COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
State Government's Role in Health Care
•US Constitution gives certain powers of the states to the Federal government
•As part of this agreement, in the Tenth Amendment to the Constitution, the states
reserved to themselves the rest of the powers.
State Government's Role in Health Care
Police power
•Because it is not explicitly mentioned in the Constitution, among the powers reserved
to the states is the "POLICE POWER."
•Police power forms the basis of the states' role in [public] health.
•Police power is the power to provide for [protect] the health, safety, and welfare of the
people.
•Police power is one that every sovereign government has, simply by virtue of being a
sovereign government.
Examples of State Healthcare Legislation
, •Environmental protection - clean water
•Occupational health - workman's comp
•Definition, scope and licensure of HC professionals **
•Safe food services - inspections
•Injury prevention - workman's comp
•Public Health - Communicable disease control **
•Family planning - clinics
•Prenatal care
State has a right to define scope of practice
Licensure - at state level
Impact of COVID-19 Pandemic on States and Their Responses
•Impact on health (infection & mortality varied)
•Impact on hospitals (PPE, hospitalization, ICU)
•Impact on subpopulations (uninsured, nursing home, homeless)
•Responses: social distancing, mask enforcement, treatment and vaccination varied by
state
NIH and CDC could recommend but not enforce their recommendations
sate level decitions
US Local Government Political System Features
•The democratic model
•County
•Municipality