# Presentation: 932786

## Building Public Health Emergency Legal PreparednessHigh-Priority ToolsforMulti-Sector Professionals

- Tony Moulton, PhD, Co-Director
- CDC Public Health Law Program
- Sponsored by the
- CDC Clinician Outreach and Communication Activity
- Oct. 21, 2008

**Notes:**
My colleague Dr. Rick Goodman and I are the Co-Directors
CDC created the Public Health Law Program in 2000
Mission: Lead CDC’s initiative to improve understanding and use of law for better health
-- Build legal preparedness to address full spectrum of public health goals and issues
Major concentration on public health emergencies following 9/11 and anthrax
We develop tools and resources for practitioners and policy makers to use
-- On a voluntary basis
-- To address their priorities in emergency preparedness
Examples
-- Draft model state emergency health powers act
-- Commissioned by our Program and developed by the Centers for Law and the Public’s Health
-- Followed by Forensic Epidemiology 1.0 and PHEL 1.0
The tools we’ll describe and discuss today
-- Developed in 2007-2008
-- With partners
-- That YOU CAN USE

## 	
	Continuing Education Credits DISCLAIMER:In compliance with continuing education requirements, all presenters must disclose any financial or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters as well as any use of unlabeled product(s) or product(s) under investigational use. CDC, our planners, and the presenters for this seminar do not have financial or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters. This presentation does not involve the unlabeled use of a product or product under investigational use.

**	****Continuing Education Credits DISCLAIMER:****In compliance with continuing education requirements, all presenters must disclose any financial or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters as well as any use of unlabeled product(s) or product(s) under investigational use. ****CDC, our planners, and the presenters for this seminar do not have financial or other relationships with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters. This presentation does not involve the unlabeled use of a product or product under investigational use.**

## CDC Disclaimer

-        The contents of this presentation have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or policy. The contents are for informational purposes only and are not intended as a substitute for professional legal or other advice. While every effort has been made to verify the accuracy of these materials, legal authorities and requirements may vary across jurisdictions. Always seek the advice of an attorney or other qualified professional with any questions you may have regarding a legal matter.

**Notes:**
Not CDC policy
Not legal advice
Take any questions about law—and requests for legal advice—to your legal counsel
Another important point...
-- Your legal counsel are indispensable to addressing public health emergencies successfully
-- Involve them in the planning and policy-making stage

## Building Legal Preparedness for Public Health Emergencies

_*These tools are for...*_
- Practitioners in public health, health care, emergency management, law enforcement, & related sectors
- Policy makers in elective & appointed positions
- Legal counsel to practitioners & policy makers

**Notes:**
A major theme throughout this presentation is
-- Coordinated response across sectors and jurisdictions
-- Stems from the nature of public health emergencies
-- Demands response by people in many different positions, organizations, and jurisdictions
-- Who bring different training and types of experience to bear

Their operational roles during emergency response are rooted in their legal authorities and responsibilities
Response won’t succeed if we perform our roles in isolation from each other.  
We need to understand...
-- Our own legal powers and responsibilities
-- Those of our partners
-- And how to coordinate our law-based response actions for the most successful response possible

## Building Legal Preparedness for Public Health Emergencies

_*Learning Objectives*_
- Identify legal issues that influence effective response to pandemic influenza and other public health emergencies
- Explain the critical role legal preparedness plays in public health emergency preparedness
- Use 10 tools to assess and improve your organization’s and jurisdiction’s legal preparedness for all-hazards public health emergencies

## A.  Examples of Legal Issues

- Unsure of legal authority to close public facilities during an influenza pandemic
- Failure to respond for fear of legal liability
- Uncoordinated investigation by public health and law enforcement officials
- Reluctance to provide assistance to other jurisdictions due to cost concerns
- Belief that HIPAA prevents sharing patient information with public health officials

**Notes:**
These are just a few examples of legal issues and impediments to effective response
-- Some actually experienced during real emergency responses
-- Some actively discussed as potentially serious problems

Other examples:
-- Decision not to accept volunteer health care professionals due to concerns over their licenses.
-- Unintentional violations of due process protections for people in quarantine
-- Delayed response because courts are not familiar with the emergency powers of public health officials

You can add many more

## B. Public Health Emergency Legal Preparedness

*	*_*What is it?*_
-    Attainment--by an agency, organization or jurisdiction--of legal standards essential to addressing pandemic influenza, natural disasters, bioterrorism, industrial disasters, and other emergency threats to the public’s health

