Learn How the Arizona State Legislature Works by Listening to this Consumable Podcast During the Break

The Arizona State Legislature will convene on Monday, January 9, 2023. Many legislators will hit the ground running with bills that they already have in the hopper. That means we need to be ready to fight for good bills, fight against bad bills, and be prepared to advocate for adjustments for bills somewhere in the middle right out of the box.

You can prepare your advocacy chops before the legislative session starts by listening to the Arizona Common Ground podcast, an eight-episode educational podcast series that gives a behind the scenes glimpse of the state legislative system and learn how bills can become laws. The Consumable Podcast Series is Available as:

ARIZONA COMMON GROUND on Apple Podcasts

ARIZONA COMMON GROUND | Podcast on Spotify

Krista Romero-Cardenas, MPH, a former senior instructional specialist for the Western Region Public Health Training Center and alumna of the Mel and Enid Zuckerman College of Public Health is the creator and host of the Arizona Common Ground podcast – an eight-episode educational podcast series that will take you through the process of how bills are passed in Arizona.

This is a must-listen to podcast for anybody interested in learning how the Arizona State Legislature makes the sausage!

ARIZONA COMMON GROUND

By AzPHA Member Krista R. Cardenas, MPH

The podcast series is available as ARIZONA COMMON GROUND on Apple Podcasts
ARIZONA COMMON GROUND | Podcast on Spotify

AzPHA Annual Members Meeting: January 11, 2023

AzPHA Annual Members Meeting:
January 11, 2023
11:00am – 1:00pm (Zoom)
Register Here

Agenda

  • Welcome & Introductions
  • Approval of 2021 Business Meeting Minutes
  • Treasurer’s Report
  • Public Health Policy Committee Report
  • Professional Development Committee Report
  • Membership Committee Report
  • Community Health Justice Committee Report
  • Executive Director’s Report
  • Recognize Outgoing Board Members
  • Recognize New Incoming Board Members
  • Passing the Gavel & Remarks by Incoming President
Register Here

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Call for Presentations: AZPHA Annual Conference

Call for Presentations: AZPHA Annual Conference
Addressing Health Disparities:
Building Infrastructure & Engaging the Next Generation of Public Health Leaders

AzPHA will be holding our annual conference on Thursday, February 23, 2023 at the Desert Willow Conference Center on Phoenix, AZ. In preparation for the conference, AZPHA is conducting an open call for abstracts for persons wishing to present at the conference.

Presentations are scheduled to be held in person. A virtual option has yet to be confirmed but is being considered. Please select which format you prefer to present, and we will do our best to honor your preference based on what is available.

Depending on your selection, you may be asked to present twice. You may propose your work as a solo presenter or as a team. The breakout sessions will be 45 minutes, there will be a morning and an afternoon session.

Presenting teams: All presenters must register for the full event. Please identify the primary presenter for your team presentation. This individual will communicate conference-related information with the rest of the team.

If you are submitting this proposal as part of a team, please confirm the following before applying:

  • Proposed speakers have agreed to participate.
  • Proposed speakers will be available on Thursday, 2/23/23
  • Deadline for submission is December 23, 2022.

We look forward to reviewing your proposal for the 2023 AZPHA Annual Conference!

Please submit your proposal to present by 12/23/22 using our call for proposals form
You can also propose to present a poster at the conference. Use our poster presentation proposal form

Coming in February: AzPHA Firearm Epidemiology Surveillance Report w/ Policy Intervention Evidence Review

The AZPHA Board of Directors met in early 2022 for a strategic planning session. One of the outcomes from the session was to set longer term public health policy priorities for AZPHA to work on. 

Among those priorities was a focus on prevention of deaths from firearm injuries and deaths. Our workplan for that priority started with pulling together a public health surveillance report of firearm injuries and deaths in Arizona and a literature review of evidence-based interventions (no such surveillance report has been produced by ADHS during the Ducey administration – leaving an 8-year gap in surveillance evidence).

