Are Federally Funded Electric Vehicle Charging Stations Coming to Arizona Highway Rest Areas?

It Depends on ADOT’s Leadership Team

The Infrastructure Investment and Jobs Act (IIJA) – (aka the Bipartisan Infrastructure Bill) has $5 billion in funding for states to add electric vehicle charging stations (in a funding formula) and an additional $2.5B in competitive grants. Because ‘range anxiety’ is a big consumer barrier for buying an electric car, the state funding formula focuses on adding charging stations to the interstate highway system in the initial years.

Arizona’s formula funding for the next 5 years totals $76.5M, with $11.3M in year one (2022). To get the federal funds states need to contribute 20% toward the program- which can come from state government, from the private sector, or via a public/private partnership.

There’s a long list of potential partners or sponsors to contribute that 20% including Nikola Corp., Lucid Motors, LG Energy Solutions, Tesla, APS, SRP, or Tucson Electric Power. Because ADOT has administrative control of the rest areas, they should be able to provide incentives or deals attractive for private or public/private partners to chip in for the 20% match.

Each charging station costs about $100K including the administrative costs…  meaning Arizona’s allotment of $11M in 2022 should be enough to put up 110 or so charging stations. With 16 interstate & state highway rest areas in Arizona (some busier than others – Sunset Point being the busiest) there’s sufficient funding in 2022 to put an average of 4 stations per rest stop this year (although it probably makes sense to do more than 4 at the busiest rest stops and fewer at the quainter ones).

To get the finding for the charging stations, ADOT needs to submit an EV infrastructure deployment plan to the Joint Office of Energy and Transportation by August 1, 2022. The decision rests with ADOT, but their plan will be informed by the Arizona State Transportation Board

I called into and provided written comments to the AZ Transportation Board public meeting last Friday urging them to charge ADOT with finding a workable plan that places the stations in convenient places (at rest areas) while providing incentives for private sector participation for the match (e.g., Nikola, Lucid, Tesla, APS, SRP, TEP etc.). The main call to action was to get ADOT to include electric vehicle charging stations in their 5-year plan. At this point, the ADOT 5-year plan doesn’t even mention electric vehicle charging.

In looking at public comments that have been made by Board members, we discovered that they are skeptical of participating even though the feds pay for 80% of the costs. 

But does that resistance make sense? No!  As one of our Board Members, Mac McCullough (a health economist), explains here…  there are many rational reasons why the government should invest in emerging markets especially when their products have tangible public health benefits. From Dr. McCullough:

  • Gas stations are a mature market whereas electric charging stations are a very new/emerging market. Government involvement in new or emerging markets is far more common—and economically rational—than government involvement in mature markets.
  • A first-mover disadvantage exists where consumers shy away from EVs due to “range anxiety” since relatively few EV charging stations exist. This leads to a smaller EV market share, which leads to fewer EV charging stations being built. Which leads to more “range anxiety.” Basically, if you don’t build it, they won’t come.
  • EV charging stations face a first mover disadvantage (nobody has much incentive to build the first EV charging station but once others exist the incentive changes/grows). This means that we should not necessarily expect the private market alone to quickly create a robust charging network.
  • Compared to electric-powered vehicles, gasoline-powered vehicles impose much different societal costs in terms of externalities. When there are externalities—meaning the full costs of consumption of a product are not borne by the producer/consumer—there is some rationale for government involvement in the market. This is especially true when the mature market has externalities that the emerging market can help reduce.
  • Simple market forces won’t necessarily produce a coordinated network of charging stations. The tragedy of the commons suggests that while overall EV producers (and society) will recognize the value of a robust, coordinated network of chargers, there’s little incentive for any one EV company to build this on their own. It makes more sense for any given company to sit on the sidelines while the other companies pay for things.

Time will tell if ADOT puts in a plan. If they don’t, the program goes for another 5 years – and the next administration can participate. Elections matter! 

Legislative Roundup: Ducey Signs Two More Harmful Preemption Bills

As expected, the legislature passed two harmful bills last week on a party-line vote & Ducey promptly signed both. HB2453 prohibits the state or any political subdivision from requiring people to wear a mask on their premises. There’s an exemption for places like Valleywise Health. This law will be quite harmful if it’s not repealed before the next time we have an outbreak of an airborne illness.

