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StateView

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​​StateView compiles up-to-date information on state policy trends and resources for chapter advocacy efforts and focuses on important state-level child health advocacy issues, and summarizes valuable resources from the AAP and other public and private sector sources.​​​​​​​​​​​

May 21, 2018: Montana Medicaid Helps Enrollees Succeed in the Workforce​
Many states are considering the implementation of work requirements in the Medicaid program, either through Medicaid waivers or proposed legislation. There is little evidence to show that programs like this aid Medicaid beneficiaries in finding and keeping work, however, and the result could be diminished access to health care for low-income families. Montana, however, has implemented a program that targets outreach and services to the small number of Medicaid enrollees who do not work due to issues such as limited skill sets, lack of transportation or child care, and other necessary work supports.

Montana’s Health and Economic Livelihood Partnership Link (HELP-Link), connects individuals who are looking for work or better jobs with services such as career counseling, on-the-job training programs, and subsidized employment. The first 2 years of the program has generated strong participation due to Montana’s intensive outreach, offering of meaningful services, and trainings to service providers on how to meet the needs of low-income Medicaid enrollees. This program could serve as a model alternative for states currently considering Medicaid work requirements. A recent Center on Budget and Policy Priorities report examines the program and how it avoids harmful counterproductive effects of work requirements.

For more from the AAP on Medicaid waivers and work requirements, please see our resources: State Waivers Guidance for AAP AdvocatesAAP Principles on Waivers, and our Webinar, State Waivers: How They Could Alter Coverage and Care for Children. For consultation and technical assistance, please contact us at stgov@aap.org. ​

May 17, 2018: Partnering With State Highway Safety Offices​
Though the number of deaths and injuries due to car crashes has declined significantly since the early 1970s, car crashes still represent the number one cause of death or injury to children over the age of 1. The Federal Highway Safety Act of 1966 created a partnership between federal and state transportation officials that has culminated in public policies attributed to reducing deaths and injuries.

A Guide to Effectively Partnering with State Highway Safety Offices (SHSOs), from the Governor High Safety Association (GHSA), can help AAP chapters learn how to partner with SHSOs by providing an overview of the roles of SHSOs, explaining traffic safety planning and programming rules, and the state goal-setting processes and requirements.

For more from the AAP on traffic safety issues, see our State AdvocacyFOCUS resources on Child Passenger Safety, Distracted Driving, and Teen Driving.

May 15, 2018: New AAP Resource | Association Health Plans (AHPs) and Short Term, Limited Duration (STLD) Plans

In recent months, newly proposed federal rules on Association Health Plans (AHPs) and short term, limited duration (STLD) plans would advance the use of insurance products that do not offer important Affordable Care Act (ACA) protections. While these rules await finalization, states may begin acting to expand use of such products as a way of offering consumers cheaper insurance that provides significantly less coverage. Such plans pose a risk both to families that enroll in such coverage, as well as the ACA-compliant market.

A new AAP Advocacy Action Guide provides details of these proposed rules, as well as steps states may take to prevent the expanded use of such insurance products that may harm families. We will update this resource and alert chapters as these rules are finalized. In the interim, please contact stgov@aap.org for more consultation and technical assistance.​

May 14, 2018: MCAAP Residents and Fellows Day at the State House
A record number of pediatricians and pediatric residents from all over Massachusetts gathered at the state capitol for the annual Residents and Fellows Day at the State House (RFDASH) to advocate for legislation on gun violence prevention, youth tobacco use, and youth sexual education in schools. Numerous guest speakers provided overviews of the issue, and former AAP Board of Directors and Committee on State Government Affairs member, Carole Allen, MD, FAAP, provided an inspiring keynote address on the importance of advocacy as part of a pediatrician’s career.

May 10, 2018: Learning a New Way to Serve
Engaging in state advocacy with your AAP chapter can occur throughout, or at any point during, a pediatricians’ career. No one knows this better than AAP Section on Seniors member and AAP Washington Chapter (WCAAP) member Ruth Conn, MD, FAAP. In her blog post, Learning a New Way to Serve, Dr Conn discusses how she became involved in the chapter’s state advocacy work after retiring from practice.

Click here for more information on advocacy and the AAP Section on Seniors.​

May 8, 2018: Pennsylvania Pediatricians Visit Harrisburg
On April 27, 24 pediatric residents, representing 9 residency programs, and 23 pediatricians and faculty members from the AAP Pennsylvania Chapter spent the day in the state capitol learning advocacy skills and reviewing current state legislation on gun violence protection. The day cumulated in visits with legislative leadership staff explaining the impact of gun violence on children and youth and urging action on proposed gun safety legislation.​

May 7, 2018: ICAAP Annual Advocacy Day in Springfield
The AAP Illinois Chapter recently visited the state capitol to advance the chapter’s 2018 Advocacy Priorities. Forty-five (45) medical students, residents, and pediatricians met with legislators to discuss the importance of immunizations, gun violence and safety, raising the purchase age of tobacco to 21, and legislation that will codify the requirement that children remain in rear-facing car safety seats until the age of 2.​

May 3, 2018: Drinking Water Quality Webinar​
The Flint Water Crisis has served to draw public attention to the hazards posed to children by lead contamination of drinking water and the many regulatory gaps in water monitoring for lead. Learning from the Flint Water Crisis: Legal Implications and Community Public Health Impacts, a Webinar from the Network for Public Health Law, will examine the Flint Water Crisis, the key legal issues and authorities at heart of the crisis, lessons learned from the incident, and how the health of the public continues to be impacted in Flint.

The Webinar will be held May 15, 2018 at 1:00 Eastern/12:00 Central. Register now to participate.  

For more from the AAP, see our policy statement, Prevention of Childhood Lead Toxicity, and visit the AAP Council on Environmental Health Web page. Guidance on lead exposure in children is also available from HealthyChildren.org.​

May 1, 2018: States Make Progress on Gun Violence Prevention
Governors from Connecticut, Delaware, Massachusetts, New Jersey, New York, Rhode Island and Puerto Rico have announced efforts to launch a multistate consortium to study gun violence. The new research consortium will work across participating state universities and government agencies and will compile findings, along with existing data from institutional, federal, and multistate sources, into a clearinghouse available for public review.

In addition, lawmakers in Maryland have banned bump stocks (also known as trigger accelerators), which allow semiautomatic assault weapons to function similar to fully automatic weapons. In addition, the state enacted laws to create an “extreme risk protection order" (ERPO), which allows families to petition to remove firearms from the environment of a person at risk of harming themselves or others and to remove guns from the homes of domestic violence perpetrators.

