West Hartford’s Newly Developed Complete Streets Policy is #2 in the Nation for 2015

West Hartford’s Complete Streets policy, adopted in 2015, has been named the second best new policy in the nation by Smart Growth America and the Complete Streets Coalition. The coalition highlighted 16 communities nationwide for their outstanding new policies, among 82 communities that adopted Complete Streets policies during the year.  Nationwide, there are now a total of 899 Complete Streets policies in place in all 50 states, the organization announced this month. A Complete Streets approach creates an integrated transportation system that supports safe travel for people of all ages and abilities. This approach redefines what a transportation network looks like, which goals a public agency sets out to meet, and how communities prioritize their transportation spending. A Complete Streets policy is one of the best ways to set this approach into motion, Smart Growth American emphasized.

The U.S. Surgeon General and Secretary of Transportation both spoke out for more Complete Streets last year and Congress passed a transportation bill that included Complete Streets language for the first time ever.

The Complete Streets laws, resolutions, agency policies, and planning and design documents establish a process for selecting, funding, planning, designing, and building transportation projects that allow safe access for everyone, regardless of age, ability, income or ethnicity, and no matter how they travel.

Across the country, 32 state governments or agencies, 76 regional organizations, and 663 individual municipalities have all adopted such policies to create safer, multimodal transportation networks.

West Hartford’s policy is the result of a process that began in 2009 with the adoption of the Town’s 2009-2019 Plan of Conservation and Development,” according to town Deputy Mayor Shari Cantor.  She said the plan “promote[s] an integrated and balanced “complete street” transportation system which provides the best possible service, mobility convenience and safety while reinforcing a positive social, economic, and environmental influence on West Hartford.

“Utilizing a comprehensive public participatory process, guided by the leadership of the Town Council; the advocacy efforts of various community groups in West Hartford including our Bicycle Advisory Committee, and the work of our Town staff; we were able to develop and adopt this tremendous Complete Streets Policy,” said Mrs. Cantor in response to the national recognition.

Each year, the National Complete Streets Coalition analyzes newly passed Complete Streets policies. The Coalition examines and scores policy language using the guidelines laid out in our ideal policy elements. Ideal policies state a community’s vision for transportation, provide for many types of users, complement community needs, and establish a flexible project delivery approach. Different types of policy statements are included in the Coalition’s review, including legislation, resolutions, executive orders, internal policies, and policies adopted by an elected board.

The Coalition ranks new Complete Streets policies to celebrate the people who developed exceptional policy language and to provide leaders at all levels of government with examples of strong Complete Streets policies.

Sixteen agencies led the nation in creating and adopting comprehensive Complete Streets policies in 2015. Topping the list, with the first-ever score of 100, was Reading, PA, followed by West Hartford, Park Forest, IL and South Bend, IN.  Four of the next seven slots went to communities in Massachusetts:  Longmeadow, Weymouth, Ashland, Natick and Norwell.  The others were Omaha, NE and Incennes, IN.

Of the 663 municipalities with Complete Streets policies, 239 (or 36 percent) are suburban communities. Small towns, often in rural areas, have passed 111 policies, or 17 percent of all municipal policies. On the other end of the spectrum, 12 of the 15 most populous cities in the country have committed to Complete Streets with a policy, according to the organization’s 2015 report. 

“A Complete Streets approach is about helping everyone stay safe on the road—no matter if they’re walking, biking, taking transit, using an assistive device, or driving,” said Emiko Atherton, Director of the National Complete Streets Coalition. “Passing a Complete Streets policy is one of the best actions communities can take toward achieving these goals.”

Connecticut became the 10^th state in the nation to adopt a Complete Streets law, in 2009.  The law mandates “accommodations for all users shall be a routine part of the planning, design, construction and operating activities” of all state highways. Connecticut’s Complete Streets law has evolved, and now (Conn. Gen. Stat. §13-153f) requires pedestrians, cyclists, and transit users to be routinely considered in the planning, designing, construction and operation of all roads.

In 2014, Bike Walk Connecticut released a first-of-its-kind ranking of the state’s cities and towns on how bike- and walk-friendly they are. Simsbury (1), New Haven (2), New Britain (3), Glastonbury (4), and Middletown (5) claimed top honors as the five most bike- and walk-friendly communities.

