News & Insights

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.

One in five child passenger fatalities in the U.S. involve an impaired driver, most commonly the child’s own driver. Forty-six states and D.C. have child endangerment statutes that impose special sanctions for driving under the influence while transporting a child. Despite the widespread use of such laws, studies of their effectiveness suggest they may not be effective in preventing alcohol-related child fatalities in motor vehicle crashes, primarily due to low public awareness and lax enforcement.

A 2018 study from the Centers for Disease Control and Prevention estimates that the U.S. burden of Alzheimer’s disease and related dementias will double by 2060. Responding to this national public health crisis of the mind facing millions of Americans and their families is essential. A recently released book, Dementia Reimagined, chronicles multiple opportunities to positively intervene in the lives of patients with dementia and their caregivers, and calls for national, state and local policy reforms to address deficiencies in the care and treatment of dementia.

Despite progress in improving the nation’s oral health in recent decades, significant disparities still exist. People from rural communities, those with low incomes, racial and ethnic minorities, individuals with disabilities, pregnant women, and the elderly suffer disproportionately from tooth decay and gum disease and are less likely to visit a dentist than other Americans. Direct access laws and policies that authorize dental hygienists to provide oral health services in community-based settings, without the presence of a dentist, can bring important oral health care to underserved communities.

While the Federal Aviation Administration (FAA) allows children under the age of two to travel in an airplane seated on an adult’s lap, they contend that the safest place for a child on an airplane is in a government-approved child safety restraint system or device, like a car seat. Despite laws allowing the use of certain car seats on aircraft, airlines are able to establish their own policies, and there is significant confusion among their personnel about what seats can be used.