50-state scan of public health
advocacy capacity

What kind of public health advocacy capacity and activities already exist in each state? How might these be strengthened?

In 2023, the Network for Public Health Law, the CDC Foundation, and the deBeaumont Foundation commissioned a study of public health advocacy capacity across all 50 states and Washintgton, D.C. The full report summarizes findings from our assessments between March and June 2023 and can be found here.

In 2024, Act for Public Health provided funding for the completion and updating of each state scan. 

Each state scan is a high-level snapshot of public health advocacy in the state and is not intended to be a comprehensive assessment. Respondents included state and local health department representatives, elected officials, lobbyists, and partners in other sectors and organizations, although the specific type of respondent was different in each state.  

We hope this scan serves as a springboard for advocates and funders to enhance their ability to advocate for the public’s health in their states.

You will be asked to enter your email address each time you come to this page to download scans. If you have any feedback to share on the scans in general, or an individual scan, please complete this form.

Resources Used for the State Scans

Governor
National Governors Association 
America's Governors

Control of State Legislature
National Conference of State Legislators
State Partisan Composition

Public Health Institute (PHI) in State
National Network of Public Health Institutes (NNPHI)
Network Engagement Directory

Census Data
US Census 2020
Urban/Rural
Total Population & Race/Ethnicity

PH Governance Structure
ASTHO
State and Local Health Department Governance Classification System

Public Health News
KFF Health News
Public Health with HealthBeat

Office of Health Equity or Similar Body
US Dept of Health & Human Services Office of Minority Health
State & Territory Minority Health and IHS Offices 

State Law/ Declarations of Racism as a PH Crisis
American Public Health Association 
Racism is a Public Health Crisis

Laws Limiting PH Authority
Network for Public Health Law
State Laws Limiting Public Health Protections 

50 State Survey: Summary of Enacted Laws and Pending Bills Limiting Public Health Authority 

Laws Limiting PH Authority
Act for Public Health / LawAtlas
Reallocation of Public Health Authority

Laws Strengthening Public Health
Act for Public Health / LawAtlas
Strengthening of Public Health

The interviews and original research and analyses for the individual state scans were conducted by the team of: Quang (“Q”) Dang JD; Manel Kappagoda, JD, MPH; Emma Waugh, MPH; and Leslie Zellers, JD.  The 2024 updated scans were prepared by the team of Maddy Frey MPH, Martha Katz MPA, Gene Matthews JD, and Emma Waugh, MPH.