Earlier this year, the University of Connecticut released a study that shows how shared space, a design concept that encourages all users to share street space, can provide much greater vehicular capacity than conventional intersections and increases pedestrian convenience. The study found that by redesigning streets and intersections as human-scaled places and incorporating shared space concepts, communities of all sizes have successfully encouraged active transportation, stimulated their local economies, reduced accident severity, and lessened their environmental impacts. The study compared actual user delays at six shared space intersections to expected user delays using standard U.S. traffic modeling software.  The state Department of Transportation issued a policy document in 2014 consistent with the law.

The criteria used in the Complete Streets evaluation include:

1. Vision: The policy establishes a motivating vision for why the community wants Complete Streets: to improve safety, promote better health, make overall travel more efficient, improve the convenience of choices, or for other reasons.
2. All users and modes: The policy specifies that “all modes” includes walking, bicycling, riding public transportation, driving trucks, buses and automobiles and “all users” includes people of all ages and abilities.
3. All projects and phases: All types of transportation projects are subject to the policy, including design, planning, construction, maintenance, and operations of new and existing streets and facilities.
4. Clear, accountable exceptions: Any exceptions to the policy are specified and approved by a high-level official.
5. Network: The policy recognizes the need to create a comprehensive, integrated and connected network for all modes and encourages street connectivity.
6. Jurisdiction: All other agencies that govern transportation activities can clearly understand the policy’s application and may be involved in the process as appropriate.
7. Design: The policy recommends use of the latest and best design criteria and guidelines, while recognizing the need for design flexibility to balance user needs in context.
8. Context sensitivity: The current and planned context—buildings, land use, transportation, and community needs—is considered in when planning and designing transportation solutions.
9. Performance measures: The policy includes performance standards with measurable outcomes.
10. Implementation steps: Specific next steps for implementing the policy are described.

The National Complete Streets Coalition, a program of Smart Growth America, is a non-profit, non-partisan alliance of public interest organizations and transportation professionals committed to the development and implementation of Complete Streets policies and practices. A nationwide movement launched by the Coalition in 2004, Complete Streets is the integration of people and place in the planning, design, construction, operation, and maintenance of transportation networks.

CT Ranks As 7th Greenest State in the Nation, Analysis Says

Earth Day 2016 – celebrated on April 22 – will be observed in communities throughout Connecticut this weekend, against the backdrop of a new state-by-state analysis that ranks Connecticut as the 7^th “greenest” state in the nation. WalletHub’s analysts compared the 50 states across three key dimensions: 1) Environmental Quality, 2) Eco-Friendly Behaviors and 3) Climate-Change Contributions, including 17 key metrics that “speak to the health of the current environment as well as the environmental impact of people’s daily habits.”

Topping the list were Vermont, Washington, Massachusetts, Oregon, Minnesota, Maine, Connecticut, New York, New Hampshire and New Jersey.  The data set ranges from “Total Municipal Solid Waste per Capita” to “Energy Efficiency Score” to “Carbon Dioxide Emissions per Capita.”

Connecticut’s highest ranking in the individual categories was in Water Quality, where the state ranked first.  Other top finished include Energy-Efficiency (6^th), Carbon Dioxide Emissions per Capita (6^th), and Gasoline Consumption per Capita (12^th).

The state ranked in the middle-of-the-pack in Percent of the Population Not Driving to Work (22^nd), Air Quality (24^th) and Percentage of Recycled Municipal Solid Waste (25^th).

In the three overall categories, Connecticut ranked 2^nd in Climate Change Contributions, 5^th in Environmental Quality, and 23^rd in Eco-Friendly Behavior.

At the bottom of the WalletHub ranking were Oklahoma, Nebraska, West Virginia, Montana, North Dakota and Wyoming.