We expect our report to be published in February. In the meantime, we will be presenting snippets from the report in these weekly policy updates.

A huge shout out to our authors for the report, Julia Jackman & Allan Williams, who have put in countless hours preparing our report!

Turnover in the AZ State Legislature Upsetting the Lobbyist Apple Cart

In part, because of redistricting, there is a ton of turnover at the Arizona State Legislature coming. Thise changes will have big implications for the movers and shakers down at the Capitol because so much of lobbyist’s influence is due to relationships. With so many new faces – they’ll need to build new relationships – and a lot of them.

I started writing a piece earlier this week to explain what it all means- but then the Arizona Agenda came out with an explainer last week. There’s no way I can explain it better than Rachel Leingang & Hank Stephenson did in their piece last week…  so, I’m providing it for you here (with attribution).

If you’re not a subscriber to the Arizona Agenda I encourage you to become one. A terrific well-written and consumable email like the one below will come to your in-box every weekday morning for only $120 per year. Here’s where to subscribe: Welcome to the Arizona Agenda (substack.com)

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With Democrats freshly in control of nearly every statewide office and massive turnover in the Legislature, the power dynamics at the Capitol are rapidly changing.

Many of the old power brokers are on the outs, and a new class of influencers will have an opportunity to prove they can enact policy in the newly purple state. Holding the Republican caucus together is no longer the go-to play. The mandate from the Governor’s Office is a bipartisan policy agenda, and in a split government, building a coalition is key.

Sure, the Legislature is still full of MAGA warriors. Warren Petersen is leading the state Senate, and Sen. Wendy Rogers and her ilk mostly run the Legislature’s most powerful committees. But if you’re a lobbyist looking to pass bills at the Capitol next year, you’re probably not asking “Freedom Caucus” leader Rep. Jake Hoffman to sponsor them.

The Republican firebrands who have largely set the tone and direction of the state Legislature are on the outs, as are their friends in the lobbying class.

Instead, Capitol lobbyists say they’re looking at moderate Republicans and, for the first time in more than a decade, Democrats, to help push their policy priorities through the legislative process.

The same politicians who were preparing for four years on the back bench under a Kari Lake governorship are now seeing their political fortunes skyrocket. A month ago, for example, Republican Sen. T.J. Shope was blocked on Twitter by the potential next governor. Today, he’s almost universally considered one of the Capitol’s most influential leaders, several lobbyists said.

“T.J. Shope will have to run all the bills,” one lobbyist joked. 

The ranks of moderate Republicans have been decimated in recent years. But we may for the first time see the “moderate caucus” grow, or at least see an increasing number of Republican lawmakers crossing the aisle to work with Democrats to pass shared priorities out of necessity or self-preservation. 

Keep an eye on Republican lawmakers from swing districts¹, like Reps. Justin Wilmeth and Matt Gress, and Sens. Steve Kaiser, Shope and J.D. Mesnard. Political insiders also point to a handful of Republicans with independent streaks, like Reps. Ken Bennett and David Cook and Sen. Sine Kerr, or a willingness to cut deals, like Sen. David Gowan, as the type that will thrive in a divided government.   

And legislative Democrats, with their former colleague now on the Ninth Floor, are a more powerful force than they have been in more than a decade. While individual Democrats are sure to shine under a Democratic governorship, the Democratic leaders in both caucuses will now wield nearly as much power as their Republican counterparts. Senate Democratic Leader Raquel Terán and House Democratic Leader Andrés Cano, working with the Governor’s Office, will likely drive the state budget process, for example, not Republicans. 

But it’s not just the politicians whose influences are waxing or waning. The lobbying class will change as well. While many of the old-timers were savvy enough to not make personal enemies with either candidate, others put all their eggs in the Lake basket.

Those in the lobbying and consulting corps who offered their full-throated backing of losing America First candidates could see their fortunes flop, like their candidates. Lobbyists like Spencer Kamps of the Homebuilders’ Association of Central Arizona, Bas Aja of the Cattlemen’s Association, Danny Seiden of the Arizona Chamber of Commerce and Industry and Patrick Bray of the Arizona Farm and Ranch Group were all major Lake supporters who were rumored to be among possible picks for her administration.

