Trump administration defends Arkansas's Medicaid work requirements

On Friday, the Trump administration filed a motion to dismiss a federal lawsuit attempting to stop Arkansas's first-of-its-kind Medicaid work requirement, which so far has ended health insurance for over 12,000 low-income, working-age adults in the state. The nine plaintiffs suing the federal government are beneficiaries of Arkansas Works the state's version of Medicaid expansion who are at risk of losing their coverage under the work rules.

Spotlight

Rhode Island Emergency Management Agency

The mission of the Rhode Island Emergency Management Agency (RIEMA) is to reduce the loss of life and property for both natural and man-made incidents by utilizing an all hazards approach to prevention, preparedness, response, recovery and mitigation while providing leadership, assistance, and support to regional, state and local entities.

OTHER ARTICLES

The Essential Role of Government During COVID-19

Article | May 27, 2021

The COVID-19 pandemic touches every aspect of business, technology, and society. And stable and effective government is at the heart of managing through this crisis. What we do now will have longer-term implications for the health and safety of our families, our citizens, the economy, and even global stability. In the past few weeks, IBM has collaborated with many of our government clients and is driving action across three critical phases of response.

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Government Business

Transit, mobility projects to play vital role in economic recovery

Article | July 14, 2022

As the country battles to recover from COVID-19, transit leaders are calling for the next federal relief package to appropriate substantial funding to allow public transit to play its critical part in the economy’s recovery. In the interim, many of these transit and mobility authorities throughout the nation are moving forward with capital improvement projects already in the pipeline and in various phases of development. They will soon be announcing large projects, especially in quickly growing regions, and their planning documents list upcoming initiatives that range from mid-size construction projects to sprawling billion-dollar programs that focus on aging infrastructure. The following are just a few examples of upcoming projects from tollway and mobility authorities. California Just east of San Francisco, the Tri-Valley-San Joaquin Valley Regional Rail Authority in late June approved $46.8 million in funding for the next stage in Valley Link, a 42-mile light-rail line. This project will connect a planned train station in North Lathrop to an existing station in Pleasanton. Another $13 million previously dedicated to the project paid for conceptual design work that is near completion. Also, elsewhere in the state, the Transportation Corridor Agencies, in coordination with Caltrans, is proposing a $180 million project to add a direct 241/91 Express Connector linking the northbound 241 Toll Road to the eastbound 91 Express Lanes and the westbound 91 Express Lanes to the southbound 241 Toll Road. The connector will alleviate traffic and improve access to toll lanes in Orange and Riverside counties. Texas The Central Texas Regional Mobility Authority has several forthcoming procurements and will be soliciting bids in early August for the third phase of the 183A extension project. This $180 million project will create a 6.6-mile extension of the busy tollway north from Leander to east of Liberty Hill. Construction is expected to begin in early 2021. New Jersey The New Jersey Turnpike Authority has $24 billion in various road and infrastructure projects in its Proposed 2020 Capital Improvement Program released in March 2020. The authority has outlined 24 projects that provide system solutions and upgrades. One of the largest initiatives is a $2.9 billion project to replace approximately 200 bridge decks. Another large undertaking, projected to cost about $1.4 billion, is described as raising a section of Garden State Parkway above a revised 100-year floodplain. Florida Florida’s 2021 budget earmarks $90 million for an ambitious tollway project spanning hundreds of miles. The Multi-use Corridors of Regional Economic Significance, or M-CORES, plan calls for construction of 340 miles of new toll roads by 2030. M-CORES outlines new road infrastructure for three corridors: the Suncoast Connector from Citrus County to Jefferson County; the Northern Turnpike Connector from the northern terminus of Florida’s Turnpike northwest to the Suncoast Parkway; and the Southwest-Central Florida Connector from Collier County to Polk County. Initiated by a state Senate bill in 2019, this is a $10 billion project. Kansas The city of Overland Park and the Kansas Turnpike Authority are conducting a study that could lead to a $300 million project for U.S. 69. City leaders turned to the Turnpike Authority for help with widening the highway which has become the most congested in the state. The collaborative effort would include widening the highway to six lanes, with two of them being tolled. Illinois The Illinois Tollway Authority is closing its bid filing period for a more than $100 million project to reconstruct a section of Interstate 294, and numerous other projects are slated to occur in the next several years. A project to reconstruct the northbound C-D Road has a cost projection of between $25 and $50 million. Another planned project includes demolishing and rebuilding the Southbound Mile Long Bridge with a cost of more than $100 million. Another interesting project outlined involves building ongoing ramps from 75th Street to Interstate 55 which will also cost approximately$100 million. Pennsylvania The Pennsylvania Turnpike Commission (PTC) released a request for information to determine how best to structure procurements to replace and enhance the commission’s tolling Customer Service Center system and customer service operations. A number of contracting opportunities will result from this initiative. The commission is inviting responses from software application development companies with innovative products in the customer relationship management, customer account management, and customer experience spaces. System integrators and/or software developers with expertise in CRM, customer account management, call centers, customer contact systems and CX, and transactional/financial processing and billing systems also are also encouraged to respond. PTC is also interested in input from customer service firms specializing in the design and integration of innovative customer contact systems with new or existing applications. In addition to construction and engineering projects, numerous tollway authorities are moving toward all-electronic toll collections. The Pennsylvania Turnpike Commission moved from toll collectors to all-electronic this year, and the Bay Area Toll Authority suspended in-person toll collecting in March because of COVID-19. This trend will provide numerous opportunities for IT companies in the near future as transit and mobility authorities search for technology solutions to modernize the driving experience on toll roads. Mary Scott Nabers is president and CEO of Strategic Partnerships Inc., a business development company specializing in government contracting and procurement consulting throughout the U.S. Her recently released book, Inside the Infrastructure Revolution: A Roadmap for Building America, is a handbook for contractors, investors and the public at large seeking to explore how public-private partnerships or joint ventures can help finance their infrastructure projects.

