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.