As behavioral health and overdose crises continue to strain health systems, states are rethinking how and where care is delivered. In this episode, Dr. Jerry Larkin, the Director of the Rhode Island Department of Health and an ASTHO member, explains how youth-focused mobile response and stabilization services provide rapid, in-home crisis care and keep children out of emergency departments and reduce the need for hospitalization. The conversation explores why Rhode Island moved to require insurance coverage for these services and how states can sustain them amid funding uncertainty. Later, ASTHO Senior Director of Overdose Prevention, Richa Ranade, discusses the evolving policy landscape around naloxone, including efforts to expand access in schools, libraries, and other public spaces to prevent overdose deaths. Together, the guests highlight how prevention-focused, community-based approaches can save lives and strengthen public health systems.

Policy Trends Shaping Behavioral Health in 2026 |

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Data Modernization Primer and Tactical Guides |

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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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In this episode and as part of our PHIG Impact series, Amy Perkins of the Wisconsin Department of Health Services talks about how the state is rethinking public health infrastructure funding to make life easier for local and tribal health departments. Amy explains how Wisconsin is using the Public Health Infrastructure Grant (PHIG) to reduce administrative burden, decentralize funding management, and prioritize flexibility over red tape. Amy discusses practical strategies like housing PHIG within a partnership-focused office, streamlining grant processes, supporting accreditation by directly covering PHAB fees, and quickly moving funds through regional service and resource-sharing grants. Amy also shares what she’s hearing from the field: how flexible funding is helping health departments sustain staff, invest in professional development, strengthen foundational capabilities, and better respond to community needs.

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As part of our State Health Policy portfolio, ASTHO releases an annual legislative prospectus: a series of policy briefs summarizing state and territorial legislation that impacts public health. Today, Dr. Joseph Kanter, ASTHO’s CEO, will summarize the 2026 prospectus, identify trends in public health law for the next year, and provide a high-level overview for public health professionals and policymakers in time for upcoming legislative sessions.

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For the first time, all eight U.S. territories and freely associated states have been included in PHWINS, or the Public Health Workforce Interests and Needs Survey. Rachel Hare Bork joins the show to discuss how this landmark pilot effort came together, why it took extensive travel and collaboration to make it happen, and what the results reveal about the public health workforce across the islands. She explores key findings, like the islands’ notably younger workforce, gaps in public health education, and the powerful new data leaders can use to advocate for resources. She also digs into why counting these communities matters for both territorial planning and the national public health conversation, and what it will take to continue this work in future PHWINS cycles.Webinar Registration - ZoomSubscribe | ASTHO

As health departments modernize their data systems, an unexpected challenge has emerged: traditional public health job classifications no longer match the reality of today’s data landscape. In this episode, Ari Whiteman, ASTHO’s Senior Advisor for Public Health Data and Informatics Workforce, talks about why the field urgently needs new informatics-focused roles, and what it will take to build them. Whiteman explains how interoperability, electronic health records, and complex data pipelines have outpaced legacy classifications like epidemiologist or public health analyst. Leveraging the Public Health Infrastructure Grant (PHIG), state, local, and territorial health agencies can build classification systems that enhance recruitment and retention of an informatics-savvy workforce. Updating job classifications can help clarify new roles, alleviate pressure on existing roles, and enable health agencies to sustain workforce infrastructure that is flexible and forward-looking. He discusses the hesitancy and bureaucracy that make change difficult, the opportunity cost of doing nothing, and why modernizing job classifications is essential for faster outbreak response, stronger surveillance, and smarter public health decision-making.Data Modernization Primer and Tactical Guides | ASTHOHow to Modernize Data Infrastructure: A Toolkit for Public Health Leaders | ASTHOASTHO Announces Sixth Developing Executive Leaders in Public Health Cohort | ASTHO