On this episode, Guest Host Pat McDonald talks with Lauren Hibbert, Director of the Office of Professional Regulations with the Secretary of State's Office. They discuss Act 64, also called the Multi-State Nursing Licensure Compact, and its costs.During the second half of the show, Pat talks with Doug Hoffer who is the Vermont Auditor of Accounts. They discuss a list of published work and work-in-progress to include Accounting of state spending for Vermont's dairy industry. They also talk about an All-payer ACO model implementation costs and hospital price transparency tools.