On the Road with CSG West: Colorado

CSG West would like to give a big shout-out to Colorado for the warm welcome received by our team this month as we visited with leaders, members, and staff at the Capitol. A special thank you to Representative Cathy Kipp and Senator Cleave Simpson for providing floor introductions and hosting us as we connected with new and tenured members to spread the word about how CSG supports them.

Shared training opportunities for Colorado’s newer members

With 31 new legislators in Colorado this year, we were excited to share the opportunity to apply for the 2023 Western Legislative Academy (WLA), which will take place in Colorado Springs, December 13-15. The WLA is the West’s premier leadership training open to legislators within their first four years of service and has been hosted in the Centennial State since its inception in 2000.

Promoted water stewardship programming

As with all our Western states, water is a major priority in Colorado, and we made sure to inform members of CSG West’s Colorado River Forum, which will be held in Wyoming this coming Fall. This collaborative event is of particular importance as policymakers consider the following:

Water governance in the west: Unpacking compacts, agreements, and water rights, and exploring the history and impact of state to state, cross border, and tribal relations along the river basin.

Diverse perspectives, priorities, and partnerships on water: Gathering federal, state, tribal, and non-governmental organizations  working in the watersheds across agricultural, energy, public lands, and conservation and restoration sectors.

Innovations in water, agriculture, & energy policies: Spotlighting energy and environmental challenges and working to strengthen and support energy security and resilience, food safety and security, and environmental health across the west.

Met with leaders and discussed engagement with CSG West and its policy committees

CSG West staff connected with legislative leadership on appointments to our eight policy committees, and how that work culminates and is leveraged throughout the West, specifically at the Annual Meeting.

Connected with friends at the Western Governors Association

CSG West believes in the incredible value of strong partnerships, and the team was thrilled to meet with our partners at the Western Governors’ Association while in Denver to discuss areas of potential collaboration. Thanks to Executive Director Jack Waldorf, Policy Director Troy Timmons, and their staff for the Mile-High hospitality!

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On the Road with CSG West: Idaho

CSG West staff were on the ground in Boise, Idaho, for the annual visit with members January 30-February 2.  Edgar Ruiz, CSG west director; Will Keyse, legislative training manager; and Jackie Tinetti, lead for Idaho state, connected with Senate and House leadership, as well as members at large.  The focus of the state visit was to inform members and staff about CSG regional and national resources, services, and programs that support their legislative service, including the Western Legislative Academy (WLA), the Henry Toll Fellowship Program, the 2023 Annual Meeting, and opportunities to serve on CSG West Policy Committees.

The visit included a hosted lunch for alumni and eligible members of this year’s WLA, as well as a morning with coffee and donuts aimed at connecting with legislators and legislative staff.

Throughout our visit, many positive comments and remembrances from last year’s 75th CSG West Annual Meeting that convened in Boise were shared and reconnecting with all of the people who worked so hard to make that meeting a success. The CSG West staff were grateful and appreciative of the warm welcome and hospitality extended  during our visit to the Gem State.

Idaho Representative Ned Burns, House Minority Caucus Chair, with Jackie Tinetti, CSG West Policy Analyst

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On the Road with CSG West: Alaska

Left to right: Jackie Tinetti, Speaker of the House Cathy Tilton, and Edgar Ruiz

CSG West staff – Edgar Ruiz and Jackie Tinetti – were in Juneau February 14-15, where they engaged with policymakers about CSG West programs, events, and services. They received a warm welcome from members and legislative staff.

The capitol was busy with committee hearings and floor sessions, and in between CSG West staff met with Senate and House leadership, many of the newest members, the staff of the Legislative Services Agency, and a brief hallway chat with Governor Mike Dunleavy.  A key objective of the visit was learning about members’ legislative priorities, their desire to work effectively individually and as a body on behalf of Alaskans, and how CSG West can provide support.

Left to right: Edgar Ruiz, Senate President Gary Stevens, and Jackie Tinetti

The highlight of our time at the capitol was the WLA Alumni lunch, where colleagues across chambers and parties come together to reminisce about their WLA experience and encourage those eligible to apply.  We value the strong support of WLA Alumni in promoting this unique and powerful professional development opportunity to their new colleagues.