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Cybersecurity

COVID-19: How do we get out of this quagmire?

Article | March 23, 2022

The COVID-19 virus (C19) pandemic is turning out to be the event of the century. Even World War seems timid in comparison. We are in the 4th month of the virus (in non-China countries) and have gone past the lockdown in many places. Isn’t it time we re-think the approach? What if there is another wave of C19 coming soon? What if C19 is the first of many such events in the future? Before we get into analysis and solution design, summarizing the C19 quirks: While a large section of the affected population is asymptomatic, for some it can be lethal There isn’t clarity on all the ways C19 spreads It’s known to affect the lungs, heart, and kidneys in patients with weak immunity It has been hard to identify a definitive pattern of the virus. Some observations in managing the C19 situation are: With no vaccine in sight, the end of this epidemic looks months or years away Health care personnel in hospitals need additional protection to treat patients Lockdowns lead to severe economic hardship and its repeated application can be damaging Quarantining people has an economic cost, especially in the weaker sections of society If one takes a step back to re-think about this, we are primarily solving 2 problems: Minimise deaths: Minimise the death of C19 and non-C19 patients in this period Maximise economic growth: The GDP output/growth should equal or higher than pre-C19 levels One needs to achieve the 2 goals in an environment of rising number of C19 cases. Minimise deaths An approach that can be applied to achieve this is: Data driven health care capacity planning Build a health repository of all the citizens with details like pre-existing diseases, comorbidity, health status, etc. The repository needs to be updated quarterly to account for patient data changes This health repository data is combined with the C19 profile (disease susceptibility) and/or other seasonal diseases to determine the healthcare capacity (medicines, doctors, etc.) needed The healthcare capacity deficit/excess needs to be analysed in categories (beds, equipment, medicine, personnel, etc.) and regions (city, state, etc.) and actions taken accordingly Regular capacity management will ensure patients aren’t deprived of timely treatment. In addition, such planning helps in the equitable distribution of healthcare across regions and optimising health care costs. Healthcare sector is better prepared to scale-up/down their operations Based on the analysis citizens can be informed about their probability of needing hospitalisation on contracting C19. Citizens with a higher health risk on C19 infection should be personally trained on prevention and tips to manage the disease on occurrence The diagram below explains the process Mechanism to increase hospital capacity without cost escalation Due to the nature of C19, health personnel are prone to infection and their safety is a big issue. There is also a shortage of hospitable beds available. Even non-C19 patients aren’t getting the required treatment because health personnel seek it as a risk. This resulted in, healthcare costs going up and availability reducing. To mitigate such issues, hospital layouts may need to be altered (as shown in the diagram below). The altered layout improves hospital capacity and availability of health care personnel. It also reduces the need for the arduous C19 protection procedures. Such procedures reduce the patient treatment capacity and puts a toll on hospital management. Over a period, the number of recovered C19 persons are going to increase significantly. We need to start tapping into their services to reduce the burden on the system. The hospitals need to be divided into 3 zones. The hospital zoning illustration shown below explains how this could be done. In the diagram, patients are shown in green and health care personnel are in light red. **Assumption: Infected and recovered C19 patients are immune to the disease. This is not clearly established Better enforcement of social factors The other reason for high number of infections in countries like India is a glaring disregard in following C19 rules in public places and the laxity in enforcement. Enforcement covers 2 parts, tracking incidents of violation and