The State of the System Report is a compilation of the physical inventory and status of the Maricopa County Department of Transportation’s infrastructure. It addresses roadway congestion, traffic safety, low volume road paving, bridges, and pavement conditions. Also, included are recommendations for future improvements within each of the infrastructure categories. The SOS report has been produced annually since 1998.

During the previous decade Arizona experienced a dramatic increase in the number of people receiving health insurance coverage through the Arizona Health Care Cost Containment System (AHCCCS). If criteria for AHCCCS eligibility don’t change, it is unlikely that this trend will be reversed in the coming decade. More positive trends include increased child immunization rates and decreased smoking rates.