**Notes:**
“Public health emergency legal preparedness” is a term that has very practical meaning
-- It’s directly related to achieving full operational preparedness for all types of public health emergencies

The “standards” are related to the functions and operations YOU AND YOUR COLLEAGUES AND PARTNERS perform when responding to a large-scale public health emergency

This means that YOU WILL DECIDE when your organization and jurisdiction are “legally prepared” based on the extent to which you see
-- That law is supporting effective emergency response and
-- That legal problems and barriers that could impede effective response have been solved or overcome

Important point -- Many people are testing their legal preparedness by incorporating legal issues into emergency exercises and by identifying what could work better in after-action analyses.

## Public Health Emergency Legal Preparedness

_*Four Core Elements*_
- Laws: to authorize preparedness and response actions
- Competencies: in using those laws
- Coordination: in implementing law across sectors and jurisdictions
- Information: on best practices in emergency legal preparedness

**Notes:**
Not enough just to have laws and legal authorities

## Public Health Emergency Legal Preparedness

_*Call for Action*_
-  “Public health legal preparedness is a core foundation...to ensure the nation is prepared to prevent, respond to, and reduce the adverse health effects of public health emergencies and disasters.”
*        **-- Craig Vanderwagen, MD, Asst. Sec. for  *
*             **Preparedness and Response, HHS*
*          **-- Tanja Popovic, MD, PhD, Chief Science *
*             **Officer, CDC*

**Notes:**
Just to underscore how seriously public health emergency legal preparedness is being taken..

In the “National Action Agenda for Public Health Legal Preparedness”, 2007
-- which we’ll talk about in a few minutes...

Dr. Vanderwagen leads HHS’ overall preparedness work
-- Senior federal health official in the response to hurricanes Katrina and Rita in Louisiana
-- Led the public health team to assist in the 2005 tsunami recovery in Indonesia.

Dr. Popovic is CDC’s senior-most scientist
--Was a key actor in CDC’s investigation of the 2001 anthrax attacks
-- Had first-hand experience with coordinated response between public health and law enforcement agencies

## C. 10 High-Priority Tools

_*Approach to Development*_
- Focus on practical tools
- Address all 4 core elements
- Engage practitioners/users in development
- Partnership
- 		-- ASTHO, NACCHO
- 		-- Emergency management
- 		-- Federal (DOJ) and state/local law enforcement
- 		-- The American Health Lawyers Assoc. and the
- 		    American Bar Assoc.

**Notes:**
Today we’re going to introduce and describe 10 tools YOU CAN USE

Our Program initiated and led development of 9...in  close collaboration with many partners
-- Two training curricula to improve competencies
-- Two tools to improve coordinated response across sectors ...such as health care, public health, and law enforcement
-- Two to improve coordinated response across jurisdictions
-- One that specifically addresses social distancing measures in the context of pandemic influenza and similar outbreaks of highly infectious disease
-- One to assist state courts in fulfilling their role during public health emergencies
-- And one that presents a broad spectrum of legal “action options” for potential adoption across all sectors and jurisdictions – the National Action Agenda

** CDC’s Coordinating Office for Terrorism Preparedness and Emergency Response supported 8 of these
** CDC’s Influenza Coordination Unit funded 1 of them

The 10th was initiated and developed by the American Health Lawyers Association
All 10 are available on or thru our website

B.  This slide summarizes the approach or methodology we take in developing tools...

## “Forensic Epidemiology 3.0”

## “Forensic Epidemiology 3.0”

_*A training curriculum for...*_
- Coordinated public health and law enforcement investigation of suspected bioterrorist attacks, and
- Coordinated public health and law enforcement implementation of pandemic influenza social distancing measures

**Notes:**
An updated and extensively enriched edition of version 1.0

Version 1.0 released in 2003...developed by CDC in partnership with DOJ

By mid-2004, >14,000 public health and law enforcement professionals in >42 states had participated in the training

Version 3.0 released in 2008

## “Forensic Epidemiology 3.0”

_*Goal*_
- Improve the speed and effectiveness of joint investigations of--and response to-- public health emergencies by public health and law enforcement agencies

