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Courts Consider Whether State Vaccination Laws Must Include a Religious Exemption

Blog,

During the 2022 state legislative sessions, at least 20 states considered bills that would require a religious exemption to a vaccine requirement. As state legislatures continue considering vaccine protocols for COVID-19, HPV, and other diseases—along with what types of exemptions should be given—courts are reconsidering what type of vaccine requirements are constitutional.

Increasing Access to Doulas will Ease the Maternal Health Crisis

Blog,

State and federal actions to expand the doula workforce and improve maternal health.

Harm Reduction Policies Can Prevent Overdose Fatalities

Blog,

Adopting a public health approach to substance use by implementing harm reduction policies across all levels of government can help communities address the overdose crisis. This post analyzes e

Addressing Privacy Concerns of Using Mental Health Care via Telehealth

Blog,
Ohio,
Utah,

In an effort to help meet demand, some states and territories have joined interjurisdictional licensing compacts that allow a mental health care provider licensed in one state to provide care in another state—without needing to gain licensure in multiple states. These agreements also offer guidance on patient privacy for services rendered remotely or from out-of-state.

Leveraging State and Federal Policy to Reduce Maternal Illness and Death

Blog,

There are significant disparities in pregnancy-related outcomes in the United States. Many of these deaths considered preventable, so state and federal policy makers are taking steps to improve health outcomes for pregnant people.

Tobacco Policy Roundup: Smoking Rates Down but Youth E-Cigarette Use Rising

Blog,
Utah,

Good news and bad news on tobacco use: smoking rates are down but e-cigarette use continuing rapid rise among youth. Read how states are combating the problem.

States Leverage COVID-19 Relief Funding to Improve Accessibility for People Living With Disabilities

Blog,

On the 32nd anniversary of the ADA, this blog post explores state legislation around the country that supports people living with disabilities.

Domestic Holiday Travel Pandemic Restrictions and Recommendations

Blog,
Guam,
Iowa,
Ohio,
Utah,

The 2020 holiday season is coinciding with a nationwide surge of COVID-19 cases. With great concern that holiday travel to see loved ones may exacerbate community spread of the virus, many states are increasing public health measures before the winter holiday season. As of November 16, 2020, 13 states and D.C. had a quarantine requirement for out-of-state travelers. The U.S. territories also have instituted travel restrictions to limit the spread of COVID-19.

Isolation, Quarantine, and Public Health Authority Beyond the Pandemic

Blog,
Iowa,
Ohio,

Under the Tenth Amendment, states have the power to protect the health and welfare of their populations, including the authority to implement isolation and quarantine orders to limit the spread of disease. This post is an examination of state public health authority for isolation and quarantine.

Jurisdictions Moving Many ASTHO Essential Tobacco Control Policies Forward

Blog,
Guam,
Iowa,

Over the past several years, states and jurisdictions have continued to implement important policies to reduce tobacco and nicotine use, including increasing tobacco prices, expanding areas deemed “smoke-free,” limiting the sale of flavored tobacco products, and supporting tobacco cessation programs.

Update on State Legislative Sessions 2025

Blog,
Iowa,
Utah,

Recap the state legislative sessions in 2025 thus far, spanning maternal health, infectious disease, and other important public health issues.

State Policy Can Reduce Systemic Racism in Public Health

Blog,
Ohio,

In 2020 and early 2021, state policymakers took action to raise awareness of the impacts of racism on health outcomes, to reverse the damage of racist polices, and to implement policy changes to ensure that future policies are enacted with a racial equity lens. In the past two years, many states introduced and adopted resolutions declaring racism a public health crisis. In the early weeks of 2022, there is notably less legislation that has been introduced as compared to the same time last year.

State and Territorial Caregiver Wellness Policies May Reduce Adverse Childhood Experiences

Blog,
ACEs,
Guam,

People exposed to adverse childhood experiences are at risk for negative physical and/or mental health outcomes, substance use disorders, and unfavorable social outcomes in adulthood. One known risk factor for ACEs is caregiver stress, including economic hardship. State legislatures have considered several policies in recent years that can improve the overall health of caregivers and reduce ACEs. Read more in this week's Health Policy Update.

States Consider Role of COVID-19 Vaccination for School Enrollment

Blog,
Iowa,
Ohio,
Utah,

This week might have marked the beginning of summer, but many policymakers and health officials have their eye on the upcoming school year and what that might mean in terms of getting students vaccinated against COVID-19. According to a recent MMWR, COVID-19 related hospitalizations among adolescents increased in March and April 2021, potentially related to increased circulation of new COVID-19 variants, changes in physical distancing, and a larger number of children returning to school or other in-person indoor activities. This increase indicates an urgent need for vaccination against COVID-19, which is currently authorized for use in youth as young as 12.

State/Territorial Policy Considerations for Preventing Adverse Childhood Experiences

ACEs,
Ohio,

ASTHO staff identified a range of evidence-supported policies considered by state legislatures that could prevent ACEs. This report synthesizes these research and policy proposals and is intended for public health practitioners and policymakers who are considering adopting similar policies.