<?xml version="1.0"?><Settings><answerBulletFormat>Numeric</answerBulletFormat><answerNowAutoInsert>No</answerNowAutoInsert><answerNowStyle>Explosion</answerNowStyle><answerNowText>Answer Now</answerNowText><chartColors>Use PowerPoint Color Scheme</chartColors><chartType>Horizontal</chartType><correctAnswerIndicator>Checkmark</correctAnswerIndicator><countdownAutoInsert>No</countdownAutoInsert><countdownSeconds>10</countdownSeconds><countdownSound>TicToc.wav</countdownSound><countdownStyle>Box</countdownStyle><gridAutoInsert>No</gridAutoInsert><gridFillStyle>Answered</gridFillStyle><gridFillColor>255,255,0</gridFillColor><gridOpacity>50%</gridOpacity><gridTextStyle>Keypad #</gridTextStyle><inputSource>Response Devices</inputSource><multipleResponseDivisor># of Responses</multipleResponseDivisor><participantsLeaderBoard>5</participantsLeaderBoard><percentageDecimalPlaces>0</percentageDecimalPlaces><responseCounterAutoInsert>No</responseCounterAutoInsert><responseCounterStyle>Oval</responseCounterStyle><responseCounterDisplayValue># of Votes Received</responseCounterDisplayValue><insertObjectUsingColor>Red</insertObjectUsingColor><showResults>Yes</showResults><teamColors>Use PowerPoint Color Scheme</teamColors><teamIdentificationType>None</teamIdentificationType><teamScoringType>Voting pads only</teamScoringType><teamScoringDecimalPlaces>1</teamScoringDecimalPlaces><teamIdentificationItem></teamIdentificationItem><teamsLeaderBoard>5</teamsLeaderBoard><teamName1></teamName1><teamName2></teamName2><teamName3></teamName3><teamName4></teamName4><teamName5></teamName5><teamName6></teamName6><teamName7></teamName7><teamName8></teamName8><teamName9></teamName9><teamName10></teamName10><showControlBar>All Slides</showControlBar><defaultCorrectPointValue>0</defaultCorrectPointValue><defaultIncorrectPointValue>0</defaultIncorrectPointValue><chartColor1>187,224,227</chartColor1><chartColor2>51,51,153</chartColor2><chartColor3>0,153,153</chartColor3><chartColor4>153,204,0</chartColor4><chartColor5>128,128,128</chartColor5><chartColor6>0,0,0</chartColor6><chartColor7>0,102,204</chartColor7><chartColor8>204,204,255</chartColor8><chartColor9>255,0,0</chartColor9><chartColor10>255,255,0</chartColor10><teamColor1>187,224,227</teamColor1><teamColor2>51,51,153</teamColor2><teamColor3>0,153,153</teamColor3><teamColor4>153,204,0</teamColor4><teamColor5>128,128,128</teamColor5><teamColor6>0,0,0</teamColor6><teamColor7>0,102,204</teamColor7><teamColor8>204,204,255</teamColor8><teamColor9>255,0,0</teamColor9><teamColor10>255,255,0</teamColor10><displayAnswerImagesDuringVote>Yes</displayAnswerImagesDuringVote><displayAnswerImagesWithResponses>Yes</displayAnswerImagesWithResponses><displayAnswerTextDuringVote>Yes</displayAnswerTextDuringVote><displayAnswerTextWithResponses>Yes</displayAnswerTextWithResponses><questionSlideID></questionSlideID><controlBarState>Expanded</controlBarState><isGridColorKnownColor>True</isGridColorKnownColor><gridColorName>Yellow</gridColorName></Settings> <?xml version="1.0"?><AllResponses /> <?xml version="1.0"?><AllQuestions /> <?xml version="1.0"?><AllAnswers /> Navigating Legal Barriers to Effective Public Health Emergency Response Meredith Allen, DrPH, MS Director, Preparedness and Strategic Partnerships ASTHO

ASTHO Legal Barriers Project Objective To develop and share with the practice community sets of tools that all public health officials can use to improve their understandings of critical legal barriers to effective infectious disease response and devise approaches to eliminating those barriers that reflect useful practices

Precursor to Legal Barriers Project H1N1 Policy Barriers Project Environmental scan, survey, state-based field assessments, advisory workgroup input Report: Assessing Policy Barriers to Effective Public Health Response, June 2010 200 barriers identified 31 prioritized as frequent, significant, and/or pressing

Legal Barriers Project Advisory Committee ranked legal topics identified in Policy Barriers project Topics prioritized for the development of tools: Statutory Authorities and Liability Protections Emergency Use Authorizations Public Health & Schools Expanded Scope of Practice

ASTHO Legal Preparedness Toolkits Project has its genesis in responses to H1N1 and prior infectious disease and other emergencies Found that two types of legal issues arose: Some unique to or arising in that event (“new”) Others perennial with each event (“old”) Wanted a way to address “old” and “new” issues for different and changing audiences

Focus of Toolkits For use by multiple audiences Meet different needs State and local health officers Program staff Legal counsel Meet different needs Learning or refreshing Accessing additional resources In preparation and response situations Provide quick references

Eight Toolkits Developed Emergency Authority & Immunity (EAI) Emergency Use Authorization (EUA) Public Health & Schools (Schools) Scope of Practice (SOP) Public Health & Information Sharing Emergency Volunteers Drug Shortage (in development) Altered Standards of Care (in development)

Toolkit Overview Each kit contains a mix of document types with different levels of detail about the issues covered in the toolkit Access kits through a project introductory webpage on ASTHO’s website Presented in multiple formats Online at ASTHO website Printable in PDF format

Document Types in the Kits Table of Contents Executive Overviews Fact Sheets Issue Briefs State Analysis Guides Current Issues Updates Resource Materials Supplement

Toolkit Overview

Table of Contents

Table of Contents

Executive Overviews One-page snapshots of key concepts and issues

Fact Sheets One-page documents addressing fundamental issues or legal authorities

Fact Sheets One-page documents addressing fundamental issues or legal authorities

Issue Briefs In-depth information and analyses of fundamental issues

State Analysis Guides Aids to assist states in identifying and analyzing their own statutes, regulations, and policies

Current Issues Updates Periodic updates on new and evolving issues

Resource Materials Supplement Bibliographies and links to key agencies, organizations, laws, and other documents

Resource Materials Supplement Bibliographies and links to key agencies, organizations, laws, and other documents

Next Steps on Toolkits Evaluation of the toolkits Link to survey on legal barriers website Updates to first 4 toolkits Reauthorization of Pandemic All-Hazards and Preparedness Act (PAHPA)

Acknowledgements CDC Office of Public Health Preparedness and Response CDC Public Health Law Program Pat Elliott, Logan Circle Policy Group Members of the ASTHO Legal Barriers Advisory Workgroup The Network for Public Health Law- Mid-States Regional Center, University Of Michigan