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Next Steps In Advancing Pediatric Care In Southern Nevada, The Lincy Institute

Lincy Institute Events

The Lincy Institute released new research evaluating the Southern Nevada pediatric care ecosystem. The report, "An Evaluation of Southern Nevada’s Pediatric Care Ecosystem," offers recommendations to develop a stronger and more coordinated pediatric care ecosystem before the stand-alone children’s hospital being developed by Intermountain Health opens in 2030 and identifies the components of an integrated statewide network to provide all of Nevada’s children with access to high-quality care. The event also featured panel discussions with pediatric care providers and policymakers.

Panel 1 - Pediatric Care Providers

Moderator — Tina Quigley, Project Facilitator, The Lincy Institute

Panelists — Lisa …

An Evaluation Of Southern Nevada’S Pediatric Care Ecosystem, David Damore, Tina Quigley, Nick Fiore

Policy Briefs and Reports

In 2024, The Lincy Institute and the Nevada Health and Bioscience Corporation released a report prepared by the consulting firm Tripp Umbach detailing the case for a stand-alone children’s hospital in Southern Nevada. Shortly thereafter, Intermountain Health announced it would build Nevada’s first such facility in Las Vegas, expected to open in 2030. To complement the hospital’s development, The Lincy Institute undertook an independent evaluation of the regional pediatric care landscape. The analysis draws on secondary data and discussions with advocates, health system administrators, practitioners, and providers. The report examines:

• Fiscal, resource, and workforce challenges underlying Nevada’s poor population-level pediatric …

Child Care Deserts In Mountain West Congressional Districts, 2024, Cason Noll, Yash Kalla, Yiselle Olivas Ruiz, Caitlin J. Saladino, William E. Brown Jr.

Economic Development & Workforce

This fact sheet presents data on child care deserts across 28 congressional districts in the five Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah as of 2024. The percentage of young children residing in a child care desert and the urban, suburban, or rural designation of each congressional district are included. The Center for American Progress (CAP) report, ‘America’s Child Care Crisis Leaves Many Families Without Access to Licensed Care,’ includes data on all 435 U.S. congressional districts.

Fastest-Warming States And Cities In The Mountain West, 2025, Maisoon Faris, Kahlen Coss, Kevin Yang, Caitlin J. Saladino, William E. Brown Jr.

Environment

This fact sheet presents data published by Climate Central on the change in average annual temperatures for the five Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah and 15 Mountain West cities from 1970 to 2025. City-level data are derived from Applied Climate Information System (ACIS) operated by National Oceanic and Atmospheric Administration (NOAA), state-level data are derived from NOAA’s National Centers for Environmental Information (NCEI).

Gross Metropolitan Product (Gmp) And Gross State Product (Gsp) In The Mountain West, 2024, Devin Streuter, Phillip Seo, Zafeen Boulware, Caitlin J. Saladino, William E. Brown Jr.

Economic Development & Workforce

This fact sheet presents 2024 Gross Metropolitan Product (GMP) and Gross State Product (GSP) data for five Mountain West states: Arizona, Colorado, Nevada, New Mexico, and Utah, and selected metros in these states. The data are derived from a report by the United States Conference of Mayors titled, “U.S. Metro Economies Annual Report and Forecast June 2025."

Degrees And Certificates Awarded To Native American Students In Nevada, 2010-2022, Devin Streuter, Kevin Yang, Caitlin J. Saladino, William E. Brown Jr.

Higher Education

This fact sheet presents data on certificates and degrees awarded to Native Americans from the Nevada System of Higher Education’s (NSHE) teaching institutions —College of Southern Nevada (CSN), Great Basin College (GBC), Nevada State University (NSU), Truckee Meadows Community College (TMCC), University of Nevada, Las Vegas (UNLV), University of Nevada, Reno (UNR), and Western Nevada College (WNC)— from 2010 to 2022. Additionally, the fact sheet reports data on degree type, gender, and the most common majors pursued by Native American certificate and degree earners in Nevada. The data are derived from the Nevada P-20 Workforce Research (NPWR) Data System.

