Megan Resolutions

1989- Supporting Voluntary HIV Testing

89-5

Arizona Public Health Association Annual Meeting
September 13, 1989

Resolution: Supporting Voluntary HIV Testing

WHEREAS: The counseling and education which accompany HIV testing present a unique opportunity to affect behavior change; and

WHEREAS: rather than testing there are more appropriate and less costly methods of educating those who are at little or no risk.

WHEREAS: in the past bills have been introduced in the Arizona Legisla­ture which do not have adequate provisions for counseling and education services; and

WHEREAS: testing in the absence of counseling and education hold minimal preventive merits.

NOW THEREFORE BE IT RESOLVED:
The Arizona Public Health Association supports:
1. voluntary HIV testing accompanied by an adequate standard of counseling and education,
2. statutory/regulatory protection of confidentiality,
3. improved access to free, confidential and anonymous testing services in rural areas of the state and under served urban neighborhoods.

Approved by the AZPHA membership at the Fall Meeting, September, 1989.

Executive Secretary
117~1989_(1) Supporting voluntary HIV testing (HIV-AIDS, healthcare)

Megan Resolutions

1989- Restricting Mandatory HIV Testing

Arizona Public Health Association Annual Meeting
September 13, 1989

Resolution: Restricting Mandatory HIV Testing

WHEREAS: HIV testing is currently mandated for blood and organ donors, federal prisoners, immigration/refugees, military personnel, and inductees; and

WHEREAS: bills before the Arizona legislature during the past two sessions have attempted to extend mandatory testing to populations where the risk has not been documented; and

WHEREAS:the American Medical Association, Centers for Disease Control, and the Surgeon General have expressed opposition to widespread mandatory testing for low risk populations; and

WHEREAS: mandatory testing programs will divert funds from preventive efforts to combat the spread of HIV

NOW THEREFORE BE IT RESOLVED:
The Arizona Public Health Association does not support mandatory HIV testing:
1. for any population in Arizona without first determining the prevalence of HIV infection in that population;
2. when state seroprevalence data does not warrant mandatory testing established by national standards;
3. when specific plans and resources for the provision of accompanying counseling and education have not been developed;
4. for those who have been exposed through casual contact;
5. when specific procedures for protecting confidentiality of HIV test results are not in place.

Approved by the AZPHA membership at the Fall Meeting, September, 1989.

Date Executive Secretary

118~1989_(1)Restricting mandatory HIV testing (infectious disease, HIV-AIDS, education, public safety)

Megan Resolutions

1989- Arizona Pharmacists Filling Prescriptions Written by Foreign Physicians

ARIZONA PUBLIC HEALTH ASSOCIATION

Resolution: Arizona Pharmacists Filling Prescriptions Written by Foreign Physicians

WHEREAS: The Arizona state Board of Pharmacy recently decided to begin enforcement in 1990 of a decades old law, ignored until now, which makes it illegal for Arizona pharmacists to fill prescriptions written by physicians not licensed in the U.S.; and

WHEREAS: Enforcement of this law will deny access to Mexicans, and
U.s. citizens who choose to seek care from Mexican physicians, who require drugs which at times are only available in the U.S.; and

WHEREAS: Although Mexico manufactures most pharmaceuticals there are frequent and long periods when certain drugs are not available. These periods of non-availability are especially frequent along the Mexico-u.s. border; and

WHEREAS: The United States offers a safe, dependable supply of vaccines and other medications.

NOW THEREFORE BE IT RESOLVED:
The Arizona Public Health Association supports state legislative action that would repeal the law which prohibits Arizona pharmacists from filling prescriptions written by physicians not licensed in the U.S.

Approved by the Arizona Public Health Association Board of Directors at its regular monthly meeting of November, 17 1989.

11-17-87 Date Executive Secretary

120~1989_(1) AZ pharmacists filling rx written by foreign physicians (medication, healthcare)

Megan Resolutions

1990-Basic Public Health Services

BASIC PUBLIC HEALTH SERVICES

WHEREAS: In Arizona there is a lack of unified public health operations among county health
·
WHEREAS: All Arizonans do not have equal access to basic public health services and

WHEREAS: Standards which stipulate basic public health services have not been adequately articulated nor promulgated and

WHEREAS: Funding for public health services has continually been decreasing and

WHEREAS: Public health funding rather than public health need has determined the type and scope of service delivery and

WHEREAS: Diversity of services from one local health department to another exists

WHEREAS: There has been a lack of unified, coordinated statewide initiative to implement a much needed transformation and revitalization of the Arizona public health system;

AND WHEREAS: In some communities, AHCCCS providers refer AHCCCS clients to local health departments, which then bear the costs of such services, while AHCCCS providers still receive full payment;

