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Home Visiting Reauthorization: The First Trimester

Blog,

The Maternal, Infant, Early Childhood Home Visiting program, which provides visiting services to parents with young children, is up for Congressional reauthorization. This post explores the importance of the program and why it should be extended.

Some Early Childhood Development Programs Stalled, Others Flourished During Pandemic

Blog,

ASTHO interviewed two state health agencies (SHAs), two nonprofit partners, and one university partner that were heavily invested in state early childhood development policy about how their programs fared during the COVID-19 pandemic.

2022 Legislative Session Update: Part Two

Blog,
STIs,
HIV,
PFAS,

The ASTHO State Health Policy team provides brief updates on 5 of the ten state health policy issues to watch in 2022: mental and behavioral health, rural health, e-cigarettes and flavored tobacco products, HIV and PFAS.

Equity Will Come Standard at ASTHO

Blog,
News,

An issue that public health wrestles with is how to combat racism as we would any other public health emergency. ASTHO’s board of directors has declared structural racism a public health emergency. And health equity is the number one priority in ASTHO’s strategic plan, which means our staff will prioritize equity work as we support all aspects of our members’ technical assistance and capacity building needs.

Leadership Trailblazer Spotlight: Anne Zink, Chief Medical Officer of the Alaska Department of Health and Social Services

Blog,

This interview is part of ASTHO’s Leadership Trailblazers series, which shares outstanding public health leaders’ inspirations, motivations, and accomplishments. This post features Anne Zink, MD, FACEP, chief medical officer of the Alaska Department of Health and Social Services.

What’s Next? An Update From the Hill

Blog,

What’s Next? An Update From the Hill Devon Page The new year began with a storm. A rare snowy blaze was unleashed on D.C., causing confusion, bewilderment, and inactivity. Though the snowfall subsided, its remnants melted, and Sen. Tim Kaine (D-VA) is no longer stuck in Armageddon-level traffic, a disorienting flurry of political activity (and inactivity) continues to swarm the Hill and for that reason, with respect to crossing off some priorities on Democrats’ agenda, members of congress might as well still be stuck in traffic. Last week, the House passed a third continuing resolution to fund the government through March 11. In order to avoid a government shutdown, Senators must approve the resolution by Friday, Feb. 18. Despite the small window and ongoing disputes over vaccine mandates and harm reduction efforts, party leaders appear confident that they'll be able to avoid a shutdown. Furthermore, the past two weeks have marked significant progress in a months-long party standoff over funding the government for Fiscal Year 22. There is bipartisan agreement for top line numbers, and congressional staff are now actively engaged negotiating and writing legislation. Despite Senator Manchin’s (D-WV) insistence that the Build Back Better Act is dead, the social spending package lives in the minds of Democratic legislators. However, attention has shifted from passing the entire $2 trillion package to passing several popular provisions originally included in the legislation. With nothing set in stone, advocates are diving into the mud, pushing for their top priorities. Of all the great BBB provisions—and in the eyes of this correspondent, there are a lot—ASTHO is doubling down on two: the establishment of a mandatory public health infrastructure fund to provide sustained, flexible, and long-term funding for public health departments and a permanent fix for Medicaid funding for the U.S. Territories. Among a plethora of strategic advocacy efforts, ASTHO in a recent letter exhorted Senate Majority Leader Chuck Schumer (D-NY) to include the two policies in any revised social spending package. But, as of earlier this month Sen. Schumer’s title as Majority Leader might, well, be just that—a title. While Sen. Ben Ray Luján (D-NM) recovers from a stroke, Democrats are facing an effectively balanced Senate for the foreseeable future. So now passing party-line legislation has become not only a practical impossibility (because of filibuster rules); it’s also, without a majority, a theoretical impossibility. If the fragility of the Democratic majority has not yet been made indubitably clear, Sen. Luján’s absence certainly does. Hopefully—for reasons beyond just the political, however important the political are— Sen. Luján makes a speedy and full recovery. For the time being, it seems that BBB sits on the back burner—and not just because of Sen. Luján’s malady. There is, plainly, a lot to get done, and much of it has a deadline. Confirming a Supreme Court Justice, especially in the contemporary Senate, is neither easy nor quick. The cumbersome selection and confirmation process—filled with private meetings, stakeholder input, and high scrutiny—requires months. Justice Breyer’s retirement announcement adds another serving to an already full congressional plate. Although the future of federal policy and the Biden Administration’s agenda remains as unclear as ever before, optimism can—and I argue, should—be found. First, reports are surfacing that, without any complications, Sen. Ben Ray Luján could be back to the Senate in as little as a month. Additionally, it appears that bipartisan support is growing for several ASTHO priorities, notably for ensuring equitable Medicaid funding for the U.S. Territories. And after about a year, Senate Health, Education, Labor, and Pensions (HELP) Committee Chair Patty Murray (D-WA) and Ranking Member Richard Burr (R-NC) released a discussion draft of the long-awaited PREVENT Pandemics Act, marking a step forward for the advancement of bipartisan public health initiatives. (ASTHO has submitted comments on the discussion draft to the Chairwoman and Ranking Member.) Last but certainly not least, ASTHO’s annual hill day is around the corner. In the middle of an exciting and eventful Washington Week on Wednesday, Feb. 23, ASTHO members will hold meetings with their respective congressional delegations in support of ASTHO FY22 and FY23 appropriations requests among other legislative priorities. …and yes, you read that right: “FY23”… Traffic, as frustrating as it may feel, does not stop the world from moving. website yes

ASTHO Policy Watch 2022: Maintaining Public Health’s Legal Authority to Prevent Disease Spread

Blog,
Iowa,
Ohio,

States and territories have broad powers to protect public health and safety, including powers to prevent and control the spread of communicable disease typically exercised by state and territorial health departments. This authority is an essential tool in the fight to keep the public safe and healthy.

ASTHO Policy Watch 2022: Data Modernization and Privacy Protections

Blog,

ASTHO notes the top state public health policy issues in an annual Legislative Prospectus series. ASTHO is publishing a prospectus for the top 10 policy issues to watch in 2022. This week we are featuring data modernization and privacy protections.

States Using Settlement Fund Legislation to Enhance Response to the Opioid Crisis

Blog,
Ohio,

State and territorial health agencies continue to be challenged by the opioid epidemic, which has been exacerbated by the COVID-19 pandemic. Addressing the opioid crisis requires a robust public health response, which could be helped by resources from pending and future opioid settlement funds.

ASTHO Policy Watch 2022: Public Health Workforce

Blog,
Utah,

Continuing ASTHO’s Legislative Prospectus series—which highlights the top 10 public health policy issues for 2022—we are focusing this week on mental and behavioral health as well as supporting the public health workforce.

ASTHO President Nirav D. Shah Looks Ahead to 2022

Blog,

Amid so much uncertainty, it might feel naïve to make any claims about what the future holds. But it is in these moments that it becomes more important than ever to have beacons to guide us and give us hope. As we look ahead to 2022, here are four priorities that must steer the public health course in the year to come.

Proposed Vaccination Laws to Watch in the New Year

Blog,
STIs,
HIV,
PFAS,

Vaccines are one of the greatest public health achievements of the last century, as well as some of the most powerful and cost-effective tools to prevent disease, disparities, disability, and death among children and adults. The COVID-19 pandemic and the unprecedented development and distribution of the vaccines against the novel coronavirus have generated much focus on state laws related to vaccinations. As state and territorial legislatures prepare to convene in the coming weeks, we can already identify several topics within vaccine law that policymakers across the country will consider.