SLC Human Services & Public Safety Committee

Among states’ most pressing concerns are ensuring the public’s general welfare and protection, with both areas constituting increasing shares of state budgets. States have been taking the lead in health policy, welfare reform and child care, and have maintained their predominant role in the areas of public safety, corrections and sentencing. The Human Services & Public Safety Committee has a broad agenda which most typically addresses the challenges states face in the areas of human services and corrections, and policies and programs utilized to meet them. The Committee has undertaken assessments of Medicaid and reform; nursing shortages; long-term healthcare; and such corrections issues as criminal justice DNA statutes; the aging inmate population; female offenders; mental health parity in prisons, and prison staffing patterns in Southern states.

Acting Chair

Katrina Shealy

South Carolina

Vice Chair

Past Chair

(Former) Senator
Doug Overbey



Roger Moore

Roger Moore
Policy Analyst

Recent Research

SLC Special Series Report | December 1, 2017

Long-Term Care in the South (Part II)

Roger Moore

Download the full report (PDF)

As the nation’s population continues to trend older, it increasingly is apparent that long-term care (LTC) — defined as a range of medical and social services required by individuals in need of extended support due to illness and frailty — is becoming a growing concern for state and federal policymakers. Across the country, the number of people aged 65 and over is growing rapidly, a shift that will continue for several decades. As noted in Part I of this SLC Special Series Report, there will be approximately 88 million people over age 65 by 2050, almost double the 47.8 million recorded in 2015, according to the U.S. Census Bureau. More importantly, the number of people aged 85 and older, the demographic most likely to require longterm care, also will grow dramatically, from 6.3 million in 2015, to an estimated 19.0 million in 2050.

Part I of this SLC Special Series Report detailed many of the broader concerns that long-term care poses for Southern states, including challenging demographic shifts, deteriorating health status among key segments of the population and prohibitively high costs of various LTC services. Part II outlines the role that insurance plays in financing long-term care and reviews potential insurance-related solutions that could create more affordable care in the future for states and LTC recipients.

Comparative Data Report | July 19, 2017


Zach Rau and Shawn Hotstream, Louisiana Legislative Fiscal Office

Comparative Data Reports (CDRs) are prepared annually by select SLC states’ fiscal research departments. These reports track a multitude of revenue sources and appropriations levels in Southern states and serve as a useful tool to legislators and legislative staff alike in determining their respective state spending.

Download this report (PDF)

Policy Analysis | April 28, 2017

Cross-State Health Insurance Policies

Roger Moore

The idea of selling health insurance “across state lines” has gained traction over the past several years and, per its proponents, has the potential to lower the costs of private health insurance for consumers. Those in support of cross-state sales assert they can lead to the proliferation of national and/or regional markets for insurance policies, thereby creating additional competition to drive costs down and offer more alternatives for consumers. Proponents contend cross-state policies, if applied correctly, allow health insurers to bypass burdensome state regulations and expensive benefit mandates that drive costs up and provide little meaningful value for many consumers, particularly younger and healthier people. 

It is not widely known that states have the authority to sanction sales across their borders and define the conditions under which such sales can be made. According to the Commonwealth Fund, six states have enacted policies allowing out-of-state health insurance plans in their markets: Georgia, Kentucky, Maine, Rhode Island, Washington, and Wyoming. However, not one out-of-state health insurer has offered policies in a new market that allows cross-state sales. Experts and officials in the insurance industry attribute this to the fact that establishing local provider networks, a necessity for all health insurers, is an extremely difficult and timely undertaking, particularly for an entity based in another state, as it involves negotiating contracts with local doctors and hospitals so that customers can be covered in their respective areas. In fact, setting up a local provider network reportedly is the biggest barrier for insurance companies that may be interested in selling their policies in another state, more so than restrictive regulatory environments or costly benefit mandates.

Continue Reading

More SLC Research into Health & Human Services

SLC Special Series Report | January 17, 2017

Long-Term Care in the South (Part 1)

Comparative Data Report | June 27, 2016


Policy Analysis | June 14, 2016

Scope of Practice – Physician Assistants (PAs)

SLC Regional Resource | May 9, 2016

Spread of Zika: Impact on Southern States

Policy Analysis | April 20, 2016

Marijuana Use: Uncertainty on All Sides Continues

SLC Regional Resource | March 21, 2016

Heroin Epidemic in SLC Member States: Finding Solutions

Webinar | December 3, 2015

SLC State Pensions: Latest Developments

Policy Analysis | May 13, 2015

The Status of Medicaid Expansion in SLC States

SLC Regional Resource | April 24, 2015

Vapor Rising: E-Cigarettes in the SLC States

Webinar | October 3, 2014

Food Safety Modernization Act

Comparative Data Report | August 6, 2014


SLC Regional Resource | March 25, 2014

A Special Condition: Medical Marijuana in SLC States

Comparative Data Report | July 26, 2013


Comparative Data Report | July 25, 2012


Policy Analysis | September 19, 2011

Prospective Changes in Long-Term Care Policies

Policy Analysis | May 9, 2011

A Prescription Drug Epidemic

Comparative Data Report | March 15, 2011


SLC Regional Resource | July 1, 2010

Meth: Resurgence in the South

Policy Analysis | January 1, 2010

Which SLC states have drug recycling programs?

SLC Regional Resource | January 1, 2010

Autism and Schools

Issue Alert | January 1, 2009

An HIV Epidemic?

Comparative Data Report | December 1, 2008


Comparative Data Report | November 1, 2007


Comparative Data Report | November 1, 2006


Comparative Data Report | November 1, 2005


Comparative Data Report | November 1, 2004


Comparative Data Report | November 1, 2003


Comparative Data Report | November 1, 2002


Comparative Data Report | November 1, 2001


SLC Regional Resource | April 1, 2001

Methamphetamine Production and Abuse in Southern States

Comparative Data Report | November 1, 2000