Manufactured Homes In The Mountain West, 2025, Yiselle Olivas Ruiz, Dre Boyd-Weatherly, Taylor Volk, Caitlin J. Saladino, William E. Brown Jr.

Housing & Real Estate

This fact sheet presents 2025 data on manufactured homes in the five Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah. The Construction Coverage report, “U.S. States Investing Most in Manufactured Homes,” based on analysis from the U.S Census Bureau and Zillow’s Home Value Index, includes data on all fifty states. This fact sheet focuses on the number of manufactured homes, site-built home permits, and the average price of manufactured homes in the Mountain West.

Commute Times And Remote Workers In Mountain West Cities, 2019-2023, Maisoon Faris, Mia Tschan, Caitlin J. Saladino, William E. Brown Jr.

Transportation & Infrastructure

This fact sheet presents 2019 to 2023 data on city-wide travel times, the number of remote workers, and the amount of time lost and saved by commuters across seven Mountain West cities: Mesa, AZ; Phoenix, AZ; Tucson, AZ; Colorado Springs, CO; Denver, CO; Las Vegas, NV; and Albuquerque, NM. The data are derived from the 2025 Yardi Kube report, “Back on the Road: U.S. Commutes Increase Amid a Hybrid Work Era,”  which includes commute time and remote worker data for the 50 largest cities across the United States. The year 2022 is used as a base comparison to show changes …

Credential Shortages In Higher Education Programs In Mountain West Metro Areas, 2024, Isabelle G. Graham, Kristian Thymianos, Olivia K. Cheche, William E. Brown Jr.

Economic Development & Workforce

This fact sheet reports data on workforce demand for middle-skills jobs across five high-paying occupational categories: healthcare, management, blue-collar, protective services, and STEM. The Georgetown University Center on Education and the Workforce report, “Missed Opportunities: Credential Shortages in Programs Aligned with High-Paying Middle-Skills Jobs in 55 US Metro Areas,” includes metro-level data on 55 metro areas in the United States in 2024.2 This fact sheet focuses on data for five Mountain West metro areas, including Denver-Aurora-Lakewood, CO; Las-Vegas-Henderson-Paradise, NV; Phoenix-Mesa-Chandler, AZ; Salt Lake City, UT; and Tucson, AZ.

Data Centers In Mountain West Markets, 2026, Cason Noll, Krish Sharma, Maisoon Faris, Olivia K. Cheche, Caitlin J. Saladino, William E. Brown Jr.

Transportation & Infrastructure

This fact sheet reports on the distribution and geographic concentration of data centers across the Mountain West states of Arizona, Colorado, Nevada, New Mexico and Utah as of March 6th, 2026. Using data from DataCenterMap, this fact sheet examines the number of data centers in each Mountain West state and further analyzes market-level  distribution, defined as cities within each state where data centers are located. The data are used to compare state totals and to rank Mountain West markets from highest to lowest based on the number of data centers operating in that area.

The Artificial Intelligence (Ai) Economy In The Mountain West, 2025, Dre Boyd-Weatherly, Sean Curry, Krish Sharma, Kristian Thymianos, William E. Brown Jr.

Economic Development & Workforce

This fact sheet reports on the artificial intelligence (AI) readiness of five Mountain West metropolitan statistical areas (MSAs): Phoenix-Mesa-Chandler, AZ; Salt Lake City-Murray, UT; Denver-Aurora-Centennial, CO; Las Vegas-Henderson-North Las Vegas, NV; and Albuquerque, NM. Using data from the Brookings Institution's “Mapping the AI Economy” report, the MSAs are benchmarked based on their overall population, employment, talent, adoption, and innovation.

Rural County International Immigrant Population Growth In Nevada, 2020-2024, Yiselle Olivas Ruiz, Anirudh Polagani, Mohit Pande, Olivia K. Cheche, William E. Brown Jr.

