RIP Arizona Energy Efficiency Standards

In 2010, the Arizona Corporation Commission adopted Energy Efficiency Standards that required they utilities that the ACC regulates (e.g. APS, TEP) to steadily reduce energy waste. The rules called for the utilities to achieve annual energy savings equivalent to 22% of their previous year’s retail energy sales by 2020.

They were directed to meet these goals through programs like weatherization, high-efficiency lighting and appliances, load management, and demand-response tools to reduce peak demand.

It was working. For every $1 people invested in energy efficiency, Arizonans saw nearly $4 in benefits, a return on investment that is difficult to match in any other energy resource.

Over time, these standards saved families hundreds of millions of dollars, reduced stress on the grid during sweltering summer months, and cut down on the need for building more methane burning power plants.

Despite the Rules’ success, the ACC voted unanimously Wednesday to repeal the Electric Energy Efficiency Rules.

The Commissioners justified their repeal by arguing that the rules “force ratepayers who don’t use energy efficiency programs to foot the bill for those who do.” This ignores the fact that energy efficiency saves money for all customers by reducing the need for new, expensive power plants and transmission infrastructure.

We opposed the Commission’s action, urging the ACC to modernize them, cut unnecessary administrative costs while keeping the benefits.

The repeal won’t take effect immediately but once finished in a few months utilities will stop incentivizing ratepayers to save energy. Instead, they’ll continue to focus on more and more methane burning power plants to generate the electricity that efficiency practices spurred on by the efficiency standards had been saving. 

But – voters put these commissioners in place, so the majority of Arizonans must not care about energy efficiency or the constant increase in their electricity bills.

The Endangerment Finding: What It Is & Why Its Repeal is a Disaster

The Trump administration has announced its intention to revoke the U.S. Environmental Protection Agency’s (EPA) Endangerment Finding, a cornerstone of modern public health and environmental protection. Here’s what Arizonans need to know about what the Endangerment Finding is, and why revoking it would endanger our health, safety, and future.

What Is the Endangerment Finding?

In 2007, the U.S. Supreme Court ruled in Massachusetts v. EPA that greenhouse gases like carbon dioxide and methane qualify as “air pollutants” under the Clean Air Act. The Court required EPA to determine whether those pollutants endanger public health or welfare.

Two years later, in 2009, the EPA issued its Endangerment Finding, concluding that six major greenhouse gases – including carbon dioxide, methane, and nitrous oxide – pose a direct threat to human health and well-being. That finding, which the courts have again and again – legally obligates the EPA to create and enforce various standards to cut climate pollution from power plants, vehicles, and other sources. These standards have worked: Over the last 15 years, air pollution has decreased dramatically, and much of this decrease can be attributed to EPA standards that rest on the foundation of the Endangerment Finding.

Why does the Endangerment Finding Matter in Arizona?

Arizona is already on the frontlines of the climate crisis. Over the past few years, we’ve seen record-breaking heat waves, prolonged droughts, and devastating wildfires. Phoenix recently endured more than 140 consecutive days above 100 degrees, straining hospitals and driving up rates of heat-related illness and death.

The Endangerment Finding underpins standards that:

  • Reduce air pollution from cars, trucks, and power plants.
  • Prevent thousands of asthma attacks and premature deaths each year.
  • Protect vulnerable communities, including children, older adults, and those with pre-existing conditions, from extreme heat and poor air quality.

Without it, Arizona communities would be left more exposed to dirty air, dangerous heat, and escalating health risks.

What Happens If It Is Revoked?

If the Trump administration rescinds the Endangerment Finding, the EPA would no longer be required to protect Americans from climate pollution, even though the science proves that pollution is making our air dirtier, our weather more extreme, and our families less health

Without the EPA’s anti-pollution standards, we can expect climate change to worse. That means:

  • More extreme weather, including longer droughts, more severe wildfires, and intense flash floods.
  • Greater spread of diseases – such as the West Nile virus, Zika, and Valley Fever – as warmer conditions expand the reach of disease-carrying insects.
  • Threats to drinking water, as droughts and floods alternately compromise water supplies.
  • Rising health care costs, as pollution-related illnesses, such as asthma, heart disease, and other respiratory conditions, become more widespread.
  • Economic harm to Arizona’s farmers, ranchers, and families as heat and water stress undermine crops and livelihoods.

In short, revoking the Endangerment Finding would give fossil fuel companies a green light to pollute with impunity. Meanwhile, Arizonans would be forced to pay the price with our wallets, our health, and even our lives.