For more from the AAP, see our Safe Storage of Firearms, Universal Background Checks for Gun Purchases, and Assault Weapon Bans State AdvocacyFOCUS resources. For information on state-level gun violence research and data collection options, see our State Advocacy Engagement on Firearm Data Collection resource.​​

April 30, 2018: CDC Warns States on Synthetic Marijuana and Vitamin K Supply
The US Centers for Disease Control and Prevention (CDC) recently alerted states and territories to a growing number of cases of individuals presenting to emergency departments with serious, unexplained bleeding. It has since been determined that these cases were a result of consumption of synthetic marijuana that later tested positive contamination with brodifacoum, a rodenticide. High doses of vitamin K are used to treat this kind of bleeding, and the CDC bulletin noted that hospital supplies of vitamin K may be at risk; the implication for pediatrics could be a shortage of intravenous vitamin K to prevent bleeding in newborns.

The State of Illinois (where a majority of these cases have been treated) recently announced that it will receive a donation of 800,000 doses of oral vitamin K from its manufacturer, but intravenous vitamin K is still part of the initial treatment of these brodifacoum-related bleeding cases.

If you experience shortages of vitamin K in the clinical setting, please contact the Food and Drug Administration directly to file a report.

April 26, 2018: Interstate Medical Licensure Compact At Age 1
The Interstate Medical Licensure Compact (Compact) is marking the 1st anniversary of its licensure process by highlighting physician utilization across the country. The Compact, supported by the AAP, has created a streamlined mechanism for licensing physicians in multiple states. It allows qualified pediatricians, pediatric medical subspecialists, and pediatric surgical specialists (and other physicians) to practice medicine across state lines while protecting patients and expanding access to care.

New data released by the Compact shows that as of March 2018, 906 physicians have used the process and were able to secure 1,301 medical licenses in member states. State specific information is also presented regarding the number of licenses issued by member medical boards. There are currently 22 states (AL, AZ, CO, IA, ID, IL, KS, ME, MN, MS, MT, NE, NH, NV, PA, SD, TN, UT, WA, WI, WV, WY) that have passed legislation to become Compact member states.

For more on the Compact from the AAP, please see our Interstate Medical Licensure Compact Advocacy Action Guide for AAP Chapters. 

April 24, 2018: State of the Air 2018
While significant progress has been made to improve air quality in the US since the 1970s, especially with the passage of the National Environmental Protection Act and the Clean Air Act, significant challenges to protect the public from the harms of air pollution remain. Currently, 40% of Americans live in counties with unhealthy levels of ground level ozone and particulate matter pollution.

State of the Air 2018, a report from the American Lung Association, assesses local and regional differences in air quality and its impacts on human health, along with data specific to the risks posed to children and the prevalence of pediatric asthma in those areas. The report also highlights the primary ongoing threats to clean air, the role of climate change in the worsening of overall air quality, and guidance to advocates for mitigating these threats.

For more from the AAP on air quality and child health, see the resources available from the Council on Environmental Health and our policy statement, Ambient Air Pollution: Health Hazards to Children.​

​April 23, 2018: Infant Safe Sleep Laws
A valuable resource from the Network for Public Health Law examines state safe sleep laws, including policies that address safe sleep parent education, child care training/procedures, and adoptive/foster care training/procedures. Also included is are the states and localities that prohibit the sale of crib bumpers.

So far in 2018, 3 states (Missouri, New York, and Vermont) have introduced bills to ban the sale of crib bumpers.  In addition, New Jersey is considering bans on the sale of supplemental mattresses for portable cribs. A similar bill in New Jersey was  vetoed last year.

For more from the AAP on safe sleep, see the AAP technical report SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for Safe Infant Sleeping Environment and How to Keep Your Sleeping Baby Safe: AAP Policy Explained.​

April 19, 2018: The State of Preschool
​According to The State of Preschool 2017, a new report  from the National Institute for Early Education Research, enrollment in state funded preschool programs has surpassed 1.5 million young children for the first time. Most of these young children (almost 86%) were 4 years old, with the remainder being 3 years of age, but the number of young children enrolled varies from state to state. Four (4) states (FL, OK, WI, and VT) and Washington, DC served more than 70% of 4-year-olds, while 12 states (AL, AZ, DE, HI, IN, MA, MN, MO, MS, NV, RI, and WA) enrolled less than 10% of children of the same age.

The 43 states and DC that offer state funded preschool programs spent a combined $7.6 billion, an increase of $155 million compared to 2015-2016. Washington, DC provided the most funding per pupil at $16,996, while Nebraska spent the least at $2,000 per pupil.

You can find out your state’s preschool enrollment, funding, progress on quality indicators, and more by taking a closer look at these state profiles.

For more on early childhood from the AAP, visit the AAP Council on Early Childhood.​

April 17, 2018: America's Opioid Crisis: The Unseen Impact on Children
The AAP has partnered with the Annie E Casey Foundation to synthesize national and state data related to the opioid crisis, child welfare systems, Medicaid, and child health. As part of this work, the AAP has released state and national fact sheets that examine the intersection of the opioid epidemic, child welfare systems, and child health. These fact sheets can support chapter efforts to seek policy solutions for vulnerable children and families.

The AAP also highlighted state policy strategies to address the opioid epidemic at the 2018 AAP Annual Leadership Forum (ALF). Margaret Wile, Policy Associate from the National Conference of State Legislatures provided an overview of how states were addressing the opioid crisis through addressing prevention, treatment, intervention, and recovery.  

For more from the AAP, see our Activities to Address the Opioid Epidemic resource.​

April 16, 2018: Medicaid Work Requirements Will Harm Working Adults
Pediatricians know that parental health insurance coverage has a positive effect on the likelihood a child will obtain and maintain coverage, and that in most families enrolled in Medicaid, adult family members are already working. AAP chapters have been opposing AAP chapters recent proposals to require work as a condition of Medicaid coverage for adults.

New research from the Center on Budget and Policy Priorities indicates work requirement proposals will not only harm adults unable to find employment but will also negatively affect those adults who are already employed. This research indicates as many as 46% of likely Medicaid-eligible low-income working adults would have been at risk of losing their Medicaid coverage for at least 1 month of a year under Kentucky’s work requirement. Moreover, even for those adults working an average of 80 hours/month, 25% would be at risk of losing coverage due to their inability to work 80 hours every month.

