There is wide variability from state to state in the health policymaking process. According to the Commonwealth Fund 2020 State Scorecard, the following are areas of concern that have been made worse by the pandemic EXC: Premature deaths from treatable conditions and deaths from suicide, alcohol, and drug overdose continue to impact life expectancy. Insurance coverage losses from the ACA have stalled, and affordability and out-of-pocket costs are worsening. Increased prices for health care services are a major driver of overall spending growth. As a result, higher costs for consumers using commercial plans increases spending growth. All of the these