Chris Alibrandi O’Connor

Law and policy play a critical role in shaping health outcomes especially when it comes to racial health equity. While legislative actions and trends matter, it is also important to understand the role of the courts in altering legal landscapes in ways that can positively or negatively impact racial health disparities. This fact sheet highlights four 2023 U.S. Supreme Court cases with examples of how each potentially impacts racial health equity. It also provides a further examination of two cases of the cases that can be classified as wins for racial health equity.

By May of 2020, the realities of the inequitable toll of COVID-19 on communities of color became starkly evident, and the murder of George Floyd sparked a renewed movement for racial justice in the United States. During this time, the Network began earnestly exploring how best to respond and be of assistance in a rapidly changing environment. An internal Health Equity Work Group (HEWG) was established to create a space for connection and learning, and to identify ways to collaborate across regions to be responsive to what we were observing and experiencing. One of the early actions identified by the HEWG was to “evaluate what services and supports Network users are interested in” via tools like an environmental scan, stakeholder interviews, and focus groups. This report explores the process that was undertaken to answer that question and the key findings and themes relevant to health and racial equity work across a variety of public health practitioners and organizations.

People who are incarcerated have higher rates of chronic health conditions, which tend to worsen upon their release, primarily due to the barriers to health care they experience. Despite evidence that employing Community Health Workers with lived experience of incarceration to serve individuals reentering their communities leads to better patient outcomes, significant barriers impede hiring them within health systems.

Individuals returning from incarceration have more healthcare needs than the general population but face numerous barriers to receiving care. Specially trained community members with lived experience of incarceration, serving in the role of community health worker (CHW), are uniquely effective at engaging returning community members in health services. This issue brief provides examples of key legal barriers that may be encountered by individuals with incarceration histories who are seeking employment as CHWs along with ways in which policymakers and health systems can address these barriers.

Public health agencies often find access to substance use disorder (SUD) data records especially challenging. Through the CARES Act, Congress harmonizes certain provisions of HIPAA and 42 CFR Part 2 —both of which governs disclosure of SUD records —and requires that HHS continue these efforts through rulemaking.

This Fact Sheet summarizes the key proposed provisions, identifies those which provide greater alignment with the HIPAA Rules, and calls out some areas on which HHS is specifically soliciting comments (due January 31, 2023). Of particular interest to the public health community, the Fact Sheet also presents the proposed changes to the data de-identification standard for disclosures of Part 2 data made to public health authorities.

by Overview November 30, 2022 | 1 – 2:30 p.m. ESTOften, a data-sharing project doesn’t come to an attorney’s attention until the attorney…

by Overview November 16, 2022 | 1 – 2:30 p.m. ESTData sharing, particularly cross-sector data sharing, is easier said than done. Inflexible and…

Attend this webinar, sponsored by the Network and All In: Data for Community Health, to learn about a new Consent Service Utility pilot project to modernize the consent process and enable use across sectors.

Often a patient wants a health care provider to share her Protected Health Information (PHI) with a social service organization (SSO) for support that directly or indirectly relates to her health. A provider’s efforts to obtain written authorization to release PHI often delays a patient’s access to SSO support. That delay is compounded when the patient has to physically go to the provider’s office to sign the authorization, a challenge or even an impossibility for some individuals. This process to obtain patient authorization also takes precious clinical time from healthcare providers and their staff. What is often misunderstood is that sharing PHI for care coordination purposes does not require written authorization under HIPAA Privacy Rule.