For more, please see the Academy's Principles on Waivers, and our resource, State Waivers Could Significantly Alter Coverage and Care for Children and contact us at stgov@aap.org for consultation and technical assistance if you’re facing a waiver proposal in your state.​

April 12, 2018: Missouri Pediatric Advocacy Day
Nearly 100 pediatricians, pediatric specialists, and residents joined the AAP Missouri Chapter (MOAAP) and the Missouri Collaborative for Advocacy and Residential Education (MOCARES)—a partnership of the 4 pediatric residency programs in the state—recently visited Jefferson City to advocate for their child health priorities. Chapter members met with lawmakers to educate them about protecting anyone younger than 18 from the dangers of indoor tanning, requiring car seats to be rear facing until age 2, and extending postpartum Medicaid coverage for women with substance abuse disorders.

April 10, 2018: Vermont Enacts Comprehensive New Gun Law​
Today, more than 350 pediatricians, pediatric medical subspecialists, pediatric surgical specialists, and pediatric trainees will be on Capitol Hill as part of the AAP Legislative Conference. This year, leaders from the Academy's chapters, committees, councils and sections will participate alongside conference attendees to send a strong message to Congress: pass comprehensive legislation to protect children from gun violence.

As pediatricians advocate for stronger federal gun laws in Washington, progress is also being made at the state level. Last week, the Vermont legislature enacted a package of gun bills, expected to be signed by Governor Phil Scott, to prohibit private sales of firearms, ban bump stocks or trigger accelerators that allow semiautomatic weapons to fire like automatic weapons, raise the minimum purchase age of all firearms to 21, and prohibit the sale and possession of high capacity ammunition. Along with the package of firearm laws enacted in Florida earlier this year, progress is being to protect children from gun violence.

For more from the AAP, see our Safe Storage of Firearms, Universal Background Checks for Gun Purchases, and Assault Weapon Bans State AdvocacyFOCUS resources. For information on state-level gun violence research and data collection options, see our State Advocacy Engagement on Firearm Data Collection resource.​

April 9, 2018: 2016-2018 State Child Care Development Plans
Quality early education and child care plays a pivotal role in the development of young children. As part of the federal Child Care and Development Fund reauthorization, states were given new requirements and goals to improve their early education and child care programs. State Policies for Addressing Access: Analysis of 2016-2018 Child Care Development Plans, a new report from The Early Childhood Data Collaborative, examines how states have chosen to work towards addressing several of these new requirements and goals.

For more from the AAP on child care and early childhood education efforts, see our policy statement Quality Early Education and Child Care and visit the AAP Council on Early Childhood.​

April 5, 2018: Washington State and Maryland Move to Protect Children from Conversion Therapy
New legislation to protect children from attempts to change their sexual orientation or gender identity was enacted last week and signed into law by Washington Governor Jay Inslee. A similar bill has also passed the Maryland Legislature, and awaits signature by Governor Larry Hogan.

AAP policy states that these therapies are not effective, may be harmful to LGBTQ individuals by increasing internalized stigma, distress, and depression, and therefore are never indicated. Ten (10) states and the District of Columbia have now banned conversion therapy, as have 35 municipalities around the country.

For more from the AAP, see our policy statement Office-Based Care for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth.​

March 27, 2018: New Gun Violence Prevention Resources

The Giffords Annual Gun Law Scorecard ranks all states by their firearm safety laws. Only California received an “A” rating by the group and more than half of states received a “D” or an “F” rating, signifying the need for the need for continued advocacy on gun violence prevention. The report also notes that the states with lower ratings have higher rates of gun deaths.   

GVPedia is a new comprehensive resource providing public access to the largest gun study database in existence and to GVP University, a repository of white papers and fact sheets about gun violence. Overseen by the executive director of Marylanders Against Gun Violence, the resource is searchable by issue, author, and publication and provides 50 years if gun violence prevention research.    

For more from the AAP on state gun violence prevention efforts, see our Safe Storage of Firearms, Universal Background Checks for Gun Purchases, and Assault Weapon Bans State AdvocacyFOCUS resources. Also see our State Advocacy Engagement on Firearm Data Collection resource.

March 26, 2018: Infant Safe Sleep State Laws

Infant Safe Sleep Laws, a new resource from the Network for Public Health Law, outlines the status of state law on policies designed to reduce unsafe sleep practices. The policies outlined address parent education, child care training, child care education, adoptive/foster parent training, foster care procedures and other policies such as crib bumper or supplemental mattress bans.   

For more from the AAP on Safe Sleep, see the Technical Report: SIDS and Other Sleep-Related Infant Deaths: Evidence Base for 2016 Updated Recommendations for a Safe Infant Sleeping Environment.

March 22, 2018: States Act on Flame Retardant Chemicals
States are taking a leadership role in preventing and reducing toxic exposures and this year 16 states have introduced legislation to restrict the use of flame retardants in various consumer products. In 2017, Maine enacted similar legislation, following an override of the governor’s veto, and other states are now replicating those efforts.  

Firefighters—who are concerned about occupational exposure to these chemicals when ignited during residential fires—have been the primary advocates on this issue at the state level, and AAP chapters have added their voices to support these bills. Like other toxic substances, children are particularly susceptible to the potential reproductive, neurotoxic, immunotoxic, endocrine, behavioral, and carcinogenic harms posed by these chemicals.

For more from the AAP, see the Council on Environmental Health Web page and the Chemical-Management Policy: Prioritizing Children’s Health policy statement.​

March 20, 2018: AAP Chapter Engagement on Gun Violence Prevention

In a March 8, 2018 message to all Academy members, AAP President Colleen Kraft, MD, FAAP encouraged pediatricians to participate in the March 24 Day of Action in Washington, DC or in local events around the country. Many AAP chapters and members are already engaged, and we’re taking an additional opportunity to remind StateView readers to support this student-led initiative to oppose gun violence.

AAP chapters have also participated in days at the capitol to address gun violence prevention, and supported students at last Wednesday’s walkout events. In addition, more than 50 AAP chapter leaders met last week at the Annual Leadership Forum to discuss gun violence prevention and share effective strategies to influence change. Tomorrow, members of the state advocacy team will participate in the monthly Chapter Chat conference call to brief AAP chapter leaders on current gun violence prevention state policy actions. On Saturday, marches will be held across the country, and then in April, over 400 pediatricians from across the country will meet in Washington, DC at the AAP Legislative Conference and Leadership Fly-In to bring this issue to Capitol Hill. Sustained effort and momentum is the key to building a foundation for social and policy change, and the AAP is committed to supporting your efforts.