THEREFORE BE IT RESOLVED THAT: A collaborative partnership be established between the Arizona Counties Health Officers Association (ACHOA) and the Arizona Public Health Association (AzPHA) to take the leadership role and to initiate and maintain a statewide coordinated effort to 4 ldentify initiate and maintain a statewide coordinated effort to identify BASIC AND RECOMMENDED SERVICES for Arizona’s public health system;

BE IT FURTHER RESOLVED THAT: A legislative plan be developed which would result in statutory public policy changes to ensure ADEQUATE delivery of basic services among county health departments;
BE IT FURTHER RESOLVED THAT: The drafted legislation propose that the State provide county health departments the funds necessary to:
(1) institute and maintain the delineated basic services;
(2) improve their capabilities to carry out the functions of assessment, policy development and assurance. Said funds could be derived by requiring a health-related increase in cigarette tax and/or liquor tax, similar to what has been accomplished in California and Michigan.

BE IT FURTHER RESOLVED THAT: Within the drafted legislation county health departments be provided with adequate legislative support to carry out their responsibilities.
Such support would include the guidelines for county funding;

BE IT FURTHER RESOLVED THAT: Within the drafted legislation, the funding for prevention services overall, be given a higher priority;

AND BE IT FURTHER RESOLVED THAT: It be proposed, within the drafted legislation, that AHCCCS channel funding to local health departments as contracted providers of selected primary care services.4

Approved by the AzPHA membership at the Fa11 Meeting, September 13, 199D.

121~1990_(1) Basic public health services (public health infrastructure, healthcare, innsurance, legislation)

Megan Resolutions

1992- Early Periodic Screening, Diagnostic, and Treatment

ARIZONA PUBLIC HEALTH ASSOCIATION ANNUAL MEETING
EARLY PERIODIC SCREENING, DIAGNOSTIC, AND TREATMENT
RESOLUTION 92-1

92-1

WHEREAS, The Arizona Public Health Association has urged improvement in Primary Health Care Services, particularly to the medically underserved.

WHEREAS, The Early Periodic Screening, Diagnostic and Treatment (EPSDT) Guidelines provide a comprehensive tool for the definition and delivery of services to children to the age of 22.

WHEREAS, The Arizona Health Care Cost Containment System (AHCCCS) includes mechanisms for providing such services.

WHEREAS, There could be improvements in the current EPSDT program.

WHEREAS, The program does not cover all children in the State of Arizona.

RESOLVED, That the Arizona Public Health Association recommends the EPSDT Program be adopted as the standard for providing health services to all children in the State.

RESOLVED FURTHER, That that following specific recommendations be under- taken to improve the health status of children:
That AHCCCS encourage alternative mechanisms for providing EPSDT services, demand compliance from those plans, etc., providing services to the identified eligible population.

That the Plans develop linkages with other health care providers to improve participation, work with these providers to develop innovative demonstration projects, and foster communication with the plan participants and others to promote wellness.

That other providers, persons, groups, communities, counties, etc., offer alternatives to the Plans, AHCCCS, etc., to assist with improvement in EPSDT services. Private Practitioners are encouraged to improve preventive services (EPSDT).

That ADHS, AHCCCS, Plans, Counties, etc., increase communication and education efforts regarding the benefits of EPSDT for all children. Material must focus on and involve many groups: providers, clients, plans, agencies, media, etc.

That a computerized EPSDT data system be implemented initially for AHCCCS children, but with capability to expand to all children.
That AzPHA identify a cadre of individuals and agenc es with expertise in EPSDT services to be technical consultants for implementing these recommendations.

That AzPHA sponsor efforts and events which will encourage improvements in delivery of EPSDT services.

APPROVED by the AzPHA membership at Annual Business Meeting – Sept. 18,.1992

Executive Secretary

123~1992_(1)Early periodic screening diagnostic and treatment (child, healthcare, prevenative health, insurance )

Megan Resolutions

1993- Smoke Free Campus

ARIZONA PUBLIC HEALTH ASSOCIATION RESOLUTION: SMOKE FREE CAMPUS
Resolution 93-1

WHEREAS, the use of tobacco leads to illness, disability and death; and

WHEREAS, the cost of lost lives, absenteeism from work, decreased productivity and establishment of smoking areas is in the billions of dollars annually; and

WHEREAS, second-hand smoke is a significant threat to the health, safety, and quality of life of non-smokers exposed to smoking;

NOW THEREFORE BE IT RESOLVED that the Arizona Public Health Association endorses the concept and encourages the establishment of smoke-free campuses for business, labor, education, and government;

BE IT FURTHER RESOLVED that this resolution be available to other interested organizations or individuals for their use and support.

