
The Progressive States Network was founded in 2005 to drive public policy debates and change the political landscape in the United States by focusing on attainable, progressive state actions. The Progressive States Network advances this agenda by providing coordinated research and strategic advocacy tools to forward-thinking state policymakers, legislative staff, and non-profit organizations. We function as a meeting space for progressive legislators, activists, and citizens, and serve as a hotbed of information exchange. We track legislation in all 50 states, helping to spark change across the country. We make it easier for people to learn more about how to get good ideas passed into law – and how to take power into their own hands.
Progressive States works with the following organizations and additional allies in developing these policies. We work with these groups to provide support to state legislators and campaigns seeking to enact these policies into law.
ACORN AFL-CIO AFSCME Americans for Health Care - SEIU America’s Agenda Apollo Alliance Center for American Progress Center for Housing Policy Center On Wisconsin Strategy (COWS) Citizens for Tax Justice DEMOS Economic Policy Institute Community Catalyst Families USA Herndon Alliance Northeast Action UC Berkeley Center for Labor Research Universal Health Care Action Network (UHCAN) Federation of State PIRGs Free Press National Caucus of Environmental Legislators Smart Growth America Gamaliel Foundation Labor Project on Working Families Mobility Agenda Moms Rising Multi-States Working Families Consortium National Employment Law Project National Housing Conference National Partnership for Women & Families National Women’s Law Center People for the American Way Public Campaign PolicyLink Smart Growth America Service Employees International Union (SEIU) Urban Land Institute |
Progressive States Board of Directors Joel Barkin, Executive Director Texas Rep. Garnet Coleman, Co-Chair David Sirota, Co-Chair Sen. Joe Bolkcom, Iowa Senate Wes Boyd, Moveon.org David Brock, Media Matters for America Anna Burger, SEIU Rep. Morgan Carroll, Colorado House of Representatives Sen. Spencer Coggs, Wisconsin Senate Steve Doherty, Former Montana Senate Minority Leader Leo Gerard, United Steelworkers Lisa Seitz Gruwell, Skyline Public Works Del. Tom Hucker, Maryland House of Delegates Steve Kest, Executive Director, ACORN Ned Lamont, Campus Televideo Sen. Nan Orrock, Georgia Senate Rep. Hannah Pingree, Maine House of Representatives John Podesta, Center for American Progress Lee Saunders, AFSCME Ben Scott, Free Press Rep. Kyrsten Sinema, Arizona House of Representatives Naomi Walker, AFL-CI0 For More Information For more information on policy options discussed in this program or for help in your states, look for additional |
Table of Contents
Tax and Budget Reform
In a debate too often dominated by rightwing tax cut rhetoric, there is a real opening for progressives to demand a fairer, more accountable tax and budget system. The public has a strong commitment to funding both social services and the long-term investments needed for economic growth, but state residents are frustrated by governments that they believe tax low- and middle-income residents too much and upper-income residents and corporations too little. Hidden economic giveaways to companies receiving tax breaks and government contracts only add to voters’ suspicion that state budgets serve those with money, not the average taxpayer. In response, a range of reforms at the state level are creating more transparent tax and budget decisions and strengthening voters’ trust that their tax money will actually go towards the important public services that they do support.
Tax reform that eases the burden on working families while demanding that the wealthy and corporations pay their fair share should be a core principle of the progressive movement. An April 2008 Gallup poll showed that 63% of Americans think upper-income people pay “too little” and 73% think corporations pay too little in taxes, with many state polls showing up to 80% of voters calling for higher tax rates on the wealthy. This desire reflects the reality that corporations and the wealthy pay a lower percentage of their income in state and local taxes than working families. Easing the tax burden away from working families is therefore a key part of creating broader political support for expanding popular support for social programs and public investments.
Budget and Tax Transparency as Strategy: To expose inequities in our tax and budget systems, a prime goal for progressives should be to promote “truth in budget” reforms that track the tax burden for different income groups, the extent of corporate loopholes and other tax giveaways, the hidden deals made when contracting out public services, and which companies receive state economic development money and government contracts. Such reforms give the public the tools for a more robust understanding of what really goes on with state money. And once special deals for corporate interests are exposed, it becomes easier to enact reforms that save taxpayers money and free up resources for other needed state programs.
Stop Failed Corporate Rip-offs of the Public: More transparency will highlight that tens of billions of dollars each year are lost to corporate tax loopholes and subsidies that deliver little in return. Progressives need to establish clear policies to eliminate such wasteful use of taxpayer dollars. States also need to crack down on wasteful economic development deals handed out to large corporations who have little to show in decent jobs created for state residents.
The other side of budget malfeasance is insider privatization—deals that hand fat public contracts to politically connected corporations. Privatization often just pads the corporate profits of those receiving public contracts and leasing government-owned assets (like highways). All across the country, “pay to play” corruption has led to indictments of public officials selling off government to the highest bidder. And the cost is not only the public trust, but poorly delivered public services, fraud, and the undermining of state economies as companies pay poverty wages and even offshore jobs overseas. Policies that create accountable standards for government contracts are needed to prevent corruption and help guarantee that public money is used to promote broader public policy goals.