Demography

This fact sheet presents 2020-2024 data on international immigrant population growth across 17 Nevada counties.The Daily Yonder report, “International Immigrants Drive Rural Population Growth,” uses U.S. Census data to highlight international immigration patterns for all metropolitan and nonmetropolitan (rural) counties across the United States. This fact sheet highlights data on 13 nonmetropolitan counties in Nevada: Churchill, Douglas, Elko, Esmeralda, Eureka, Humboldt, Lander, Lincoln, Lyon, Mineral, Nye, Pershing, White Pine. This fact sheet also includes data on four metropolitan counties in Nevada: Carson City, Clark, Storey, and Washoe.

Local Journalist Equivalents (Ljes) In The Mountain West, 2025, Taylor Volk, Anthony Arroyo, Yiselle Olivas Ruiz, Olivia K. Cheche, William E. Brown Jr.

Economic Development & Workforce

This fact sheet presents 2025 data on Local Journalist Equivalents (LJEs) for the Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah. The data are derived from the Muck Rack report “Local Journalist Index 2025,” which includes data on LJEs for states and counties across the U.S. This fact sheet highlights state-level LJE data among Mountain West states, as well as LJE data for the following 17 Nevada counties: Carson City, Churchill, Clark, Douglas, Elko, Esmeralda, Eureka, Humboldt, Lander, Lincoln, Lyon, Mineral, Nye, Pershing, Storey, Washoe, and White Pine.

Economic Growth In Mountain West Cities, 2019-2023, Anirudh Polagani, Isabelle G. Graham, Olivia K. Cheche, Kristian Thymianos, William E. Brown Jr.

Economic Development & Workforce

This fact sheet presents 2019-2023 data on economic growth indicators in 32 Mountain West cities across Arizona, Colorado, Nevada, New Mexico, and Utah. The CoworkingCafe report, “Rising Powerhouses: The Cities Making America’s Economic Future,” includes economic growth data for 269 cities across the United States. This fact sheet highlights data from select cities in each Mountain West state, categorized by population size: five large cities, eight mid-sized cities, and 19 small cities.

Understanding Film Tax Credits In Nevada And Nationally, Michael J. Brown, David F. Damore, William E. Brown Jr.

Policy Briefs and Reports

This policy primer provides an overview of Nevada’s transferable tax credit program for film and other productions and reviews articles, reports, audits, and studies of film tax credits as a tool for economic development in the United States. This review considers a significant body of work analyzing the use of film tax credits in support of economic development. Studies and state audits often show that because film tax credits do not create the number and quality of full-time jobs necessary to merit their costs and do little to stimulate other related industries, they are a poor financial choice for state …

Latino Or Hispanic-Owned Businesses In The Mountain West, 2017-2022, Anthony Arroyo, Cason Noll, Caitlin J. Saladino, William E. Brown Jr.

Economic Development & Workforce

This fact sheet examines the growth of Latino or Hispanic-owned businesses in the largest metropolitan areas in the Mountain West between 2017 and 2022. The data are derived from the Brookings Institution’s “Charting the surge in Latino or Hispanic-owned businesses in the US” report, which highlights data on Latino or Hispanic-owned businesses in metropolitan and micropolitan areas across all 50 U.S. states and the District of Columbia. This fact sheet focuses on data for the following metropolitan areas in the Mountain West: Phoenix-Mesa-Chandler, AZ; Denver-Aurora-Centennial, CO; Las Vegas-Henderson-North Las Vegas, NV; Albuquerque, NM; and Salt Lake City-Murray, UT.

Cost Of Living For Older Adults (65+) In Mountain West Metropolitan Statistical Areas, 2024, Anirudh Polagani, Annie Vong, Mohit Pande, Olivia K. Cheche, Caitlin J. Saladino, William E. Brown Jr.

Demography

This fact sheet explores 2024 cost of living data for adults over the age of 65 in the largest metropolitan statistical areas (MSAs) across five Mountain West states: Arizona, Colorado, Nevada, New Mexico, and Utah. The data are sourced from the “Elder Index,” a dashboard that focuses on housing, healthcare, food, transportation, and miscellaneous expenses that collectively reflect the monthly expenses for those over the age of 65. This fact sheet focuses on five MSAs in the Mountain West: Phoenix-Mesa-Chandler, AZ; Denver-Aurora-Centennial, CO; Las Vegas-Henderson- North Las Vegas, NV; Albuquerque, NM; and Salt Lake City-Murray, UT.

