The Cleveland Clinic Innovation Management and Conflict of Interest (“IM&COI”) Program implemented a policy on Conflicts of Interest in Clinical Practice in 2013. The policy requires review of financial interests greater than $20,000 in a year, or more than 5% equity in a company, when the clinician is prescribing or using products of the company with which they have a relationship. The IM&COI Committee developed definitions for low, medium and high levels of annual compensation and risk and uses a “Matrix” to guide disclosure based on these factors.

American state legislators commonly remain connected to the market, giving them the potential for unique expertise on how policy affects the industries they are connected to and the opportunity to help enact laws favoring those industries. This paper describes the extent to which state legislative committees are populated by legislators with economic connections to their jurisdiction, and analyzes appointment patterns to help distinguish stacking to tap expertise from stacking to serve an industry. I find that a substantial minority of committees are stacked with connected legislators. Appointment patterns show limited evidence for expertise in education and health care, for industry service in banking, and for both in agriculture.