For more from the AAP on state gun violence prevention efforts, see our Safe Storage of Firearms, Universal Background Checks for Gun Purchases, and Assault Weapon Bans State AdvocacyFOCUS resources. Also see our State Advocacy Engagement on Firearm Data Collection resource.

March 19, 2018: MNAAP Pediatrics Day at the Capitol
Nearly 150 pediatricians and pediatric trainees from the Minnesota Chapter (MNAAP) gathered at the Minnesota Capitol on March 7th to advocate for stronger immunization laws, funding for mental health training and access, and other key issues such as gun safety.

Minnesota State Representative Ilhan Omar, the highest-ranking Somali-American elected official in the US, thanked the Minnesota pediatric community for its response to the measles epidemic and noted that more resources are needed for outreach and prevention. "It was fascinating to see how many of you were saddled up for that fight, ready to give out proper information for all of us to be equipped with the tools to help all of our communities..." she said. Representative Omar described her challenge to state lawmakers, "If the kids looked like your kids you wouldn't hesitate", recapping her fight for funding to combat the measles outbreak which primarily affected unvaccinated Somali children last year.

After reviewing and discussing the chapter's priority issues, attendees branched out to meet with 45 representatives and 32 senators to discuss child health issues, while outside the Capitol, more than 2,000 high school students rallied to #ProtectKidsNotGuns.​

March 15, 2018: 52 Ways AAP Chapters and Districts Improved Child Health in 2017
AAP chapters and districts had tremendous success in their advocacy work for children and pediatricians in 2017. 52 Ways AAP Chapters and Districts Improved Child Health in 2017 highlights these achievements.

Celebrate your victories and learn about great ideas from other chapters and districts. Thanks for all you do to improve the health and well-being of children!​

March 13, 2018: Michigan Chapter Polls Voters on Gun Violence Prevention
A new statewide poll in Michigan, commissioned by the AAP Michigan Chapter finds that 70% of voters support legislation to create extreme risk protection orders for potential perpetrators of gun violence. The legislation, introduced last year but still under consideration in the Michigan House, would permit a family member, someone in close relationship, or law enforcement officers to petition a court to not allow the defendant to purchase or possess a firearm for 1 year in instances where the defendant poses a danger to themselves or others. Currently, California, Connecticut, Indiana, Oregon, and Washington have these “red flag” laws on the books but several other states are now considering them.

Gun violence prevention will be an important part of discussions at this week’s AAP Annual Leadership Forum. On Saturday March 17, chapter leaders will gather from 1:45-3:15 (in the Nirvana AB room) to discuss the challenges and opportunities posed by gun violence prevention efforts. Experiences, lessons, ideas, and strategies from chapters across the country will be shared to inspire and support our collective advocacy work on this critical public health issue.  

For more from the AAP on state gun violence prevention efforts, see our Safe Storage of FirearmsUniversal Background Checks for Gun Purchases, and Assault Weapon Bans State AdvocacyFOCUS resources. Also see our State Advocacy Engagement on Firearm Data Collection resource.​

March 12, 2018: Who’s Speaking Up For Kids?—AAP State Advocacy Resource
State of the state and inaugural addresses offer a quick look at governors’ top line priorities and are a great way for your chapter to identify shared interests, make a connection, and offer your expertise.

The AAP State Advocacy team has been listening in to what governors are saying, and we’re keeping track of some things you’ll want to know in our Who’s speaking up for children? resource. So, take a look, identify policy priorities or issues of concern for your chapter, reach out to your governor’s office, and connect with advisors, staff…even the governor, to discuss common interests, share your experience and expertise, and build a relationship.​

​​March 8, 2018: AAP Alabama Chapter Weighs In on Medicaid Waiver
On February 27, Alabama became the latest state to release a Medicaid Section 1115 waiver proposal to require work as a condition of coverage for adults in the state’s Medicaid program. Knowing that this waiver proposal would disproportionately affect parents and other caretaker relatives of children in the state—the clear majority of whom are women—the AAP AL Chapter sprang into action. On March 5, just a week after the proposal was released, AAP AL Chapter Executive Director Linda Lee raised significant chapter concerns with this proposal at a state sponsored public forum. Together with other advocates, Ms Lee highlighted how the state’s proposal would lead these parents directly into a health insurance “coverage gap,” and disproportionately harm low-income children and families in the state.

AAP Alabama Chapter joins the growing list of chapters on the front lines of defense against Medicaid work requirements, increased premiums, elimination of retroactive coverage, and other harmful Medicaid Section 1115 waiver provisions. This week, a broad coalition lead by the AAP and Georgetown Center for Children and Families issued a letter to the HHS Secretary Azar, outlining serious concerns with recent 1115 waivers. This letter, the Academy's Principles on Waivers, and our resource, State Waivers Could Significantly Alter Coverage and Care for Children can be helpful to AAP chapters working on waiver proposals. Chapters are encouraged to contact the AAP at stgov@aap.org for consultation and technical assistance.​

March 6, 2018: States Move Forward on Gun Violence Prevention

In the wake of last month’s mass shooting at Marjory Stoneman Douglas High School, states continue to move forward on policies to reduce gun violence. States are considering bills that address bump stock bans, age restrictions on assault weapon purchases, and gun violence restraining orders or “red flag” bills. In addition, Connecticut, New Jersey, New York and Rhode Island announced that they would be sharing criminal databases and coordinating research related to potential firearm purchases, gun trafficking and violent crime.

States are also considering filling the gaps in the research on gun violence. In 2016, California established the country’s first state funded gun violence prevention research center at the University of California-Davis. Following in California’s footsteps, New Jersey is considering a bill that would establish a gun violence research center at Rutgers University.

For more from the AAP on state gun violence prevention efforts, see our Safe Storage of Firearms, Universal Background Checks for Gun Purchases, and Assault Weapon Bans State AdvocacyFOCUS resources. For more on gun violence research and data collection opportunities, see our State Advocacy Engagement on Firearm Data Collection resource.​

March 5, 2018: INAAP Advocacy Day at The Statehouse
Members of the AAP Indiana Chapter recently gathered in Indianapolis to advocate for the chapter’s 2018 priorities, which include reducing infant mortality, increasing immunization rates, ensuring all children have access to high quality preschool, promoting Reach Out and Read, raising the tobacco purchase age to 21, and increasing tobacco taxes.