Urban Heat Islands In Mountain West Cities, 2024, Mia Tschan, Krish Sharma, Olivia K. Cheche, William E. Brown Jr.

Environment

This fact sheet presents data on Urban Heat Islands (UHIs) in six cities across five Mountain West states: Arizona, Colorado, Nevada, New Mexico, and Utah. The data are derived from the 2024 Climate Central report, “Urban Heat Hot Spots in 65 Cities,” which includes data on how UHIs boost temperatures in 65 major cities across the United States. This fact sheet focuses on UHIs in six Mountain West cities: Albuquerque, NM; Denver, CO; Las Vegas, NV; Phoenix, AZ; Salt Lake City, UT; and Tucson, AZ.

Native American Tribes And Federal Grant Funding In The Mountain West, Fy2023-2025, Isabelle G. Graham, Maisoon Faris, Dre Boyd-Weatherly, Olivia K. Cheche, William E. Brown Jr.

Elections & Governance

This fact sheet presents state-level data on the impact of a federal government-wide funding freeze affecting Native American Tribes, focusing on the Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah. The data are derived from the Brookings Institution’s “A federal grant freeze could disrupt over $24 billion to Native American communities and undermine US obligations to Tribes” brief, which reports data from USAspending. The original report provides data on the federal government’s obligations, outlays, and remaining balances owed to Native American Tribes for all 50 U.S. states and the District of Columbia.

Public K-12 School Start Times In The Mountain West, 2020-2021, Olivia K. Cheche, William E. Brown Jr.

K-12 Education

This fact sheet presents data on public K-12 school start times in the Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah as of the 2020-2021 school year. The data are derived from the “School start time: Average public K–12 school start time and percentage distribution of public school start time, by state: 2020–21” report originally published by the National Center for Education Statistics (NCES). This fact sheet highlights the average public K-12 school start times and distribution of public K-12 school start times for each Mountain West state.

Police Killings In The Mountain West, 2013-2023, Isabelle G. Graham, Olivia K. Cheche, Caitlin J. Saladino, William E. Brown Jr.

Criminal Justice

This fact sheet presents data on police killings between 2013 and 2023 for the five Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah. The Brookings Institution report, “The state of police reform: measuring progress in each state,” tracks the total number of killings by police and the number of killings by police per one million residents in all 50 U.S. states and the District of Columbia. This fact sheet reports data on the total number of people killed by police and the rate of police killings per capita for each Mountain West state.

Housing Crisis Outlook In Mountain West Metros, 2023, Kian Parikh, Yiselle Olivas Ruiz, Ivan Sun, Olivia K. Cheche, Caitlin J. Saladino, William E. Brown Jr.

Housing & Real Estate

This fact sheet presents 2023 data on housing market conditions in seven large metros across the five Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah. The Lending Tree report, “Portland, Ore., Has Worst Housing Crisis Outlook – Here’s Why,” includes data on the 100 largest metros in the U.S. This fact sheet focuses on housing crisis outlook data for Mountain West metros appearing among the largest 100 metros in the nation: Phoenix, AZ; Tucson, AZ; Colorado Springs, CO; Denver, CO; Las Vegas, NV; Albuquerque, NM; and Salt Lake City, UT.

Homelessness Increases In The Mountain West, 2015-2024, Krish Sharma, Sydney Mitchell, Mohit Pande, Olivia K. Cheche, Caitlin J. Saladino, William E. Brown Jr.

Demography

This fact sheet presents data on homelessness increases in the Mountain West states of Arizona, Colorado, Nevada, New Mexico, and Utah from 2015 to 2024. The data are derived from “Male homelessness in the United States,” a report by the American Institute for Boys and Men (AIBM). The original report includes data on the overall increase in homelessness in the United States from 2015 to 2024, as well as data on the increase in homelessness by gender.

New Building Permits In The Mountain West, 2024, Taylor Volk, Mohit Pande, Kristian Thymianos, Caitlin J. Saladino, William E. Brown Jr.

