Public Health


Health Policy 101 is a comprehensive guide covering fundamental aspects of U.S. health policy and programs, including Medicare, Medicaid, the Affordable Care Act, employer-sponsored insurance, the uninsured population, health care costs and affordability, women's health issues, and health care politics. The Public Health chapter examines how public health is governed and delivered in the United States. It includes explanations of key public health frameworks, services, capabilities and characteristics, how the public health system works in state, local and territorial governments, and public health funding, workforce, and communication challenges in an era of declining trust.

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  • States Are Getting Ready to Distribute COVID-19 Vaccines. What Do Their Plans Tell Us So Far?

    Issue Brief

    This brief summarizes the information contained in the all available draft COVID-19 vaccination plans submitted by states to the CDC, focusing in particular in critical areas such as identifying critical/priority populations, identifying and recruiting providers to administer vaccines, the completeness of state-level vaccine data collection and reporting systems, and communication plans. States report widely varying levels of progress.

  • The COVID-19 “Vaccination Line”: An Update on State Prioritization Plans

    Issue Brief

    This analysis examines the different approaches states are taking to manage the limited initial supply of COVID-19 vaccines and balance the desire to vaccinate those at greatest risk first with the need to ensure a fast and effective statewide vaccination effort. It includes a state data table.

  • Assessing Monkeypox (MPX) Vaccine Eligibility Across the United States

    Issue Brief

    This analysis examines jurisdictional approaches to eligibility for monkeypox (MPX) vaccine. Overall, almost all jurisdictions have, at minimum, adopted the current approach laid out by the CDC. However, there is substantial variation in how eligibility is defined. Additionally, several jurisdictions lack clear criteria or information on who is eligible or where to get vaccinated. This may impact on who gets vaccinated, lead to geographic disparities, and raises potentially equity challenges.

  • Analysis: There is Significant Variation in State and Local Eligibility Criteria for Monkeypox Vaccines, and Vaccine Information is not Always Accessible

    News Release

    According to a new KFF analysis assessing monkeypox (MPX) vaccine eligibility across the United States, people who are exposed or presumed exposed to MPX are generally eligible to get a vaccine across the country. However, eligibility varies across the United States for certain workers, including laboratory staff and others who might be at increased risk.

  • Who is at Risk Amid the H5N1 Influenza Outbreak? Characteristics and Health Coverage of Animal Production Workers

    Issue Brief

    This analysis uses data on “animal production workers” from the 2022 American Community Survey to examine characteristics of workers who may be at risk for exposure to H5N1 avian influenza, which has been found in dairy cattle herds in nine U.S. states as of May 14, 2024. The analysis compares characteristics of these workers to all U.S. workers, to all workers in the H5N1-affected states, and draws out some implications. Among the findings are that animal production workers are more likely than workers overall to be Hispanic and noncitizen immigrants, as well as to be uninsured.

  • CDC’s Funding for State and Local Public Health: How Much and Where Does it Go?

    Issue Brief

    Funding from CDC has been a major source of support for public health programs across the U.S., but CDC is now being targeted for budget cuts by the Trump administration. To better understand how much CDC funding is provided to state and local jurisdictions, we analyzed FY 2023 funding data from CDC and present findings about much funding was provided to state and local jurisdictions, what types of public health activities were supported with this funding, and how the funding was distributed across states and regions of the U.S.

  • Timeline of End Dates for Key Health-Related Flexibilities Provided Through COVID-19 Emergency Declarations, Legislation, and Administrative Actions

    Issue Brief

    In response to the COVID-19 pandemic, the federal government declared numerous types of emergencies, Congress enacted several pieces of legislation, and various executive actions were taken and waivers issued, which established time-limited flexibilities and provisions designed to protect individuals and the health system during the pandemic. This resource provides a timeline identifying key health-related flexibilities and provisions specified by these various measures, the specific measure that determines their end date, and their end date.