Gary Ginsberg Receives Public Communications Award from the Society of Toxicology

Dr. Gary Ginsberg, a Senior Toxicologist with the Connecticut Department of Public Health (DPH) has been awarded the “Public Communications Award” by the Society of Toxicology, an international organization dedicated to enhancing the impact and relevance of toxicology. Dr. Ginsberg was recognized by the organization for his efforts in explaining complex toxicology issues to the public, with the conference program noting that “Dr. Ginsberg is able to consolidate vast amounts of science into easily digestible useful information to help protect consumers from potentially hazardous situations.”

At DPH, Dr. Ginsberg regularly prepares educational material for citizens on emerging contaminant issues, such as arsenic in pressure treated wood, the hazards to children from mothballs, and chemicals in children’s products and toys.  He has represented DPH in the media on numerous topics ranging from mercury in fish to chemical spill emergencies. He has also appeared on television shows such as the Dr. Oz Show and had his own radio program covering environmental issues of the day.

The organization’s annual conference, attended by 6,500 toxicologists and 350 exhibitors from across the country, and held in New Orleans last month, honored Ginsberg, who has been employed by DPH for over 20 years and regularly communicates with the legislature, local health departments, the general public and other state agencies on a wide variety of toxic exposure issues.

The recognition comes as Connecticut and the nation mark National Public Health Week, April 4-10.

Conference organizers pointed out that “his dedication to toxicology is evident though his tireless endeavors to educate the public and other health care professionals with accurate and practical knowledge.”  Also noted were his regular contributions to a Yale University blog on toxicology issues, and his website, www.whatstoxic.org, as well as writing on toxicology issues in state and national publications. Dr. Ginsberg evaluates human exposures to chemicals present in the air, water, soil, food, and in the workplace, and provides risk assessment expertise to state agencies in standard setting and site remediation projects.

Dr. Ginsberg was featured in a recent “Wastebusters” video produced by the CT Department of Energy and Environmental Protection and CT DPH on the importance of selecting green cleaning products in schools and homes.  He has drafted numerous fact sheets on chemical hazards in consumer products, such as sun screen and chemicals in hand sanitizers. In 2006, Dr. Ginsberg co-authored a book called “What’s Toxic What’s Not” (Berkeley Books, 2006).

“We are extremely proud of Dr. Ginsberg and congratulate him on this prestigious and well deserved award,” said Ellen Blaschinski, DPH’s Regulatory Services Branch Chief.  “His expertise in toxic exposures and ability to consolidate vast amounts of science into easily digestible, useful information helps protect and inform Connecticut’s citizens.”

A resident of East Granby, Dr. Ginsberg received his PhD from UConn in 1986. In addition to working at DPH, Dr. Ginsberg is an assistant clinical professor at the UConn School of Community Medicine, an adjunct faculty member at Yale University and has served on a number of US EPA advisory committees and on the National Academy of Sciences.

The Society of Toxicology is a professional and scholarly organization of scientists from academic institutions, government, and industry representing the great variety of scientists who practice toxicology in the US and abroad. The Society’s mission is to create a safer and healthier world by advancing the science and increasing the impact of toxicology.

https://youtu.be/l1MIcvoWGMo

CT Unemployment Rate Highest in New England, Higher Since Year Began

Unemployment in Connecticut nudged upwards in March from a month earlier, but remained slightly below a year ago.  The state’s jobless rate of 5.7 was higher than the national rate of 5.0 percent and the highest in New England. Nationwide, the regional and state unemployment rates were generally little changed in March, according to the U.S. Bureau of Labor Statistics:

• 21 states had unemployment rate decreases from February,
• 15 states including Connecticut had increases, and
• 14 states and the District of Columbia had no change,

Thirty-six states including Connecticut (and the District of Columbia) had unemployment rate decreases from a year earlier, 12 states had increases, and 2 states had no change.

The national jobless rate, 5.0 percent, was little changed from February and was 0.5 percentage point lower than in March 2015. Job growth occurred in retail trade, construction, and health care. Employment fell in manufacturing and mining.

Connecticut’s unemployment rate was 5.9 percent a year ago in March 2015, dropped to 5.5 percent by January and February of 2016, and climbed to 5.7 percent in March.

Overall in New England, the unemployment rate was 4.5 percent in March, compared with 5.2 percent in March 2015.  Across the region, the unemployment rate has steadily declined during the past year.  The rate was 4.6 percent in January and 4.5 percent in February, according to the BLS data.