## “Forensic Epidemiology 3.0”

_*Features*_
- 3 original, fact-based scenarios
- 6 additional scenarios developed in the field
- New unit on coordinated implementation of social distancing measures
- Method: Participants work through scenarios jointly; PH & law enforcement faculty

**Notes:**
3 original scenarios
A white-power incident here in metro Atlanta
Deliberate contamination of restaurant salad bars in The Delles, Oregon, in 1984
Investigation of anthrax contamination in a publishing plant in Florida in Oct. 2001

## “Public Health Emergency Law 3.0”

**Notes:**
Dr. Rick Goodman led development of Forensic Epi and PHEL 1.0 and 3.0

## “Public Health Emergency Law 3.0”

_*A training curriculum for*_
- Coordinated response by public health, emergency management, and law enforcement professionals to public health emergencies
- Through improved understanding of the laws essential to coordinated response

**Notes:**
Also updated and enhanced

CDC and partners developed Version 1.0 in 2005

Within 6 months, delivered in 11 states with 19 more actively planning delivery

Version 3.0 released in 2008 – Partners include ASTHO, NACCHO, NEMA, ABA

## “Public Health Emergency Law 3.0”

_*Goal*_
- Improve the speed and effectiveness of joint, multi-sector response to public health emergencies

**Notes:**
Features
-- XX units
--

Method
-- Training led by public health legal counsel

## Both Curricula on This CD-ROM

**Notes:**
Instructor manuals

Trainee learning materials

PowerPoint presentations

YOU CAN MODIFY to fit your
--- Your organization’s needs and
-- The laws of your jurisdictions

## Model MOU for Joint Public Health and Law Enforcement Investigations

Guide to Developing an MOU for Coordinated Implementation of Community Response Measures to Pandemic Respiratory Disease

Strategic Framework

*Guide to Developing an MOU for Coordinated Implementation of Community Response Measures to Pandemic Respiratory Disease*
*Strategic Framework*

**Coordination across Sectors**

**Notes:**
The next set of tools are the ones I mentioned earlier that focus on the third core element of public health legal preparedness: coordination across sectors.

They were developed by the Public Health and Law Enforcement Emergency Preparedness Workgroup that was co-convened by CDC and the Department of Justice and that met 3 times during 2007.

Led by Rick Goodman

This slide shows the covers of the three reports and tools the Workgroup developed.

We’re going to focus mainly on
-- The model MOU, and
-- The Guide

## “Even the most thorough and prescient preparedness plan will fail if it does not reach across professional jurisdictions and agencies.”
Focus on developing practice-oriented tools, resources, and options for improving multi-sector coordination with non-traditional partners and legal preparedness for all-hazards emergencies

- Focus on developing practice-oriented tools, resources, and options for improving _multi-sector coordination_ with non-traditional partners and legal preparedness for all-hazards emergencies

***The Public Health & Law Enforcement Emergency Preparedness Workgroup***

**Notes:**
Workgroup established to address gaps in cross-sector coordination identified by law enforcement officials, courts, public health professionals, and others

Workgroup partners
-- Federal: CDC; DOJ Bureau of Justice Assistance & Counterterrorism Section; FBI WMD Directorate; HHS Office of the Assistant Secretary for Emergency P’ness; DHS
-- ASTHO, NACCHO, CSTE, APHL
-- NAAG
-- Police departments serving cities, counties, universities, and transportation agency
-- State departments of public safety
-- Assoc. of State Correctional Administrators
-- Nat. Center for State Courts
-- Admin. Office of the U.S. Courts
-- National Institute of Corrections

This slide presents the statement of need that mobilized the Workgroup & the Workgroup’s goal statement...

## Goals of the MOU Tools

_*Within a given state, Tribal, or local jurisdiction, to*_
_*serve as a means to:*_
- Bring to the table representatives of the relevant sectors
- Facilitate better understanding of each sector’s roles and duties, in relation to the others, in preparing for and responding to public health emergencies, and
- Accomplish these purposes in a manner that can be agreed upon by each sector and possibly viewed as binding

## Model MOU for Joint Public Health & Law Enforcement Investigations

_*Purpose*_
- This document provides factors and provisions for consideration for adoption by state, Tribal, local, and other jurisdictions when developing methods for coordinating joint public health and law enforcement investigations of bioterrorism, suspected bioterrorism, or other public health concerns possibly resulting from deliberate, criminal actions