What Can You Do About It?

You can take action by telling the EPA that your health deserves to be protected. The EPA is accepting public comments on this proposal until September 22. This weekend is our last chance to make our voices heard.

 CLICK HERE to submit a comment to the EPA urging them to keep the Endangerment Finding in place and continuing protecting our health from dangerous climate pollution. In comment be sure to remind the EPA that protecting public health is the very core of its missions. Also, be sure to share your personal story about how climate change and air pollution have affected you, your family, and your community.

Study: Daily steps and health outcomes in adults: a systematic review and dose-response meta-analysis

Walking is one of the easiest ways to improve your health. You don’t need a gym membership or special equipment—just a pair of shoes and a little time each day.

A new study published in The Lancet Public Health looked at data from more than 160,000 people. Researchers found that walking around 7,000 steps a day can lower the risk of many serious health problems. Even walking about 4,000 steps showed clear benefits.

People who hit this mark had a much lower chance of dying early, getting heart disease, type 2 diabetes, cancer, dementia, or even depression compared to people who only walked about 2,000 steps a day.

Daily steps and health outcomes in adults: a systematic review and dose-response meta-analysis – The Lancet Public Health

Walking also helps with mood, sleep, stronger bones, and keeping a healthy weight. For Arizona communities, encouraging people to walk more—through safe sidewalks, parks, and community programs—can make a big difference.

One simple way to stay on track is to use a Fitbit, Apple Watch, or another smartwatch.

These devices count your steps, remind you to get moving, and let you see your progress over time. Setting daily goals and seeing the numbers add up can be motivating and keep you accountable.

If you’re looking for a healthy habit that’s free, simple, and proven to work, start by walking more. Aim for 7,000 steps a day—and step into better health.

Arizona Losing SNAP‑Education in 2 Weeks

HR1 made big (bad) changes to federal nutrition programs, including SNAP (the Supplemental Nutrition Assistance Program). While many of the cuts like stricter SNAP eligibility rules and ending health insurance subsidies won’t happen until after the 2026 elections, one change is immediate: SNAP‑Ed, the nutrition education program, will mostly end at the end of this month.

SNAP‑Ed (administered by ADHS) has helped Arizonans for decades. It teaches families how to eat healthy on a budget, provides lessons in schools, supports community gardens, farmers markets, and runs public campaigns on nutrition. 

Research shows SNAP‑Ed improves food security, helps prevent diet-related diseases, and supports healthy habits that last a lifetime.

Cutting SNAP‑Ed means we’ll lose these important services. Families will have fewer opportunities to learn about nutrition and healthy cooking. Schools and community programs that rely on SNAP‑Ed funding will struggle to keep offering lessons and workshops.

Rural communities and low-income families are likely to feel the effects first, as they rely on SNAP‑Ed for guidance, education, and support.

Ending SNAP-Ed removes a proven program that has improved the health and food security of Arizonans for years. Without SNAP‑Ed, families will face more challenges accessing healthy food.

HR1-SNAP-Changes-Presentation-Hunger-Summit

Hobbs Acts to Protect COVID Vaccine Access Directs ADHS, Pharmacy Board & DIFI to Implement Administrative Interventions

Kennedy’s new anti-vaccine Advisory Committee for Immunization Practices (ACIP) meets this Thursday and Friday where they’ll make decisions that will restrict access to COVID boosters for wide sloths of the population. They may also restrict access to Hepatitis B, RSV and MMRV, but they’re not meddling with influenza for the time being.

Governor Hobbs launched a pre-emptive plan Thursday to mitigate the damage to COVID vaccine access that the ACIP will do next week.

See the Executive Order
Arizona governor takes 1st step toward expanded COVID vaccine access

The ACIP meeting next week is super important because ACIP recommendations are hard-wired into state and federal law when it comes to vaccine access.

That’s because health plans only have to cover vaccines when they’re recommended by the ACIP (under the ACA) and pharmacists can only administer vaccines without a prescription when they’re recommended by ACIP for that patient cohort.

Hobbs’ Executive Order has three main elements that tackle vaccine administration and payments.