penalising the behaviour. Government should use modern mechanisms like crowd sourcing to track incidents and ride on the growing public fear to ensure penalty enforcement succeeds. The C19 pandemic has exposed governance limitations in not just following C19 rules, but also in other areas of public safety like road travel, sanitation, dietary habits, etc. Maximise economic growth The earlier lockdown has strained the economy. Adequate measures need to be taken to get the economy back on track. Some of the areas that need to be addressed are: One needs to evaluate the development needs of the country in different categories like growth impetus factors (e.g. building roads, electricity capacity increase), social factors (e.g. waste water treatment plants, health care capacity), and environmental factors (e.g. solar energy generation, EV charging stations). Governments need to accelerate funding in such projects so that that large numbers of unemployed people are hired and trained. Besides giving an immediate boost to the ailing economy such projects have a future payback. The governments should not get bogged down by the huge fiscal deficit such measures can create. Such a mechanism to get money out in the economy is far than better measures like QE (Quantitative Easing) or free money transfer into people’s bank accounts Certain items like smartphone, internet, masks, etc. have become critical (for work, education, critical government announcements). It’s essential to subsidise or reduce taxes so that these items are affordable and accessible to everyone without a financial impact The government shouldn’t put too many C19 related controls on service offerings (e.g. shops, schools, restaurants, cabs). Putting many controls increases the cost of the service which neither the seller not buyer is willing or able to pay. Where controls are put, the Govt should bear the costs or reduce taxes or figure out a mechanism so that the cost can be absorbed. An event like the C19 pandemic is a great opportunity to rationalise development imbalances in the country. Government funding should be channelized more to under-developed regions. This drives growth in regions that need it most. It also prevents excess migration that has resulted in uncontrolled and bad urbanisation that has made C19 management hard (guidelines like social distance are impossible to follow) Post-C19 lockdown, the business environment (need for sanitizers, masks, home furniture) has changed. To make people employable in new flourishing businesses there could be a need to re-skill people. Such an initiative can be taken up by the public/private sector The number of C19 infected asymptomatic patients is going to keep increasing. Building an economy around them (existing, recovered C19 patients) may not be a far-fetched idea. E.g. jobs for C19 infected daily wage earners, C19 infected taxi drivers to transport C19 patients, etc. In the last 100 years, mankind has conquered the destructive aspects of many a disease and natural mishap (hurricanes, floods, etc.). Human lives lost in such events has dramatically dropped over the years and our preparedness has never been this good. Nature seems to have caught up with mankind’s big strides in science and technology. C19 has been hard to reign in with no breakthrough yet. The C19 pandemic is here to stay for the near future. The more we accept this reality and change ourselves to live with it amidst us, the faster we can return to a new normal. A quote from Edward Jenner (inventor of Small Pox) seems apt in the situation – “The deviation of man from the state in which he was originally placed by nature seems to have proved to him a prolific source of diseases”.

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Creating Public Value using the AI-Driven Internet of Things

Article | May 26, 2021

Government agencies seek to deliver quality services in increasingly dynamic and complex environments. However, outdated infrastructures—and a shortage of sys­tems that collect and use massive real-time data—make it challenging for the agencies to fulfill their missions. Governments have a tremendous opportunity to transform public services using the “Internet of Things” (IoT) to provide situation-specific and real-time data, which can improve decision-making and optimize operational effectiveness.