Last month, the unemployment rate in Rhode Island was 5.4 percent, in Massachusetts was 4.4 percent, in Maine 3.4 percent, in Vermont 3.3 percent and in New Hampshire 2.6 percent.

The highest unemployment rates in the nation last month were in Alaska (6.6%), West Virginia (6.5%), D.C. (6.5%), Illinois (6.5%), Alabama (6.2%), New Mexico (6.2%), and Louisiana (6.1%).

South Dakota and New Hampshire had the lowest jobless rates in March, 2.5 percent and 2.6 percent, respectively, followed by Colorado, 2.9 percent.

“We are still struggling to come to terms with a stubborn new economic reality,” said economist Pete Gioia of the Connecticut Business and Industry Association. “We are adding back low-wage jobs at a much higher rate than high-paying jobs.”

Connecticut has now recovered 77 percent of jobs lost during the recession, CBIA reported, while the U.S. has recovered 161 percent of jobs lost during that same time, according to DataCore Partners.

PERSPECTIVE - Social Media Manipulation: Worse than Advertising?

by Carrie Titolo I want to preface this by saying I’m not that old, but I still clearly remember life before social media (I was in college just as Facebook was born). Social media came about because of a demand for a network and personal connections that defied physical location. Facebook originally started as an online networking site just for college students (you actually needed a .edu email address to register), but what it has morphed into is an entirely different beast.

What was once grassroots and organic now feels contrived, forced and flashy. With more paid content on your news feed than actual posts from your friends, and the rampant use of photo editing software rendering images of ourselves unrecognizable, I can’t help but think that we should be just as skeptical and wary of social media as we are of traditional advertising.

Consumers and celebrities alike have maligned the mainstream media and advertising industry for decades, criticizing them for photo manipulation and perpetuating false and unrealistic beauty standards, especially for women. A 2011 study conducted by Dove found that 80% of women surveyed felt insecure when seeing photos of celebrities in the media. Of the woman surveyed, 71% of them did not believe their own appearances were attractive or stylish in comparison to cover models. In spite of our rampant criticism of these practices, we’ve begun using social media and photo editing apps to create the same deception.

Consider the slew of apps dedicated to photo editing and the sheer number of users employing them on a daily basis to shape up their selfies. There’s PhotoWonder with the tagline “Shaping charming faces and slim bodies in the easiest way” which has over 100 million users in 218 countries. Then there’s Spring, which helps manipulate photos to make the object more model-esque: taller, thinner and with a sharper jawline. FaceTune and CreamCam remove wrinkles, zits, and skin imperfections while SkinnyCamera promises to make you look 10 to 20 pounds lighter. There are so many ways to tweak and change a photo, we might as well use computer generated caricatures or animation and save ourselves the hassle.

With such an abundance of DIY image-altering resources, the deeper, more philosophical issue comes in the eyes of the beholder. Knowing what we now know, we can’t help but look at all photos with a critical eye. Whether it’s a vacation selfie your cousin posted or that photo of Ronda Rousey on the Tonight Show with Jimmy Fallon, we automatically assume what we’re seeing isn’t real and the image has been doctored (especially in the latter example). It is this skepticism that causes me to take pause. Didn’t we take to the Twitter-sphere because we wanted to avoid being misled and blatantly marketed to? That’s not what (Facebook) friends are for!

So what to do now that we’ve dug ourselves into a hole of disenchantment and cynicism? How do we reclaim the digital territory that once was ours? I wish I had the answer. I don’t think there’s a silver bullet that will fix everything, but perhaps we can start on an individual level by taking a vow of honesty when it comes to our social media accounts. Maybe if we all try to be genuine with the images we post and encourage our friends to do the same, we can turn this perfectly toned and blemish-free boat around. Maybe one day, we’ll even come to appreciate the imperfections that not only make us unique, but make us human. #nofilter.

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Carrie Titolo is a graduate of the Boston University College of Communication, and has a background in public relations, marketing and nonprofit communications. She loves to cook and bake, is an avid runner and enjoys spending time with her husband and two rescue dogs.