**Notes:**
This slide presents the purpose of the Model MOU document
Provisions are based—in part-- on actual MOUs adopted in
-- NYC, and
-- Los Angeles County

It’s compact--20 pages long

Some of the topics covered are:
-- Shared principles and assumptions
-- Illustrative criteria for joint investigations
-- Notification and information-sharing following detection of the problem
-- Initiation of investigation
-- Procedures for Collection and analysis of clinical specimens and environmental samples
-- Subsequent steps during joint investigation
-- Media releases

## Guide to Developing an MOU for Coordinated Implementation ofCommunity Response Measures

_*Purpose*_
- To provide guidance that state, Tribal, and local officials may consider in strengthening coordinated, cross-sector implementation of community responses (including social distancing) to prevent or limit the spread of a severe, contagious respiratory disease such as pandemic influenza

## Guide to Developing an MOU

_*Scope*_
- Covers _voluntary community measures_ that would occur when a contagious disease (e.g., virulent influenza) already has reached pandemic status
- At this point, some measures (e.g., involuntary quarantine and isolation) would have limited, if any, indication because of the substantial spread of the disease
- Instead, _public health officials and counterparts in other sectors_ will rely on other measures to limit contact between people (e.g., encouraging people to stay home from work and school and limiting congregating in groups)

**Notes:**
The Guide is keyed to the “Community Mitigation Strategy by Pandemic Severity” table that appears in the HHS report “Interim Pre-pandemic Planning Guidance: Community Strategy for Pandemic Influenza Mitigation in the United States – Early, Targeted, Layered Use of Nonpharmaceutical Interventions” (www.pandemicflu.gov)
-- Specifically, suggests “responsibilities” for public health, law enforcement, corrections, and the judiciary during the “alert”, “standby” and “activation” phases.

These are VOLUNTARY MEASURES

Topics include...
Approach to developing an MOU
Components of an MOU
-- Shared principles and assumptions
-- Specific responsibilities during the alert phase
-- Specific responsibilities during the standby and activation phases
-- Maintaining preparedness for coordinated response

## The Framework

A strategic rationale and resource for improving cross-sector coordination in preparedness

Over 50 action options in four priority areas:
Organizing to implement opportunities for action
Roles and responsibilities
Communications and information-sharing
Training, education and exercises

- A strategic rationale and resource for improving cross-sector coordination in preparedness
- Over 50 action options in four priority areas:
- Organizing to implement opportunities for action
- Roles and responsibilities
- Communications and information-sharing
- Training, education and exercises

**Notes:**
The third tool developed by the Workgroup

A strategic / planning-level rationale and tool for cross-sector coordination in preparedness

## Slide 26

**Notes:**
The next two tools deal with coordination across jurisdictions...
-- Horizontally across states or localities or across the US border with counterparts in Mexico and Canada
-- Vertically across local, state and federal jurisdictions

Dan Stier is our Program’s lead

Dan and our colleague Lisa Thombley convened a panel of public health and legal experts at a 2-day international workshop in Chicago last August
Panel members represented
-- State, Tribal, and local governments
-- U.S. and Canadian federal agencies and
-- The province of British Columbia

This was an intensive workshop where the panel reviewed, discussed, and commented on a large, draft list of provisions that Dan had compiled for potential inclusion in the Menu

## “Menu of Suggested Provisions for Public Health Mutual Aid Agreements”

_*A resource for*_
- State, Tribal, and local public health leaders and legal counsel to use in developing agreements authorizing provision and receipt of emergency response assistance

**Notes:**
Functional scope includes sharing:
	-- Information and data
	-- Supplies
	-- Equipment
	-- Personnel
	-- Other resources

## “Menu of Suggested Provisions”

_*Goal*_
- Accelerate and strengthen response to public health emergencies by sharing resources with counterparts in other jurisdictions

**Notes:**
Can be used for any type of jurisdiction

Is relevant both to large-scale, declared emergencies and also to smaller-scale emergencies

## “Menu of Suggested Provisions”

_***Table of contents ***__*(partial)*_
- Agreement Purpose
- Organization and Coordination
- Request and Response Procedures
- Licenses and Permits
- Liability, Immunity, and Indemnity
- Costs and Reimbursement
- Legal Scope or Effect
- Workers’ Compensation, Death Benefits, & Insurance
- Dispute Resolution
- Fees. Funding and Appropriations
- Supplemental Agreements or Parties

**Notes:**
It’s a “menu” rather than a “template” because it presents multiple options for YOU AND YOUR COLLEAGUES AND PARTNERS to choose from under each of these headings

## Slide 30

**Notes:**
The “Inventory” is a companion to the “Menu” 

Continually growing compendium of resources...