A focus of discussion was the Western Legislative Academy, and the unique professional development opportunities offered by CSG West through Westrain and the Henry Toll Fellowship program.

Another popular topic was the 76th CSG West Annual Meeting that will convene in Universal City, California August 1-4. We thank our Liaisons – Senate President Gary Stevens, House Speaker Cathy Tilton, and Representative Craig Johnson for their time and hospitality.  We appreciate the floor introductions by Senator Cathy Giessel and Representative Craig Johnson, respectively.  

Thanks to all for your engagement and support – we wish you much success in the legislative session.

Left to right: Jackie Tinetti, Alaska Governor Mike Dunleavy, and Edgar Ruiz

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On the Road with CSG West: Alaska

Left to right: Jackie Tinetti, Speaker of the House Cathy Tilton, and Edgar Ruiz

CSG West staff – Edgar Ruiz and Jackie Tinetti – were in Juneau February 14-15, where they engaged with policymakers about CSG West programs, events, and services. They received a warm welcome from members and legislative staff.

The capitol was busy with committee hearings and floor sessions, and in between CSG West staff met with Senate and House leadership, many of the newest members, the staff of the Legislative Services Agency, and a brief hallway chat with Governor Mike Dunleavy.  A key objective of the visit was learning about members’ legislative priorities, their desire to work effectively individually and as a body on behalf of Alaskans, and how CSG West can provide support.

Left to right: Edgar Ruiz, Senate President Gary Stevens, and Jackie Tinetti

The highlight of our time at the capitol was the WLA Alumni lunch, where colleagues across chambers and parties come together to reminisce about their WLA experience and encourage those eligible to apply.  We value the strong support of WLA Alumni in promoting this unique and powerful professional development opportunity to their new colleagues.

A focus of discussion was the Western Legislative Academy, and the unique professional development opportunities offered by CSG West through Westrain and the Henry Toll Fellowship program.

Another popular topic was the 76th CSG West Annual Meeting that will convene in Universal City, California August 1-4. We thank our Liaisons – Senate President Gary Stevens, House Speaker Cathy Tilton, and Representative Craig Johnson for their time and hospitality.  We appreciate the floor introductions by Senator Cathy Giessel and Representative Craig Johnson, respectively.  

Thanks to all for your engagement and support – we wish you much success in the legislative session.

Left to right: Jackie Tinetti, Alaska Governor Mike Dunleavy, and Edgar Ruiz

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On the Road with CSG West: Colorado

CSG West would like to give a big shout-out to Colorado for the warm welcome received by our team this month as we visited with leaders, members, and staff at the Capitol. A special thank you to Representative Cathy Kipp and Senator Cleave Simpson for providing floor introductions and hosting us as we connected with new and tenured members to spread the word about how CSG supports them.

Shared training opportunities for Colorado’s newer members

With 31 new legislators in Colorado this year, we were excited to share the opportunity to apply for the 2023 Western Legislative Academy (WLA), which will take place in Colorado Springs, December 13-15. The WLA is the West’s premier leadership training open to legislators within their first four years of service and has been hosted in the Centennial State since its inception in 2000.

Promoted water stewardship programming

As with all our Western states, water is a major priority in Colorado, and we made sure to inform members of CSG West’s Colorado River Forum, which will be held in Wyoming this coming Fall. This collaborative event is of particular importance as policymakers consider the following:

  • Water governance in the west: Unpacking compacts, agreements, and water rights, and exploring the history and impact of state to state, cross border, and tribal relations along the river basin.
  • Diverse perspectives, priorities, and partnerships on water: Gathering federal, state, tribal, and non-governmental organizations  working in the watersheds across agricultural, energy, public lands, and conservation and restoration sectors.
  • Innovations in water, agriculture, & energy policies: Spotlighting energy and environmental challenges and working to strengthen and support energy security and resilience, food safety and security, and environmental health across the west.

Met with leaders and discussed engagement with CSG West and its policy committees

CSG West staff connected with legislative leadership on appointments to our eight policy committees, and how that work culminates and is leveraged throughout the West, specifically at the Annual Meeting.

