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Public Health Law Series Webinar
Exploring Social Determinants of Health through a Public Health Law Lens
Thursday, July 14, 2016
Public Health Law Series Webinar: Exploring Social Determinants of Health through Public Health Law Lens
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Public Health Law Series Webinar: Exploring Social Determinants of Health through Public Health Law Lens
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Public Health Law Series Webinar
Exploring Social Determinants of Health through a Public Health Law Lens
Thursday, July 14, 2016
Public Health Law Series Webinar:Taking on Tobacco RegulationPublic Health Law Series:
Moderator
Exploring Social Determinants of Health through Public Health Law Lens
Donna Levin, National Director, Network for Public Health Law
J.D., Northeastern University School of Law
Areas of expertise: Social determinants of health Health equity Newborn screening Health insurance consumer protections Emergency public health response Medical marijuana
Public Health Law Series Webinar:Taking on Tobacco RegulationPublic Health Law Series:
Presenter Introduction
Scott Burris, Professor of Law and Public Health, Temple University; Director, Center for Health, Law, Policy, and Practice; Director, Public Health Law Research
J.D., Yale Law School
Research interests/areas of expertise: Social determinants of health HIV/AIDS Global health governance Health effects of criminal law and drug policy
Exploring Social Determinants of Health through Public Health Law Lens
Public Health Law Series Webinar:Taking on Tobacco RegulationPublic Health Law Series:
Presenter Introduction
Dawn Pepin, Public Health Analyst, Carter Consulting, Inc., Public Health Law Program, Centers for Disease Control and Prevention
J.D., Seton Hall University School of Law M.P.H., Johns Hopkins University
Research interests/areas of expertise: Health equity Health crisis and humanitarian assistance Vulnerable populations
Exploring Social Determinants of Health through Public Health Law Lens
Public Health Law Series Webinar:Taking on Tobacco RegulationPublic Health Law Series:
Presenter Introduction
Ellie Gladstone, Senior Staff Attorney, ChangeLab Solutions
J.D., University of California, Davis M.P.H., University of California, Berkeley
Areas of expertise: Social determinants of health Inequities in access to recreational space Engaging faith‐based organizations in community health
and wellness efforts
Exploring Social Determinants of Health through Public Health Law Lens
Click to edit Master title style
Social Determinants and LawyersWorking our Way Upstream
Scott BurrisProfessor of Law and Public Health, Temple UniversityDirector, Public Health Law Research Program
Bad News: Inequality
Piketty T, Saez E. Inequality in the long run. Science. 2014 May 23, 2014;344(6186):838‐43.
Social Determinants
Social determinantsof health(e.g., inequality)
Particular pathologies(e.g., HIV)
Individual interventions: Helping people cope with current environment
Structural interventions: Changing the environment
Social Determinants
Social determinantsof health
Particular killers
Individual interventions
Changing the environment
CVD meds
Social Determinants
Social determinantsof health
Particular killers
Individual interventions
Changing the environment
CVD medsStress‐reduction counseling
Social Determinants
Social determinantsof health
Particular killers
Individual interventions
Changing the environment
CVD meds
No smoking laws
Stress‐reduction counseling
Social Determinants
Social determinantsof health
Particular killers
Individual interventions
Changing the environment
CVD meds
No smoking laws
Greater equality at work and in the community
Stress‐reduction counseling
Social Determinants
Social determinantsof health(e.g., inequality)
Particular pathologies(e.g., HIV)
Individual interventions: Helping people cope with current environment
Structural interventions: Changing the environment
Dignity – Equality ‐‐Cooperation – Security ‐‐Morality – Opportunity ‐‐ Care
Social Determinants
Social determinantsof health(e.g., inequality)
Particular pathologies(e.g., HIV)
Individual interventions: Helping people cope with current environment
Structural interventions: Changing the environment
Dignity – Equality ‐‐Cooperation – Security ‐‐Morality – Opportunity ‐‐ Care
gReduce smoking
Social Determinants
Social determinantsof health(e.g., inequality)
Particular pathologies(e.g., HIV)
Individual interventions: Helping people cope with current environment
Structural interventions: Changing the environment
Dignity – Equality ‐‐Cooperation – Security ‐‐Morality – Opportunity ‐‐ Care
gReduce smoking
ppSocial support
Social Determinants
Social determinantsof health(e.g., inequality)
Particular pathologies(e.g., HIV)
Individual interventions: Helping people cope with current environment
Structural interventions: Changing the environment
Dignity – Equality ‐‐Cooperation – Security ‐‐Morality – Opportunity ‐‐ Care
gReduce smoking
Health care
ppSocial support
Ways law matters
Social determinantsof health
Health
Criminal justice
School disciplineOSH and work lawHousingPublic safetyDrug policy
Ways law matters
Social determinantsof health
Health
1. Laws shape contexts
Criminal justice
School disciplineOSH and work lawHousingPublic safetyDrug policy
Ways law matters
Social determinantsof health
Health
1. Laws shape contexts
2. Laws influence behavior
Criminal justice
School disciplineOSH and work lawHousingPublic safetyDrug policy
A Long‐Term Perspective
Impact
Arguments that work now
Arguments that work in 20 years
Arguments that work in 10 years
Legal Scholarship
Transdisciplinary Health Law
Help Engaging Communities and Building Political Will
Help Engaging Communities and Building Political Will
Expertise in Designing Legal
Solutions
Expertise in Designing Legal
Solutions
Support for Enforcing and Defending Legal
Solutions
Support for Enforcing and Defending Legal
Solutions
Policy Surveillance
and Evaluation
Policy Surveillance
and Evaluation
Access to Evidence and Expertise
Access to Evidence and Expertise
Better Health Faster
Centers for Disease Control and Prevention
New Tools to Achieve Health Equity: Section 1557 of the Affordable Care Act
Dawn Pepin, JD, MPHPublic Health AnalystCarter Consulting, Inc.Public Health Law ProgramOffice for State, Tribal, Local and Territorial SupportCenters for Disease Control and Prevention
CDC Public Health Law Program DisclaimerThe contents of this presentation have not been formally disseminated by the Centers for Disease Control and Prevention (CDC) and should not be construed to represent any agency determination or policy.