He also promptly signed HB2086 which will prohibit the ADHS from ever adding the COVID vaccine or it’s successors to the list of vaccines required for school attendance. See: COVID-19 vaccine for school kids not required after Ducey signs bill.

Editorial Note: This new law is totally unnecessary. The existing process for adding school required vaccines has been in place for decades and works well. ADHS has to do a rulemaking (with lots of public comment), and economic impact evaluation, and final approval rests with the Governor’s Regulatory Review Council.

Back in 2008 we added the Varicella (chicken pox) and Meningococcal vaccines to the list required for school attendance. We listened to & learned from the public comments & made sure the epidemiology & economics made sense. 

Here’s an op-ed by Leslie Maier who was instrumental in inspiring us to add the meningococcal vaccine to the school required list. In it she talks about losing her son Chris to meningitis at the age of 17: Arizona vaccination rates are lagging. That’s even more dangerous now

BTW: Here are the results of our 2008 intervention (for Meningococcal disease):

Uptake of Meningococcal Vaccine in Arizona Schoolchildren after Implementation of School-Entry Immunization Requirements.

“During SY 2006–2007, only 20.1% of 11-year-olds and 21.0% of 12-year-olds in the registry received the meningococcal vaccine. This proportion increased during SY 2007–2008 to 48.2% of 11-year-olds and 40.3% of 12-year-olds. The increase in on-schedule vaccination rates between 2007 and 2008 was statistically significant (Pearson’s corrected Chi-square value 5 2,426.07, degree of freedom 5 1, p,0.0001) at 95% CI.”

“This analysis suggests that implementation of school immunization requirements resulted in increased meningococcal vaccination rates in Arizona, with degree of response varying by demographic profile. ASIIS was useful for assessing changes in immunization rates over time.”

I’ll be presenting about the various preemption bills (ppt) that Ducey signed at the June 14, 15 Rural Health Conference in Flag. More info about registration here: 48th Annual Arizona Rural Health Conference | Arizona Center for Rural Health.

AzPHA President Elect & Author Kelli Donley Williams Has A New Book: DESERT DIVIDE

From the author of the acclaimed novel Counting Coup comes Desert Divide, a gripping, ripped-from-the-headlines story of family, revenge, and justice spanning the ranches of southern Arizona to the dinner tables of Mexico City’s elite. It’s 2016.

Sarah McDaniels receives a call in the night that her mother has died unexpectedly. Returning to the family’s ranch in the high desert of southeastern Arizona, Sarah finds her childhood home and her father’s health in tatters.

More than a decade ago, Sarah left to chase a dream in New York City. Now, faced with burying her mother and trying to arrange care for her father, Sarah takes a walk across the family’s land to clear her head. When she stumbles over something on the desert floor, the last thing she expects to find is the body of a young woman her own age.

Who was this woman? Why was she on their family’s ranch? Who killed her?

Desert Divide is a true-to-life story of secrets, sacrifice, and redemption as one woman tries to face down her demons while saving what’s left of her family.

We encourage you to get Desert Divide at your local bookstore (like Changing Hands) but you can also find it on Amazon Desert Divide – Kindle edition by Donley , Kelli. Literature & Fiction Kindle eBooks @ Amazon.com.

About the author: Kelli Donley is a native Arizonan. She is the author of four novels, Under the Same Moon, Basket Baby, Counting Coup, and Desert Divide. Inspiration for this novel was found after seeing an exhibit of the Migrant Quilt Project. Kelli lives with her husband Jason, animals, and unruly vegetable garden in Mesa, Arizona. She works in public health, and blogs at: www.africankelli.com

Community Health Worker Training Program

Deadline Approaching

Community Health Workers are frontline public health workers who have a trusted relationship with the community and facilitate access to a variety of services and resources for community members. Building CHWs into the continuum of care has been proven to both improve health outcomes and reduce healthcare costs.

For a picture of how CHWs can fit into a continuum of care, take a look at this report from the NAU Center for Health Equity Research in collaboration with the UA Prevention Research Center (AzPRC) which provides insight into innovative strategies for integrating, sustaining and scaling of the CHW workforce within Medicaid (AHCCCS).

Building CHWs into the healthcare continuum requires that a certification process be in place. The public health community tried for many years to get such a process in place, finally meeting with success 4 years ago with the passage of HB 2324 (sponsored by Representative Carter), which charged the ADHS with implementing a program for the voluntary certification of Community Health Workers.