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Spotlight

Rhode Island Emergency Management Agency

The mission of the Rhode Island Emergency Management Agency (RIEMA) is to reduce the loss of life and property for both natural and man-made incidents by utilizing an all hazards approach to prevention, preparedness, response, recovery and mitigation while providing leadership, assistance, and support to regional, state and local entities.

Related News

Emerging Technology

Thentia now working with AWS to drive innovation in the public sector

PR Newswire | January 20, 2024

Thentia, a leading innovator in regulatory technology, is pleased to announce that it is now working with Amazon Web Services (AWS) to drive continued innovation in the public sector. Thentia is empowering regulators to seamlessly tap into the company's comprehensive regulatory assurance Software-as-a-Service (SaaS) platform, Thentia Cloud, powered by AWS, fortifying the landscape of regulatory oversight. "We are thrilled to be working with AWS as we persist in our commitment to deliver an enhanced experience for government agencies and regulatory entities globally." says Julian Cardarelli, CEO, Thentia. "By leveraging the power of AWS, we solidify our position as a clear leader and a versatile multi-cloud provider in our category, affirming our commitment to ongoing excellence." Cardarelli adds, "With our world-class, fully integrated regulatory assurance platform now accessible on AWS, we strengthen our commitment to empower the public sector with sophisticated tools for unparalleled efficiency in fulfilling their mandate of public protection." Other key benefits of Thentia's relationship with AWS include working with AWS engineers and architects to optimize Thentia Cloud's performance, security, compliance, and reliability. Partnering with AWS also helps ensure that Thentia Cloud remains at the forefront of the latest advances in cloud computing. Designed for regulators by regulators, Thentia Cloud digitizes, streamlines, and consolidates all essential regulatory functions within a single and secure cloud-based environment. The platform is designed to empower regulators with a comprehensive 360-degree view of all licensee activities, giving them a much more modern, streamlined, and efficient way to work and ultimately meet their regulatory obligation to safeguard the public. Trusted by millions of licensed professionals, businesses, and entities globally, Thentia has been recognized by regulators worldwide for its enhanced blend of technological innovation and regulatory proficiency. In addition to AWS, Thentia Cloud is available on other cloud providers including Google Cloud, IBM Cloud, and Microsoft Azure. About Thentia Thoughtfully built for regulators, by regulators, Thentia is driving regulatory transformation for hundreds of regulators and regulatory agencies worldwide with a platform that handles all key department functions including licensing, investigations, enforcement, fitness to practise, quality assurance, scope of practise, continuing education, board management, data analysis, and more. Thentia Cloud empowers regulators to transcend the constraints of legacy processes, custom-built solutions, and a web of disparate applications with a single unified 360-degree platform, setting new standards in efficiency and effectiveness. Thentia Cloud is available on all major cloud providers, including Google Cloud, Amazon Web Services (AWS), IBM Cloud, and Microsoft Azure.

Read More

Government Business

Permuta Launches SaaS Version of DefenseReady on Microsoft Azure Government DoD Cloud

PR Newswire | January 19, 2024

Permuta, a leading HR modernization and talent management software platform for Federal organizational readiness and operational excellence, announced today the release of its first ever SaaS product for DefenseReady with AI and Machine Learning capabilities, called DefenseReady Cloud. The release comes after a decade of on-premise DefenseReady applications and two years after the release of a DoD ATO cloud-hosted IaaS option on IL5. "DefenseReady Cloud provides DoD and approved civilian organizations the low code/no code SaaS/AI solution that ingests existing data sources, regardless of location, to provide a single pane of glass that informs leaders to make readiness decisions which will help our forces be stronger, safer, and our country more competitive," said Sig Behrens, Permuta's CEO. "Our mission has always been to assist in putting the right people, in the right place, at the right time," said Behrens. "And now leadership can have the highest level of confidence on the DISA's approved Microsoft DoD tenant while saving operational costs." "Microsoft is committed to helping the DoD use innovative technologies to meet their critical mission needs and working with key partners like Permuta enables us to innovate and scale solutions for our national security leaders," says Wes Anderson, Vice President for Defense, Microsoft. "This collaboration with Permuta on the DefenseReady cloud will enable Department of Defense leaders to make fully informed operational and readiness decisions with speed." About Permuta Permuta Technologies Inc., is a privately owned software manufacturer which creates off-the-shelf software which has been tailored for military and civilian organizations. With deep experience in the government, Permuta understands the challenges agencies face to protect and meet mission-critical initiatives. As a trusted leader in delivering solutions built and designed for government, Permuta is committed to increasing effectiveness and readiness so agencies can confidently execute their mission. Their products, built on Microsoft technology are the only solutions in the market that cover all federal readiness management needs in one system, including force readiness, training, performance and asset management, medical readiness, mission planning and more.