These course materials are for instructional use only and are not intended as a substitute for professional legal or other advice. Always seek the advice of an attorney or other qualified professional with any questions you may have regarding a legal matter.
Health Disparities in the United States
Healthcare disparity – “Differences in group in access to care, quality, and coverage”
Health disparity– “Higher burden of illness, injury, disability, or mortality experienced by
one population group relative to another group.” Disparities in Health and Health Care: Five Key Questions and Answers, Kaiser Family Foundation, last accessed May 9, 2016.Image: Equity and social justice, Kingcounty.gov, Last Updated October 27, 2015
Health Disparities and Discrimination in the United States
Proposed 45 CFR Part 92
“Discrimination in the healthcare context can often lead to poor andinadequate health care or health insurance or other coverage forindividuals and exacerbate existing health disparities in underservedcommunities.”
– Why?• Postponing or not seeking care• Being denied the opportunity to get care to begin with
– What is the result?• Care is not getting to those who need it most• Higher costs from more complicated care, lost wages, lost productivity
What Section 1557 of the ACA does Prohibits discrimination on the basis of
– Race, color, and national origin– Sex – Age – Disability
Prohibits discrimination by– Any health program or activity that received federal
• Credits • Subsidies• Contracts of insurance• Executive agency programs• Programs under this title 1 (or amendments)
42 U.S.C.A. § 18116; Proposed 45 CFR 92
What Section 1557 of the ACA does Prohibits discrimination on the basis of
– Race, color, and national origin – Sex – Age – Disability
Prohibits discrimination by– Any health program or activity that received federal
• Credits • Subsidies• Contracts of insurance• Executive agency programs• Programs under this title 1 (or amendments)
42 U.S.C.A. § 18116; Proposed 45 CFR 92
For more information, contact CDC1‐800‐CDC‐INFO (232‐4636)TTY: 1‐888‐232‐6348 www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Dawn [email protected]
• Presented by• Ellie Gladstone, Senior Staff Attorney
Beyond Statutes & Regulations:Increasing Recreational Access with
Shared Use Agreements & Policies
July 14, 2016
Disclaimer
The information provided in this discussion is for informational purposes only, and does not constitute legal advice. ChangeLab Solutions does not enter into attorney-client relationships.
ChangeLab Solutions is a non-partisan, nonprofit organization that educates and informs the public through objective, non-partisan analysis, study, and/or research. The primary purpose of this discussion is to address legal and/or policy options to improve public health. There is no intent to reflect a view on specific legislation.
© 2016 ChangeLab Solutions
Hospital policyLocal ordinances Zoning language Resolutions
School/agency policy language
Contracts/agreements State/federal laws
University policy Organization policy Hospital policy
Shared Use Occurs When…
• government entities or nonprofit organizations
• agree to open or broaden access
• to facilities • for community use
Low-income communities and communities of color are more likely to lack safe, well-maintained parks and other recreational spaces
Hospital policyLocal ordinances Zoning language Resolutions
School district policy language
Contracts/agreements State/federal laws
University policy Organization policy Hospital policy
Hospital policyLocal ordinances Zoning language Resolutions
School district policy language
Contracts/agreements State/federal laws
University policy Organization policy Hospital policy
Hospital policyLocal ordinances Zoning language Resolutions
School district policy language
Contracts/agreements State/federal laws
University policy Organization policy Hospital policy
Formalizing Shared Use
Creative Commons Flickr: jk5854
1) Shared Use Agreements
2) School District Policies
Shared Use Agreements
• Formal contract• Between > 2 parties• With terms and
conditions • For use of the
property
Open Use Policies
• Community access• For individual play
and recreation• For free• Without formal
partnership or agreement
Hospital policyLocal ordinances Zoning language Resolutions
School district policy language
Contracts/agreements State/federal laws
University policy Organization policy Hospital policy
Hospital policyLocal ordinances Zoning language Resolutions
School/agency policy language
Contracts/agreements State/federal laws
University policy Organization policy Hospital policy
Public Health Law Series Webinar:
Q&A
Please type your questions in the Q&A panel.
Shared-Use Agreements to Support Public HealthExploring Social Determinants of Health through Public Health Law Lens
Public Health Law Series Webinar:
Thank you for attending
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Combating the Zika Virus: Mosquito‐Control and the Law
Thursday, July 21| 2:30 – 4:00 p.m. (ET)
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Exploring Social Determinants of Health through Public Health Law Lens