Fact Sheet

Infections among people who use drugs related to lack of access to new syringes and subsequent syringe sharing among people who inject drugs have increased dramatically. Increasing access to sterile syringes through syringe services programs (SSPs) is an extremely effective strategy for reducing the spread of bloodborne disease among people who use drugs, their partners, and their families. This factsheet discusses the legality of SSPs in Maryland.

Health and safety concerns during the COVID-19 pandemic prompted many states to temporarily adjust driver licensing processes and requirements; for novice drivers in some states, this meant waiving road tests, reducing permit holding periods, and/or offering online driver education. This report discusses changes that were made to Graduated Drivers Licensing programs in five states during the pandemic, including stakeholder reactions, whether the changes remained in place after the pandemic, and why.

Tattoos have become increasingly popular across many demographics. State and local laws should be in place to ensure sanitary conditions in tattoo businesses and proper training of artists. This resource outlines the National Environmental Health Association Model Code related to tattoos, which states and local governments can use as a guideline for developing effective regulations.

Extreme heat is the number one cause of weather-related death in the United States. Indoor and outdoor workers are particularly at risk during extreme days. This resource outlines federal, state, and local legal and policy protections for indoor and outdoor workers; and barriers to protecting this workforce, including legal methods like preemption – a legal method used by a higher level of government to limit the authority of a lower level of government – that can be used by some to override existing or potential local protections.

Cannabis use among youth is linked to harmful effects on attention, memory and decision-making, coordination, and mental health. One way to reduce youth cannabis use is to regulate outdoor cannabis advertising. This fact sheet analyzes the outdoor advertising restrictions and policies in jurisdictions that have legalized cannabis for medical and/or recreational purposes.

Because of the potential harms cannabis use poses to youth, many states place restrictions on cannabis advertising. Courts are divided as to whether such restrictions violate a business’s First Amendment rights to engage in commercial speech. This fact sheet details how, depending on the scope and characteristics of a state’s advertising policy, cannabis advertising can be constitutionally restricted in order to protect children’s health.

Drug overdose continues to claim the lives of tens of thousands of people in the U.S. every year. Opioids, both prescription painkillers and street drugs such as heroin and illicitly manufactured fentanyl, are responsible for the majority of these deaths. In response, states have passed legislation to increase access to the opioid overdose reversal medication naloxone, including provisions that allow for the distribution of naloxone through pharmacies. Some states have gone further and now require that naloxone be prescribed or offered to some patients. This fact sheet describes those requirements and links to the relevant laws.

The major opioid settlement agreements generally do not address “supplantation,” the practice of using settlement funds to support an existing initiative rather than starting or investing in new initiatives.  Some states have enacted laws, rules, or guidelines that restrict or prohibit such supplantation. This fact sheet provides a description and brief analysis of how various states are addressing this issue.

According to the Centers for Disease Control and Prevention, about one in five private wells contain unhealthy levels of contaminants. While a landmark federal law, the Safe Drinking Water Act, generally protects individuals that use a public water supply from exposure to unsafe levels of regulated contaminants, there is no similar protection for U.S. residents who rely on private wells for water. State laws and policies requiring water quality testing of private wells vary both in scope and the extent to which that water quality data is made available to the public. This resource provides a sample of state laws that highlight key similarities and differences between water quality testing programs.

Extreme heat is the number one cause of weather-related death in the United States. Indoor and outdoor workers are particularly at risk during extreme days. This resource outlines federal, state, and local legal and policy protections for indoor and outdoor workers; and barriers to protecting this workforce, including legal methods like preemption – a legal method used by a higher level of government to limit the authority of a lower level of government – that can be used by some to override existing or potential local protections.

The U.S. Department of Health and Human Services Office for Civil Rights issued a Final Rule, effective June 25, 2024, to strengthen privacy protections under the Health Insurance Portability and Accountability Act (HIPAA) for protected health information (PHI) related to reproductive health care of an individual. This resource highlights the changes outlined in the rule and the considerations for health departments.

As the country, and the world, wait to see how the Supreme Court decides the case of Alliance for Hippocratic Medicine v. FDA seeking to prevent the distribution of abortion medication, there are four important reproductive health care cases working their way through the federal court system that may also affect a large number of individuals, especially adolescents and people who have low incomes. Although Title X has been law for 54 years, courts have played and continue to play a role in construing the permissible use of Title X funds, with the four pending cases outlined in this fact sheet as examples.