PERSPECTIVE commentaries by contributing writers appear each Sunday on Connecticut by the Numbers.

LAST WEEK: Survey Data: Not What It Used to Be

Editorial Cartoon by Bob Englehart

Baseball Cards, eBay and Racial Discrimination Drive Research Study

Racial discrimination is often difficult to prove, with a variety of influencing factors making a clear cut determination often impossible.  But it is also widely recognized that racial discrimination is also difficult to eliminate. Now, academic researchers have found yet another way of demonstrating that racial prejudice continues to impact daily lives – often in ways we are unaware of or hadn’t considered. In the 27-page study, published this past winter in the RAND Journal of Economics, Ian Ayres and Christine Jolls of Yale University, and Mahzarin Banaji of Harvard University investigated the impact of a seller’s race in a field experiment involving baseball card auctions on eBay. The results, according to the researchers, left little doubt.

In the experiment, photographs posted on eBart showed the cards being held by either a dark-skinned/African-American hand or a light-skinned/Caucasian hand. The study found that cards held by African-American sellers sold for approximately 20 percent ($0.90) less than cards held by Caucasian sellers.

“Our evidence of race differentials is important,” the researchers said, “because the online environment is well controlled (with the absence of confounding tester effects) and because the results show that race effects can persist in a thick real-world market such as eBay.”

They added that the experiment is “well suited to studying and isolating race effects because online bidders have no access to the types of seller information—such as demeanor and socioeconomic background—that are usually observable in field experiments examining the effects of race on economic behavior.”

The study, “Race Effects on eBay,” was featured in the Winter 2015 edition of the Journal, and has been referenced in national publications thereafter.  The Washington Post reported that “the cards that were held by the African-American hand actually ended up being worth more, suggesting they should have sold for more than the other batch. That is, when the researchers added up how much they had originally paid for all of the cards sold by the black hand versus the white hand, the first total was larger.”

The Post also reported that researchers found that cards sold by the African-American seller to bidders living in Zip codes with a higher proportion of white residents sold for less than those sold to in Zip codes with a larger Black population. In addition, the Post pointed out, “one interesting feature of the study is that, on eBay, the value of the auctioned good is decided in a kind of collective process. Buyers are not just trying to determine how much the good is worth to them; they are also trying to figure out how much everyone else is likely to bid for it. In an eBay auction, buyers can see others’ bids and continue to submit their price until the last minute. In other words, buyers might submit lower bids for the African-American seller not because they personally are biased, but because they expect everyone else to be.”

Christine Jolls (left) is the Gordon Bradford Tweedy Professor at Yale Law School and the Director of the Law and Economics Program at the National Bureau of Economic Research (NBER) with headquarters in Cambridge, Massachusetts. Ian Ayres (center) is a lawyer and an economist. He is the William K. Townsend Professor at Yale Law School, the Anne Urowsky Professorial Fellow in Law, and a Professor at Yale's School of Management. Mahzarin Banaji (right), a psychology professor at Harvard University, studies unconscious thinking and feeling as they unfold in social context, relying on multiple methods including cognitive/affective behavioral measures and neuroimaging (fMRI).  Previously, she was Director of Undergraduate Studies at Yale.

Paid Family Medical Leave Has Broad Support in CT, Survey Shows

Eighty-two percent of registered Connecticut voters age 45-plus and a similar majority of voters age 25-plus, 83 percent, support a paid family medical leave plan now being considered by the state legislature, according to a recent survey by AARP Research. The large majority is also present across the ideological spectrum, with 94 percent of registered Democrats, 79 percent of independents and 68 percent of Republicans indicating their support for state paid family medical leave to support Connecticut workers and family caregivers.

One-thousand state voters age 25-plus were asked two questions about the paid family medical initiative, whether they supported such a plan, and whether they would support political candidates who did.

Among the 83 percent over age 45 who said they supported a paid family medical leave plan, 65 percent indicted they strongly supported such a plan, which would give employees an opportunity to contribute to and utilize a limited amount of paid leave from work to care for themselves or a loved one who is recovering from a serious medical condition.

