In November 2006 Mothers Against Drunk Driving (MADD) launched its Campaign to Eliminate Drunk Driving. This week they released their 5th Anniversary Report to the Nation. The report rates the nation three stars on a five-star scale (based on the average of the state’s ratings).
Each star a state earns represents a passage of a law or participation in one of the following MADD recommended countermeasures: 
- Requiring Ignition Interlocks for all Drunk Driving Offenders
- Conducting Sobriety Checkpoints
- Enhancing Penalties for DUI Child Endangerment
- Participating in No-refusal Events
- Utilizing Administrative License Revocation
Five states earned Five stars on the MADD rating scale including Arizona, Illinois, Kansas, Nebraska, and Utah. On the other end of the spectrum, Rhode Island, South Dakota, Pennsylvania, Montana and Michigan had only one star each.
The report also addresses the financial cost of drunk driving estimated to be $132 billion in the U.S.