracking. Mary Esch of The Associated Press reports that company spokesman Nancy Smelzer announced last week that the Columbus-based company's personal and commercial policies "were not designed to cover" risk from the drilling process. Nationwide said the risks "are too great to ignore" and apply to policies of landowners who lease land for drilling.

Thursday, July 12, 2012

Governors of both parties undecided on Medicaid expansion, seeking answers on possible tweaks

There is hesitation among governors on both sides of the aisle regarding whether or not to expand Medicaid, which would cover millions more Americans under the program for the poor and disabled.

"At least seven Democratic governors have been noncommittal about their willingness to go along," N.C. Aizenman and Karen Tumulty report for The Washington Post. States would have to start paying part of the extra cost in 2017, rising to 10 percent by 2020. Several Republican governors have said they will not participate, while others say they have not decided.

The issue is surely a major discussion topic at the National Governors Association meeting this week in Williamsburg, Va. Questions remain unanswered: "Will states that opt in have the option of scaling back in future years? If a state that opts out decides it wants to participate at some later point, will the federal government still pay nearly the full cost of covering those who become newly eligible for Medicaid? And can a state participate only partially — for instance, by raising the income cutoff for its program to a level lower than the ceiling envisioned in the law, which is set at 133 percent of the federal poverty line?" Aisenman and Tumulty ask.

NGA Executive Director Dan Crippen said states are confused over what to do. The association has sent a list of questions to Secretary of Health and Human Services Kathleen Sebelius about the issue. "States need to be making these decisions now, and it's hard to make them if you don't have clarity," said Matt Salo, director of the National Association of Medicaid Directors.

Sebelius has said she will address concerns during meetings that will take place in various cities starting July 31. There is no deadline yet for when states must choose whether or not to expand. (Read more)

Here's a chart from The Washington Post, accompanying a story by Sarah Kliff, on who would be left in and left out in each state either way the expansion decision goes (click image for larger version):