Gathered in the capitol are (left to right) Kate Hannaford, medical student; Brittany Byerley, medical student; Sarah Stelzner, MD, FAAP, Chapter Government Affairs Committee Chairperson; Marshall Criswell, MD, FAAP, Chapter Board of Directors–North Region Representative; Indiana State Representative Carey Hamilton (D-87); Sarah Bosslet, MD, FAAP, Chapter President; and chapter members Meagan O’Neill, MD, FAAP, Deanna Reinoso, MD, FAAP, and Nerissa Baur, MD, FAAP.

March 1, 2018: The Cost of Medicaid Work Requirements
​Currently, Medicaid waivers implementing work requirements for adults in Indiana and Kentucky have been approved, and 9 other states (AR, AZ, KS, ME, MS, NC, NH, UT, WI) await approval of similar plans from the Centers for Medicare and Medicaid Services (CMS). Early analysis reveals these types of policies will require massive changes to Medicaid programs will result in greater costs to states.

Implementing work requirements and other changes to Medicaid eligibility will result in 2 major costs: updating or creating IT systems that include this new beneficiary data and the hiring and training of staff to track compliance and appeals. States can receive a federal match, usually 50%, for some of the new administrative costs to implement changes, but CMS has said it would not help states pay for job training, child care assistance, or other supports to aid individuals insured by Medicaid with seeking and gaining employment.

For more from the AAP, please see our waiver principles as well as our educational piece, State Waivers Could Significantly Alter Coverage and Care for Children. If your state is considering a waiver, please contact us at stgov@aap.org for consultation and technical assistance. ​

February 27, 2018: Oversight of Network Adequacy Shifting to States
Under the Affordable Care Act (ACA), health plans sold on marketplaces are required to maintain an adequate network of in-network physicians (including specialists in the plan’s service area), hospitals, and other providers. However, through a federal rule that went into effect at the beginning of the year, the Trump administration has reduced federal oversight and shifted the responsibility for monitoring and enforcing network adequacy rules to the states. In addition to giving states more accountability for maintaining sufficient provider networks, the federal rule also no longer requires states using the federally facilitated marketplace to follow specific quantitative measures of network adequacy (such as time and distance standards).

The removal of a federal floor for network adequacy could leave children across the country with no access to needed pediatric specialists and subspecialists and wide variation in monitoring and enforcement across states. Chapter and member advocacy on this issue can help shape network adequacy that supports the care children need.

For more from the AAP, please see our Network Adequacy Advocacy Action Guide for AAP Chapters and contact us at stgov@aap.org for consultation and technical assistance.​

February 26, 2018: Pediatric Advocacy Day in Wisconsin
The AAP Wisconsin Chapter (#WIPeds) recently engaged more than 40 residents, physicians, and other advocates with a day of advocacy in Madison. Chapter President Dr Mala Mathur and Vice President Dr Dipesh Navsaria hosted a rich program of speakers, advocacy training, and legislator visits to discuss the chapter’s legislative priorities during a very busy time in the current legislative session.

State Representative Joan Ballweg (R-Markesan), co-chair of Wisconsin’s Children’s Caucus, Mark Grapentine of the Wisconsin Medical Society, and Jim Pawelski of AAP State Advocacy provided their perspectives on child health policy and advocacy strategies. Discussion focused on the power of stakeholder engagement, coalition building, in-district contact with legislators, and the advocacy support available from the chapter and AAP national.

Below, attendees gather at the steps of the capitol.​

​February 22, 2018: Mississippi Chapter Urges Policymakers to Put Kids First
Pediatricians and trainees from the  AAP Mississippi Chapter recently spent the day in Jackson advocating for children’s health and well-being. The group met with both Governor Phil Bryant and Lieutenant​ Governor Tate Reeves, was introduced on the floor of the Senate, attended committee meetings in the House, and visited their legislators. Among the advocacy priorities promoted that day were: increasing the cigarette tax by $1.50 per pack; strengthening the state’s distracted driving prevention law; protecting Medicaid; ensuring adequate physician payment; and keeping the state’s strong immunization exemption laws.​

February 20, 2018: A Look at 2018 State Gun Policy
​​In the wake of the mass shooting at Marjory Stoneman Douglas High School in Florida, advocates continue their work to strengthen state gun laws to prevent future tragedies. Last month, New Jersey banned bump stocks, which are trigger-accelerating devices that can be attached to semiautomatic weapons to increase firing speed. At least 27 other states are considering similar bills. Gun Violence Restraining Orders (GVRO), bills which would allow a friend or family member to petition a court to remove firearms from the home of a person who is deemed at risk or harming his/herself or someone else, are pending in 17 states. Meanwhile, 21 states are considering bills that would close domestic violence loopholes. Oregon passed a bill out of committee that would close the “boyfriend loophole” by including dating partners in the state’s domestic violence firearm protections. Similar bills are moving in Kansas, Washington, and Utah.  

In response to the shooting, the Academy issued a statement, renewing its call for stronger state and federal gun laws. The State Advocacy Team is ready to assist AAP chapters with resources and strategy guidance on state policy options.

For more from the AAP on state gun violence prevention efforts, see our Safe Storage of Firearms, Universal Background Checks for Gun Purchases, and Assault Weapon Bans State AdvocacyFOCUS resources.​

February 19, 2018: AAP West Virginia Chapter Holds First Advocacy Day
Last week, the AAP West Virginia Chapter visited the state capitol to promote the chapter’s 2018 Legislative Priorities to lawmakers. Included among the priorities is establishing EPSDT or the CHIP benefit package as the state’s benchmark plan for insurers, increasing the tobacco purchase age to 21, responding to the state’s opioid epidemic and protecting the state’s strong school immunizations laws. The chapter also discussed firearm injury prevention and obesity with lawmakers.

In honor of the chapter’s advocacy day coinciding with Valentine’s day, the West Virginia Senate adopted Senate Resolution 40, designating February 14, 2018 as Tiny Hearts Day. The resolution highlights the chapter’s priorities and extends the Senate’s gratitude and appreciation for all the work the chapter does on behalf of all children and families in the state.​

February 15, 2018: American Lung Association State of Tobacco Control 2018
There’s great news in tobacco control—smoking rates by both adolescents and adults have fallen to historic lows—but much more remains to be done to protect children from exposure to tobacco smoke and initiation of use.

State of Tobacco Control 2018, a report from the American Lung Association, grades state progress on several key tobacco control measures. The report highlights where states have made strides in curbing tobacco use, and where additional efforts are required. The overall key findings of the report highlight the uneven progress in policy change to reduce tobacco use, which has left vulnerable populations behind—including low income families, those living in public housing, and LGBTQ individuals.

