Freedom & Progress 2024

Federal agencies have increasing influence over state and community self-governance. Much of it occurs behind the scenes, without the awareness or approval of our elected representatives. SPN’s Center for Practical Federalism has developed a Federalism Scorecard and other resources to identify where unelected federal officials exert undue influence over state governance and to identify practical policy solutions for states and communities to change this. This session will highlight what leaders are doing to strengthen self-governance in their states and communities.

In its 2024 decision in Grants Pass v. Johnson, the U.S. Supreme Court gave local governments greater freedom to enact and enforce penalties on public camping and sleeping outside. This panel will explore the legal, ethical, and practical implications of the ruling and discuss innovative solutions to address homelessness that balance public order with compassion for the unhoused.

Waste, fraud, and abuse are straining the welfare system, creating an urgent need for innovative solutions that ensure that benefits reach those who truly need them. This panel will explore new research on how digital identity can revolutionize welfare delivery by enhancing accountability and reducing inefficiencies. Experts will discuss how digital tools can verify eligibility, streamline access, and safeguard taxpayer resources while creating a more equitable and efficient system for recipients.

The drug pricing reforms mandated in the Inflation Reduction Act (IRA) will have far-reaching effects on patients, health care providers, and the pharmaceutical industry. This panel will delve into the complexities of the IRA’s drug pricing provisions and explore how the new regulations will affect access, innovation, and costs. Health policy experts will analyze the potential benefits and challenges of the policy and what they mean for the future.

Rising health care costs continue to burden American families, with provider and hospital pricing playing a significant role. This panel will dive into the factors driving these price increases, including market consolidation, opaque pricing practices, and the lack of competition. Experts will discuss the impact of these trends on patients and explore potential policy solutions to make health care more affordable and transparent.