The House Chamber at the Kentucky State Capitol is shown as the legislature tries to wrap up its session
Topic

Strengthen State Government

Overview

States and cities are the “laboratories of democracy” in America—the places where lawmakers and governors look for new ways to help their communities succeed. Whether in Pew’s hometown of Philadelphia or any of the 50 state capitals, we help elected leaders respond to the needs of their citizens, use public dollars wisely, fix outdated policies, and build a better future for all.

Pew uses data and evidence to develop proven, nonpartisan strategies to address important issues such as housing, health care, court procedures, and infrastructure--all within the constraints of responsible fiscal management and a balanced budget.

Featured

" "
Partnerships Are Key to Improving Population Health

Public health and Medicaid agencies have a shared goal of improving the health of their populations. Strong partnerships between these agencies can drive meaningful improvements in both healthcare delivery and evidence-based prevention strategies.

Accessory Dwelling Units Can Boost Housing Supply

Cities across the United States are grappling with a persistent housing shortage that has pushed up rents and home prices. In response, state and local policymakers have increasingly turned to accessory dwelling units (ADUs)—small, self-contained homes on the same lot as a primary residence, usually a single-family house—to add homes in already developed neighborhoods.

State Broadband Policies to Drive Continued Progress

In the last two decades, broadband, or high-speed internet access, has evolved from a luxury consumer good into essential infrastructure, underpinning Americans’ ability to work, learn, access healthcare, and participate fully in civic and economic opportunities.

How to Strengthen Substance Use Prevention in Schools

In 2024, 48.4 million people in the United States were estimated to have a substance use disorder (SUD) involving alcohol, cannabis, and/or other psychoactive substances.

Assessments of Emerging Risks Can Ease Budget Pressures

Underlying economic and societal conditions, such as a community’s size and characteristics or labor supply and demand, inform state budgeting. And despite occasional shocks, they have historically been stable enough to support long-term decisions about how to raise revenue and prioritize spending.

Fact of the Matter

$1.2T+
IN WATER INFRASTRUCTURE NEEDS
will be required to repair and upgrade U.S. drinking water and wastewater systems.
$86.3B
ROAD MAINTENANCE SHORTFALL
faces state roadways over the next decade.
418
LONG-TERM RISK ASSESSMENTS
were identified in Pew's review of demographic, climate, and technology planning practices.
~1 IN 3
U.S. STATES
passed laws making it easier to build more housing in 2026.
34
U.S. STATES
had adopted at least two policies designed to make high-speed internet more accessible, affordable, or reliable by 2026.
1 IN 2
U.S. STATES
collected less tax revenue in the second half of 2025 than during the same period in 2024, after adjusting for inflation.
20.1%
INCREASE IN STATE SPENDING ON MEDICAID
occurred nationwide from fiscal 2023 to 2024, excluding federal funds.

Latest

Our Work

Professional psychologist doctor listening and giving the consult to female patients

Good health is important to everyone. Pew conducts research and provides information and fact-based recommendations to state agencies, hospitals, researchers, and other health partners to help them provide better care. We find and share evidence-based practices to improve Americans’ health and well-being, including services that can prevent suicide, improve mental health care, and treat substance use disorder.

Bustleton Free Library in Philadelphia, PA, on Thursday September 12 2024.

Communities throughout the country share common needs: affordable connections to broadband Internet, modern and reliable energy infrastructure, effective responses to mental health challenges, and ways to resolve legal disputes more quickly and fairly. To address these issues, Pew collaborates with states and local governments to find and promote evidence-based solutions that help provide stability and opportunity.

High angle helicopter shot of the Capitol Building in Washington, D.C. at twilight on a clear evening in Fall, with Pennsylvania Avenue beyond.

Nonpartisan, fact-based improvements in federal policy can create jobs, lower costs, and help the nation prepare for the future. When our research shows that small changes can have a big impact, we work across party lines to improve national challenges like housing affordability, internet access, energy reliability, and health care.

Sunshine

Economic opportunity is the foundation of American society. Pew supports national, state, and local efforts to expand opportunity and promote financial well-being. Our work helps people pay off student loans, navigate court proceedings such as debt collection, buy or rent a home, access affordable internet, and save for their retirement.

Turkish world record-holder free-diver and divers of the Underwater Federation Sahika Encumen dives amid plastic waste in Ortakoy coastline to observe the life and pollution of Bosphorus in Istanbul,

The global ocean teems with life, and it contributes to the vital cycles that keep people and our planet healthy. But the seas are vulnerable to overfishing, loss of habitat such as seagrasses and mangroves, ineffective fisheries management, plastic pollution, and declining biodiversity. These mounting losses affect the coastal communities that depend on the ocean for food and jobs.

The House Chamber at the Kentucky State Capitol is shown as the legislature tries to wrap up its session

States and cities are the “laboratories of democracy” in America—the places where lawmakers and governors look for new ways to help their communities succeed. Whether in Pew’s hometown of Philadelphia or any of the 50 state capitals, we help elected leaders respond to the needs of their citizens, use public dollars wisely, fix outdated policies, and build a better future for all.

A view of steep cliff, grand canyon and Colorado river from Toroweap overlook.

Conserving natural spaces conveys benefits far beyond the gains to wildlife and their habitats. As scores of studies show, protecting and restoring lands and waters, particularly when done in close partnership with local communities, also improves people’s lives—and local economies—by increasing tourism and outdoor recreation.