“Connecticut voters overwhelmingly support paid family leave for workers,” said Nora Duncan, AARP CT state director. “We urge lawmakers to give serious consideration to passage of SB 221, An Act Concerning Paid Family and Medical Leave, in the remaining weeks of the 2016 legislative session. Voters are clearly interested in this policy and will make it a part of their considerations at the ballot box this fall.”

Asked if they would support a candidate for state elections who worked to implement a paid family leave plan that included working caregivers, 74 percent indicated their support, with half saying they would strongly support such a candidate. 

SB 221 would create a statewide system of paid family and medical leave for workers needing time off to care for themselves, an ill loved one or a new baby. The system that’s being suggested would be fully funded by employees with no employer contribution. According to The Institute for Women’s Policy Research, the cost to Connecticut employees would be very low at just about one half of one percent of someone’s income.

Nearly half (46 percent) of registered voters in Connecticut ages 45-plus say they are currently providing or have provided unpaid caregiving to an adult loved one.  Among them, two in three (63 percent) say they have been employed either full or part time while providing that care, the survey found.

Versions of paid family medical leave laws have been approved in California, New Jersey, Rhode Island and Washington.  California's law took effect in 2004, New Jersey's in 2009 and Rhode Island's in 2014.  Washington's has yet to take effect.

CT Ranks Behind 33 States as Technology Innovation Adopter, Report Finds

Twelve states and the District of Columbia are now championing innovation-friendly policies at the highest level according to the 2016 Innovation Scorecard, an annual innovation policy performance index developed by the Consumer Technology Association (CTA). Arizona, Kansas, Nebraska, North Dakota and Wisconsin are first-time Innovation Champions – the top designation - joining repeat champion winners Delaware, Indiana, Massachusetts, Michigan, Texas, Utah, Virginia and the District of Columbia.

Connecticut ranked in the third of four tiers, as an Innovation Adopter. The CTA Innovation Scorecard grades every state and the District of Columbia on 10 criteria, ranging from quantitative to qualitative, and ranks them across four categories — Innovation Champions (13 states), Innovation Leaders (20 states), Innovation Adopters (12 states including Connecticut) and Modest Innovators (6 states).

"We hope the Innovation Scorecard will be a guide for states who want to embrace those policies that best drive innovation, create good jobs and fuel economic growth," said Gary Shapiro, president and CEO, Consumer Technology Association. "We've identified and measured some key practices that enable innovators to thrive including drawing entrepreneurs from across the country, welcoming disruptive business models and educating the workers of tomorrow. But unless more state policymakers adopt a light regulatory framework, they risk sending valuable talent and economic growth to a neighboring state - or, far worse, overseas."

The 2016 Innovation Champion states earned high grades for maintaining strong right-to-work legislation, fast Internet access, a robust entrepreneurial climate and an open posture to new business models and technologies. Other Scorecard criteria are tax policy, tech workforce, investment attraction; Science, Technology, Engineering and Mathematics (STEM) degrees; unmanned innovations and sustainability policies. Since the last edition of the Scorecard, six states regressed to a lower tier.

Connecticut’s top grade, a B+, come in the Attracts Investment category.  The state earned a B in four categories:  Fast Internet, Tech Workforce, Welcomes New Business Models and Grants STEM degrees, and a B- in Entrepreneurial Activity.  The state’s lesser grades were in the categories Tax Friendly (C-), Innovation-Friendly Sustainable Policies (D) and Right to Work (F).  The report indicates that “Connecticut’s state-run electronics recycling system overcharges residents and manufacturers of consumer tech products, who pay for recycling at twice the market rate.”

The report also highlights an area of decline in Connecticut:  “Over $100 million of venture capital left Connecticut in 2015, causing the state to lose ground after earning an ‘A-’ in the category in the inaugural 2015 Scorecard. Connecticut should improve its tax code, which is among the least growth-friendly in the country, and reform regulations that stifle innovation.”

Among the findings: Delaware, Massachusetts, Rhode Island, Utah and the District of Columbia have the fastest Internet speeds in the country; Montana, North Dakota and Wyoming are among the leading states - along with the District of Columbia - at creating new jobs and new small businesses; and Arkansas, Maryland, Mississippi and Oregon were the only states earning a top grade for creating a policy environment favorable toward drones.