Instead, the political power center of Arizona is now built around centrist Democrats like lobbyist Mike Haener, the co-chair of her transition team who has been a staple in state government and policy since the Janet Napolitano administration; Chad Campbell of Strategies 360, a former lawmaker and longtime Hobbs friend and ally; and Joe Wolf, Hobbs’ top campaign adviser, as well as a few Republicans who stuck by Hobbs through the campaign.

Perhaps the biggest question is where Arizona’s progressive infrastructure fits into the Hobbs machine. What kind of influence groups like LUCHA, Progress Arizona and unions that supported Hobbs will have on the governor’s agenda, and will they ultimately work as friend or foe to her generally center-left administration? On that front, one lobbyist warned that while progressives will certainly have their best opportunity for wins in years, similar to far-right Republicans, progressives focused on controversial issues should stay sober about what’s possible, even under a Democratic governor.

Governor-elect Hobbs Begins to Hire Executive Staff

Last Friday Governor-Elect Katie Hobbs announced who will be filling senior posts in her upcoming administration. A couple of weeks ago she named Allie Bones as her Chief of Staff. Here are some of the folks that will be on the 9th floor 22 days from now (source: Governor-Elect Katie Hobbs Announces Key Senior Roles In Administration)

Tracy Lopes – Director of Policy Tracy Lopes | LinkedIn
Tracy Lopes received her law degree from the University of Massachusetts at Dartmouth. After graduating law school, she spent many years as an Assistant District Attorney, mainly in the Abuse Crimes Unit.

While on a leave of absence, she was a Legal Intern for the International Criminal Tribunal for the Former Yugoslavia. While there, she was awarded a Certificate in International Humanitarian Rights by the International Committee of the Red Cross.

Tracy has been a Law Professor and was an Administrative Law Judge with the Department of Economic Security. She received her MS in Forensic Psychology from Arizona State University and is currently working on her MSW degree from the same.

Most recently, Ms. Lopes has served as the Chief of Staff for the Democratic Caucus of the Arizona House of Representatives. In that role she became very familiar with public health policy. We expect Tracy to be a friend of public health in the incoming administration.

Will Gaona – Director of Public Affairs Will Gaona | LinkedIn
Will Gaona served as the legislative affairs director for the Arizona Secretary of State from 2019-2022. He has previously worked in municipal government and the nonprofit sector, including stints at Protect Democracy, the ACLU of Arizona, and the Arizona Coalition to End Sexual and Domestic Violence. Will graduated from the Sandra Day O’Connor College of Law in 2012 and from the University of Arizona in 2009.

Ben Henderson – Director of Operations Ben Henderson | LinkedIn
Ben Henderson is a public servant and technocrat who has spent his career helping the government use data, technology, and continuous improvement to be a force for good. He has served as Director of Operations as well as Deputy Budget Director for Colorado Governor Polis, Chief Operating Officer for the AZ Department of Education under Superintendent Hoffman, and in Economic Development for the City of Phoenix.

Murphy Hebert – Director of Communications Murphy Hebert / Twitter
C. Murphy Hebert has made Arizona her home for nearly 30 years. Most recently, she served as the communications director in the Office of the Secretary of State, prior to that she worked at the Maricopa County Recorder’s Office and the Arizona State Legislature. She is a proud Sun Devil, who graduated from ASU with a bachelor’s degree in Journalism. She also earned a master’s degree in Political Science from American University.

Sarah Brown – Office of Strategic Planning & Budgeting Director
S
arah Brown currently serves as Chief Financial Officer and Human Resources Director at the Arizona Secretary of State’s Office, where she has worked since February 2019.

Before joining the Secretary of State’s Office, she worked in the Maricopa County Recorder’s Office from 2013-2019 and, prior to that, in corporate finance. Sarah holds a bachelor’s degree in accounting, a certificate in diversity and inclusion, and is the chair of the Bring Change to Mind Arizona Council of Advisors.

