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ASTHO Announces Public Health Legislative Priorities for 2026

The Association of State and Territorial Health Officials (ASTHO) has unveiled its top five legislative priorities for public health as we head into 2026. This announcement aims to arm public health leaders and lawmakers with data-informed insights to effectively tackle pressing health challenges. According to ASTHO's CEO, Dr. Joseph Kanter, the guidance provided will empower decision-makers to address some of the most significant health issues facing states and territories.

1. Public Health Funding and Administration

One of the foremost priorities is ensuring long-term funding stability for public health departments. In 2026, ASTHO anticipates proposals aimed at creating contingency funds to safeguard against fluctuations in federal funding. This includes discussions on promoting partnerships across state lines to enhance data sharing and improve the delivery of public health services. By advocating for regional collaborations, ASTHO emphasizes the importance of efficient resource utilization within local health departments.

2. Behavioral Health

The mental health landscape is shifting, and states are set to advance initiatives that curb substance misuse and address mental health issues. Legislative action may bolster support for mobile crisis units, enhance coordination within the crisis care continuum, and establish sustainable funding models. Furthermore, efforts are expected to focus on removing obstacles to accessing medications for opioid use disorder and connecting previously incarcerated individuals with treatment services.

3. Infectious Disease Prevention

As the spotlight remains on infectious diseases, it is crucial for policymakers to evaluate existing public health laws. Changes affecting vaccination access and prevention strategies for sexually transmitted infections (STIs) are set to be key topics of discussion. States may explore new legislation impacting school immunization requirements and insurance coverage mandates, as well as prioritize routine STI testing in high-risk populations.

4. Access to Care

Improving access to healthcare services across various demographics is another significant area of focus. ASTHO encourages initiatives that support coverage and financing for community-based healthcare providers, such as community health workers and peer support specialists. Additionally, legislation is anticipated to enhance access to contraception and reproductive health services, as well as retain telehealth options, particularly beneficial for rural communities.

5. Healthy Food and Chronic Disease Prevention

Finally, the expansion of access to healthy food options is gaining traction. Proposed legislation may combat food deserts and promote better nutrition through public procurement practices. Additionally, a push for insurance mandates covering chronic disease screenings and treatments is on the rise, aiming to mitigate the prevalence of chronic conditions among the population.

Conclusion

With these priorities set, ASTHO aims to guide public health policy for 2026 and beyond. This proactive approach focuses on both immediate and long-term health challenges, laying a foundation for enhanced public health practices across the United States. Policymakers and public health leaders are encouraged to collaborate and strategize based on these priorities to foster a healthier future.

For further insights and details on policy trends, visit ASTHO's Legislative Prospectus Series for comprehensive analysis.