Centers for Disease Control and Prevention, Office for State, Tribal, Local, and Territorial Support, Public Health Law Program, Atlanta, GA.
Public Health Rep. 2013 Sep-Oct;128 Suppl 2(Suppl 2):70-4. doi: 10.1177/00333549131280S211.
The Centers for Disease Control and Prevention and the Association of Public Health Laboratories initiated the Laboratory Efficiencies Initiative in 2011 to help address issues related to public health laboratory (PHL) capacity to perform critically needed tests and services. One approach to improving capacity and efficiency is sharing PHL services with other states or jurisdictions. Cross-jurisdictional sharing implicates numerous federal and state laws, including federal and state privacy laws, laboratory certifications, packaging and shipping requirements for laboratory specimens, and state laws regarding fees and revenue. While federal laws generally do not present insurmountable barriers to sharing PHL services, state laws vary greatly, even within the same region of the country. This article summarizes some of the potentially relevant federal and state legal issues related to cross-jurisdictional sharing. It is important that states interested in cross-jurisdictional sharing consider all relevant laws, potential conflicts of law, as well as inconsistencies with agreements already in place among health departments and laboratories.
疾病控制与预防中心和公共卫生实验室协会于 2011 年发起了实验室效率倡议,以帮助解决与公共卫生实验室(PHL)执行急需的测试和服务的能力相关的问题。提高能力和效率的一种方法是与其他州或司法管辖区共享 PHL 服务。跨司法管辖区共享涉及众多联邦和州法律,包括联邦和州隐私法、实验室认证、实验室标本的包装和运输要求,以及有关费用和收入的州法律。虽然联邦法律通常不会对共享 PHL 服务构成不可逾越的障碍,但州法律差异很大,即使在该国的同一地区也是如此。本文总结了一些与跨司法管辖区共享相关的潜在联邦和州法律问题。对于有兴趣进行跨司法管辖区共享的州来说,考虑所有相关法律、潜在的法律冲突以及与卫生部门和实验室之间已经存在的协议不一致是很重要的。