A New Progressive Message on Economic Growth: In times of economic troubles and recession, the standard rightwing calls for more cutbacks on public investments and more tax giveaways to try to lure businesses to the state become that much louder. Yet the worst thing policymakers can do during temporary hard times is to cut back on the investments in education, university research, physical infrastructure, and worker training that actually do determine where companies want to do business in the
long term.
In Rethinking Growth Strategies, author Robert Lynch highlights the fact that state and local taxes are too small a part of a typical company’s costs to determine plant location, so cuts in public services are likely to cost more jobs than any jobs potentially attracted by low taxes. Similarly, CFED’s A Progressive Economic Development Agenda for Shared Prosperity, describes low-tax strategies as a “get poor” strategy, where the better approach to local economic competitiveness “needs to focus on meeting the workforce and infrastructure requirements of the New Economy.” All of which emphasizes that states can best pay for those investments in public services by creating effective state tax systems where the wealthy and corporations pay their fair share.
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Make Tax Systems More Progressive
The usual objection to raising taxes on the wealthy or corporations is that such taxes undermine economic growth; yet there is remarkably little evidence to back up those claims. Studies instead have emphasized that neither business tax cuts nor estate tax cuts play any significant role in local economic growth.
Instead, the sad truth is that almost every state tax system requires working families to pay a higher percentage of their income in taxes than their wealthier citizens. In fact, as the Institute on Taxation & Economic Policy detailed in their 2003 study, Who Pays?: “[O]nly four states require their best-off citizens to pay as much of their incomes in taxes as middle-income families have to pay.” As the graph below from ITEP shows, the average family pays significantly more of their income in state taxes than
the wealthy.
A report by the Center on Budget and Policy Priorities and EPI emphasizes that making state tax systems more progressive is also a way to mitigate the broader trend of growing before-tax economic inequality.
General Resources to Make Tax System More Progressive
All of this activity bodes well for health care reform nationally and in the states, in large part because states look to each other for guidance and ideas. For instance, lawmakers in Iowa this year enacted legislation with the goal of covering all children, joining at least Illinois, Pennsylvania, Massachusetts, Washington, and New York. The legislation includes language, derived in part from the California compromise measure, which calls for the state to limit the cost of children’s health care coverage to an affordable percentage of family income.
Fortunately, there are new models for reform, such as Healthy Wisconsin, which offer a new standard for states and go further than the Massachusetts model towards guaranteeing quality health care for all residents and ensuring new systems are resistant to economic ups and downs.
State Comprehensive Health Care Laws:
• San Francisco (Ordinance overview and text)
• Vermont Bill (Overview and resources)
• Massachusetts (Bill summary and text)
• Maine’s Dirigo Health Reform (Chapter 87)
Core Policies to Make Tax Systems more Fair should include: • Promote Fair Income and Estate Taxes • Reform Property Taxes • Broaden Base of Sales Taxes to Include Services • Make Corporations Pay Their Fair Share • Better Enforcement of Tax Law • Stop Rightwing Tax Campaigns |
Promote Fair Income and Estate Taxes
Most sales and property taxes are regressive and burden working families more than the wealthy; however, states can create a fair tax system by balancing those regressive taxes with an income tax that includes higher tax brackets for the very wealthy. Washington State’s antiquated tax structure is an example of the crucial need for progressive reforms. The state has no income tax and relies heavily on sales, property, and business gross income taxes, leading to, in the words of the Economic Opportunity Institute, “the most regressive tax system in the United States.” The lowest income residents pay 18% of their income in state and local taxes while the richest 1% pay just 3% of their income in taxes.
Make Income Tax More Progressive: As the Tax Policy Center highlights, there is a wide disparity in state income tax systems, but recently a number of states have been seeking ways to make their tax systems more progressive. In states with an income tax, creating higher tax brackets for wealthier taxpayers should be the prime tool for easing budget crises.
Each of these examples is a blueprint for creating a fairer tax system for middle class families without gutting social spending:
Earned Income Tax Credit (EITC): Creating or increasing State Earned Income Tax Credits to ease the tax burden on lower-income working families is another tool to help increase fairness in the tax code. These reward work by low-income working families by adding some additional payment on top of the federal EITC, usually as a percentage of the federal credit. During an economic slowdown, these tax cuts for working families will have the most immediate impact on the economy since low-wage working families invariably have to spend those tax savings on immediate needs, usually at local retailers or other local services that strengthen local economies.
Twenty-three states have enacted EITCs. Maryland recently expanded the refundable part of its EITC from 20% of the federal EITC up to 25%. States without an income tax can create a “Working Families Credit” like Washington State’s SB 6809. Passed in 2008, the bill will give 350,000 Washington residents the equivalent of 10% of their federal EITC refund.
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Estate Taxes: Preserving taxes on wealthy estates is another area where states are working to maintain tax fairness (and raise some needed revenue) . While some states have followed federal law as the estate tax has been rolled back, many others are “decoupling” their estate tax from federal law changes. And while a few high-income folks duck out of state to avoid state estate taxes, “the number is modest and not nearly enough to offset the revenue gained by keeping an estate tax,” as one research report detailed.