Consumer Technology Association (CTA)™, formerly the Consumer Electronics Association (CEA)®, is the trade association representing the $287 billion U.S. consumer technology industry.

Indiana Insurance Department to Hold Hearing on Anthem Acquisition of CIGNA on April 29

The Indiana Insurance Department will consider the proposed acquisition of Bloomfield-headquartered CIGNA Health Care by Indianapolis-based Anthem, Inc. at a public hearing on Friday, April 29 in Indianapolis. “Any member of the public interested in the proposed acquisition of control may attend the hearing,” indicates a public notice of the hearing. In addition, “Any policyholder of Cigna HealthCare of Indiana, Inc., or other person whose interests may be affected by the proposed acquisition of control shall have the right to appear and become party to the proceeding.”

Officials indicated that written testimony could be mailed in lieu of an in-person appearance, and would be considered. Members of the public may make written submissions  without appearing in person at the hearing. Length of submissions should not exceed 5 pages, double-spaced. Officials indiated that submissions should be sent to John Murphy, outside counsel to the Commissioner in this matter, by close of business on April 26, 2016. Contact information is: John T. Murphy, ICE MILLER LLP, One American Square, Indianapolis, IN  46282, (317) 236-2292, john.murphy@icemiller.com  [this information was updated on 4/19]

Consumer Groups, State Comptroller Call for Full Review

Among those aligned in opposition to the acquisition is the American Medical Association, noting that the deal would make the combined firm the nation’s largest insurer by membership and also give the company a tremendous amount of leverage when negotiating with providers.  In a press release, AMA President Steven J. Stack, MD, said such proposed mergers threaten to reduce competition and choice. “To give commercial health insurers virtually unlimited power to exert control over an issue as significant and sensitive to patient health care is bad for patients and not good or the nation’s health care system.”

Anthem and CIGNA suggested that the deal will create new efficiencies that will make the healthcare market function more efficiently.  A website, www.betterhealthcaretogether.com, has been established to highlight the companies commitment to “drive health care innovation.”

Last month, a coalition of consumer and medical organizations in Connecticut called for greater public input into the Connecticut Insurance Department’s review of the proposed Anthem-CIGNA  mega-merger, expressing concerns about the potential “negative impact on both the cost and quality of care in Connecticut” of that acquisition and the proposed Aetna-Humana merger. The groups – Universal Health Care Foundation, Connecticut Citizen Action Group and the Connecticut State Medical Society – formed the “Connecticut Campaign for Consumer Choice” coalition and urged state Insurance Commissioner Katherine Wade to “ensure an open, transparent hearing process in Connecticut, where policy holders, physicians and other interested parties are given maximum opportunity to share their views.” The coalition has been conducting public information sessions, including one in Mansfield this week, to provide state residents with information on "what the proposed health care mergers will mean for Connecticut consumers."

A week ago, State Comptroller Kevin Lembo, in a letter to the Department, urged an open and thorough review in order to address significant concerns raised by health care consumers and providers.  Lembo expressed his support for the efforts of the Connecticut Campaign for Consumer Choice, noting that a merger between Anthem and Cigna would increase the Connecticut health insurance concentration over 40 percent.   Lembo indicated that only Georgia is expected to experience a more significant increase in market concentration.

CIGNA Questions Anthem; Feds Question CIGNA

A week ago, Modern Healthcare, a web publication focused on healthcare business news, raised questions about the absence of detail in the year since Anthem disclosed “what was by far the largest data breach in healthcare history.  The cyberattack—in which hackers stole the names, birth dates, Social Security numbers, home addresses and other personal information of 78.8 million current and former members and employees – caused consumers to question “whether Anthem and other healthcare organizations could manage the volumes of data they had,” according to the news report. 

The publication also questioned whether state regulators would consider not only the breach, but CIGNA’s reaction to it at the time:

“Trust with customers and providers is critical in our industry, and Anthem has yet to demonstrate a path towards restoring this trust,” CIGNA CEO David Cordani and former Board Chairman Isaiah Harris Jr. wrote in a June 21, 2015 letter: “We need to understand the litigation and potential liabilities, operational impact and long-term damage to Anthem's franchise as a result of this unprecedented data breach, as well as the governance and controls that resulted in this system failure.”  It was estimated that in Connecticut, about 1.7 million people were affected.

