The federal evidence system runs on data collected by states, territories, and tribes, and their capacity varies widely for reasons federal program design can fix. The system can only move as fast as its partners can.
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Set federal-state minimum standards for state data infrastructure, tied to existing funding and structured as incentives.
Establish a federal technical assistance corps and a single state-facing point of contact.
Provide floor-level grants to under-resourced jurisdictions, including territories and with tribal data sovereignty built in.
Build state Medicaid analytic capacity through enhanced federal matching, on a model already used elsewhere.
Align federal workforce programs with state demand, with concrete placement commitments.