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Reform Property Taxes
With the housing market meltdown, we are seeing more proposals for across-the-board caps on property tax rates -- a bad idea that delivers most of the tax benefits to wealthier property owners. Instead, a better approach are Property Tax Circuit Breakers, which limit property taxes to a percentage of a taxpayer’s income, while fully taxing the property of wealthy homeowners. A new study from Connecticut emphasizes why circuit breakers, along with other reforms, are far better than a tax rate cap proposed by the state’s governor.
The basic idea is simple (see this policy brief for more). Instead of the typical proposal to cap property taxes at some percentage of the property value -- which disproportionately benefits the wealthy -- a circuit breaker caps property taxes at a percentage of a taxpayer’s income. Different states restrict circuit breaker caps to various groups -- the elderly, the very poor -- or offer them to renters as well as homeowners. Some examples include:
Property Tax Deferral Programs: A variation on the circuit breaker idea are programs that defer payment of property tax increases for certain homeowners until the property is sold, allowing owners to wait until the profits from selling the land make paying the taxes less of a burden. Like other common
tax relief measures, they are generally restricted to certain populations, including:
Many argue for broader programs to allow a wider variety of taxpayers to defer paying property tax increases until they can cash out their property values at a sale—one way to fund public services while protecting homeowners.
Property Tax Homestead Exemptions: Forty states exempt a certain amount of a home’s value from tax. This is a progressive tax solution, but many states restrict the exemption in ways that deny tax relief to many working families. Also, many exemptions are not indexed to housing inflation, so their value can rapidly be eroded in times of housing price booms.
A key strategy for progressives should be to expand these tax relief programs to include more working families, which would go a long way in undermining potential “tax revolt” strategies by rightwing politicians before they even start.
Broaden Base of Sales Taxes to Include Services
While sales taxes often contribute to tax inequality, they can be made fairer by broadening the tax base of goods and services covered, especially with an eye to taxing legal and financial services used more heavily by richer consumers.
Such a broadening of the sales tax can also raise significant revenue. According to a report by the Center for Budget and Policy Priorities, sales taxes on services could bring states tens of billions of dollars in new income.
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Make Corporations Pay Their Fair Share
By taxing corporate owners, an effective corporate income tax has two large advantages for states: the majority of owners are in the richest 1% of the population, and many are not state voters. Corporate income taxes are often the main tax that out-of-state corporations and their shareholders pay for the public benefits enjoyed by their companies
One reason social services face funding crises is that state corporate income tax revenues have dropped from 9.7% of all state taxes in 1980 down to just 5.7% by 2000. A 2005 study by Citizens for Tax Justice found that 252 of America’s largest corporations failed to include two-thirds of their U.S. profits on state tax returns, avoiding an estimated $41.7 billion in state corporate income taxes over three years.
States are increasingly using a variety of tools to have corporations pay their share:
Combined Reporting: States are increasingly requiring companies to use combined reporting, listing profit reports for all subsidiary companies together on state tax forms to prevent shell games where companies hide profits through phony transactions among different corporate entities.
To give one example, Wal-Mart alone may have avoided $2.3 billion in state taxes between 1999 and 2005 by gaming the tax system-- something combined reporting can shut down. The key to many of the tax evasion strategies used by Wal-Mart, like many other companies, was to manipulate the reporting of national profits and expenses by reporting them in different states—wherever would minimize the taxes owed. The end result was that instead of paying the 6.9% average tax on corporate profits paid by most companies to state authorities, Wal-Mart paid only half that rate.
At least eighteen states now have enacted “combined reporting” rules that require corporations to aggregate all profits from those separate subsidiaries and then pay a specific portion of those profits to a state -- an approach the Supreme Court affirmed in Barclay’s Bank PLC v. Franchise Tax Bd.
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Decoupling: States can save revenue by refusing to automatically grant special interest tax breaks handed out by the federal government --”decoupling” their tax code from the feds. For example, at least 23 states would save $1.7 billion in revenue if they refuse to implement the “bonus depreciation” corporate tax break put into the recent federal stimulus package. Similarly, some states have already rejected one particular federal loophole, the “Qualified Production Activities Income” (QPAI) deduction, because it threatens to cost states over $1 billion per year as it is phased in.
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Oil windfall taxes: A number of groups have advocated state Windfall Profits Taxes to capture the outsized oil company profits. Such a tax could raise billions for state coffers -- $500 million per year for the state of Washington alone, according to the Economic Opportunity Institute. These revenues could then be used to offset many of the environmental costs of fossil fuel use.
Similar proposals have been debated in New York and New Jersey.
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Better Enforcement of Tax Law
While some lost tax revenue is due to loopholes and manipulation, another tax drain is straight-up tax cheating by corporations and individuals. States are responding with a variety of strategies for catching these tax cheats and recovering this lost revenue:
Cracking Down on Abusive Tax Shelters: A 2001 Multistate Tax Commission report estimated that tax shelters designed to illegally evade taxes cost states as much as $12 billion per year. Facing the largest losses in the nation, California pioneered legislation requiring new reporting on the details of suspicious shelters, enacting heavy fines for using illegal shelters, and creating an amnesty program to promote voluntary compliance. The amnesty program brought in a cascade of revenue: over $1.4 billion from 1,202 taxpayers, or an average payment of over $1 million per taxpayer, reflecting the widespread tax cheating among this wealthy population. Other states are following suit.
