Erickson Deborah L, Gostin Lawrence O, Street Jerry, Mills S Peter
Alaska Division of Public Health, Juneau, Alaska, USA.
J Law Med Ethics. 2002 Fall;30(3 Suppl):57-62.
Enabling statutes for state and local public health agencies set forth their powers and duties and provide the legal basis for their work. Obsolescence, inconsistency, and inadequacy may render some public health laws ineffective or even counterproductive. Reforming state public health law can improve the legal infrastructure that supports public health systems in responding to bioterrorism and other public health threats. Two legal tools available to assist the process of establishing a strong legal foundation for public health practice are the Model State Emergency Health Powers Act, developed in 2001 by the Center for Law and the Public's Health, and the Model State Public Health Act, currently under development by the Turning Point Public Health Statute Modernization National Collaborative. These model acts can serve as guides for assessing current state public health law, and they provide example statutory language for use by those working to update their laws. That strong state public health law and model public health acts serve as resources for law reform is recognized by local health officials and state legislators as well as by state public health officials. Lessons learned from recent experiences with crafting and introducing legislation based on the Model State Emergency Health Powers Act can prove useful in the future to those working on public health law reform efforts in their states.
州和地方公共卫生机构的授权法规规定了它们的权力和职责,并为其工作提供了法律依据。过时、不一致和不完善可能会使一些公共卫生法律失效甚至适得其反。改革州公共卫生法律可以改善支持公共卫生系统应对生物恐怖主义和其他公共卫生威胁的法律基础设施。有两种法律工具可用于协助为公共卫生实践建立强大法律基础的过程,一种是法律与公众健康中心于2001年制定的《模范州紧急卫生权力法》,另一种是转折点公共卫生法规现代化全国协作组织目前正在制定的《模范州公共卫生法》。这些模范法案可作为评估当前州公共卫生法律的指南,并为致力于更新其法律的人员提供法定语言示例。地方卫生官员、州立法者以及州公共卫生官员都认识到,强有力的州公共卫生法律和模范公共卫生法案是法律改革的资源。从最近根据《模范州紧急卫生权力法》制定和引入立法的经验中吸取的教训,未来可能会对那些在本州从事公共卫生法律改革工作的人员有用。