New Hampshire: Baseline Report - State Level Field Network Study of the Implementation of the Affordable Care Act

This report is part of a series of 21 state and regional studies examining the rollout of the ACA. The national network -- with 36 states and 61 researchers -- is led by the Rockefeller Institute of Government, the public policy research arm of the State University of New York, the Brookings Institution, and the Fels Institute of Government at the University of Pennsylvania.New Hampshire's experience with implementing the ACA in 2013 and 2014 underscores the state's "wait and see" approach to health care reform. Since the passage of the ACA in March 2010, a wide range of national polls demonstrated that the public remains fundamentally split about the law and its effects; unlike other major health care reforms (e.g., the Medicare Modernization Act of 2003) the public has not warmed to the ACA over time. The stability of public attitudes towards the ACA is striking; despite month-to-month variations, surveys by the Kaiser Family Foundation, Gallup, and other major polling organizations reveal that public views of the ACA have changed little over the past four years. This ongoing partisan and policy divide is evident in the Granite State, as Republicans continue to oppose the ACA, while Democrats embrace reform -- on New Hampshire's terms

Computational Aspects of Asynchronous CA

This work studies some aspects of the computational power of fully asynchronous cellular automata (ACA). We deal with some notions of simulation between ACA and Turing Machines. In particular, we characterize the updating sequences specifying which are "universal", i.e., allowing a (specific family of) ACA to simulate any TM on any input. We also consider the computational cost of such simulations

Health Care Law Still Unpopular In NH, Most Think Health Care Costs Will Increase 2/3/14

The Affordable Care Act (ACA) remains unpopular with Granite Staters. New Hampshire residents believe health care costs will increase under the ACA

How Intense Policy Demanders Shape Postreform Politics: Evidence from the Affordable Care Act

The implementation of the Affordable Care Act (ACA) has been a politically volatile process. The ACA\u27s institutional design and delayed feedback effects created a window of opportunity for its partisan opponents to launch challenges at both the federal and state level. Yet as recent research suggests, postreform politics depends on more than policy feedback alone; rather, it is shaped by the partisan and interest-group environment. We argue that “intense policy demanders” played an important role in defining the policy alternatives that comprised congressional Republicans\u27 efforts to repeal and replace the ACA. To test this argument, we drew on an original data set of bill introductions in the House of Representatives between 2011 and 2016. Our analysis suggests that business contributions and political ideology affected the likelihood that House Republicans would introduce measures repealing significant portions of the ACA. A secondary analysis shows that intense policy demanders also shaped the vote on House Republicans\u27 initial ACA replacement plan. These findings highlight the role intense policy demanders can play in shaping the postreform political agenda

Study of the Impact of the ACA Implementation in Kentucky: Semi-Annual Report

This report was produced by the State Health Access Data Assistance Center (SHADAC) at the University of Minnesota as part of a mixed-methods study, Study of the Impact of the Affordable Care Act (ACA) Implementation in Kentucky, funded by the Foundation for a Healthy Kentucky (Foundation). As part of this project, SHADAC will use semi-annual and annual reports to document the impact of the ACA in Kentucky using a set of indicators agreed upon by the Foundation and its ACA Impact Study Oversight Committee (see Appendix I for a complete list of indicators). These reports will track change in the indicators throughout the duration of this 34-month study (March 2015 through January 2018), and will include comparisons of Kentucky metrics with the U.S. and other states.The purpose of the first semi-annual report, "Baseline Data for the Implementation of the ACA in Kentucky," is to describe the baseline status of the healthcare situation in Kentucky prior to ACA implementation. The report presents baseline data for all study indicators, under the five study domains: coverage, access, cost, quality, and health outcomes. We use calendar year 2012 data as our baseline because it pre-dates the first ACA enrollment period that began in October 2013 and because the 2012 data are available for most of the indicators

Study of the Impact of the ACA Implementation in Kentucky - Quarterly Snapshot: January - March 2015

The Study of the Impact of the Affordable Care Act (ACA) on Health Coverage, Access, Quality, Cost, and Outcomes in Kentucky (Study), funded by the Foundation for a Healthy Kentucky, is a three-year mixed methods study analyzing the key effects of the ACA in Kentucky. The Study is conducted by the State Health Access Data Assistance Center (SHADAC), a health policy research institute at the University of Minnesota. As part of the Study, the research team produces Quarterly Snapshots to track ACA implementation indicators in a timely way. This is SHADAC's initial health data snapshot

A Possible Nanometer-scale Computing Device Based on an Adding Cellular Automaton

We present a simple one-dimensional Cellular Automaton (CA) which has the property that an initial state composed of two binary numbers evolves quickly into a final state which is their sum. We call this CA the Adding Cellular Automaton (ACA). The ACA requires only 2N two-state cells in order to add any two N-1 bit binary numbers. The ACA could be directly realized as a wireless nanometer-scale computing device - a possible implementation using coupled quantum dots is outlined.Comment: 8 pages, RevTex, 3 Postscript figures. This version to appear in App. Phys. Let

Florida: Round 1 - State-Level Field Network Study of the Implementation of the Affordable Care Act

This report is part of a series of 21 state and regional studies examining the rollout of the ACA. The national network -- with 36 states and 61 researchers -- is led by the Rockefeller Institute of Government, the public policy research arm of the State University of New York, the Brookings Institution, and the Fels Institute of Government at the University of Pennsylvania.Florida's governor and legislative leadership declined to participate in setting up an Affordable Care Act (ACA) exchange and, indeed, refused or returned federal grants awarded to facilitate exchange planning. Instead, the state provided funding for an existing state-funded exchange for small business and individuals unrelated to the ACA that opened with limited services in spring 2014. Florida led the way in opposition to the ACA. Its then attorney general, Republican Bill McCollum, filed suit against the Obama administration aiming to have the law blocked as unconstitutional in both its individual mandate and its requirement for Medicaid expansion

Healthcare not Handcuffs: Putting the Affordable Care Act to Work for Criminal Justice and Drug Policy Reform

The Affordable Care Act (ACA) sets the stage for a new health-oriented policy framework to address substance use and mental health disorders. By dramatically expanding and funding healthcare coverage to millions of currently uninsured people, the ACA represents a remarkable opportunity for criminal justice and drug policy reform advocates to advance efforts for policies promoting safe and healthy communities, without excessive reliance on the criminal justice solutions that have become so prevalent under the War on Drugs. This paper is intended as a starting framework for criminal justice and drug policy advocates to navigate the ACA, and to take advantage of the conceptual and practical opportunities it offers for shifting the conversation and the landscape. Part One of this paper describes some of the major provisions of the ACA relevant to our work: the health insurance requirement; the places many people will buy insurance, called health exchanges; Medicaid expansion; insurance coverage requirements for substance use and mental health disorders; and opportunities for improved models of coordinated care. Part Two of this paper outlines a series of practical recommendations, including program and policy examples and suggested action steps, across three broad categories: ensuring access to healthcare, leveraging the ACA to reduce incarceration, and moving from a criminilization-based drug policy approach to one rooted in health