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Collaborating for Health: Health in All Policies and the Law
Dawn Pepin1, Benjamin D Winig1, Derek Carr1
1Dawn Pepin, J.D., M.P.H., is a public health analyst through Chenega Professional and Technical Services, LLC, with the Public Health Law Program (PHLP) in the Office for State, Tribal, Local and Territorial Support, Centers for Disease Control and Prevention. In this role, she conducts legal epidemiological research to analyze state and local laws related to public health. Dawn is the lead for the health equity research portfolio at PHLP. She earned her J.D. from Seton Hall University School of Law in Newark, New Jersey, and her master's degree in public health from Johns Hopkins University in Baltimore, Maryland. Benjamin D. Winig, J.D., M.P.A., serves as vice president of law & policy at ChangeLab Solutions, a national nonprofit based in Oakland, California. Ben manages a team of lawyers and oversees legal and policy interventions aimed at improving public health and advancing health equity. Ben regularly advises elected officials, public agency staff, and community-based organizations on a variety of active living and healthy planning strategies. Ben graduated from the University of Michigan in Ann Arbor, Michigan, and received his law degree and master's degree in public affairs from the University of Wisconsin-Madison. Derek Carr, J.D., is a staff attorney with ChangeLab Solutions, where he works on issues related to healthy, sustainable communities, including tobacco control, indoor and outdoor air quality, healthy eating, active living, and chronic disease prevention. Derek received both his bachelor of arts degree in public policy and political science and his law degree from the University of North Carolina at Chapel Hill. Peter D. Jacobson, J.D., M.P.H., is a professor of health law and policy and director of the Center for Law, Ethics, and Health at the University of Michigan School of Public Health. He teaches courses on health law, public health law, and public health policy. Currently, Peter is writing a health law text for health administration students and leading a Robert Wood Johnson Foundation project examining the implementation of Health in All Policies programs. He is also the principal investigator for the Mid-States Region of the Network for Public Health Law, a Robert Wood Johnson Foundation program. He received his law degree from the University of Pittsburgh School of Law in Pittsburgh, Pennsylvania, and his master's degree in public health from the University of California, Los Angeles.
This article defines Health in All Policies (HiAP), examining state legislation and California's approach. It explores how HiAP can improve health outcomes, advance equity, and counteract policies causing health inequities.
Area of Science:
- Public Health Policy
- Health Equity Studies
- Legislation Analysis
Background:
- The Health in All Policies (HiAP) concept integrates health considerations into policy development across sectors.
- Existing laws and policies can inadvertently create or exacerbate health inequities.
- Understanding legislative approaches to HiAP is crucial for promoting population health.
Purpose of the Study:
- To define the Health in All Policies (HiAP) concept.
- To examine existing state legislation related to HiAP, with a specific focus on California.
- To provide a framework for communities to apply HiAP principles to improve health and equity.
Main Methods:
- Literature review of HiAP concept and definition.
- Analysis of state-level legislation pertaining to HiAP.
- Case study examination of California's HiAP initiatives.
Main Results:
- HiAP legislation varies significantly across different states.
- California has a notable and established approach to implementing HiAP.
- The study identifies opportunities to leverage HiAP to address health inequities.
Conclusions:
- The Health in All Policies (HiAP) framework offers a strategic approach to improving population health outcomes.
- Implementing HiAP requires a thorough understanding of legislative landscapes and policy impacts.
- Communities can utilize HiAP to proactively advance health equity and mitigate health disparities.
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