After 4 years of anticipation (and advocacy trying to get the ADHS to write the rules) the agency is finally adopting those rules, meaning we are finally on the threshold of bringing CHW’s into the care network.

The US Department of Health & Human Services recently announced availability of $226.5 million for a new program building the pipeline of public health workers at the community level.  The multiyear effort will support training and apprenticeship programs for the critical role of trusted messenger connecting people to care and support. 

Administered through HRSA’s Bureau of Health Workforce, the program will train as many as 13,000 community health workers who will address needs in rural and underserved communities.  These roles, providing culturally competent and individualized services, are critical in rural areas where health services are limited

Interested folks can Apply for New Community Health Worker Training Program  but the Deadline is June 11. 

Registration is still open for the annual AZCHOW conference : Roots Annual Conference Tickets, Wednesday, June 22, 23 2022

Roots: The Beginning of the CHR CHW Movement | Recognizing a Resilient Workforce

Vee Quiva Hotel & Casino, 15091 South Komatke Lane, Laveen Village, AZ 85339

Deadline Approaching to Apply for Arizona’s Primary Care Loan Repayment Programs

Arizona has several successful loan repayment programs for primary care providers designed to incentivize them to practice in rural and underserved parts of the state. In exchange for a commitment to serve, providers can get direct relief for a significant portion of their student loans.

The Arizona State Loan Repayment Programs include the Primary Care Provider Loan Repayment Program for public, non-profit providers and the Rural Private Primary Care Provider Loan Repayment Program for providers in rural private practice sites.

Arizona’s State Loan Repayment Program is currently accepting applications for an initial two-year commitment, but the June 1 application deadline is rapidly approaching. Interested providers should review the Provider Application and Program Guide before submitting their application online. To apply, please sign up and access our PCO Portal, by clicking here

Below are some additional resources to assist providers in successfully applying:

These programs aim to promote the recruitment and retention of health care professionals by repaying their qualifying educational loans in exchange for their two-year commitment to provide primary care services in federally designated Health Professional Shortage Areas (HPSA) or Arizona Medically Underserved Areas (AzMUA)

Legislative Roundup: Two More Harmful Preemption Bills Have Final Votes Today

History Suggests They’ll Pass with A Party Line Vote & A Ducey Rubber Stamp

The House opened for business on Monday but then promptly adjourned for the rest of the week (basically not doing any business). The Senate worked a bit on Tuesday, but that’s it. 

The Senate has posted a few bills for Third Read (final floor vote) on Monday including a couple of harmful preemption bills that had been languishing for a few weeks. Several bills that preempt other jurisdictions from taking needed action for disease control have already passed on a party line vote- and there’s no reason to think tomorrow will be different. Our action alerts on the previous preemption bills were unsuccessful so I’m not going to send one out on the two up for a vote tomorrow:

HB2453 governmental entities; mask requirement; prohibition

Prohibits the state or any political subdivision, including the judiciary, that receives or uses tax revenue (governmental entity) from imposing any requirement to wear a mask or face covering on the governmental entity’s premises, except where long-standing workplace safety and infection control measures that are unrelated to COVID-19 may be required.

HB2086 DHS; school immunizations; exclusions

Says that the ADHS Director can never implement a rulemaking that would require the COVID-19 vaccine (or its successors) to be required for school attendance.

There has been little observable progress on the state budget. Perhaps things are happening in back rooms- but if so nothing has been transparent. One of the rumors about what’s holding up budget development is around water. The Governor’s budget called for a $1B for a new organization called the Arizona Water Authority and it’s unclear whether there is support to create the entity (outside of the Arizona Department of Water Resources) or not.

AHCCCS’ “Get Ready to Renew” Messaging Toolkit Available to Help Medicaid Members Prepare for Upcoming Renewals

An updated messaging toolkit about the end of the public health emergency (expected in July) is now available on the AHCCCS Return to Normal Renewals web page.

The toolkit includes suggested social media posts, text messages, on-hold messages, and fliers you can use to help AHCCCS members get ready for their renewals. Community partners, health plans, advocacy organizations, and providers are welcome to use this messaging guidance in their communication to AHCCCS members.

The federal public health emergency (PHE), which suspended most Medicaid disenrollments, is expected to end on July 16, 2022. When the PHE ends, many temporary programmatic changes that were implemented during the pandemic will also end and normal business processes will be reinstated.