For more from the AAP on tobacco prevention efforts, see our policy statement Public Policy to Protect Children From Tobacco, Nicotine, and Tobacco Smoke and visit the AAP Julius B. Richmond Center of Excellence. Also see our Tobacco 21 and Electronic Nicotine Delivery Systems (ENDS) State AdvocacyFOCUS resources.​​

February 13, 2018: AAP Washington Chapter Visits Olympia
This month, 85 members of the AAP Washington Chapter (WCAAP) visited the state capitol to advocate for the chapter’s 2018 legislative priorities. Chapter members met with their legislators and discussed increasing Medicaid payments, improving access to behavioral health care, raising the tobacco purchase age to 21, and preventing children’s access to firearms. A new component of the chapter’s advocacy day included inviting legislators to for lunch to lead table group discussions on child health issues. Below, Washington State Senator David Frockt (D-46) leads a discussion with members of the chapter.​

Below, WCAAP members gather on the steps of the capitol.

February 12, 2018: States Consider Banning Tackle Football for Children
As more research about the potential long-term effects of head trauma become available, states have turned their attention to reducing the number of concussions sustained by student athletes. All 50 states and the District of Columbia now have laws that require children suspected of sustaining a concussion during a game or practice to be removed from play and medically cleared prior to returning to play.

Some states are now addressing the sports where children are most likely to sustain concussions. So far this year, Illinois, Maryland, and New York have introduced bills to ban tackle football for children. The Illinois bill would ban tackle football for children younger than the age of 12 and the Maryland and New York bills would prohibit the sport for children younger than 14.

For more information from the AAP on tackle football, see our clinical report Tackling in Youth Football.

February 8, 2018: State Funding of PreK
Over the last 5 years states have increased funding for prekindergarten (PreK) programs by 47%, and 44 state-funded PreK programs now serve nearly 1.5 million children. How States Fund Pre-K: A Primer for Policymakers, a new report from the Education Commission of the States (ECS), examines how states use federal, state, and local funding to provide these programs to young children. Most federal funds come from Head Start, while state funds flow from the state general funds, block grants, or state education funding formulas.

To learn how much funding your state provided to PreK in 2016-17, see the ECS resource, State Pre-K Funding 2016-17 Fiscal Year: Trends and Opportunities.

For more from the AAP on PreK and other early childhood education initiatives, visit the AAP Council on Early Childhood site.​

​​February 6, 2018: Medicaid Managed Care and Social Determinants of Health
State Medicaid programs have several options to modify payment and delivery systems in ways that can impact social health factors to meet the nonclinical needs of Medicaid enrollees. But is this possible now that the clear majority of Medicaid enrollees receive care through managed care organizations (MCOs)? Enabling Sustainable Investment in Social Interventions: A Review of Medicaid Managed Care Rate-Setting Tools, a new publication from the Commonwealth Fund, provides insight into mechanisms available to state Medicaid managed care programs to finance and sustain services addressing social determinants of health. This resource can be helpful to your chapter if your state is examining options to engage or expand Medicaid managed care in social determinants of health efforts.

To learn more about state efforts to address social determinants of health and other system transformation activities, please see the AAP System Transformation page.​

February 5, 2018: Medicaid and CHIP Critical Among Children Ages 3 and Younger
Health Insurance Coverage Among Children Ages 3 and Younger and Their Parents in 2016, a new brief from the Urban Institute, examines 2016 American Community Survey (ACS) data on coverage rates among children age 3 and younger and their parents. Findings show 48.5% of young children were insured by CHIP and Medicaid, while just 3.3% of children aged 3 or younger remained uninsured. The parents of these children were also more likely to be covered by Medicaid than parents of older children.

Coverage rates varied across states, with relation to adoption of Medicaid expansion. Approximately 8.7% of parents of children younger than 3 in expansion states were uninsured, while 18% of parents in nonexpansion states did not have coverage.

For help with your chapter’s Medicaid and CHIP advocacy efforts, contact us at stgov@aap.org.

​February 1, 2018: Banning “Conversion Therapy” for LGBTQ Youth
​​Over 20,000 LGBTQ youth could be subjected to potentially harmful counselling by a licensed health care professional, with another 57,000 at risk of receiving similar treatment from clergy or other spiritual advisors. That is the conclusion of a new report from the Williams Institute on Sexual Orientation and Gender Identity Law and Public Policy at the UCLA Law School. The report cites the recent statewide trend in bans on so-called “conversion therapy”, sometimes referred to by its proponents as “reparative therapy”, which is intended to elicit changes in sexual orientation or gender identity of children and adolescents. AAP policy states that these therapies are not effective, may be harmful to LGBTQ individuals by increasing internalized stigma, distress, and depression, and therefore are never indicated.

Nine (9) states (California, Connecticut, Illinois, Nevada, New Jersey, New Mexico, Oregon, Rhode Island, and Vermont) and the District of Columbia have now banned these practices from being used with children, as have 32 municipalities around the country. AAP chapters have been on the forefront of this issue at the state level, and related legislation introduced in Congress in 2015 was endorsed by the AAP.

For more from the AAP on this issue, see our policy statement Office-Based Care for Lesbian, Gay, Bisexual, Transgender, and Questioning Youth. ​

January 30, 2018: Florida Chapter Joins Children’s Week
The AAP Florida Chapter recently came together with advocates from across the state as part of Children’s Week, to advocate for the health and well-being of Florida’s children. To prepare for meeting with lawmakers, residents took part in a Webinar led by the chapter’s lobbyist and learned more about the chapter’s advocacy priorities, which include immunizations, perinatal mental health, and curbing texting while driving. The following day, residents and chapter leaders attended house and senate committee meetings and met with their representatives and senators to promote the chapter’s advocacy agenda.

Here, chapter leaders, residents, and members of iCAN Florida’s Kids Team gather with Senator Aaron Bean after touring the senate chamber.

January 29, 2018: AAP Kentucky Chapter Advocates for Children
The
AAP Kentucky Chapter recently joined hundreds of advocates at the state capitol as part of the Kentucky Youth Advocates (KYA) annual Children’s Advocacy Day at the Capitol. The chapter is a partner in the development of the Blueprint for Kentucky’s Children, which prioritizes policies to improve the health and well-being of children.