  • One track directs ADHS to issue a Standing Order that would provide a prescription for all people in Arizona who fit into categories recommended for vaccination by reputable organizations like the American Academy of Pediatrics and the American Medical Association. That will let pharmacists administer the vaccine under a standing order rather than an individual prescription.
  • Another task directs the AZ Board of Pharmacy to ensure pharmacists can act under that Order as part of their scope of practice, relieving administrative barriers to vaccine administration in pharmacies.
  • A third track nudges the AZ Department of Insurance and Financial Institutions to require the health plans they regulate cover the COVID vaccine for their members without a copay or deductible.
  • The EO didn’t direct AHCCCS to cover the COVID vaccine for their members – but at the vaccine summit this week AHCCCS leadership seemed confident that they’d be able to cover the vaccine for their members even for those populations that ACIP excludes next week.

Taken together those actions should mitigate the damage to COVID vaccine access after ACIP restricts recommendations next week.

Once these new interventions are in place, Arizonans will be in a better position to mitigate ACIP’s damage to COVID vaccine access by giving pharmacists the ability to vaccinate under the Standing Order and compelling health insurers and AHCCCS to cover. It’ll also provide some clarity from vaccinators about how much vaccine to order and whether their staff can administer it.

Good timing on this Executive Order – as this week is the perfect time to do the necessary planning so we can move quickly after we find out how much damage Kennedy’s ACIP does next Thursday and Friday.

View AZPHA’s Member Breakfast & Learn: Suicide Prevention in Arizona

Local Suicide Surveillance Data Trends & AZ Suicide Mortality Review Board Recommendations 

View the Webinar Here: 

 View the Webinar Here Passcode: 6#2JMC.u


This informative webinar reviews of local trends in suicide surveillance and the priorities and activities of Arizona’s  Suicide Mortality Review Board.

The Board examines individual suicide deaths in the state to identify contributing factors and systemic gaps. Its members include public health officials, clinicians, law enforcement, and community representatives.

The team analyzes case data looking for preventable patterns, making recommendations aimed at improving prevention strategies, strengthening support systems to reduce suicide rates statewide.

How Kennedy’s Plan to Cut NIH by 40% Would Damage Medical Progress

The National Institutes of Health (NIH) is the world’s largest funder of biomedical research, and its work underpins nearly every major advance in modern medicine. NIH supports basic science research—the “bottom of the pyramid” work that is too risky and too long-term for private companies to finance. This research includes studies in genetics, cell biology, immunology, neuroscience, and how diseases develop.

Without NIH, the base of our medical innovation pyramid collapses. Companies need that knowledge to create real treatments. COVID-19 vaccines, cancer immunotherapies, and HIV treatments all grew from many years of NIH-supported discoveries.

NIH-funded research primarily supports foundational science. This is the kind of research that looks to understand how biological systems function at the most fundamental level, studying genes, proteins, cellular pathways, and disease mechanisms.

It doesn’t usually result in a new drug tomorrow, but it builds the essential knowledge that makes applied innovation possible. Without this groundwork, private companies would be venturing into the unknown with much higher risk and cost.

Once foundational discoveries are made, the private sector often steps in to conduct translational research. This phase bridges the gap between basic science and practical applications, finding potential drug targets, developing new therapies, and designing early testing models.

Translational research is where discoveries start to show real promise for clinical use, but it is expensive and risky—far more so without the insights generated by publicly funded research.

Finally, clinical trials bring potential therapies to patients. These trials are typically led by private companies that have the resources to navigate the regulatory process, scale production, and ensure safety and efficacy. By the time a therapy reaches this stage, NIH-funded research has often been critical in finding the underlying biology that made the therapy conceivable.

One Arizona-based example brings this home. At the University of Arizona’s Center for Advanced Molecular and Immunological Therapies, researchers are using NIH-funded work on mRNA to create personalized cancer vaccines.

These highly precise treatments – that have the potential to displace the blunt instrument of chemotherapy in some cases – wouldn’t be possible without the basic science that NIH supports.

A 40% cut to the NIH budget would do more than slow progress—it would break the pipeline. Labs would close. Young scientists would leave. The training ground for tomorrow’s breakthroughs would vanish. That damage would last for decades.

Why NIH matters

  • Builds the foundation: NIH pays for early research into how diseases work.
  • Drives innovation: Most new treatments—like cancer vaccines and HIV drugs—come from NIH discoveries.
  • Supports jobs and learning: Grants fund lab workers, grad students, and new scientists.
  • Boosts our economy: Every dollar of NIH research often leads to new companies, patents, and medical tools.
  • Keeps us global leaders: NIH helps make sure big medical breakthroughs happen right here in America.

Kennedy’s plan to cut NIH funding by 40% next year will sabotage the scientific discoveries that will change lives for years to come. The long-term damage occurs as research scientists leave the field causing an atrophy of people to actually do the research even after the current administration leaves.