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Government Finance

Springbrook Software Announces Record Number of Customers Moving to New Cirrus SaaS Based Government Financial ERP Platform in 2023

PR Newswire | January 09, 2024

Springbrook, the country's leading developer of cloud-based government software, closed 2023 with a record number of 68 municipalities selecting Cirrus, the company's flagship financial ERP. Cirrus is a fully integrated, Multi-Tenant, SaasS based platform designed from the ground up specifically for local government agencies. "Cirrus reflects what our customers need and have asked for. We address growing concerns with ransomware attacks by offering the highest level of cybersecurity available. We provide citizens and the next generation of personnel with a seamless, modern, interactive experience. And we know from the pandemic that a changing workforce needs anytime, anywhere browser-based access. Our growth reflects the trend of moving away from home brewed or dated technologies to solutions that are designed for today's challenges," says Robert Bonavito, CEO of Springbrook Software. Springbrook's Cirrus provides a full suite of integrated solutions including finance, payroll, utility billing, advanced budgeting, and human resources. Springbrook also offers the most advanced payment solution available, through Xpress Bill Pay, as well as Tableau, the number one visual analytics tool in use by government agencies. 2023 also marked the roll out of several new technologies including an AI driven ChatBot, Allocation Billing for water utilities with tiered billing structures, and efficient online and mobile Payroll Time Clocks and Time Sheets. About Springbrook Software: Springbrook Software is the country's leading cloud-based finance and administration software provider designing solutions specifically for small to medium sized local government agencies. Nearly 2800 cities, towns and districts from coast to coast use our suite of modern, high-performance solutions to manage their finances, payroll, utility billing and collect citizen payments. Springbrook is headquartered in Portland, Oregon with regional presence in over 40 states, and seven countries internationally.

Read More

Emerging Technology

Thentia now working with AWS to drive innovation in the public sector

PR Newswire | January 20, 2024

Thentia, a leading innovator in regulatory technology, is pleased to announce that it is now working with Amazon Web Services (AWS) to drive continued innovation in the public sector. Thentia is empowering regulators to seamlessly tap into the company's comprehensive regulatory assurance Software-as-a-Service (SaaS) platform, Thentia Cloud, powered by AWS, fortifying the landscape of regulatory oversight. "We are thrilled to be working with AWS as we persist in our commitment to deliver an enhanced experience for government agencies and regulatory entities globally." says Julian Cardarelli, CEO, Thentia. "By leveraging the power of AWS, we solidify our position as a clear leader and a versatile multi-cloud provider in our category, affirming our commitment to ongoing excellence." Cardarelli adds, "With our world-class, fully integrated regulatory assurance platform now accessible on AWS, we strengthen our commitment to empower the public sector with sophisticated tools for unparalleled efficiency in fulfilling their mandate of public protection." Other key benefits of Thentia's relationship with AWS include working with AWS engineers and architects to optimize Thentia Cloud's performance, security, compliance, and reliability. Partnering with AWS also helps ensure that Thentia Cloud remains at the forefront of the latest advances in cloud computing. Designed for regulators by regulators, Thentia Cloud digitizes, streamlines, and consolidates all essential regulatory functions within a single and secure cloud-based environment. The platform is designed to empower regulators with a comprehensive 360-degree view of all licensee activities, giving them a much more modern, streamlined, and efficient way to work and ultimately meet their regulatory obligation to safeguard the public. Trusted by millions of licensed professionals, businesses, and entities globally, Thentia has been recognized by regulators worldwide for its enhanced blend of technological innovation and regulatory proficiency. In addition to AWS, Thentia Cloud is available on other cloud providers including Google Cloud, IBM Cloud, and Microsoft Azure. About Thentia Thoughtfully built for regulators, by regulators, Thentia is driving regulatory transformation for hundreds of regulators and regulatory agencies worldwide with a platform that handles all key department functions including licensing, investigations, enforcement, fitness to practise, quality assurance, scope of practise, continuing education, board management, data analysis, and more. Thentia Cloud empowers regulators to transcend the constraints of legacy processes, custom-built solutions, and a web of disparate applications with a single unified 360-degree platform, setting new standards in efficiency and effectiveness. Thentia Cloud is available on all major cloud providers, including Google Cloud, Amazon Web Services (AWS), IBM Cloud, and Microsoft Azure.

