Gaps in Health Outcomes

With the recent federal policy change allowing use of federal funds for needle exchange programs, there is renewed focus on cost-effective public health syringe services programs to prevent HIV and hepatitis C infections and to reduce disparities. State law modifications to allow syringe services programs are described.

Expedited Partner Therapy (EPT), a cost-effective policy for treatment of curable sexually transmitted diseases, is legal in 23 states. EPT is one approach to treating sexual partners of patients diagnosed with chlamydia or gonorrhea infections, where patients provide treatment directly to their partners.

One-third of teens become pregnant before age 20. One-fourth of young women acquire a sexually transmitted infection by age 19, making them more susceptible to HIV infection.  This 4-page brief describes successful state health and education policies as well as successful targeted youth education activities that can prevent these conditions.

African-American women are hardest hit by HIV/AIDS and sexually transmitted infections, and many are unaware of their infections. The highest teen birth rates occur among Hispanics.  This 12-page brief examines the causes and impact of these disparities, and describes evidence-based policy solutions that states have implemented.

BE IT THEREFORE RESOLVED, that the Council of State Governments support the Joint Principles of the Patient-Centered Medical Home as a guideline for states to improve the health of its citizens, and

BE IT FURTHER RESOLVED, that the Council of State Governments encourage states to implement and fund pilot programs to demonstrate the quality, safety, value, and effectiveness of the patient-centered medical home.
 

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