Passed by Board of Directors 9/29/93

Approved by Membership Annual Meeting 10/1/93

Executive Secretary

124~1993_(1) Smoke free campus (tobacco, public safety)

Megan Resolutions

1993- Tobacco Vending Machines

ARIZONA PUBLIC HEALTH ASSOCIATION RESOLUTION: TOBACCO VENDING MACHINES
Resolution 93-2

WHEREAS, vending machines are used to distribute tobacco products in an unsupervised and unregulated fashion; and

WHEREAS, the use of tobacco products is increasing among youth; and,

WHEREAS, most states have laws prohibiting or limiting the sale of tobacco products to minors but are circumvented by vending machines;

NOW THEREFORE BE IT RESOLVED that the Arizona Public Health Association opposes the use of vending machines to distribute tobacco products;

BE IT FURTHER RESOLVED that the Arizona Public Health Association supports laws like Ordinance No. 2498 of the City of Scottsdale as well as legislation to ban the use of vending machines for the distribution of tobacco products.

Passed by Board of Directors 9/29/93

Executive Secretary

Approved by Membership Annual Meeting 10/1/93

125~1993_(1)Tobacco vending machines (tobacco)

Megan Resolutions

1993- Tobacco Retail Licensing

93-3

ARIZONA PUBLIC HEALTH ASSOCIATION
RESOLUTION: TOBACCO RETAIL LICENSING
Resolution 93-3

WHEREAS, the use of tobacco leads to illness, disability
and death; and

WHEREAS, the use of tobacco products is increasing among youth; and

WHEREAS, Arizona law prohibits the sale of tobacco products to minors, but this law is not enforced; and

WHEREAS, licensing of tobacco vendors, as proposed by the
U.S. Department of Health and Human Services’ “Model Sale of Tobacco Products to Minors Control Act,” would facilitate the enforcement of laws prohibiting the sale of tobacco products to minors;

NOW THEREFORE BE IT RESOLVED that the Arizona Public Health Association supports:

l) a tobacco sales licensing system similar to that used for alcoholic beverages;

2) a graduated schedule of penalties for illegal sales, with separate penalties for failure to post a sign regarding legal age of purchase; and

J) primary responsibility for enforcement with a designated state agency, with participation and input from local law enforcement and public health officials, and using civil penalties and local courts to asses fines.

Passed by Board of Directors 9/29/93

Approved by Membership Annual Meeting 10/1/93

Executive Secretary

126~1993_(1)Tobacco retail licensing (tobacco)

Megan Resolutions

1994- Tobacco Excise Tax

ARIZONA PUBLIC HEALTH ASSOCIATION RESOLUTION: TOBACCO EXCISE TAX
Resolution 93-4

WHEREAS, the use of tobacco leads to illness, disability
and death; and

WHEREAS, the adverse economic costs attributable to smoking, such as lost productivity, disability and health care expenses, amount to over $810 million per year in Arizona, or $2.73 per pack of cigarettes sold in Arizona; and

WHEREAS, all of society bears this economic burden; and

WHEREAS, current Arizona excise tax on cigarettes is 18¢
per pack; and

WHEREAS, increasing tobacco taxes decreases consumption, especially among young initial users;

NOW THEREFORE BE IT RESOLVED that the Arizona Public Health Association supports increasing tobacco excise taxes to a level which both reimburses society for expenses incurred by sers and discourages further tobacco use.

Passed by Board of Directors
9/29/93

Approved by Membership Annual Meeting

127~1993_(1)Tobacco excise tax (tobacco)

Megan Resolutions

1994- Repeal of S.B. 1053

ARIZONA PUBLIC HEALTH ASSOCIATION REPEAL OF S.B. 1053 (“TAKINGS LEGISLATION”)

RESOLUTION 94-1

WHEREAS
The Arizona Public Health Association has always supported responsible and balanced public policy.

WHEREAS
The “takings” legislation passed by the Arizona Legislature and signed by Governor Symington in 1992 and known as SB 1053 is not responsible or balanced public policy.

WHEREAS
The Arizona Takings Legislation could limit the enforcement of many of Arizona’s public health and safety regulations g11d undermine efforts to protect the environment, civil rights, consumers, the elderly, children, and nearly every area where actions are designed to protect public health and safety.

WHEREAS
The Arizona Takings Legislation would add layers of bureaucratic review and additional delays to implementation of rules and regulations.

WHEREAS
The takings legislation could have an extremely negative fiscal impact on the Arizona budget and could limit much needed programs.

WHEREAS
During hearings on the takings legislation, the proponents were unable to present a single example of a state action resulting in a taking, and thus were unable to demonstrate any need whatsoever for this legislation.

THEREFORE BE IT RESOLVED THAT:
The Arizona Public Health Association endorses. the repeal of the Arizona Takings Legislation (SB 1053) that was passed in the 1992 legislative session and supports the campaign to win repeal of this legislation.

PASSED BY BOARD OF DIRECTORS
March 18, 1994

PASSED BY MEMBERSHIP
Annual Meeting 9/15/94

Pat Zurick, Executive Secretary

128~1994_(1)Repeal of S.B. 1053 (misc, legislation)

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