Multi-State Collaboration: Going beyond the occasional cooperation between state auditors, eight states, led by Massachusetts, created a new multi-state agreement to share data in a project called the Clearinghouse, which will compare information on people who work in one state and earn income in another in order to reveal tax cheating.
Shaming Tax Cheats: To encourage payment by delinquent taxpayers or those caught violating the law, more than a dozen states have begun publishing lists of businesses and individuals owing taxes on the Internet. Connecticut pioneered this high-tech shaming strategy in its Top 100 list, which collected more than $161 million in overdue tax debts over its first seven years. Other states have been collecting similar amounts with their own programs.
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Stop Rightwing Tax Campaigns
For decades, property tax revolts have been a thorn in the side of progressives. California’s Proposition 13 remains the highest profile example of the property tax revolt, but just about every legislator in the country can attest to the level of frustration many Americans feel about property taxes.
Challenging Property Tax Caps: The concerns that come from property taxes are neither irrational nor inexplicable. First, since housing costs consume a higher portion of low-income Americans’ budgets, property taxes are regressive in nature – hitting hardest those who can least afford them. Second, in some cases people have little control over their own property’s values. External factors can drive up property values, sometimes forcing individuals to choose between paying taxes they cannot afford and leaving a home full of memories. Finally, rightwing moves across the country to cut taxes at the state level and shift costs to cities and counties have resulted in mounting property tax bills, as property taxes are one of the few revenue options that these local governments have.
Progressives can begin to challenge these tax caps by simply presenting research showing the regressive nature of property tax caps in a compelling way. A more aggressive approach played out in Montana in 2006 and 2007, where progressive Governor Brian Schweitzer put the state’s rightwing on the defensive regarding their property cap proposals. Schweitzer countered the right by proposing a one-time flat rebate of $400 for every Montana resident homeowner, ensuring that virtually all Montana homeowners (more than 99%) received a larger refund without giving disproportionate gains to rich landowners or out-of-state corporate property owners.
Fighting TABOR: One of the most disastrous tax policies in recent decades was Colorado voters’ approval of the so-called Taxpayer Bill Of Rights (TABOR) in the early 1990s. The TABOR created a rigid cap on increases in state spending tied to inflation and economic growth, decimating the state’s investments in education, health care, and social services. Voters partially repealed the TABOR tax limits in a referendum in 2005, but not before Colorado had fallen to 47th in the nation in K-12 education funding as a share of state income and 50th in the nation in immunization rates. The repeal campaign successfully tapped voters’ desire to invest in those human needs and highlighted the damages from such rigid tax rules.
Despite strong funding for similar measures in 2006 by people like super-wealthy New York developer Howard Rich, a strong funder of rightwing causes, all those measures failed that year due to mobilization by progressive forces. In Michigan, Montana, Nevada, Oklahoma, and Missouri, anti-TABOR forces were able to reveal so much fraud in the initiative’s wording or signature collection process that state judges and other administrative bodies blocked the measures from the ballot. In Maine, the one state where the initiative went to voters, it was rejected after opponents highlighted the damage TABOR had done in Colorado.
How Tax “Limitation” Laws Entrench Tax Loopholes: One other dangerous form of tax limitation laws are rules that require supermajorities to pass any tax increase. In such cases, special interests may be able to enact a tax break for themselves with a simple majority, but then can often block repeal of the tax loophole as a “tax increase” that can be blocked by a minority of legislators The Center on Budget Policy and Priorities outlined this problem in an analysis of a Kansas proposal to require a supermajority to raise revenue in that state, emphasizing how so-called “taxpayer rights” laws are often just special interest protection legislation in disguise.
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Fix Failed Tax And Development Subsidies

Too often, state leaders think that creating corporate subsidies through the tax code or directly handing out fat economic development checks is the route to economic growth. Tax and development subsidies are too small a part of a typical company’s costs for that to determine plant location, so much of the money supposedly used to entice new companies is wasted—costing states funds that could be used more effectively in long-term economic investments.
Unfortunately, states offer large corporations billions of dollars each year in exchange for only a handful of jobs, instead of using those funds to invest in long-term upgrades of human and physical capital that could payoff in far more job creation. One study a few years ago found that Wal-Mart had managed to squeeze over
$1 billion in government subsidies for opening stores the company was planning to build anyways -- and then dumping employee health costs on the communities from which it took subsidies, as low-wage employees were forced into Medicaid and other
public programs.
Fortunately, states are increasingly reevaluating these economic development subsidy programs and loopholes, since much of that money -- tens of billions of dollars -- could be better spent on alternative economic growth programs or shoring up education, transportation, and social programs. Beyond simply raising revenue through corporate tax reform, a number of states are bringing tax loopholes out of the shadows in comprehensive tax expenditure reviews and proposing to regularly sunset tax subsidies in order to force regular votes to evaluate whether they are actually doing anything useful or are just special interest pork. States are also requiring more disclosure of individual economic development deals to make sure the jobs created are worthwhile, and with that information, creating clearer job quality standards and other reforms for companies receiving the taxpayers’ money.