Now includes the texts of 30 actual, existing mutual aid agreements FOR YOUR REFERENCE AND USE
-- International includes the Pacific Northwest Emergency Management Agreement between Alaska, British Columbia, Idaho, Oregon, Washington, and the Yukon Territories
-- Interstate includes the mutual aid agreement between Grant County, Wisconsin, and Jo Daviess County, Illinois
-- Intrastate include an introductory course on intrastate mutual aid developed by FEMA’s Emergency Management Institute 
-- Tribal ...................

## Template

**Notes:**
Let’s turn to the 2 tools that focus explicitly on legal preparedness for pandemic influenza...

The “Social Distancing Law Assessment Template”
-- Building legal preparedness for implementation of “social distancing”, or “community mitigation” or “non-pharmaceutical interventions” in the context of the _____ stage of an influenza pandemic, and 
-- Similar, large-scale outbreaks of highly infectious disease

Developed in close partnership with ASTHO and 17 participating state health departments

Funded by CDC’s Influenza Coordinating Unit

My colleague Karen Leeb was one of the principal leaders of the entire, year-long project

## Social Distancing Law Assessment Template

_*A field-tested tool to assess*_
- The sufficiency of a state’s, Tribe’s, or locality’s existing social distancing laws; and
- The capability of public health, health care, emergency management, schools, courts,  corrections, and other organizations to apply those laws effectively

## Social Distancing Law Assessment Template

_*Goal*_
- Identify areas for improvement in
-  Social distancing law, and
-  Coordinated, cross-sector implementation
-     of social distancing measures

**Notes:**
This is a tool for YOUR JURISDICTION AND ORGANIZATION TO USE IN CONDUCTING A SOCIAL DISTANCING LAW ANALYSIS AND EXERCISE

## Social Distancing Law Assessment Template

_*Method*_
- In 2007, CDC and ASTHO sponsored the Social Distancing Law Project in 17 states
- The states:
- 	-- Analyzed their existing laws relevant to
-       social distancing; and
-    -- Conducted exercises to test partners’ joint
-       ability to implement those laws effectively

**Notes:**
This is a “how to” tool
It embodies “lessons learned” from 17-state study
Easily adapted to YOUR JURISDICTION

Some of the sections of the Template are:
-- Purpose for conducting your own project
-- Steps to take in planning YOUR JURISDICTION’S Social Distancing Law Project
-- Methods in assessing YOUR JURISDICTION’S Legal Authorities for Social Distancing
-- Methods to organize Your Jurisdiction’s Legal Consultation Meeting or workshop

Additional resources: 
-- Michigan was one of the 14 states
-- Complete documentation of Michigan’s Social Distancing Law Project
-- A summary of all relevant Michigan laws
-- The scenario used during the exercise
-- Advisory memos, and
-- The full text of the final report with findings and  recommendations for next steps

## Slide 35

**Notes:**
Second tool focused on pandemic influenza

## “Community Pan-Flu Preparedness: Checklist of Key Legal Issues for Healthcare Providers”

- A scalable tool to assist providers along the continuum of care prepare for an influenza pandemic by identifying legal impediments and implementation challenges through questions centered on the provider’s incident command system—including coordination with public health agencies

**Notes:**
“Continuum of care”
-- Hospitals
-- Ambulatory care centers
-- Long-term care facilities

## Community Checklist

- Developed by the American Health Lawyers Association
- Authors: Legal counsel to health care providers; state public health agencies
- Reviewers: CDC, HHS, DHS, DOL, ASTHO, NACCHO, The Joint Commission, American Nurses Assoc., EMS, legal and medical practitioners, academic health care and law, and others

**Notes:**
Leadership by Elizabeth Belmont, Corporate Counsel to MaineHealth, a family of healthcare service provider in southern Maine Recently served as President of AHLA.

