What happens when the federal government steps back and states are asked to lead? Continuing our Legislative Prospectus Series, which examines the public health policy trends set to shape 2026, ASTHO president and Connecticut commissioner of public health Dr. Manisha Juthani joins the show to discuss the creation of a new public health emergency funding safety net and the difficult decisions leaders face when planning amid constant uncertainty. Later, ASTHO’s senior director of public health infrastructure, Brian Lentes, breaks down key federal funding streams, governance models, and practical steps states can take to stabilize infrastructure, modernize data systems, and support the public health workforce. This episode highlights how strong relationships, thoughtful prioritization, and long-term planning can help states navigate today’s funding challenges.

Policy Trends Shaping Public Health Funding and Administration in 2026 | ASTHO

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In this episode, we continue our legislative prospectus series examining public health trends in policy going into 2026 with Meredith Allen, Vice President for Health Security at ASTHO. She’ll discuss the critical role immunizations play in preventing the spread of disease and protecting communities nationwide. The conversation explores the science behind vaccines, the importance of maintaining high vaccination rates, and how recent developments at the Advisory Committee on Immunization Practices (ACIP) may affect providers, patients, and states, particularly around hepatitis B guidance. Meredith also breaks down why expanded syphilis screening laws are gaining momentum across states and how early detection, especially during pregnancy, can prevent severe outcomes like congenital syphilis.

2026 Legislative Prospectus Series |

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As flu cases climb across the country and pediatric deaths rise, Dr. Natasha Bagdasarian, ASTHO member and Michigan’s Chief Medical Executive, joins us to break down what this flu season means for families, health agencies, and health care systems. Dr. Bagdasarian discusses the troubling decline in flu vaccine uptake since 2020, the risks of overlapping surges of flu, COVID-19, and RSV, and why flu vaccination remains critical, even when it doesn’t prevent every infection. She explains how vaccines reduce severe illness and hospitalizations, helping protect already-strained health systems. The conversation also explores vaccine hesitancy during pregnancy, the importance of maternal vaccination, and how personal stories paired with data can help rebuild trust. Dr. Bagdasarian shares insight into the emerging H3N2 subclade K flu strain, what early data shows about vaccine effectiveness, and how public health officials are tracking flu trends using multiple surveillance tools.

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