You can help AHCCCS members take steps to get ready for their renewal. To make sure that eligible members do not experience any gap in health care coverage, AHCCCS asks them to: Ensure that their mailing address, phone number, and email address on file is correct in www.healthearizonaplus.gov, or by calling Health-e-Arizona Plus at 1-855-HEA-PLUS (1-855-432-7587), Monday through Friday 7:00 a.m. – 6:00 p.m.  Find more information, please refer to the AHCCCS Return to Normal Renewals web page

Journal Article of the Week: In-person Schooling & COVID-19 Risk Spring 2021

In-person schooling and associated COVID-19 risk in the U.S. spring semester 2021

Because of the importance of schools to childhood development, the relationship between in-person schooling and COVID-19 risk has been one of the most important questions of this pandemic. Previous work in the United States during winter 2020–2021 showed that in-person schooling carried some risk for household members and that mitigation measures reduced this risk.

Here, we use data from a massive online survey to characterize changes in in-person schooling behavior and associated risks over that period. We find increases in in-person schooling and reductions in mitigations over time. In-person schooling is associated with increased reporting of COVID-19 outcomes even among vaccinated individuals. 

Teacher masking was associated with the greatest risk reduction across all COVID-19–related outcomes, followed by daily symptom screens, universal student masking, and restricted entry (Fig. 4B).

Looking to Make a Career Move?

The Arizona Public Health Association’s Career Center might be the ticket you’re looking for to find the right opportunity or candidate.

Looking for a Job?

One of your AzPHA member benefits is access to our career center, where you can find a multitude of jobs in the public health, healthcare, laboratory sciences and many other fields. Simply visit the site from time to time and check out what’s out there. You can also set up an account as a ‘Job Seeker” under that navigation tab at the top of the site.

There’s also a job center resource room to help you make your resume stand out, interview tips, and pointers to use social to help your search. You can also upload your resume to get more visibility by setting up the free job seeker account.

I’m in the process of priming the pump with more jobs at our organizational members’ workplaces, so be sure to check back from time to time to check what’s out there.

Interested in Posting a Job?

If you’re interested in posting a job on our site, simply create an employer account. We have several product categories depending on what your needs are, including Basic Posting, Passive Job Seeker Package, and Enhanced Posting- ranging from $99 to $199.

The $199 package includes getting your job emailed to to over 27,000 people, a 30 day posting period. Your job will be highlighted and will stay near top of list on job board too. There are additional package deals for posting multiple jobs.

If your employer is an organizational member of AzPHA, I can create some time-limited free coupons that you can use to post some jobs. To get one of those coupons contact me at [email protected].

Abortion & Public Health on A Crash Course if Roe is Overturned & ARS 13-3603 Becomes the Law of the Land

Teen pregnancy is an important public health indicator.  Having a baby as a teenager impacts the mom, the dad, the baby and the whole community. Teen parents often don’t finish high school which, in turn, reduces their ability to financially take care of their newborn and results in increased health care, foster care, incarceration, and lost tax revenue nationwide. It’s also a key driver of inter-generational poverty, which comes with a cascade of poor public health outcomes.

Here’s a link to the CDC’s latest Birth Data for 2020 (National Vital Statistics Reports Volume 70, Number 17, February 7, 2022) which includes the teen birth rate.  Arizona’s teen birth rate decreased 10% in the last year.  In fact, since 2010 the Arizona teen birth rate has dropped more than 64%…  from 41.9/1000 in 2010 to only 16.6/1000 in 2020.

Table B: National Vital Statistics Reports, Vol. 61, No. 1 (8/2012) vs. Table 8 National Vital Statistics Reports Volume 70, Number 17, February 7, 2022

There are lots of theories as to why the teen birth rate is dropping.  The share of teens using some form of highly effective contraceptive methods is increasing. The share of sexually active female teens who have used emergency contraception (e.g., the morning-after pill) rose from 8% in 2002 to 23% in 2011-15. And a Centers for Disease Control and Prevention analysis found that the use of long-acting reversible contraceptives such as IUDs and implants rose from 0.4% in 2005 to 7.1% by 2013. It is most certainly higher than that today.

See Previous Posts:

If Roe is overturned and ARS 13-3603 becomes the law of the land, abortion will no longer be an option for women that become pregnant and are unprepared for the financial and other responsibilities of becoming a parent.  

A key question then becomes… will state government step up and provide additional safety net services to support these new families? You have to say Arizona doesn’t have a strong track record in that regard.