## Community Checklist

_*Selected contents*_
- Consent to treatment
- Isolation and quarantine
- Altered standards of care and avoiding malpractice liability
- Treating patients with chronic medical conditions and availability of prescription drugs

**Notes:**
Selected topics included in the Checklist	

## Public Health Law Bench Books

**Notes:**
The courts play critical roles in public health emergencies...for example:
-- Evaluating public health control measures such as quarantine and isolation
-- Considering warrants to search premises believed to harbor disease agents and seize dangerous materials
-- Considering injunctions sought by parties who oppose a specific measure

Concern that state courts may not be familiar with the relevant laws and procedures

It was pointed out that courts have used bench books in many areas of law as a matter of course...but none on public health

## Public Health Law Bench Books

- “*CliffsNotes* for judges”
- Background on public health/health care roles in public health emergencies
- Detailed information on the relevant laws, legal powers, and procedures (e.g., requests for quarantine orders)
- Focus on public health emergencies

**Notes:**
Beginning in 2003-2004, we worked with a senior Indiana judge, Judge Linda Chezem, who developed the first-ever public health law bench book...for Indiana

That project led to the Kentucky and Arizona bench books

Initiative from other states...now 10 state public health bench books that we know of
	Arizona
	Florida
	Georgia
	Indiana
	Kentucky
	Michigan
	Pennsylvania
	Texas
	Utah
	Washington

A Maryland bench book is being developed

## Related Tools for Judicial Preparedness

- Court House Preparedness for Public Health Emergencies (Pennsylvania)
- Epidemics and the California Courts
- Florida State Courts Strategy for Pandemic Influenza
- Pandemic Influenza Planning Template (Florida)_[ ](http://www.flcourts.org/gen_public/emergency/templates.shtml)_
- Guidelines for Pandemic Emergency Preparedness Planning: A Road Map for Courts (U.S. Dept. of Justice)_[ ](http://www2a.cdc.gov/phlp/docs/Judiciary%20-%20BJA%20Road%20Map%20for%20Courts.pdf)_

**Notes:**
All on our website

Dan Stier is our lead

## Slide 42

**Notes:**
My colleague Montrece Ransom was the lead planner for the Summit

## National Action Agenda for Public Health Legal Preparedness

_*100 “Action Options”*_
- For use by appointed and elected state, Tribal & local officials
- To assess and strengthen their jurisdictions’ and organizations’ legal preparedness for public health emergencies
_*Goal*_
- Development of full legal preparedness for public health emergencies using shared legal “best practices”

## National Action Agenda

_*Method*_
- June 2007 National Summit on Public Health Legal Preparedness
- Sponsored by CDC, AMA, ANA, ASTHO, NACCHO, ABA, AHLA, NEMA, Nat. Center for State Courts, NCSL, Milbank Memorial Fund, and other partners
- Multidisciplinary teams prepared 4 assessment papers & 4 action papers
- 242 multi-sector leaders shaped the Action  Agenda

**Notes:**
There is 1 action paper for each of the 4 core elements

## Slide 45

**Notes:**
Shows engagement of front-line practitioners and partners

A state public health commissioner
A metropolitan public health commissioner
A health care attorney
The current president of the AMA
A state legislator
2 state judges
3 legal counsel to state health departments

## SUMMARY

## Our Shared Goal: Full Public Health Emergency Legal Preparedness

_*Current Steps*_
- Regional workshops are assisting implementation of the new tools
- CDC is embedding legal preparedness into its emergency preparedness grants program
- New tools are being developed

**Notes:**
New tools in development:
ABA State and Local Government Section: “A Legal Guide to Homeland Security and Emergency Management for State and Local Governments,” 2nd edition, expected early in 2009 (lead author is Ernie Abbot, FEMA chief legal counsel, 1997-2001)

## Resources

- All 10 tools are available at the CDC Public Health Emergency Legal Preparedness Clearinghouse (_[http://www.cdc.gov/phlp](http://www.cdc.gov/phlp)__)_
- Subscribe to the “The CDC Public Health Law News” for developments in public health law and updates on new tools and best practices (_[http://www.cdc.gov/phlp](http://www.cdc.gov/phlp)__)_

**Notes:**
Additional tools we were not able to highlight today:
An analysis of the school closure laws of all 50 states and DC – Commissioned by CDC – Study conducted by the Centers for Law and the Public’s Health and led by James Hodge, Executive Director of the Centers

The “Community Public Health Legal Preparedness Initiative,” a CDC-ABA partnership – workshops where legal counsel to health departments and health care providers develop shared understanding of the legal framework in which hospitals and other health care providers operate during a public health emergency.  Led by my colleague Montrece Ransom in partnership with the Health Law Section of the ABA.

