1. Public Health Law and Policy: Principles, Examples, and Applications
Lauren Dunning, JD, MPH
Los Angeles County Department of Public Health

2. Disclaimer
Opinions expressed in this presentation are solely the presenters own and do not express the views or opinions of the Los Angeles County Department of Public Health.
Information and opinions expressed herein are those of the presenter, given in a personal and unofficial capacity, and do not represent official policies or positions of the County of Los Angeles.
This presentation is provided for information purposes only and does not constitute legal advice.

3. Presentation Roadmap The Role of Policy in Public Health
Policy and Planning: Tools and Examples
Discussion

4. The Role of Policy in Public Health
Image attributed to Lawrence O. Gostin, Public Health Law: Power, Duty, Restraint

5. The Role of Policy in Public Health
Public Health Policy
Laws
Regulations
Other Rules
Voluntary Actions

6. The Role of Policy in Public Health
Government as market participant
Incentives and collaboration
Laws and regulations

7. Government as Market Participant
I THEREFORE MOVE THAT THE BOARD OF SUPERVISORS:
Instruct the CEO and County Departments to consult with the Director of the Department of Public Health prior to the release of any Requests for Proposals for County food services contracts that involve the purchase, distribution, and/or sale of food and beverages in County facilities and programs to ensure that dietary requirements within the final contract promote healthy nutrition and comply with previously adopted Board policies.
The Director of the Department of Public Health will work directly with affected agencies to incorporate nutrition recommendations to the extent feasible within each contract.

8. Government Intervention for Health
Government as market participant
Incentives and collaboration
Laws and regulations

9. Choose Health LA Restaurants
A Choose Health LA Restaurant:
Offers customers smaller portion size options of their favorite meals along with the existing menu items
Offers healthier children’s meals that include fruits and vegetables, healthy beverages, and non-fried foods
Offers customers chilled water, free of charge

10. Government Intervention for Health
Procurement and use of public resources
Incentives
Laws and regulations

11. Laws & Regulations
State Non-Medical Exemptions from School Immunization Requirements
Image attributed to National Conference of State Legislatures

12. Presentation Roadmap The Role of Policy in Public Health
Policy and Planning: Tools and Examples
Discussion

13. Policy and Planning: Tools
Policy Tracking
Monitor policy activities at the state, federal, and local levels that impact public health
Policy Agenda
Identify and prioritize emerging policy issues, both short- and long-term, that public health should proactively participate in addressing
Strategic Planning
Ensure long-term strategic plans inform and support policy agendas and focuses on cross-cutting and critical emerging issues .

14. Policy and Planning: Tools
Policy Issues: Identification and Development
Policy Agenda
Programmatic Meetings
Expert and Stakeholder Interviews
Issue Development and Prioritization
Political Engagement

15. Policy and Planning: Tools
I. Short Term
Topic
Description
Previous Action
Existing Language
Impact
(1-5)
Urgency
Feasibility
Political Ripeness (1-5)
II. Long Term
Description (e.g. barrier or area of work)
Existing Laws/
regulations
Target (e.g. state, County, city, institutional)

16. Policy and Planning: Examples
Issue
Tool
Culture Independent Diagnostic Testing in Laboratories
Regulation
Enforcement of Public Health Directives
Motion
Extended Producer Responsibility
Ordinance

17. Example: Farmers’ Markets

18. Example: Farmers’ Markets
Land Use
Private Property
Public Property
Streets
LA City X
Code
EBT
Code (parks)
LA County
San Francisco
On December 16, 2015, Councilmember Jose Huizar moved for the Department of Public Works to report on the City’s authority to require EBT (CalFresh) access at farmers markets and develop a policy for monitoring and enforcing an EBT access requirement at farmers markets and requiring proof of EBT card acceptance when applying for a special events permit to operate a farmers market on City property. The Council adopted the motion on May 13, The City Attorney submitted a draft ordinance including an amendment to the municipal code requiring EBT card acceptance at farmers markets on City property or on City streets. The Department of Building and Safety also submitted a report which documented the procedure for issuing special event permits to farmers markets on private property to require markets to accept EBT cards as well. The Entertainment and Facilities Committee approved the ordinance with these amendments on December 13, 2016.

19. Presentation Roadmap The Role of Policy in Public Health
Policy and Planning: Tools and Examples
Discussion

20. Public Health Law and Policy: Principles, Examples, and Applications
Lauren Dunning, JD, MPH
Los Angeles County Department of Public Health