Kentucky is taking the lead, by using an innovative approach to provide its 9,000 state employees and their dependents with readily accessible primary care options. Data from Kentucky’s 2014 employee health plan’s actuary, AON reported that, Kentucky saved $723,900 for 15,000 clinic visits.

This week Gov. Jerry Brown signed into law SB 277 which removes the personal belief exemption parents could use to exempt their children from vaccination requirements tied to public school attendance.  When the law becomes effective in 2016, California will become the third state, after Mississippi and West Virginia, to allow vaccination exemption for medical reasons only.  

Sixteen states have passed laws explicitly authorizing needle exchange programs, and there are a number of states with statutes that either decrease barriers to the distribution of clean needles or altogether remove syringes from the list of drug paraphernalia. Additionally, a recent HIV outbreak in the small town of Austin, Ind., has led more states to consider authorizing such programs.

Sixteen states have passed laws explicitly authorizing needle exchange programs, and there are a number of states with statutes that either decrease barriers to the distribution of clean needles or altogether remove syringes from the list of drug paraphernalia. Additionally, a recent HIV outbreak in the small town of Austin, Ind., has led more states to consider authorizing such programs.

CSG Midwest
In the early part of 2015, an outbreak of HIV began spreading quickly in the small, southeast Indiana town of Austin. By the end of April, the number of confirmed cases had reached nearly 150, with many of them linked to use of the opioid painkiller Opana via needle injection.
Gov. Mike Pence declared a public health emergency in Scott County to deal with the outbreak and to allow for a temporary needle-exchange program, but Sen. Patricia Miller says it was important for the legislature to act as well.

There is no question that dental sealants prevent tooth decay and school sealant programs have been found to reduce the incidence of tooth decay by an average of 60 percent. 

The Pew Charitable Trusts released a report that grades states on how well they are reaching third graders, whether high-need schools are providing dental sealant programs and what other state policies are in place to encourage this evidence-based...

CSG South

In recent years, the United States has seen a growing popularity with the use of electronic cigarettes and similar electronic nicotine delivery devices. Electronic cigarettes, or e-cigarettes, are battery-operated single-use or reusable devices with interchangeable cartridges that use a type of heating element to turn nicotine and other chemicals into a vapor inhaled by its user. The cartridges come in a variety of colors and flavors, like apple pie, cotton candy, mint chocolate, and tutti frutti, just to name a few. It is suggested that the array of flavors, combined with the relative ease of purchasing e-cigarettes and its components at mall kiosks and online, has made e-cigarettes particularly popular among youth.

This Regional Resource from The Council of State Governments’ Southern Office, the Southern Legislative Conference (SLC), examines the regulations proposed by the FDA and the actions taken by 14 of the 15 SLC member states with regard to e-cigarettes through the 2014 legislative session.

CSG Midwest
When it comes to improving health outcomes, many policymakers look first to strategies that can provide better care for people who are ill. But some experts argue that medical care itself accounts only for a small part of positive health outcomes. The vast majority of interventions that can make people healthier, and reduce spending on health care, need to happen long before someone enters a doctor’s office.
That’s why states across the Midwest are exploring ways to address so-called “social determinants” to health — from low levels of income and education, to high levels of community violence, to a lack of access to housing and transportation.

According to just-released Centers for Disease Control and Prevention data, 2 million high school students and almost half a million middle school students used e-cigarettes in 2014. E-cigarettes have taken over as the most commonly used tobacco product among high school and middle school students. Youth use of traditional cigarettes continues to decline – only 9.2 percent of high school students reported smoking cigarettes in 2014 compared to 16 percent in 2011.  

Family vacation time in Disneyland has started a nationwide conversation about vaccinations against measles and other preventable diseases.

According to new CDC data on immunization rates of kindergartners in the 2013-2014 school year, 94.7 percent of children had received the MMR vaccine. This national level is below the recommended rate of 95 percent, which provides "herd immunity" extending protection to those who might not be able to receive the immunization due to medical conditions. 

Over 90,000 children were...

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