In January, published reports indicated that U.S. regulators temporarily banned CIGNA-HealthSpring from offering certain Medicare plans to new patients after a probe uncovered issues with current offerings, citing that CIGNA’s deficiencies “Create a Serious Threat to Enrollee Health and Safety.”  CIGNA disclosed that the U.S. Centers for Medicare and Medicaid Services (CMS) had suspended the company from enrolling new customers or marketing plans for CIGNA Medicare Advantage and Standalone Prescription Drug Plan Contracts. CIGNA acquired HealthSpring in 2012.

In an enforcement letter, CMS accused CIGNA of "widespread and systemic failures," including the denial of health care coverage and prescription drugs to patients who should have received them. The actions "create a serious threat to enrollee health and safety," said CMS, which required CIGNA to appoint an independent monitor to audit its handling of the matter.

“Cigna has had a longstanding history of non-compliance with CMS requirements. Cigna has received numerous notices of non-compliance, warning letters, and corrective action plans from CMS over the past several years. A number of these notices were for the same violations discovered during the audit, demonstrating that Cigna has not corrected issues of non-compliance,” said the 12-page enforcement letter from the Director of the Medicare Parts C and D Oversight and Enforcement Group.

CIGNA, First in Connecticut

Nearly five years ago, in July 2011, CIGNA announced it was to receive $50 million in economic benefits from the Connecticut Department of Economic and Community Development with the promise of adding at least 200 jobs the following two years, which would increase the company’s employment in the state to more than 4,000.  CIGNA also declared Bloomfield its corporate headquarters in the United States, replacing Philadelphia which had been the company’s corporate headquarters since 1982.

CIGNA was the first company to receive economic incentives under Governor Dannel Malloy’s “First Five” program, which was designed to spur job growth and support Connecticut businesses in becoming more competitive in the global marketplace. “CIGNA is proof that these tools work and that Connecticut is open for business,” Malloy said at the time.

“Through this partnership with the Governor and the state, we are building upon our long history in Connecticut,” added CIGNA Chief Executive Officer David Cordani.

Anthem's application states it has "no current plans or proposals to reduce in any material respect the number of employees employed by the Cigna companies."  The $54 billion merger would increase Anthem's membership from 38 million to 53 million members nationwide.

Approval in Florida, Concerns in California

“There are no meaningful adverse impacts resulting from the acquisition,” Florida’s Insurance Commissioner said last week in approving the acquisition in his state. “The companies, individually or in combination, are an important part of, but not a dominant factor in, the Florida market, and their combination does not noticeably increase the market concentration across the broadly measured market on a statewide basis.”

In California, the combined membership of Anthem Blue Cross and Cigna would make it the largest insurer in the state with more than 8 million members.  At a public hearing in California last month convened by that state’s Insurance Department, consumer advocates and the AMA opposed the acquisition.

"This merger would create the nation's largest insurer, which could have a significant impact on California's consumers, businesses, and the healthcare marketplace," said California’s Insurance Commissioner. "I am considering what is best for consumers and the overall marketplace. Anthem and Cigna bear the burden of demonstrating this proposed merger is in the best interest of California consumers and the health-care marketplace."

Shareholders of Anthem and Cigna voted overwhelmingly in favor of the merger plan late last year, and regulators in 26 states where the companies operate are at various stages of considering the acquisition.  Attorneys General in a number of those states, including Connecticut, are looking into the proposed acquisition on anti-trust grounds, and the U.S. Department of Justice has the final authority to approve the deal, published reports indicate.

The news site Business Insurance reported soon after the acquisition was announced that “viewed in tandem with rival Aetna Inc.'s recent $37 billion merger agreement with Humana Inc.— as well as St. Louis-based health insurer Centene Corp.'s proposed acquisition of Woodland Hills, California-based Health Net Inc. for $6.3 billion — experts said regulators may be more stringent in examining the Anthem/Cigna deal's potential to dampen health insurer competition.”