As budgetary commitments outpace current revenues and long-term liabilities balloon, the fi scal sustainability of state and local governments is a matter of mounting concern. Over the years, these governments have experimented with a wide variety of political and fi scal institutions, ranging from direct democracy to balanced budget rules, with the goal of slowing the growth of government and increasing fi nancial responsibility. This article synthesizes the related empirical literature, summarizing what we know (and don't know) about the effectiveness of various rules and procedures in promoting fi scal sustainability.