News & Insights

Tribes, tribal organizations and Tribal Epidemiology Centers (TECs) need continuous and routine access to comprehensive and specific public health data to drive public health decision making, just as state and local health departments do, particularly during the current pandemic.  Sharing these data with tribal public health authorities is essential to address the health disparities experienced by American Indians and Alaska Natives. However, due to confusion around HIPAA Privacy Rule requirements, many health departments are unaware that they are able to share public health data with any other public health authority, including tribal organizations and TECs.  

While the impacts of the pandemic have shifted slightly over time, COVID-19 continues to disproportionately impact Hispanic, Black, American Indian, and Alaska Native populations. These disparities have also shone a light on decision-making tools incorporated into Crisis Standard of Care plans, which are intended to save the most lives through triage decisions when resources are scarce and patient populations are surging, as they have been during the COVID-19 pandemic. However, it is critical that triage policies incorporate equitable allocation criteria to avoid continued and exacerbation of disparities, and to begin attempts to reduce and eliminate them.

Increased fear over the safety of hospitals along with policies designed to prevent the spread of COVID-19, including limiting the number of guests allowed in delivery rooms, mandating inductions or caesarian sections, and separating newborns from birthing parents suspected of having COVID-19, has driven many families to make the decision to give birth at home or at a birthing center. The increased demand for out-of-hospital deliveries has quickly overwhelmed the limited number of birth centers and midwives providing home birth services in the U.S.–highlighting a gap in the country’s healthcare system. Changes in state licensure schemes and practice regulations for midwives and birthing centers could make out-of-hospital births more accessible and affordable.

The Network is hiring a Senior Attorney to work with our Mid-States Region Office, located at the University of Michigan School of Public Health, in Ann Arbor, Michigan. This position will report to the Director of the Mid-States Region Office.

Some of the public health law and policy issues in the headlines in recent weeks include concerns over threats directed at public health officials, legislative actions to limit public health authority, efforts to address food insecurity in Massachusetts, opposition to federal vaccine mandates, and the Biden administration’s plans for vaccinating children aged 5 to 11.

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.

The Network’s CC LPC will engage partners interested in the intersection of climate change and health equity to discuss law and policy solutions to mitigate the public health impacts from climate change. Following an informational webinar, applications will open in winter and will be reviewed early 2022.

The United States remains in the grip of both COVID-19 and drug-related harm. Both are public health emergencies marked by tens of thousands of preventable deaths – and both disproportionately impact Black, Hispanic, Native, and other non-White people. Addressing the structural racism that drive inequality in access to economic opportunity, educational attainment, and other factors that ultimately drives health disparities must be a key public health priority – both during the dual COVID and overdose epidemics and beyond.  

The medications for opioid use disorder, methadone and buprenorphine, can reduce overdose deaths by over 50 percent. Unfortunately, many people who want to access these medications are unable to do so  because of federal and state legal restrictions, primarily the federal X-waiver, which a physician must obtain in order to prescribe these medications. While the requirement itself is statutory and can only be changed by Congress, the departments of Justice and Health and Human Services (HHS)  have a great deal of autonomy in determining its exact contours.

Earlier this year, New York legalized adult-use (recreational) cannabis with the Marijuana Regulation & Taxation Act.  While it’s now legal for adults to possess cannabis, there are no retail establishments permitted to sell adult-use cannabis. The State is in the process of developing regulations for this new industry and the adult-use market is expected to be operational in late 2022. While New York is focused on creating a safe and efficient industry, it is also incorporating social justice measures, including restorative justice and diversity, equity, and inclusion (DEI) policies into its new cannabis system.

Often a patient wants a health care provider to share her Protected Health Information (PHI) with a social service organization (SSO) for support that directly or indirectly relates to her health. A provider’s efforts to obtain written authorization to release PHI often delays a patient’s access to SSO support. That delay is compounded when the patient has to physically go to the provider’s office to sign the authorization, a challenge or even an impossibility for some individuals. This process to obtain patient authorization also takes precious clinical time from healthcare providers and their staff. What is often misunderstood is that sharing PHI for care coordination purposes does not require written authorization under HIPAA Privacy Rule.

There has been a well-publicized attempt across the nation to stop the teaching of “critical race theory” through state legislation, lawsuits, pressure by parents at school board meetings, and other means. A consequence of this legally imposed silence is that persistent, obvious, and consistent patterns of inequality are portrayed as random and individualized rather than resulting from a social system organized around racial and gender lines. This runs counter to a public health approach which is based on understanding how systems impact whole populations.