Connected with friends at the Western Governors Association

CSG West believes in the incredible value of strong partnerships, and the team was thrilled to meet with our partners at the Western Governors’ Association while in Denver to discuss areas of potential collaboration. Thanks to Executive Director Jack Waldorf, Policy Director Troy Timmons, and their staff for the Mile-High hospitality!

The post On the Road with CSG West: Colorado appeared first on CSG West.

Southern Pulse Newsletter, March 2023

GREETINGS MEMBERS, 

Now mid-way through March, a few of our member states are approaching the final days and hours of the legislative session. For those of you nearing sine die, we hope this month brings good luck both within and beyond your chambers. As for our remaining March state visit roster, we just wrapped up North Carolina (March 14-15) and next week we move on to South Carolina (March 28-30). We still have TN, LA, and AL in our sights for April! 

Southern Legislative Conference (SLC) planning continues to steam ahead, and we are rapidly finalizing our conference schedule. Guest and Youth programming has seen overwhelming interest, and we have made the decision to expand our offsite guest activities! As hundreds of our members continue to register for SLC, please continue to check back on our website to enroll in Guest and Youth programs as they expand. Visit our registration website here for deadlines, sessions, and more details.

Finally, don’t forget to apply for the State Transformation in Action Recognition (STAR) Award.  The winner will be honored at the closing state dinner at SLC in gorgeous Charleston, SC!

Check back frequently on our website for updates on all things CSG South- you don’t want to miss a beat.  

Click here to read Southern Pulse- March 2023

The post Southern Pulse Newsletter, March 2023 appeared first on CSG South.

Southern Pulse Newsletter, March 2023

GREETINGS MEMBERS, 

Now mid-way through March, a few of our member states are approaching the final days and hours of the legislative session. For those of you nearing sine die, we hope this month brings good luck both within and beyond your chambers. As for our remaining March state visit roster, we just wrapped up North Carolina (March 14-15) and next week we move on to South Carolina (March 28-30). We still have TN, LA, and AL in our sights for April! 

Southern Legislative Conference (SLC) planning continues to steam ahead, and we are rapidly finalizing our conference schedule. Guest and Youth programming has seen overwhelming interest, and we have made the decision to expand our offsite guest activities! As hundreds of our members continue to register for SLC, please continue to check back on our website to enroll in Guest and Youth programs as they expand. Visit our registration website here for deadlines, sessions, and more details.

Finally, don’t forget to apply for the State Transformation in Action Recognition (STAR) Award.  The winner will be honored at the closing state dinner at SLC in gorgeous Charleston, SC!

Check back frequently on our website for updates on all things CSG South- you don’t want to miss a beat.  

Click here to read Southern Pulse- March 2023

The post Southern Pulse Newsletter, March 2023 appeared first on CSG South.

Measuring Opioid Use Disorder Treatment Improves Care, Saves Lives

By Ishara Nanayakkara

In October, The Pew Charitable Trusts released an analysis of the core measures states can use to address and mitigate the opioid epidemic. The information included in this article originates from this analysis.

This article is the first in a three-part series. The second article can be viewed here.

Overview
The U.S. continues to experience an increasing number of deaths due to the opioid epidemic. There are significant gaps between the number of people that could use medication to treat opioid use disorder and those receiving medication. The Substance Abuse and Mental Health Services Administration 2021 National Survey on Drug Use and Health found that only 22% of people with an opioid use disorder received medication-assisted treatment for opioid misuse. The most effective drug treatments for opioid use disorder are methadone, buprenorphine and naltrexone.

  • Methadone reduces craving and withdrawal symptoms and blunts the effects of opioids.
  • Buprenorphine, like Methadone, diminishes cravings and withdrawal symptoms and increases safety in cases of overdose.
  • Naltrexone blocks the euphoric and sedative effects of opioids and suppresses and reduces cravings.

To close this gap, states need a set of core metrics to track relevant data and provide a comprehensive picture of care for opioid use disorder. Many states have dashboards tracking overdose deaths, but only a few states track a full range of metrics including rate of diagnosis, FDA-approved medication distribution and number of treatment providers.

