News & Insights

The Journal of Law Medicine and Ethics recently published a special supplement with articles exploring critical topics discussed at the 2018 National Public Health Law Conference. In this Q&A, the co-authors of the article, “Equity in Action: Operationalizing Processes in State Governance” discuss their article, which examines efforts to embed an equity lens in legislated and non-legislated policies and practices in three states and describes progress and lessons learned and offers guidance to others.

Excessive alcohol use is responsible for approximately 88,000 deaths every year, among many other health risks, and research shows that the more readily available alcohol is in a community, the greater the negative impacts. The U.S. Supreme Court recently overturned a Tennessee law regulating the distribution of alcohol, a move that many public health advocates fear is likely to be a harbinger of more restrictions on state and local government ability to regulate alcohol for health or safety purposes.

The Network for Public Health Law is proud to announce the Bloomberg American Health Initiative at Johns Hopkins Bloomberg School of Public Health as a Partner Sponsor of the 2020 National Public Health Law Conference, taking place September 16 - 18 in Baltimore, Maryland.

Since 1988 there have been 4,500 documented cases of children endangered because a parent or guardian left them unattended in a parked car. More than 36 children die annually across America each year from vehicular heatstroke. Federal law has been introduced to prevent these tragic deaths, but stronger state laws can also help protect children.

Forty-six percent of Medicaid spending goes to Managed Care Organizations (MCOs), which receive capitated payments—meaning they get a set dollar amount regardless of how much they spend on providing services. Recent reports suggest that MCOs in numerous states are providing below average or poor preventive care, possibly to millions of Medicaid recipients.

Many states allow for license suspension for non-payment of fees and fines for traffic offenses. These suspensions often have significant health impacts, some of which seem obvious—people need transportation to access medical care. But a closer look reveals a plethora of other negative consequences that impact public health.

In an effort to combat opioid overdose, the leading cause of death for Americans under 50 years old, states have attempted to make the overdose-reversing drug naloxone more available through the use of “standing orders” which permit naloxone to be dispensed to an individual with whom the prescriber (e.g. doctor, nurse practitioner) does not have a prescriber-patient relationship, a practice which is otherwise generally prohibited.

Although the Family Smoking Prevention and Tobacco Control Act directed the FDA to propose graphic warnings to be required on cigarette packages and advertising by June 2011, cigarette packages and ads in the US still do not contain graphic warnings. In August 2016, the American Academy of Pediatrics, along with other public health organizations, filed suit against the FDA seeking to force the Agency to propose graphic warnings as mandated by Congress.

Medical-legal partnership (MLP) attorneys are ideally situated to identify and define the contours of specific legal issues affecting a community’s health. MLPs can also play an important role in informing, guiding, and effectuating strategic legal changes to improve health at the population level. In addition to working with MLPs on public health law and policy initiatives, there are many additional opportunities for public health departments and MLPs to collaborate on a day-to-day basis.

Tribes across the country are restoring ancient traditions to improve overall wellness of American Indians and Alaska Natives. The recent National Tribal Public Health Summit highlighted these stories and identified the need for law and policy solutions to address a number of critical issues including opioid harm prevention and treatment, access to oral health care, and climate change.

When natural disasters occur, entire electrical grid systems (including those powered by solar energy) can shut down. Solar energy stored in batteries, which operate independent of the grid, have become an increasingly important, reliable back-up system for maintaining the health and safety of communities in emergencies. Solar batteries also help reduce public health harms caused by climate change and the use of fossil fuels.

Public health law and policy stories that made headlines recently include the impact of cuts to the Supplemental Nutrition Assistance Program on food insecurity in the U.S.; the U.S. Department of Health and Human Services’ rule allowing health workers to opt out of procedures they object to for religious or personal reasons; a precedent-setting ruling mandating addiction treatment for a prison inmate; racial disparities in pregnancy-related deaths; warning labels on sugary drinks; and Washington state’s public insurance offering.