“The CDC Public Health Law News”, a monthly digest of developments in public health law with special attention to legal preparedness for public health emergencies

## Slide 49

## Acknowledgments

**The CDC Public Health Law Program thanks the many partners who**
**contributed to the tools featured here, among them:**
- CDC Coordinating Office for Terrorism Preparedness and Emergency Response
- CDC Influenza Coordinating Unit
- U.S. Dept. of Health and Human Services, Office of the Assistant Secretary for Emergency Preparedness and the Office of General Counsel, CDC Division
- U.S. Dept. of Justice, Bureau of Justice Assistance and Counterterrorism Section
- FBI, WMD Directorate
- U.S. Dept. of Homeland Security
- Association of State and Territorial Health Officials
- National Association of County and City Health Officials
- Council of State and Territorial Epidemiologists

**Notes:**
Contributed to one or more of these tools...

## Acknowledgments (con’t)

- Association of Public Health Laboratories
- American Medical Association
- American Nurses Association
- American Bar Association
- American Health Lawyers Association: which initiated and developed the “Checklist of Key Legal Issues for Healthcare Providers”
- National Association of Attorneys General
- American Society for Law, Medicine & Ethics
- Centers for Law and the Public’s Health
- National Center for State Courts
- Administrative Office of the U.S. Courts
- National Institute of Corrections
- National Emergency Management Association
- National Conference of State Legislatures
- Milbank Memorial Fund

## Feedback

_*Please let us know about...*_
- Your experience with these tools
- Other existing tools that colleagues should know about
- Additional tools and resources you would find helpful
- Tony Moulton, CDC Public Health Law Program
- _[TMoulton@cdc.gov](mailto:TMoulton@cdc.gov)_

## 	Continuing Education guidelines require that the attendance of all who participate in COCA Conference Calls be properly documented. ALL Continuing Education credits (CME, CNE, CEU and CHES) for COCA Conference Calls are issued online through the CDC Training & Continuing Education Online system http://www2a.cdc.gov/TCEOnline/.  

	Those who participate in the COCA Conference Calls and who wish to receive CE credit and will complete the online evaluation by November 20, 2008 will use the course code EC1265. Those who wish to receive CE credit and will complete the online evaluation between November 21, 2008 and October 21, 2009 will use course code WD1265. CE certificates can be printed immediately upon completion of your online evaluation. A cumulative transcript of all CDC/ATSDR CE’s obtained through the CDC Training & Continuing Education Online System will be maintained for each user. 

- 	Those who participate in the COCA Conference Calls and who wish to receive CE credit and will complete the online evaluation by November 20, 2008 will use the course code EC1265. Those who wish to receive CE credit and will complete the online evaluation between November 21, 2008 and October 21, 2009 will use course code WD1265. CE certificates can be printed immediately upon completion of your online evaluation. A cumulative transcript of all CDC/ATSDR CE’s obtained through the CDC Training & Continuing Education Online System will be maintained for each user.

## CME: CDC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. CDC designates this educational activity for a maximum of 1 Category 1 credit toward the AMA Physician's Recognition Award. Physicians should only claim credit commensurate with the extent of their participation in the activity.  
CNE: This activity for 1.0 contact hours is provided by CDC, which is accredited as a provider of continuing education in nursing by the American Nurses Credentialing Center's Commission on Accreditations.  
CEU: CDC has been reviewed and approved as an authorized provider by the International Association for Continuing Education and Training (IACET), 8405 Greensboro Drive, Suite 800, McLean, VA 22102. CDC has awarded 0.1 CEU to participants who successfully complete this program. 
CHEC: CDC is a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is a designated event for the CHES to receive 1 Category I Contact Hour(s) in health education. CDC provider number GA0082. 

- CNE: This activity for 1.0 contact hours is provided by CDC, which is accredited as a provider of continuing education in nursing by the American Nurses Credentialing Center's Commission on Accreditations.
- CEU: CDC has been reviewed and approved as an authorized provider by the International Association for Continuing Education and Training (IACET), 8405 Greensboro Drive, Suite 800, McLean, VA 22102. CDC has awarded 0.1 CEU to participants who successfully complete this program.
- CHEC: CDC is a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is a designated event for the CHES to receive 1 Category I Contact Hour(s) in health education. CDC provider number GA0082.