Ariel Morin – Diversity Equity & Inclusion Director
Ariel Morin has worked for the State of Arizona for 11+ years, serving in positions at DES, DLLC, ADOA, and most recently as the HR Manager with the Secretary of State. Her primary focus is on HR principles, AMS, and Diversity, Equity, and Inclusion (DEI).

She possesses certifications in DEI and Conflict Management. Born and raised in Maryvale, Ariel’s love for her community inspired her to pursue her education in Public Administration and Intercultural Communication.

AzPHA Annual Members Meeting: January 11, 2023

Wednesday, January 11, 11:00am – 1:00pm (Zoom)
Register Here

Agenda

  • Welcome & Introductions
  • Approval of 2021 Business Meeting Minutes
  • Treasurer’s Report
  • Public Health Policy Committee Report
  • Professional Development Committee Report
  • Membership Committee Report
  • Community Health Justice Committee Report
  • Executive Director’s Report
  • Recognize Outgoing Board Members
  • Recognize New Incoming Board Members
  • Passing the Gavel & Remarks by Incoming President
Register Here

AzPHA Firearm Injury & Mortality Surveillance Report Coming in January: Report to Include a Policy Intervention Evidence Review

The AZPHA Board of Directors met in early 2022 for a strategic planning session. One of the outcomes from the session was to set longer term public health policy priorities for AZPHA to work on. 

Among those priorities was a focus on prevention of deaths from firearm injuries and deaths. Our workplan for that priority started with pulling together a public health surveillance report of firearm injuries and deaths in Arizona and a literature review of evidence-based interventions (no such surveillance report has been produced by ADHS during the Ducey administration – leaving an 8-year gap in surveillance evidence).

We expect our report to be published in mid-January. In the meantime, we will be presenting snippets from the report in these weekly policy updates.

A huge shout out to our authors for the report, Julia Jackman & Allan Williams, who have put in countless hours preparing our report!

Governors & State Agency Culture

The Governor is just one person. There are 32,000 people working in various capacities in state government. So how is it that just one person, the governor, can impact the work culture and morale of 32,000 employees? It’s all about leverage.

The governor is the most powerful person in the state. She or he has enormous statutory authority and can hire or fire just about any state employee (virtually all state employees are ‘at will’ these days – meaning they can be fired for no reason at all).

Governors seldom reach deep down into agencies and fire and replace people…  but it’s common for governors to replace agency heads, deputies, legislative affairs people and communication directors (especially at the beginning of an administration). It’s also customary for the governor to make wholesale changes in governor’s office personnel.

So how does all that statutory authority including the authority to change agency directors and their deputies change the work culture of state government?

Perhaps the biggest thing is that agency directors set the tone for workplace behavior, agency priorities, flexible work schedules, whether to allow programs to hire folks, selects the deputy and assistant directors to carry out her or his wishes, gives the programs green, yellow, or red lights to apply for grants, and makes decisions about administrative rulemakings.

The decisions that the directors and her or his assistants make have a profound impact on workplace culture and morale. Add to that the kinds of executive orders the governor gives, like capping agencies at a certain FTE level or freezing changes to administrative code and you can start to see how a single person can have such a profound impact on work culture.

Agency director management style can influence culture in more subtle & insidious ways. For example, appointed directors can stifle innovation and harm morale by instructing staff to clear all decisions with them before proceeding. Even worse, appointees may tell staff to halt action until he or she “hears back from the governor’s office“…  resulting in long delays or even a complete lack of progress.

When there’s a change in the governor, as there will be in about 30 days, it’s a real opportunity for cultural change.

Many persons that work in various sectors of public health in private, nonprofit, or among other levels of government will be looking forward to potential changes in the coming work environment and may be attracted to serve in the new administration if they believe the incoming governor better appreciates the importance of evidence-based public health practice and improves morale by creating a healthier agency culture.