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Policies to Fix Failed Tax and Development Subsidies should include: • Review and Sunset Tax Expenditures • Disclose Economic Subsidies • Require Job Quality Standards and Other Reforms for Subsidy Recipients • Stop Tax Subsidy Bidding Wars |
Review and Sunset Tax Expenditures
The fact that billions of dollars in corporate subsidies are hidden in the tax code rather than clearly listed in annual budgetary allocations like other spending programs represents a core problem. As a brief by the Institute on Taxation and Economic Policy (ITEP) outlines, tax subsidies end up being a privileged kind of government spending:
In response, some states have required tax expenditure budgets to evaluate how much states are spending on tax subsidies and whether they are being effective. In 2006, Connecticut passed a particularly comprehensive review law, which established a commission to review each tax credit and policy in the state, measure what jobs they actually helped create or retain, determine whether there are better alternatives to achieve the same policy objectives, and encourage individual auditing of companies’ use of tax credits to ferret out abuses of tax law.
A few state leaders are proposing an even more comprehensive reform: automatically sunsetting all tax subsidies unless they are renewed by an affirmative vote of the legislature every few years. Instead of requiring passage of new legislation and a governor’s signature to kill an abusive loophole, a sunset provision means that the refusal of either chamber to reapprove the tax loophole would eliminate it and save taxpayers the revenue. In Ohio, Democratic leaders in 2006 proposed HB 61, which would immediately sunset existing tax expenditures (which cost Ohio taxpayers an estimated $6.3 billion each year), and require all new tax expenditures in the future to be renewed every five years. A few years ago, Florida tax reform advocates proposed a state initiative to sunset tax expenditures every ten years and eliminate other tax loopholes. In both cases, corporate-backed interests fought the reforms, but sunset rules are gaining attention as lobbyist corruption becomes a bigger political issue.
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Disclose Economic Subsidies
In the age of Google, citizens expect to be able to find detailed websites with information about government operations. Yet while some states are promoting online transparency, many states are failing on public disclosure. Good Jobs First, an organization which has been bird-dogging government giveaways of taxpayer money to corporations for years, has published The State of State Disclosure, a report ranking state government websites in three areas of transparency. The report includes economic development subsidies and disclosure of lobbying by companies who are usually the ones seeking these kinds of tax and development subsidies.
Good Jobs First has been the national leader in pushing states to better disclose the extent of economic development giveaways. For example, its Illinois affiliate publicized problems in the Illinois subsidy program and then helped pass groundbreaking accountability legislation in 2003. One result is the Illinois Corporate Accountability website, which tracks reports on every firm receiving different kinds of tax subsidies, the jobs they promised to create or retain, and the results year to year. Minnesota and Maine have also enacted disclosure laws to track individual economic development deals and make this information available to the public.
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Require Job Quality Standards and Other Reforms for Subsidy Recipients
When states enact legislation to review and disclose tax subsidies, they gain the information needed to eliminate or reform overly generous subsidy programs to better serve a variety of community needs. And if states dump all the bad corporate giveaways, they’ll actually have the funds for more effective economic growth programs. As these disclosure laws come into force, they will just reinforce the trend of states and local governments demanding that tax subsidy recipients deliver on promises and improve the economic climates of their states.
States are increasingly making sure that companies receiving subsidies deliver on promises to create decent jobs or face “clawbacks” of the funds distributed. They are also requiring subsidy recipients to pay a living or prevailing wage. At least forty-three states and many cities and counties have attached some wage requirements to at least one subsidy program, but additional reforms are needed for the remaining programs and states.
Another problem is that most subsidy programs fund developments that increase suburban sprawl, so reforms must provide incentives to subsidy recipients to locate projects in places that reinforce smart growth and mass transit. No state laws currently use transit accessibility as a criterion for awarding economic development subsidies (although one has been proposed in Illinois), but a number of communities and state agencies have negotiated community benefit agreements with individual developers that included transit-oriented provisions.
Good Jobs First has outlined a detailed list of key reforms for all tax subsidy programs and developed model accountability legislation, but the main point is that states can make sure subsidy programs actually use the community’s money to serve the community needs.
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Stop Tax Subsidy Bidding Wars
While it’s bad enough that states subsidize rich corporations with fat tax breaks, what’s even worse is that competing suburbs within the states end up offering competing tax incentives – creating a suburban bidding war that merely moves jobs around the same metro area. As Good Jobs First documents in a study on “job piracy” in the Twin Cities Metro Area, this trend wastes taxpayer money and deepens economic inequality. A parallel study by Brookings found that Michigan’s economic subsidies were causing job hopping between suburbs, exacerbating urban
sprawl, and subsidizing wealthier communities at the expense of central cities.
Arizona offers one example of how to deal with tax subsidy wars. After highlighting the revenue loss as surrounding municipalities competed in business tax giveaways, the legislator and Governor enacted HB 2515 in 2007 to stop communities in Maricopa and Pinal counties from competing with each other to give huge tax breaks to retail businesses for locating within their municipalities. to pay for their costs.
