1. The NAPHSIS Response How Jurisdictions Will Be Impacted by Intelligence Reform Regulations Leesa Shem-Tov NAPHSIS Re-engineering Project Manager

2. What Challenges Do We Face? Regional meeting exercise Not a scientific survey The Question : Which issues will have the greatest impact to you if you need to comply within two years of Intel Reform regulations becoming final?

3. Issues 1. Providing central issuance 2. Becoming a restricted use jurisdiction 3. Filing births electronically 4. Filing deaths electronically 5. Having EVVE data back to 1935 6. Linking births and deaths back to 1935 7. Using required security paper features 8. Meeting personnel and building security requirements

4. Alaska California Idaho Oregon Washington Montana Wyoming Utah Colorado Arizona New Mexico Texas Oklahoma Kansas Nebraska South Dakota North Dakota Minnesota Wisconsin Iowa Illinois Ohio Indiana Kentucky WV Virginia N. Carolina Georgia Florida Alabama MS Missouri Arkansas LA Nevada Hawaii Michigan Pennsylvania NJ New York CT MA VT NH Maine Tennessee MD DE RI DC S. Carolina Regional Meeting Affiliations NYC WestMidwestSouthernNortheast Virgin Islands Puerto Rico Guam Northern Marianas American Samoa

5. The Northeast Region Linking births and deaths back to 1935 Having EVVE data back to 1935 Meeting personnel and building security requirements 9 jurisdictions participating

6. Midwest Region Tied for first place: – Linking births and deaths – EVVE data back to 1935 – Restricted use jurisdiction – personnel/building security requirements Filing deaths electronically Central issuance 8 jurisdictions participating

7. Southern Region EVVE data back to 1935 Linking births/deaths back to 1935 Filing deaths electronically 5 jurisdictions participating

8. Western Linking births/deaths, meeting security requirements EVVE data back to 1935 Restricted use jurisdiction, filing deaths electronically 13 jurisdictions participating

9. Ranking of Impacts Nationally Getting data sets back to 1935 cross matched is a challenge for 80% of respondents 65% of participating jurisdictions are concerned about addressing personnel and physical plant security and getting data ready for EVVE Filing deaths electronically is an issue for 33% of respondents Central issuance, restricted use, electronic birth and security paper use are not of great impact