To address this issue, The Pew Charitable Trusts convened a panel of experts in September 2021 to identify treatment goals using the “cascade of care” method, which identifies key measurements in the life cycle of a chronic disease.

Pew’s expert panel applied the “cascade of care” framework and defined the stages as:

  1. Opioid use disorder identification/diagnosis: Having a formal diagnosis in a medical record or claim.
  2. Initiation of treatment: Receiving treatment services.
  3. Retention in opioid use disorder treatment: Staying engaged in treatment for at least six months.
  4. Recovery: Reaching a state defined by SAMHSA as “a process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential.”

The panel consisted of state and federal officials, treatment providers, experts in health measurement and analytics, advocates, and individuals with lived experiences. The panel agreed on several core measures for tracking opioid use disorder based on the stages of the cascade of care:

  • Opioid use disorder identification/diagnosis
    • Diagnosis: Percentage of people who had a documented diagnosis, including on an insurance claim.
    • Percentage of people assessed using a standardized screening tool: Rate of assessment using tools such as the Drug Abuse Screening Test or the Tobacco, Alcohol, Prescription Medication, and Other Substance Use tool.
  • Initiation of treatment
    • Use of pharmacotherapy: Percentage of people diagnosed with an opioid use disorder who received medication.
    • Opioid use disorder provider availability: Number of providers and treatment programs that can provide medication for opioid use disorder.
  • Retention in opioid use disorder treatment
    • Continuity of pharmacotherapy: Percentage of people receiving medication for opioid use disorder who used medication for at least six months.
    • Initiation of and engagement in opioid use disorder treatment: Percentage of people who initiated treatment within two weeks of diagnosis or percentage of people using two or more services within the first month after initiating treatment.
    • Follow-up after an emergency department visit for substance use: Percentage of people who receive follow-up care for substance use disorder or an overdose within seven days, and 30 days after visiting an emergency department for a substance use disorder related issue.
  • Recovery
    • One or more patient-reported outcome measures to be determined by state: Percentage of individuals who achieve an improved level of functioning or quality of life.

Note: Read The Pew Charitable Trusts’ issue brief, “States Should Measure Opioid Use Disorder Treatment to Improve Outcomes,” to read more about each measure and how it was selected.

The panel recommended states implement these core measures to provide stakeholders with information. Access to the data may improve practices and target scarce resources where they are urgently required and will be most effective. Pew also recommends that states develop public action plans including:

  • Creating a data plan that includes reporting data publicly to create accountability.
  • Regularly reviewing and acting on data.
  • Working with treatment providers and people with opioid use disorder to develop improvement initiatives.
  • Organizing data by demographics, such as race, age, and gender, to uncover health inequities.

Applying the Cascade of Care to Opioid Use Disorder
Applied globally, the “cascade of care” model improved the treatment of chronic diseases such as hepatitis C, hepatitis B, diabetes, and tuberculosis. Researchers funded by the National Institute on Drug Abuse recommended the “cascade of care” framework be applied to the opioid epidemic in 2017. Since then, several states, localities and Tribal nations using the method established metrics for specific programs. States can apply the cascade of care approach to see which aspects of their treatment system are effective and which require increased attention and resources. Using the cascade of care model, Rhode Island found a gap between the number of people at risk for opioid use disorder and the number of people screened. Based on these findings, state officials decided to focus on increasing screening efforts for at-risk citizens.



A Toolkit for Adopting Core Opioid Use Disorder Treatment Measures
To help policymakers and data analysts adopt the core metrics, Pew commissioned an implementation toolkit by Dr. Tami Mark, senior fellow at RTI International. This toolkit provides:

  • A checklist of activities to implement and improve policies and programs.
  • Detailed information about each metric, including the data used, the organization responsible for updating the information, and links to additional technical details.
  • A description on how measures can be used to identify inequities in access and use of treatment by populations of interest.

Ranked Choice Voting: What, Where, Why & Why Not

By Jennifer Horton and Dr. Dakota Thomas

In 2022, Nevada voters approved a ballot measure to change its elections to ranked choice voting. Since this ballot measure is a citizen-initiated constitutional amendment, the measure will again require approval in 2024 to take effect. If the state votes to reapprove ranked voting, it joins a growing number of U.S. cities, counties and states in using a ranked choice voting system for elections.