Refuting claims by the Right that such expansions drive people away from private insurance and into public programs, Community Catalyst, Families USA, and the Center on Budget and Policy Priorities point out that expanding Medicaid and SCHIP is far more cost-effective than proposals like tax credits and deductions, which primarily benefit people who already have coverage. Additionally, while Medicaid is a government-created program, almost two-thirds of Medicaid members receive their benefits through a privately-run managed care program. And, while state investments in Medicaid and SCHIP have made progress, they have not been able to completely stem the rising percentage of uninsured Americans as employer-based health care has declined.
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Maintain Employer Responsibility
The great majority of employers want to provide health care benefits to employees and their families. Despite a steady decline in the percentage of Americans with employer-based coverage, from 66% of Americans under age 65 in 2000 to 61% in 2004, employers still cover more than 158 million Americans, more than twice the number of Americans who receive Medicaid or
Medicare. Because of the financial contributions employers make to health care, ensuring strong employer participation in health care reform is a key priority.
Employer Mandates: As part of comprehensive reforms, Massachusetts, Vermont, and San Francisco require all employers to provide some degree of health coverage for their employees or pay a fee to help finance health care programs. The main goal is to ensure that “low road” employers are not dumping their health care costs onto the public and gaining an unfair competitive advantage against employers who do provide coverage. Despite a precipitous national decline in employer-based coverage and warnings from critics that state-funded programs would “crowd-out”
private insurance, Massachusetts has seen a 3% increase in employer-based coverage.
San Francisco’s law has the strongest employer mandate, requiring employers with 20 or more employees to provide health care or pay the city $1.17 to $1.76 per hour depending on firm size. Employers have tried to challenge the law in court, but recent court decisions have allowed the city to continue with the mandate during the appeal process. This bodes well for the program and employer mandates elsewhere. Healthy Wisconsin’s proposed employer and employee payroll-fee, which replaces monthly premiums, is a form of employer mandate. In many ways, its payroll-fee creates the most equitable approach to employer responsibility, since its sliding scale payment structure is directly proportional to an employer’s ability to pay.
Public/Private Partnerships: Many states have developed programs that contract with private carriers and offer coverage to individuals and small businesses. These typically offer insurance-like coverage administered by public and private entities coupled with sliding scale subsidies or premiums available to people with income up to 300% of the poverty line.
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Improve Access to Private Coverage
There are worrisome trends in states, as well. Indiana, in 2007, and Florida, in 2008, both enacted new programs that provide reduced benefit and high deductible plans to low income and uninsured residents. Such programs do not provide access to affordable and comprehensive coverage, leaving people
under-insured and without coverage for the care they need.
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Funding Health Care Expansions
As states face another economic downturn and growing budget deficits, expanding access to coverage may seem like an impossible goal. However, there are steps states can take to generate revenue and “stretch” health care dollars to ensure access to health care.
Following the budget stress states felt earlier this decade, the Commonwealth Fund issued a series of reports titled, “Stretching State Health Care Dollars during Difficult Economic Times”. The four reports focus on shoring up employer-based coverage, improving prescription drug purchasing through pooling and evidence-based systems, improving chronic care management, and innovative uses of uncompensated care funds.
Sources of funding include:
Funding Expansions Resources:
Other Strategies to Extend Coverage Resources:
Fix Failed Tax And Development Subsidies to read this document online with clickable links to resources, go to: www.progressivestates.org/TAXANDBUDGETpolicies/
Reform Government Contracting and Restrict Privatization
Periodically, we hear elected leaders promoting what seems like a free lunch: hand over control of government services or assets to private industry, and services will improve at a lower cost. But like most promises of a free lunch, privatization of government services – also known as “contracting out” or “public-private partnerships” – has rarely delivered on its promises. Most studies show little gain and often substantial losses for the public. While government obviously buys many products and services from the private sector, there is little evidence that there are any fiscal gains from outsourcing most services presently performed by government employees.
The Problems With Privatization: As the non-partisan Stateline.org emphasized last year:
“[I]n practice, privatization has failed more than it has succeeded,” says Mildred Warner, a privatization expert at Cornell University. In an analysis of privatization of state and local services over the last 20 years, Warner concluded that the majority of projects failed because of deteriorating quality of service. And in more than half the cases, the projects did not save taxpayer dollars, she said.”
There is little doubt that the poster child for the failure of privatization was Texas’ attempt to hand over management of its social services system to Accenture, a Bermuda-based consulting firm. The promise was that business expertise would put government bureaucrats to shame with their efficiency. Instead, computer systems failed, costs mounted, and 30,000 children ended up being dropped from the children’s health insurance program (CHIP) because of administrative bungling. The results were so bad that the Republican State Comptroller, Carole Keeton Strayhorn, investigated the deal and declared, “The Accenture contract appears to be the perfect storm of wasted tax dollars, reduced access to services for our most vulnerable Texans, and profiteering at the expense of our Texas taxpayers.”