Housing & Real Estate

This fact sheet examines data on new build permits from January 2023 to January 2024 in the five Mountain West States of Arizona, Colorado, Nevada, New Mexico, and Utah.“New Home Construction Statistics,” published by This Old House, reported percent changes on new builder permits and construction manufacturing costs and statistics across all 50 states.

Home Values Vs. Homelessness In Mountain West Metros, 2023, Maryam Raja, Caitlin J. Saladino, William E. Brown Jr.

Housing & Real Estate

This fact sheet presents data from Home Values vs. Homelessness in the U.S.: A Concerning Connection (2023 Data), a report by Home Bay. The data includes information on both home values and homelessness rates while also providing national rankings for rent price and homeless rate, which are used here to compare the following Mountain West metros: Las Vegas, NV; Denver, CO; Salt Lake City, UT; and Phoenix, AZ.

Bridging The Divide: Gaps In Mental Health Resources For K-12 Students In Nevada, Nicole Diaz Del Valle

Student Research

Since 2014, Nevada has consistently ranked among the bottom five states, if not last, in the nation for youth mental health, with more than 34,000 youth reporting experiencing thoughts of suicide in 2025 (U.S. Department of Health and Human Services, 2023). The state’s student-to-counselor ratio stands at 456 to 1, nearly double the recommended 250 to 1 (American School Counselor Association, 2024). In Southern Nevada, these challenges are compounded with persistent provider shortages, chronic underfunding, and a fragmented system of care. This policy brief focuses on the barriers preventing students from receiving timely, effective mental health support in school settings …

Reassessing Policy Responses To Irregular Migration In Receiving Democracies: A Process-Tracing Analysis Of Transactional Migration Governance, Otoniel Ramos

Student Research

This policy brief analyzes the growing use of transactional migration agreements (TMAs) by receiving democracies—bilateral arrangements that exchange financial or diplomatic concessions for the external enforcement of migration control. While politically expedient, TMAs often generate long-term strategic liabilities: they reduce state control over enforcement outcomes, expose receiving states to coercive leverage by partner states, and weaken normative commitments to transparency and rights protection. Using analytic process tracing and formal modeling, this paper identifies four recurring mechanisms by which TMAs evolve into systems of asymmetric dependence. It then evaluates three alternative policy frameworks—Exit Doctrine, Legal Category Reform, and a Structured Conditionality …

Ai Governance In The Gaming Industry: A Proposal For A Use Case Registry, Cesar D. Lozoya Martinez

Student Research

Artificial intelligence (AI) is increasingly integrated into everyday life. From customer service chatbots and marketing strategies to player protection tools and surveillance systems, casino operations are embracing the trend. However, without a systematic framework to track the current and emerging use cases across the industry, concerns about transparency, ethical use, and potential consumer harm continue to grow. Rather than aiming to establish binding regulatory practices for an industry and technology that are both quickly evolving, this policy brief advocates for the creation of an AI-use case registry. The registry would comprehensively track gaming companies that are using AI. The growing …

Legislative Transparency And Self-Government: Nevada And First Amendment Application, Allister Dias

Student Research

With the rise in political tension in the United States, the call for transparency from elected officials has reached an all-time high. While the role of American democracy is to promote a sense of participation from constituents, the lack of information regarding policy decisions has exempted the public from the halls of the legislature. This policy brief examines legislative transparency in Nevada through the concept of self-government theory. Despite a 1994 constitutional amendment to require publicly accessible legislative committee meetings, exemptions from Open Meeting Law and statutory exemptions continue to limit public access and further the divide between the government …

Unmarried, Married, And Divorced People In The Mountain West, 2023, Dre Boyd-Weatherly, Caitlin J. Saladino, William E. Brown Jr.

Demography

This fact sheet presents the ratio of unmarried men to unmarried women, as well as percentage rates of single, married, and divorced people for sixteen Mountain West cities in Arizona, Colorado, Nevada, and New Mexico. The Smart Asset report, “Where Most People Are Single or Married – 2025 Study” reports data for the 119 most populous cities in the U.S. from the 2023 one-year American Community Survey conducted by U.S Census Bureau.