What is Ranked Choice Voting?
Ranked choice voting is any system for counting votes that gives voters the option to rank their choices in order of preference. If a voter likes candidate A, but would prefer candidate B over candidate C if their favorite (candidate A) did not win, they could rank the three candidates accordingly on their ballot (A > B > C).

How do votes get counted in such a system? There are multiple methods, but the most common one is the alternative vote. During the alternative voting process, the candidate receiving a majority of first choice votes wins and the election is over. If no one wins a majority of votes, the ranked choices come into play. In the most common form of ranked voting, the last-place candidate gets eliminated (i.e., the candidate with the fewest first choice votes), and the voters who chose that candidate as their first choice have their votes reallocated to their second choice. For example, if candidate A came in last place, the vote would go to candidate B. This process continues until a candidate achieves a majority of votes.

Ranked choice voting can play out in different ways depending on the exact version of ranked voting a locality adopts. Most places utilizing ranked voting elect a single winner in a given election, while other locations use a multi-winner format of ranked voting where multiple officials are elected in a single contest, such as for a city council. Most forms of ranked voting are considered majoritarian (i.e., they try to ensure majority rule), while others are considered proportional (they focus instead on maximizing representation for different parties). Some common forms of ranked voting are explained in the table below.

Comparison of Ranked Choice Voting Systems

Ballot Counting SystemOutcomeSeats Elected at OnceCounting MethodNotable Examples
Alternative Vote (AV)Majoritarian1Candidates with fewest first preference votes are eliminated successively and their voters go to their next choices until one candidate has a majority.Alaska and Maine, Australia and Fiji, the Oscar for “Best Picture” and the Hugo Awards for Science Fiction
Two Round – Majority RunoffMajoritarian1Candidates who are not in first or second place in total votes are eliminated in the first round. The second round includes only the top two candidates.Georgia and Louisiana, France presidential elections
Two Round – Majority Plurality
Majoritarian2+Candidates who do not reach a certain threshold of votes are eliminated in the first round. The second round includes all candidates that met the threshold.France legislative elections
Preferential Block Vote or Multiple Transferable Vote (MTV)Majoritarian2+Candidates with the fewest first preference votes are eliminated successively and their voters go to their next choices until one candidate has a majority. The count is then repeated with the elected candidates removed until all seats are filled.Some local elections in Utah
Single Transferable Vote (STV)Proportional2+Candidates with fewest first preference votes are eliminated successively and their voters go to their next choices until all seats are filled.Some local elections in Massachusetts, Michigan, and California, Ireland and Malta legislative elections
Borda CountVaries with number of seats awarded at once1+Candidates with the highest rankings are elected successively until all seats are filled.Kiribati presidential nominations and Nauru legislative elections, the Major League Baseball’s Most Valuable Player (MVP), the Heisman Trophy for college football
Source: Table adapted from “Principles of Comparative Politics” by
William Roberts Clark, Matt Golder and Sona Nadenichek Golder.

What States Use Ranked Choice Voting?
As of January 2023, ranked choice voting is used in Alaska and Maine, in addition to 53 cities and counties representing roughly 11 million voters. Military and overseas voters cast ranked voting ballots during federal runoff elections in Arkansas, Alabama, Georgia, Louisiana, Mississippi and South Carolina. The map below shows states where ranked voting is used for at least some elections.

Note: This map only includes uses of ranked voting that result in a candidate being elected to office. Party primaries, conventions and other nominating processes are not included in this data, but some states do use ranked voting for those processes.

When and how jurisdictions utilize ranked voting varies widely. Some areas use it only for primary elections but not general elections, while others use it in general elections but not primaries. There are also other areas that use it for both. Jurisdictions can also elect to use ranked voting for electing some offices but not others. Alaska, for example, uses ranked voting only for its general elections, while its primaries use a top four system in which voters choose their top candidate. The top four candidates then go to the general election. Other locations continue to use ranked voting as a way to replace primaries entirely, consolidating primaries and general elections into a single contest. Many cities in the U.S., including Salt Lake City and other Utah cities, have implemented ranked voting as a way to consolidate nonpartisan primaries and general elections into one election.

