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.

During the mid-part of the last decade, when the population growth rate was at its highest, the Phoenix area experienced rapid development and urban sprawl. The result has been an intensification of the Urban Heat Island effect. In this edition of Decades, author Sally Wittlinger discusses this uncomfortable consequence of urbanization.

In a desert city such as Phoenix, summertime heat is a way of life, but how much does the built environment contribute to the intensity of the heat on a summer night? In urbanized Phoenix, nights don’t cool down as much as in the surrounding rural areas and on more and more summer nights, the official Phoenix temperature fails to drop below 90 degrees. Climate plays a huge role in the comfort and quality of life of residents, with numerous implications for tourism, energy demand, water use, and the vulnerability of low-income families.

Grandparents widely consider spending time with their grandchildren one of the greatest benefits of growing older, according to a 2009 survey conducted by Pew Research Center. But, what happens when circumstances necessitate that grandparents become primary caregivers for their grandchildren? At a time when non-traditional families have become ubiquitous, the growing number of custodial grandparents and “skipped-generation families” are quietly impacting family dynamics, necessitating changes to long-standing public policies at both the federal and state level.

This follow-up to the 2001 landmark report, "Five Shoes Waiting to Drop on Arizona's Future," focuses on the projected future of the state if Arizona fails to address its Latino educational attainment gap. The publication is more of an economic impact statement than an education report, with indicators pointing out consequences and contributions, depending on action or inaction in closing the gap of Arizona's future workforce.

Both the effect of climate change on our future water supply and the size of the population that will need to share in that supply are uncertainties that water planners must consider when making decisions regarding our future. We have options, but we have to be sure that we use water efficiently to meet our urban, agricultural, and environmental needs. This Policy Points offers a clear, succinct overview of the status of Arizona’s water supply and what the current drought really means for water availability.

As Arizona’s population continues to grow, so does the need for electricity. Retail sales of electricity in Arizona have increased along with the population, although sales per person have declined since peaking in 2007, a sign of decreased use and increased efficiency. As we progress in the twenty-first century, action must be taken to increase the sustainability of our energy resources by continuing to conserve and by shifting to the greater use of energy from renewable sources. In addition, we must work to mitigate climate change by reducing greenhouse gas emissions.

Modeled on the story of "million-dollar Murray, " a Reno resident who was chronically homeless over a decade. This report combines personal stories with actual and average costs for basic assistance such as emergency shelter and healthcare. "Richard’s Reality, " also provides background on the more than 14, 000 people - adults and children - in Maricopa County who experience homelessness each year and some of the public and private organizations that provide services to them.