Chapter leaders met with state lawmakers to promote increasing the state’s tobacco tax, making schools smoke-free, requiring bike helmets for children younger than 12 years of age, and safe disposal of opioids. As the day gets underway, AAP Kentucky Chapter officers (left to right) Past President Kim Boland, MD, FAAP; President Pat Purcell, MD, FAAP; Secretary/Treasurer Jaime Pittenger, MD, FAAP; and Vice President/President Elect Scottie Day, MD, FAAP gather in the capitol.

​January 25, 2018: Roadmap of State Highway Safety Laws
2018 Roadmap of State Highway Safety Laws, a report from Advocates for Highway and Auto Safety, examines laws that dramatically improve highway and auto safety, including child passenger safety, distracted driving, teen driving, impaired driving, and occupant protection. Progress toward achieving these policy goals in each state is also evaluated.

Child passenger safety advocates celebrated multiple victories in 2017. Five states (Connecticut, New York, Oregon, Rhode Island, and South Dakota) enacted rear-facing until age 2 laws; 3 states (Alabama, Iowa, and Texas) upgraded their distracted driving or teen driving laws from secondary to primary enforcement; and North Dakota raised the booster seat requirements to age 8.  

For more from the AAP on these issues, see our State AdvocacyFOCUS resources on Child Passenger Safety, Distracted Driving, and Teen Driving.​

January 23, 2018: AAP 2017 State Advocacy Report
As you prepare for the 2018 state legislative sessions, take time to celebrate the successes you achieved last year by reviewing the AAP 2017 State Advocacy Report, which details 23 significant child health and pediatric practice state policies. Thanks to the dedicated advocacy work of AAP chapters and members, significant achievements have been made across the country to shape the health policy landscape in every state. Your efforts in 2018 to preserve and build on these gains are vital to children’s health and well-being. The State AdvocacyFOCUS resources included in the report are updated regularly and available at aap.org/stateadvocacy. Use them to raise awareness about key child health issues with your members, policymakers, and other stakeholders.

We’re here to help you with your state advocacy work! Please contact the AAP State Advocacy team at stgov@aap.org.​

January 22, 2018: Pediatrics Supplement on Tobacco and Secondhand Smoke
Tobacco and Secondhand Smoke, a supplement to the January 2018 edition of Pediatrics explores the role of research and advocacy in protecting children from tobacco and secondhand smoke. Highlighted issues include the impact of smokefree car legislation, the relationship between tobacco control laws and pediatric asthma, and the changes in adult attitudes towards tobacco control laws designed to protect children.  

Although states continue to strengthen laws regulating electronic nicotine device systems (ENDS) and raising the minimum purchase age of tobacco products and ENDS to 21, they still underfund tobacco prevention programs. Last month, the Campaign for Tobacco-Free Kids released its report Broken Promises to Our Children: A State-By-State Look at the 1998 Master Settlement 19 Years Later examining this ongoing policy concern.

For more from the AAP, see our State AdvocacyFOCUS resources Raising the Tobacco and ENDS Purchase Age to 21 and Electronic Nicotine Device Systems ENDS, and our Advocating for Tobacco 21 in Your State Advocacy Infographic.

January 18, 2018: State Use of Accountable Care to Promote Population Health
As the laboratories of health reform, states are continuing their efforts to address factors affecting health that extend beyond clinical care.
State Approaches to Addressing Population Health Through Accountable Health Models, a new brief from the National Academy for State Health Policy (NASHP), examines how 10 states are using accountable care entities to integrate health-related social needs into their health care delivery systems. The resource looks at accountable care alignment with Medicaid, use of value-based payment, multisector measurement, and numerous other features of these transformational efforts. This information can be helpful to other states looking to build on emerging efforts.

For more from the AAP, visit the AAP System Transformation and Practice Transformation pages.​​

January 16, 2018: Almost Half of States Could Exhaust CHIP Funding by March
Updated
estimates from the Georgetown Center for Children and Families (CCF) show that 11 states are expected to run out of federal CHIP funds during the month of February, and by March, as many as 24 states could be in shortfall positions. The   continuing resolution (CR) approved by Congress in December 2017 extends $2.85 billion in federal CHIP funding, but also changes how redistributed CHIP funds are awarded. Because of the change, it’s not clear how much of—or even if—redistributed funds will be available to states to continue their programs when they exhaust existing funds.

Congressional inaction has created a dire situation for children, families, and state governments. The AAP continues to call on Congress to take immediate action to extend federal CHIP funding for 5 years. Thank you to all AAP members for your ongoing advocacy to make sure Congress extends CHIP funding—please keep using the CHIP Advocacy Toolkit​ to support your ongoing efforts.​

​January 15, 2018: State Children’s Cabinets | Partners in Advocacy
A new survey from the Forum for Youth Investment (FYI), 2017 State Policy Survey: Child and Youth Coordinating Bodies in the US, examines the structure of state children’s cabinets, state children’s commissions, state early learning advisory councils, and other state youth coordinating bodies; trends in their use of evidence and promotion of equity; and their challenges and accomplishments. These entities are excellent partners for your chapter’s 2018 advocacy work.

To learn how more about how your chapter can and collaborate with existing groups, or for tips on how to launch or reenergize them in you state, please contact the AAP State Advocacy Team at stgov@aap.org. ​

January 11, 2018: Medicaid Expansion States See Fewer Hospital Closures
Hospitals in states that have expanded Medicaid under the Affordable Care Act (ACA) were approximately 6 times less likely to close than those in nonexpansion states, according Understanding The Relationship Between Medicaid Expansions and Hospital Closures, a Health Affairs research article. Hospitals in states that expanded Medicaid also saw more patients that were covered by insurance and provided less free care than they had in the past.

The Rural Health Research Program has identified 83 rural hospital closures since 2010, most of which occurred in nonexpansion states. Rural hospitals, often vulnerable to closure, improved financial performance more than their suburban and urban counterparts. The study also showed that financial improvements for hospitals were greatest in counties that had the highest number of uninsured residents prior to the expansion.

For more on Medicaid expansion from the AAP, please see our State AdvocacyFOCUS resource and State Advocacy Infographics

January 9, 2018: Connect with the AAP State Advocacy Team
2018 is off and running and with the multitude of issues facing state policymakers this year, the AAP State Advocacy Team is ready to support your chapter efforts through consultation, technical assistance, resources, strategy development, and learning and engagement opportunities. In addition, a quick connection to all our resources can be found at
www.aap.org/stateadvocacy.