States with ranked choice voting
Maine first adopted ranked voting in 2016 for state and federal primary elections. It was then adopted in 2018 for all general congressional elections. The state later expanded its use to presidential general elections beginning in 2020. Use of ranked voting will begin in 2024 for presidential primaries.

Alaska enacted ranked choice voting by ballot measure in 2020. Its first use came during a special election in August 2022 that resulted in Rep. Mary Peltola defeating former Alaska Gov. Sara Palin for an open U.S. congressional seat. The state uses ranked voting for all state and general elections.

In Nevada, voters recently approved a ballot measure changing the state’s elections to a system with nonpartisan primaries that allow voters to choose candidates from any party. After the primary, ranked voting occurs for general election, at which time voters can rank their top five candidates in order of preference. Implementation requires a vote of approval again in November 2024. The state will use ranked voting for state and federal elections but not presidential.

Cities with ranked choice voting
The same story is also present in the 53-plus cities utilizing ranked voting. For example, since 2009 Minneapolis has used it for 22 city offices and some park board and board of taxation seats. New York City employs its use for city primary, as well as special elections for mayor and other citywide offices. Since 2021, ranked voting has also been used in New York City to elect borough presidents and city council. In Santa Fe, New Mexico, it has been used to determine mayor, city council, and municipal judge elections since 2018.

More to come
Nine cities and the state of Nevada had ballot measures concerning ranked voting in 2022. Of these, all but two passed:

  • Nevada – approved in 2022; reapproval required in 2024 to go into effect.
  • Portland, Oregon – adopted; will begin in 2024.
  • Seattle – adopted for primary elections.
  • Evanston, Illinois – adopted; will begin in 2025.
  • Fort Collins, Colorado – adopted.
  • Ojai, California – adopted.
  • Multnomah County, Oregon – adopted.
  • Portland, Maine – adopted.
  • Clark County, Washington – failed.
  • San Juan County, Washington – failed.

Why Use Ranked Choice Voting?
Those who advocate for the adoption of ranked choice voting cite a number of possible benefits, including those detailed below:

Ensuring majority rule
Elections with more than two candidates can often result in a candidate winning with less than 50% of the vote, leading to a winner who doesn’t have a majority of support from the public. Maine voters were driven to adopt ranked voting after nine of its 11 gubernatorial elections were won with less than 50% of the vote during a 20-year period, including three governors’ races with winners who had less than 40% of votes. With ranked choice voting, if no candidate receives a majority of voters’ first choices, a process is used to reallocate voters to their next preferences until a winner gets a majority, upholding majority rule.

More choices and more influence for voters
Ranked choice voting can also give voters more choices, allowing them to vote for a viable candidate without having their vote placed used on a preferred candidate who is unlikely to win. If their first choice doesn’t win, they know their vote will count for their next most preferred choice(s). Ranked voting can enable two similar candidates to compete without fear of possibly splitting the vote. This may help reduce the spoiler effect, which is the phenomena of two similar candidates or parties losing to a very different candidate or party because voters couldn’t effectively coordinate on one choice. Currently, some candidates and parties — usually those from underrepresented groups in elected office — are pressured to stay out of races for fear of acting as a spoiler.

Ranked voting also helps ensure that voters’ preferences actually influence the outcome of an election. For example, in 2020, more than 3 million Democratic primary voters voted for a candidate who had already withdrawn from the race. In 2016, more than 5% of votes were cast for Republican candidates that had withdrawn from the primaries. These specific kinds of “wasted votes” often occur with early voting when voters fill out ballots a week or more ahead of election day. Ranked voting enables these voters to have backup candidates if their top choice drops out.

