Sara Rogers

Like resolutions passed by state and local governments, anti-racism resolutions by state public health associations acknowledge structural racism and its impact on health. As independent non-profits, state public health associations serve as an organized and active voice for public health in their state.

This Issue Brief, part of a series of analyses looking at resolutions declaring racism a public health crisis in each region of the country, summarizes resolutions in the western U.S. states of Alaska, Arizona, California, Colorado, Hawaii, Nevada, New Mexico, Oregon, Texas, Utah, and Washington. This analysis focuses primarily on resolutions passed by state and local governments, including city councils, county boards, city and county executives, school boards, and boards of health.

The Network seeks to support local, state, and tribal governments, health departments, community-based groups or organizations, nonprofits, professional associations, health care systems and providers, and others in their efforts to eliminate deep, systemic, and racially driven inequities in public health. Join us for a webinar outlining our recently released Legal and Policy Assistance to Address Racial Health Equity call for applications (RHE CFA) to support work on racial health equity. We are seeking applicants developing or working on a specific issue that prioritizes racial equity that would benefit from legal and policy technical assistance. We can assist with work that is at any stage of development.

The Network for Public Health Law is pleased to announce this call for applications from organizations seeking legal and policy support to promote racial health equity.

Since 2019, the Network has participated in the East Side Health and Well-being Collaborative (“the Collaborative”), a dynamic and diverse coalition of two dozen organizations dedicated to advancing community health equity on St. Paul’s East Side in Minnesota. Serving as a core Partner on the Collaborative, the Network plays a pivotal role, co-founding and leading the Collaborative’s Policy Work Group; providing training on the intersection between health equity, public health, and law and policy; helping identify specific policies that support the Collaborative’s program goals; and participating in and contributing to collaborative activities. We hope by sharing the Collaborative’s unique approach and our learnings as a Partner, we can inform how the public health law field can engage in similar efforts which can positively impact the people and populations we serve, the sectors we reside in, the communities in which we live, and the systems we seek to change.

Addressing structural racism requires structural solutions. Equity impact assessments (or notes or statements) are a tool being used by increasing numbers of state and local governments to drive more equitable policy decisions. They frequently focus on racial equity impacts and are designed to predict whether proposed policies are likely to create, perpetuate, mitigate, or reduce racial disparities, creating opportunities for public awareness, engagement, and policy improvement.  Through the Collaborative for Anti-Racism and Equity, the Network for Public Health Law partnered with the Public Health Law Center to create compendium of proposed or enacted legislation requiring the use of racial equity impact assessments  (REIAs) in state-level legislative processes, across the 50 states and D.C. This dataset and map is designed to be a resource for policymakers, legislative staff, advocates, researchers, community-based organizations, and other groups who seek to support informed, just and equitable policymaking.

By May of 2020, the realities of the inequitable toll of COVID-19 on communities of color became starkly evident, and the murder of George Floyd sparked a renewed movement for racial justice in the United States. During this time, the Network began earnestly exploring how best to respond and be of assistance in a rapidly changing environment. An internal Health Equity Work Group (HEWG) was established to create a space for connection and learning, and to identify ways to collaborate across regions to be responsive to what we were observing and experiencing. One of the early actions identified by the HEWG was to “evaluate what services and supports Network users are interested in” via tools like an environmental scan, stakeholder interviews, and focus groups. This report explores the process that was undertaken to answer that question and the key findings and themes relevant to health and racial equity work across a variety of public health practitioners and organizations.

Requiring licensure for lactation consultants (a healthcare professional who specializes in the clinical management of breastfeeding) can lead to increased quality of lactation-based care, but it can also lead to barriers to entry into the lactation consulting profession resulting in a workforce lacking in diversity. The regulatory environment in Rhode Island for lactation consultants provides valuable insights into the challenges and opportunities faced by states interested in ensuring the quality of care provided to parents and infants while also ensuring that competent and trained professionals do not experience unnecessary occupational barriers.

This policy brief focuses on the definition of care coordination services provided by Community Health Workers (CHWs) in the state of Minnesota and was written in response to a request for research on how other state statutes and regulations define care coordination services. Minnesota is investigating the potential to expand CHW service coverage to ensure the sustainability of CHWs in the state. The state is looking into ways to define care coordination that allows the service to be covered. Definitions for care coordination or for CHW services that address care coordination (or comparable services) may be found in the statutes or regulations of at least nine states.

In honor of Black History Month, Network attorneys and staff have highlighted six policies that have the power to reduce health disparities and improve outcomes for Black people and communities of color throughout the United States. This policy brief serves as a practical tool to help public health professionals, leaders, and partners share strategies that can advance, rather than threaten, Black health and wellbeing over the long-term.

Creating a government that is truly for everyone requires laws and policies that eliminate racial and ethnic disparities and improve outcomes for all. As 2023 state legislative sessions approach, it is important to look back at trends over the last few years in legislation impacting health and racial equity to understand how states are trying to address the health impacts of racism, be accountable for commitments to address racism as a public health crisis, and ensure the conditions for all people to thrive. State legislation is one important mechanism for creating the infrastructure for healthy communities. We assessed legislation for the past two years, looking at 447 bills. Below, we discuss two important trends.