Many people are likely looking forward to a cultural renaissance in Arizona state agencies and will be looking forward to working with the new administration.

Some folks who might not have considered working for the ADHS over the last few years might be willing to give the agency a 2nd look in the coming months. I expect interest in (and competition for) positions at ADHS to pick up once the governor is sworn in and new leadership is selected. Why not get in on the ground floor?

On one hand, it’s a shame that there are nearly 100 open positions at ADHS these days, but on the other hand – those vacant positions represent opportunities for folks to join the new team early in the administration.

A quick review of open positions on the AZ State Jobs website reveals openings for epidemiologists, emergency medical services staff, newborn screening positions, maternal health (PRAMS) jobs, laboratory and behavioral health tech’s, a tribal liaison, several positions in licensing and compliance, vaccine coordinators, opioid prevention, biomedical research, even the agency director.

You get the idea…  there are many open positions that many of you may be interested in exploring in anticipation of the cultural changes that’ll be coming to state government in the coming months. Now is a good time to explore the possibilities.

You can start your search at this link – the AZ State Jobs Website
Submit Your Resume to the Hobbs Administration Resume Bank to be Considered for a Leadership Post in the Administration

Arizona Child Fatality Review Program: 29th Annual Report: Arizona’s Abuse/Neglect Mortality Rate Increased 36% in 2021

Back in the mid 1990’s the AZ State Legislature established the Arizona Child Fatality Review Program to evaluate every child death and provide evidence-based policy recommendations to prevent child deaths.

Over the years many policy and operational interventions came out of these reports, from safe sleep to new seat belt laws for kids. The goal of each year’s report by conducting a comprehensive review of all child deaths and make policy recommendations to prevent as many as possible.

Last year’s report found that firearm deaths increased 41% over the previous year, while child death rates were 250% higher than the national average (likely due to the lack of mitigation measures implemented by soon to be former governor Ducey and former director Christ. 

View the the Arizona Child Fatality Review Program 29th Annual Report

The Arizona Child Fatality Review Program’s goal is to reduce child deaths in Arizona by conducting a comprehensive review of all child deaths to determine what steps could have been taken, if any, to prevent each child’s death.

In 2021, 863 children died in Arizona, an increase from 838 deaths in 2020. Fourth eight percent (48%) of the 863 deaths were preventable. The three most common causes of preventable death were motor vehicle crashes, firearm injuries, and suffocation. Fifty-six (56) children died from a firearm injury (100% of these deaths were determined to be preventable).

In 43% of the preventable deaths, substance use was a contributing factor, and in 33% of these deaths, poverty was a risk factor. There were 44 suicide deaths in 2021. In 68% of these deaths, recent warning signs for suicide were the most common risk factor, and 17 suicide deaths were due to firearm injury. 

Prematurity was the most common cause of death for neonates (infants less than 28 days old) while suffocation was the common cause of death among infants 28 days to less than 1 year of age. Drowning was the most common cause of death in children 1-4 years of age as 68% of the 44 drowning deaths occurred in this age group.

There were 65 SUIDs in 2021. An unsafe sleep environment was a factor in 95% of these deaths and bedsharing in 58% of the deaths.

Arizona’s abuse/neglect mortality rate increased 36% from 5.8 in 2020 to 7.9 in 2021. Of the 128 children who died in 2021 from abuse/neglect, substance use was a contributing factor in 59% of the deaths, and the child’s families had prior involvement with a CPS agency in 46% of the deaths.

Importantly, the report proposes several evidence-based interventions that should be implemented that would reduce preventable childhood deaths. Those recommendations are laid out on Pages 90-99 of the Arizona Child Fatality Review Program | Twenty-Ninth Annual Report.

Intervention recommendations are proposed for preventing abuse & neglect, COVID-19, drowning, firearm injuries, car crashes, prematurity, substance use, SIDS, and suicide.

We expect this year’s Child Fatality Review Program report to be more influential in informing public policy as the incoming governor is more receptive to prioritizing evidence-based public health policy & practice than the outgoing administration.