Ranked voting is an especially valuable tool for military and overseas voters who encounter a number of barriers to voting. Federal law requires states to provide these voters with ballots at least 45 days prior to elections, but runoffs require sending a new set of ballots, delaying the runoff and reducing turnout. By the time military and overseas voters receive their ballots, candidates may no longer be in the race, leading to the possibility of more “wasted votes.” Since voters can rank candidates on a single ballot with ranked voting, their vote still counts if a runoff occurs or a candidate drops out. Currently, six states use ranked voting for its overseas voters: Alabama, Arkansas, Georgia, Louisiana, Mississippi and South Carolina.

More civility in campaigns
In ranked voting elections, candidates have an incentive to court as many voters as possible in hopes of winning. If they are not the first choice of voters, they can succeed by acquiring enough votes as the second or third choices. This can lessen the tendency to run negative campaigns involving attacks on opponents and instead encourage efforts to positively interact with as many voters as possible, even those who may not view them as a first choice. According to a survey of Republican primary voters in Virginia, the use of ranked voting resulted in a more positive congressional primary in 2022. A 2013-14 survey of voters in ranked voting and non- ranked voting cities revealed that voters in ranked voting cities were more satisfied with the tone of campaigns, and noticed less criticism and negative campaigning, than non-ranked voting city voters.

Lower cost for elections and improved turnout
By replacing primaries and runoffs with ranked voting, jurisdictions can save money and improve voter turnout. In non-ranked voting elections, when no candidate meets a necessary threshold, jurisdictions must hold a second election that costs taxpayer money. New York City saves $20 Million every time ranked voting avoids a runoff. When the two rounds of voting are consolidated into a single election, there also tends to be higher and more representative turnout. Throughout the past twenty years, federal primary runoff elections have seen a median turnout decline of 37% between the first and final rounds, whereas a 2016 study found ranked voting general elections are associated with a 10-point increase in voter turnout compared to the primary and runoff elections they replace.

Broader representation
In elections with multiple winners, proportional ranked voting enables diverse groups of voters to elect their candidates of choice. In single winner races, ranked voting promotes the representation of historically underrepresented groups, including women and people of color. In one study, researchers found that women’s representation increased in cities using proportional ranked voting during the early 1900s. It was also revealed that single-winner ranked voting has increased women’s representation in the 21st century. Another study found that cities utilizing ranked voting also have better electoral outcomes for women and people of color.

Voter support for ranked choice voting
For all the discussion from party leaders and others about whether ranked choice voting is a good idea, voters themselves express broad support for the practice and find it easy to use. After using ranked voting for the first time in 2022, 85% of Alaska voters described it as “simple.” In New York City, 95% of voters across all ethnic groups who participated in the city’s 2021 primary elections described the ranked voting ballot as “simple to complete”; nearly 80% said they understood it extremely or very well; and 77% supported using it for future elections. After using ranked voting for the first time in 2018, 94% of Santa Fe voters reported feeling either very or somewhat satisfied with the format and more than 70% supported its use in future city elections.

Why Not Use Ranked Choice Voting?
Some opponents of ranked choice voting dislike it for one of the same reasons its supporters promote it: it can weaken the far right or left wings of the two main political parties. These critics worry it could weaken the influence of the two main parties and allow more centrist candidates an easier path, thus diluting the power of very progressive or very conservative politicians and policies.

Others worry the changes to filling out a ballot could confuse or deter voters, possibly disenfranchising groups of people who aren’t aware of how to use the ranking mechanism. Another concern is the time it takes to count ranked choice ballots, which could lead to a lack of confidence in the results.

Still others take issue with specific forms of ranked choice voting, arguing that in some cases it can lead to a person winning who doesn’t have majority support. This can happen if a candidate starts off with fewer first-choice votes, and thus gets eliminated, but may perhaps have a greater number of second choice votes.

There’s also the issue of voters not using all of their ranking slots or having all of their ranked picks eliminated, which can lead to “ballot exhaustion” — a drop off in the total number of votes being counted in the later rounds of counting.

The Future of Ranked Choice Voting in the U.S.
As state and local governments continue to reconsider how best to run their elections with an eye toward issues like election security, trust in democracy, and voter access, ranked choice voting is one tool they are considering and often adopting. There are certainly many things to consider when evaluating whether to use ranked voting. Given its popularity with many voters and advantages over other systems of voting, ranked choice voting is worth a closer look.