Few Cost Savings from Privatization: Broader research has found no net financial advantage for states that hand over work previously done by public servants to profit-seeking contractors. A study by Rand Corporation found that privately-run schools in Philadelphia did no better in raising student test scores than did publicly-run schools, adding to a range of evidence that privatization of schools is no panacea. Despite New Mexico having 43% of its prisoners in private prisons (the highest in the nation), there is little evidence that this saves the state money, and the high percentage of privatization has left state officials with few experts qualified to monitor the private contracts. As Paul C. Light of New York University, who has long tracked the hidden contractor work force, writes, “We have no data to show that contractors are actually more efficient than the government.”
Weak Oversight and Lost Democratic Accountability: A number of states have contracted out so many services that they have lost the internal expertise to even evaluate the quality of the companies bidding on government projects. Weakened accountability has led to more rip-offs of the public as well as more shocking and deadly results such as the death and failures due to incompetence by contractors on the Big Dig construction project in Boston.
One reason, it is argued, that privatized services can make money is that they do things that elected officials might not be able to get away with if decisions were subject to direct democratic accountability. Privatized roads can raise tolls with no political debate; private contractors can use marketing or employment practices that would be stopped in their tracks if done by the public sector. And when that privatization involves prisons and private police units, many analysts worry that the profiteering comes at the expense of constitutional safeguards and democratic oversight. But that’s the beauty of privatization -- out of sight, out of mind -- except for the contractor’s profit sheets.
Corruption of the Political Process: A significant worry is that the “revolving door” between private contractors and the government offices where those contracts are awarded creates a nexus for corruption (which a strong civil service ethic among government workers was originally created to prevent). Such revolving door corruption has played a role in recent high-profile privatization scandals, from Accenture in Texas to the notorious “Coingate” scandal in Ohio, which led to investigations of the whole Ohio political elite in 2005 and 2006.
Selling Off Public Assets for Short Term Gains: When public assets are in the mix, another worry is that sharp bargaining by private interests will result in bad deals with long-term economic losses for the taxpayer. When Indiana agreed to hand over a 75-year lease of its toll highway to an Australian-Spanish consortium for $3.8 billion, many analysts complained that this deal was trading up-front money for the loss of toll income for multiple generations. “That is money that could go to our children, our grandchildren and our great-grandchildren,” said Indiana House Democratic leader Patrick Bauer in 2006. Bauer is now Speaker partly because of protests over the deal.
To deal with these problems, states need to establish new accountability measures on privatization:
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See Also:
Measure and Disclose the Costs of Public Contracts
One of the largest problems is that states systematically fail to collect reliable data on the benefits or costs of privatization. States rarely even track what percentage of their state budgets are going to contracting out services, a theme highlighted in a 2007 report by the Progressive States Network: Privatizing in the Dark: The Pitfalls of Privatization & Why Budget Disclosure is Needed.
At least one analysis of the privatization of state and local services over the last 20 years found the majority of such projects failed because of deteriorating quality of service. And in more than half the cases, the projects did not save taxpayers dollars. While some conservative scholars will cite their studies showing the gains from privatization, the most intellectually honest statement is that, especially in analysis of privatization at the state level, there is not enough good multi-state data to compare results.
Little Data on Privatization: Because states do not collect and publish good data on their contracting practices, well-respected scholars on privatization such as Cornell Professor Mildred Warner say flatly, “I am not aware of a consistent data set at the state level to make academically relevant statements on the level of contracting in the states.”
Echoing Warner, the most recent report from the American State Administrators Project, which surveys privatization in the states, argues “Apart from selected surveys at the local (municipal) level, most public administrative experiences and research involving contracting are anecdotal, case-specific, or otherwise narrowly focused.” Meanwhile, the Council on State Governments report on state contracting states, “There appears to be no consensus as to the effectiveness of privatization in part due to the lack of empirical data as well as the complexity of the issue.”
The Need to Collect Privatization Information: Publicly accessible accounting in each state that notes what percentage of each agency’s budget is being spent through public employees and what percentage is going to contractors is clearly lacking. Some states collect pieces of this data, but none collect it systematically. Requiring the collection and disclosure of this data, as well as long-term tracking of the comparative costs and savings from contracting out government services, should be the first step in long-term reform.
See Also:
Strengthen Contract Accountability
Over a decade ago, Massachusetts passed a law prohibiting private contracting of government services unless private companies proved they could perform those functions more efficiently than government workers -- an automatic check on corruption. Multiple studies found that the bill saved Massachusetts from the typical bilking suffered by other states who have privatized public services under the pressure of corporate lobbying.
Rhode Island has updated its Privatization of State Services law (Chap 42-128) in recent years to require clear comparisons of the costs of work performed by contractors and public employees, a prohibition on contracting out unless costs and quality exceed that already achieved “in-house,” and a built-in legal appeal process to block any privatization violating the law.
Other states put a range of restrictions on privatization of various services. Reforms include establishing civil services protections for anyone evaluating eligibility for public benefits, promoting affirmative action, reviewing how outsourcing impacts community economies, screening out corporate law-violators from bidding on contracts, and opening up the bidding process to public scrutiny.
See Also:
Enforce Wage Standards on Contractors
One chronic problem in contracting out government work is that private contractors often win contracts not through greater efficiency, but by lowering wages or weakening guarantees for full-time work, practices that hurts the workers as well as the quality of services provided. For example, one recent study of 500 governments in both cities and counties found that private sector contracting results in full-time employees being replaced by more part-time workers.
