Prevention and Public Health

CSG South

This SLC Regional Resource raises policy considerations and highlights the connections between the ongoing opioid crisis and the national shortage of organs for transplantation. In addition, this report looks at the history and process of organ donation and transplants; actions taken at the state and federal level to facilitate organ donation; and how the national opioid crisis is affecting transplant rates.

CSG Midwest
Late in 2017, Michigan lawmakers ended their legislative year seeking a fix to another problem with drinking water in the state. It wasn’t lead contamination this time, but rather the discovery of 28 sites in the state with known levels of PFAS, or per- and polyfluoroalkyl substances. The Legislature allocated $23.2 million for various response and mitigation measures.
In early 2018, the Minnesota attorney general finalized an $850 million settlement with 3M over groundwater contamination in the east metropolitan area of the Twin Cities. The cause: The company’s disposal, over decades, of PFAS chemicals used for products such as Scotchgard, stain removers and fire retardants.Though these chemicals were used for decades, and many of them have been phased out of production, they are considered an “emerging contaminant” — because environmental and health officials have only recently begun to test for the presence of PFAS chemicals in drinking water, detect them, and understand their potential impact on human health.
The new funding in Michigan will be used to purchase new lab equipment, expand testing of drinking water, and purchase filtration systems for affected residents. A longer-term fix is likely to be more problematic and costly, whether it’s pumping out all the groundwater and removing the chemicals or hooking up the owners of private wells (this has been the group most affected in Michigan) to a municipal system.

Read about top health issues facing states in 2018. Medicaid expenditures are 30 percent of states general fund budgets and states are looking for ways to cut costs. The opioid epidemic shows no signs of letting up, increasing the need for treatment, harm reduction programs and prevention. Questions of how to provide health service to the growing aging population and rural populations are top-of-mind in many states. Finally, state policymakers are beginning to look at the social determinants of health, searching for strategies that are more preventive in nature.

Three speakers addressed ways states are both reacting to federal efforts and leading the charge to create sound health policy in the areas of Medicaid and health insurance as well as opioid treatment. The Committee approved two policy resolutions and released CSG's 50-state survey diabetes spending.

The Council of State Governments will release a new report, "Diabetes in the United States: Examining Growth Trends, State Funding Sources and Economic Impact", on state spending for diabetes at the 2017 CSG National Conference in Las Vegas on Dec. 15. Click here for press release. 

CSG, with assistance from the National Association of Chronic Disease Directors, surveyed all 50 states to discover how many states...

Discussions about vaccinations occur regularly within legislatures across the nation. Policymakers aim to protect public health while scrutinizing conflicting information and heeding concerns of constituents, including parents who want options for their children.

The Zika virus garnered global attention when an outbreak began in April of 2015 in Brazil, spreading to 84 countries as of July 2017. But with Zika cases declining overall, the conversation has recently shifted towards a promising discovery made by researchers at Washington University. Researchers have shown in lab and animal experiments that the Zika virus could target and destroy stem cells that drive the growth of glioblastoma, an aggressive type of cancer that can occur in the brain or spinal cord.

The chair of the Midwestern Legislative Conference, Iowa state Sen. Janet Petersen, is putting a spotlight on healthy birth outcomes in the Midwest, from home visit and safe sleep programs to (sadly, when necessary) child and/or infant death review teams. States can do plenty to help newborns and their parents get a good start to life.

Proceedings of the Medicaid 201 Leadership Policy Academy, Sept. 13-15, 2017

 

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CSG Midwest
As the Midwest’s legislators look for ways to reduce infant mortality, prevent maternal deaths, and improve long-term outcomes for mothers and children, one policy option is to invest in home visiting.
The idea of bringing preventive services and resources to the place where families live has captured more interest, and funding, during this decade.
In 2010, the U.S. Congress created the Maternal, Infant and Early Childhood Home Visiting Program, and every year since then, states have received federal dollars to provide home services for vulnerable or at-risk families.

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