AZPHA Member Breakfast & Learn Suicide Prevention in Arizona: Local Suicide Surveillance Data Trends & AZ Suicide Mortality Review Board Recommendations 

Friday, September 12, 2025

9-10am


Join us for this informative review of local trends in suicide surveillance and the priorities and activities of Arizona’s Suicide Mortality Review Board.

The Board examines individual suicide deaths in the state to identify contributing factors and systemic gaps. Its members include public health officials, clinicians, law enforcement, and community representatives.

The team analyzes case data looking for preventable patterns, making recommendations aimed at improving prevention strategies, strengthening support systems to reduce suicide rates statewide.

Our Speaker: Kelsey Manders,

Maricopa County Department of Public Health

Kelsey Manders is a dedicated Suicide Education and Prevention Coordinator with over five years in mental health and crisis prevention. She holds a Master’s in Social Work from Boston University, where she specialized in community-based interventions and policy change.

Throughout her career, Kelsey has been committed to supporting individuals at risk of suicide, working to create comprehensive prevention strategies, and instilling trauma-informed policies.

Register Here: Free for AZPHA Members

Protecting COVID-19 Vaccine Access: What AZ Can Do After ACIP/CDC Restricts Coverage

The Advisory Committee on Immunization Practices meets in Atlanta on September 18–19, 2025 to review the immunization schedules for several vaccines.

Normally, ACIP is made up of medical and public health experts who carefully review evidence and make recommendations to protect public health. But earlier this year, Secretary Kennedy removed those qualified members and replaced them with anti-vaccine activists and wellness influencers.

This change matters a lot. ACIP recommendations guide both federal and state rules about who gets access to vaccines, which vaccines must be covered with no out-of-pocket costs, and even who is allowed to give shots.

On the table later this month are several vaccines: COVID-19, RSV, MMRV, and Hepatitis B. For now, let’s focus on COVID-19, because access to that vaccine could shrink dramatically depending on what ACIP recommends.

If ACIP only recommends the COVID-19 vaccine for people over 65 and a small group of younger adults with certain high-risk medical conditions, then insurance companies won’t have to cover the shot for everyone (per the Affordable Care Act).

Pharmacists in Arizona would also lose the ability to give the vaccine to most people without a prescription. This would create real barriers for people who want protection from COVID-19, especially those who are used to the convenience of getting vaccinated at a pharmacy.

Fortunately, Arizona has some options to step in and protect access.

First, AHCCCS, Arizona’s Medicaid program, which covers nearly 2 million people, could make an administrative decision to cover the COVID-19 vaccine for all members.

There’s precedent for this kind of action. During the H1N1 outbreak, AHCCCS made a similar decision to ensure widespread access to vaccines. If AHCCCS takes this step again, it would go a long way toward keeping vaccines available.

Another possibility is through regulating private insurance. The Arizona Department of Insurance and Financial Institutions may have the authority to require private insurance companies to cover the COVID-19 vaccine, even if (when) ACIP narrows its recommendation. If that authority is clear, DIFI may be able to make sure Arizonans with commercial insurance don’t lose coverage for that vaccine.

Pharmacy access is also a critical issue. Most Arizonans now rely on their local pharmacy for vaccines. But under state law (ARS 32-1974), pharmacists can only give vaccines to groups recommended by ACIP, unless action is taken at the state level.

There are two tools at the state level. The ADHS could publish its own list of vaccines that pharmacists can give without a prescription [ARS 32-1974(H)]. Because ADHS is exempt from the normal rulemaking process under that statute, it could be done pretty quickly, within a matter of months.

In the meantime, the ADHS Chief Medical Officer or county health officers could also issue what’s known as a “standing order.” This works like a blanket prescription that applies to entire groups of people, allowing pharmacists to continue giving the COVID-19 shot to the broader population.

These options could mitigate the damage caused by a restrictive ACIP recommendation when they meet later this month. It’ll require coordination and swift action across agencies (and of course leadership & support from the Governor), but it’s possible.

ACIP’s September meeting could make it much harder for Arizonans to get COVID-19 vaccines and maybe even RSV, Hepatitis B, and MMRV too. But, Arizona leaders still have some local tools to protect some access.

By being prepared to act quickly after the September 18 and 19 ACIP meeting via AHCCCS, the Department of Insurance, and the ADHS… we might be able to mitigate some of Kennedy’s damage at least in the short run.