Where private companies do perform public functions, the tighter the standards for the bidding processes, the less likely incompetent or corrupt companies can buy the bid with campaign contributions. Vendor-performance requirements help protect taxpayers from being ripped off, while prevailing or living wage laws and responsible contractor laws screen out shady employers who cut corners on public services. New Jersey and Arizona have flatly prohibited companies that offshore jobs from bidding on their state contracts.
With the privatization of many public services in recent decades, state and local governments now purchase over $400 billion of goods and services from the private sector, so conditioning those purchases on contractors meeting decent wage standards will assure both quality government services and have a powerful effect in strengthening wage standards throughout the economy. Such contract standards include a variety of approaches:
States pay hundreds of billions of dollars to their own employees and to government contractors -- and they can make sure that those dollars protect service quality and expand worker freedoms rather than undermine them.
See Also:
Restrict Asset Privatization
In recent years, private equity firms and financial predators like Goldman Sachs have begun circling states with the goal of acquiring publicly owned assets like highways and state lotteries at cut-rate prices. These predators are using current fiscal woes to try to convince states to accept a bit of up-front money in exchange for long-term costs that future generations will be stuck paying for. When the state is auctioning off assets, the political payoff is obvious: today’s politicians get to spend the money, and the economic loss is only realized by taxpayers denied the ongoing revenue in the future. And that political calculation means that today’s politicians often offer these assets at fire-sale prices,
since the economic losses will show up down the line on someone else’s watch.
How Asset Privatization Rips Off Future Generations: For example, in 2008, in the largest privatization deal ever proposed in the United States, a consortium led by Spanish company Abertis Infraestructuras offered $12.8 billion to lease operation of the Pennsylvania Turnpike for 75 years. The deal would allow the company to immediately hike tolls 25% and then increase tolls each year thereafter up to the rate of inflation. This parallels the Indiana deal in 2006, where the state handed control of its toll highway to an Australian-Spanish consortium for $3.8 billion in up-front cash, with the catch that the new corporation gets to keep all tolls for the next 75 years (meaning the company will recoup the purchase price in 17 years, then make $21 billion in profits over the next 58 years). So Indiana has given away tens of billions of dollars in future toll revenues in exchange for less than $4 billion up front -- typical of many short-sighted privatization deals. Criticism of these deals is often bipartisan; long-time conservative leader Phyllis Schlafly criticized road privatization in the rightwing publication Human Events.
State and local governments pocket the money upfront and get to spend it here and now, so politicians can cover their runaway budget deficits and enjoy the political rewards of spending for new facilities. They ignore the fact that U.S. citizens must pay tolls to foreign landlords for the next two or three or even
four generations.
The Spread of Asset Privatization Deals: Unfortunately, from Texas’s proposed “Trans-Texas Corridor” of toll highways to proposals in West Virginia and Nevada for private toll roads, along with other proposals to privatize lotteries and other assets, financial firms are wooing and sometimes convincing public officials to sell off public assets at bargain-basement prices. Globally,
$53 billion in privatization deals worldwide were announced in just the first half of 2008, triple the $13 billion in the comparable period last year. Privatizing public assets is the new gold rush for global financial firms -- and state legislators should be justifiably skeptical that the public will benefit financially in negotiations with such firms.
Progressive States Network has highlighted the financial and social costs of such privatizations in Ripoff Privatizations -- And Why They Keep Happening, while state groups like PennPIRG have specifically highlighted the dangers of Turnpike privatization. Its parent group, U.S. PIRG, also published a key report last year highlighting the chronic problems of road privatization, including loss of public control over key social policies, the public getting ripped off in deals negotiated over excessively long contracts, the lack of transparency in most deals, and the selling of privatization based on short-term payoffs and budget gimmicks despite long-term losses to state budgets. In a 2007 letter sent to governors, legislators, and transportation officials, key House leaders on transit issues warned states not to rush into privatization deals involving national highways.
State Actions to Restrict Privatization: Despite Pennsylvania Gov. Rendell’s support for selling off the turnpike, the state legislature rejected previous privatization plans and polls show 58% of Pennsylvanians oppose leasing the toll highway. And while Texas Gov. Rick Perry continues to promote his proposals for large-scale private toll roads across Texas, he will have to deal with a legislature that passed a moratorium (watered down during negotiations with the Governor) on new deals during the 2007 legislative session. And in 2007, the Indiana House held hearings on privatization, including IN HB 1062 to establish a commission to review privatization deals, largely derailing new plans to privatize the state lottery and additional toll roads.
See Also:
Stop Pay to Play on Government Contracting
Privatization deals across the country flourish as the money made by private contractors continues to grease the political wheels and pave the way for future deals.
States can restrict this problem by banning contractors doing business with the state from making campaign contributions and avoiding the “pay to play” relationships that corrupt government.
See Also:
Reform Government Contracting And Restrict Privatization
About PSN
The Progressive States Network was founded in 2005 to drive public policy debates and change the political landscape in the United States, by focusing
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