Read More

Government Business

Permuta Launches SaaS Version of DefenseReady on Microsoft Azure Government DoD Cloud

PR Newswire | January 19, 2024

Permuta, a leading HR modernization and talent management software platform for Federal organizational readiness and operational excellence, announced today the release of its first ever SaaS product for DefenseReady with AI and Machine Learning capabilities, called DefenseReady Cloud. The release comes after a decade of on-premise DefenseReady applications and two years after the release of a DoD ATO cloud-hosted IaaS option on IL5. "DefenseReady Cloud provides DoD and approved civilian organizations the low code/no code SaaS/AI solution that ingests existing data sources, regardless of location, to provide a single pane of glass that informs leaders to make readiness decisions which will help our forces be stronger, safer, and our country more competitive," said Sig Behrens, Permuta's CEO. "Our mission has always been to assist in putting the right people, in the right place, at the right time," said Behrens. "And now leadership can have the highest level of confidence on the DISA's approved Microsoft DoD tenant while saving operational costs." "Microsoft is committed to helping the DoD use innovative technologies to meet their critical mission needs and working with key partners like Permuta enables us to innovate and scale solutions for our national security leaders," says Wes Anderson, Vice President for Defense, Microsoft. "This collaboration with Permuta on the DefenseReady cloud will enable Department of Defense leaders to make fully informed operational and readiness decisions with speed." About Permuta Permuta Technologies Inc., is a privately owned software manufacturer which creates off-the-shelf software which has been tailored for military and civilian organizations. With deep experience in the government, Permuta understands the challenges agencies face to protect and meet mission-critical initiatives. As a trusted leader in delivering solutions built and designed for government, Permuta is committed to increasing effectiveness and readiness so agencies can confidently execute their mission. Their products, built on Microsoft technology are the only solutions in the market that cover all federal readiness management needs in one system, including force readiness, training, performance and asset management, medical readiness, mission planning and more.

Read More

Government Finance

Springbrook Software Announces Record Number of Customers Moving to New Cirrus SaaS Based Government Financial ERP Platform in 2023

PR Newswire | January 09, 2024

Springbrook, the country's leading developer of cloud-based government software, closed 2023 with a record number of 68 municipalities selecting Cirrus, the company's flagship financial ERP. Cirrus is a fully integrated, Multi-Tenant, SaasS based platform designed from the ground up specifically for local government agencies. "Cirrus reflects what our customers need and have asked for. We address growing concerns with ransomware attacks by offering the highest level of cybersecurity available. We provide citizens and the next generation of personnel with a seamless, modern, interactive experience. And we know from the pandemic that a changing workforce needs anytime, anywhere browser-based access. Our growth reflects the trend of moving away from home brewed or dated technologies to solutions that are designed for today's challenges," says Robert Bonavito, CEO of Springbrook Software. Springbrook's Cirrus provides a full suite of integrated solutions including finance, payroll, utility billing, advanced budgeting, and human resources. Springbrook also offers the most advanced payment solution available, through Xpress Bill Pay, as well as Tableau, the number one visual analytics tool in use by government agencies. 2023 also marked the roll out of several new technologies including an AI driven ChatBot, Allocation Billing for water utilities with tiered billing structures, and efficient online and mobile Payroll Time Clocks and Time Sheets. About Springbrook Software: Springbrook Software is the country's leading cloud-based finance and administration software provider designing solutions specifically for small to medium sized local government agencies. Nearly 2800 cities, towns and districts from coast to coast use our suite of modern, high-performance solutions to manage their finances, payroll, utility billing and collect citizen payments. Springbrook is headquartered in Portland, Oregon with regional presence in over 40 states, and seven countries internationally.

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Events