To ensure two-way communication about important state advocacy work, please consider adding us, by using stgov@aap.org, to your chapter’s state advocacy communications. This can include your advocacy updates, calls to action, meeting information, messages to your chapter legislative or government affairs committees, and anything else related to your chapter’s advocacy efforts. We look forward to an exciting and productive year. Thanks for all you do!​

​​January 8, 2018: Medicaid Payment Increase Improved Pediatrician Participation

A new study demonstrates that pediatricians responded to the Affordable Care Act (ACA) 2013-2014 Medicaid payment increase for primary care services by increasing their participation in the Medicaid program.

Increased Medicaid Payment and Participation by Office-based Primary Care Pediatricians, published in the January 2018 issue of Pediatrics, compared survey data collected during 2011-12 and 2015-16 by the American Academy of Pediatrics (AAP) from state-stratified random samples of over 10,000 pediatrician members. Researchers found that Medicaid participation increased nationally after the increase in Medicaid payment by most indicators. Physicians accepting at least some new patients insured by Medicaid increased 3 percentage points to 77.4%; those accepting all new patients insured by Medicaid increased 5.9 percentage points to 43.3%; those accepting patients at least as often as new privately-insured patients increased 5.7 percentage points to 55.6%. This new research reiterates the important link between appropriate Medicaid payment levels and access to care.

Working on Medicaid payment advocacy in your state? Contact AAP State Advocacy at stgov@aap.org for assistance.​

January 4, 2018: Prescription Drug Monitoring Program (PDMP) Improvements
To address an increase in opioid overdose deaths, states are
working to improve their Prescription Drug Monitoring Programs (PDMPs). Currently 25 states require physicians to check a PDMP before prescribing opioids, while 14 states and the District of Columbia have PDMPs, but do not require physicians to use them. The National Alliance for Model State Drug Laws provides more information about PMDP requirements by state

Sharon Levy, MD, FAAP, immediate past chair of the AAP Committee on Substance Use and Prevention (COSUP) recently gave the TEDx Beacon Hill Talk: Opioid Addiction is Treatable. Why Aren’t We Doing It? Dr Levy also represents the Academy on the American Medical Association (AMA) Opioid Task Force.

For more from the AAP, see our clinical reports Neonatal Drug Withdrawal and Medication-Assisted Treatment of Adolescents with Opioid Use Disorders

December 5, 2017: Coming Soon: 2018 State Legislative Sessions
With all but 4 states (Montana, Nevada, North Dakota, and Texas) set to convene regular legislative sessions shortly after the start of the new year,
State Net Capitol Journal takes a look at the road ahead and examines some of the priority issues that are likely to rise to the forefront at the state level next year. Leading the list are health care concerns, opioids, marijuana legalization and state preemption of local laws—all issues of concern for AAP chapters.

As we head into the end of 2017, StateView will be taking a short break. The AAP state advocacy team is here to provide you with one-on-one consultation, technical assistance, and strategy guidance as you prepare for 2018—contact us at stgov@aap.org.

We wish you a happy holiday season and a new year filled with peace and happiness, and thank you for all you do to advocate for children in your states. We’ll see you in 2018!

December 4, 2017: Maine’s Vote to Expand Medicaid Revives Debate in Other States
Last month, voters in Maine overwhelmingly voted to expand their Medicaid program. Almost 60% of voters approved a ballot measure that will allow more low-income adults to become eligible for Medicaid under the Affordable Care Act (ACA). While Governor LePage has said he would only implement the measure under specific circumstances, the win has reenergized advocates hoping to do the same in their states.

A 2012 Supreme Court ruling made Medicaid expansion an option for states, and 32 states and the District of Columbia have now chosen to expand their programs. Advocates in states that have not yet expanded coverage such as Idaho, Nebraska, and Utah continue to push for expansion, and are working to put their own ballot initiatives to voters. In Virginia, the election of Governor-Elect Ralph Northam, MD and the flipping of more than a dozen seats in the state’s House of Delegates improve the chances of Medicaid expansion there as well.

For more from the AAP, please see our Expanding Medicaid Matters infographics.

November 30, 2017: Ending the Opioid Epidemic: A Practical Guide for State Policymakers
A guide from the National Center on Addiction and Substance Abuse outlines strategies that state policymakers can enact to prevent opioid misuse and reduce the number of deaths and injuries caused by opioids every year. The guide supports a public health approach to address the opioid epidemic and invest in the implementation of evidence-based substance misuse prevention and treatment initiatives.

Included within the strategies are expanding access to public and private insurance coverage for treatment programs, improving access to medication-assisted treatment programs, and improving prescription drug monitoring programs (PDMPs).

For more from the AAP, see our clinical reports Neonatal Drug Withdrawal and Medication-Assisted of Adolescents with Opioid Use Disorders. The AAP is also a member of the AMA Opioid Task Force.​

November 28, 2017: States Make CHIP Contingency Plans
Nearly 2 months have passed since the federal funding deadline to extend the Children’s Health Insurance Program (CHIP), with October projections indicating that as many as 11 states could run out of CHIP funds by the end of 2017. As states await Congressional action, some are beginning to take steps to address the program’s funding uncertainty. Most recently, West Virginia announced it would be shutting down its CHIP program on February 28, and Colorado and Virginia are beginning to inform families that their programs will end. Oregon, meanwhile, announced it would spend $35 million of state funds to keep the program operational, and Minnesota has tapped its own funds to keep its program running after exhausting leftover funds.

To advocate for an immediate extension of CHIP funding, the AAP is joining other child health advocacy organizations for a CHIP Day of Action Thursday, November 30, 2017. AAP chapters and members are encouraged to participate using the newly updated CHIP Advocacy Toolkit, which contains the latest state of play, talking points, social media messages, graphics, and other helpful resources to help you advocate. ​

November 27, 2017: Vigils Commemorate Sandy Hook Anniversary
As the 5th anniversary of the Newtown, Connecticut elementary school shooting approaches, Moms Demand Action will host over 200 vigils in 40 states from December 2 until December 17, 2017. To find a vigil in your state, consult this list or check the Nationwide Vigils and Events to #EndGunViolence Facebook page.

​​​As you prepare for your 2018 state legislative sessions, our State AdvocacyFOCUS resources on Assault Weapon Bans, Safe Storage of Firearms, and Universal Background Checks for Gun Purchases are available to support your advocacy efforts.

​StateView Archive Page​

E-mail your comments and suggestions to the AAP State Advocacy team. Please contact us at 630/626-6240 if you require additional assistance or information.​​​
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