Access To Care Episodes

On today's episode, Denise Hanisch from the South Dakota Department of Health shares the state's maternal and infant health priorities, and ASTHO's Sanaa Akbarali highlights takeaways from the Region 7 Maternal Health ECHO Summit.

Today: bringing oral health into the public health conversation with Flora Nathan, assistant secretary for the Bureau of Oral Health in the Republic of the Marshall Islands. At her first ASTHO Spring Leadership Forum, Flora shares a candid look at the challenges and opportunities of delivering oral healthcare across a U.S. remote island nation. From severe workforce shortages and long clinic wait times to the ripple effects on families, schools, and local economies, she highlights how oral health is deeply connected to broader public health outcomes. She also discusses the importance of integrating oral health into maternal and child health programs, school-based care, and community outreach, as well as the realities of operating without consistent funding.

On today's episode, Victor Ramos Otero, secretary of health for Puerto Rico, joins the show to discuss the urgent challenges facing the island’s health care system.

On today's episode, Heather Drummond from the Washington State Department of Health discusses the realities and urgent gaps in Long COVID care.

On today's episode, Eleanor Cabrera from the Commonwealth Healthcare Corporation in the Commonwealth of the Northern Mariana Islands shares how telehealth is helping transform care delivery in island jurisdictions.

In this episode, ASTHO's JoAnne Deehr highlights ASTHO’s Policy Institute for STI and Infectious Disease Prevention and its offerings to state health agencies and public health professionals.

If the United States brought home a report card on maternal and infant health, it would need a serious parent–teacher conference. In this episode, Dr. Michael Warren, chief medical and health officer at March of Dimes, breaks down their 2025 Report Card on birth outcomes, and the headline is hard to ignore: the nation earns a D+ for preterm birth, with half of states receiving a D or F. But this isn’t just about grades. It’s about what’s driving poor outcomes and what public health leaders can actually do about it. Warren, a former state and federal public health leader, also shares how officials can use the report card as more than a headline, but as a tool to build urgency, strengthen partnerships across maternal health, chronic disease, and Medicaid, and push forward policy and funding priorities.

What does it take for states to expand access to substance use disorder treatment and build stronger, more sustainable partnerships between Medicaid and public health?  In Massachusetts, leaders changed policies around provider models to increase access to care for opioid use disorder: Frances McGaffey, manager of the Substance Use Prevention and Treatment Initiative at The Pew Charitable Trusts, explains how pairing providers with dedicated nursing support has helped remove barriers to prescribing buprenorphine, expand the addiction workforce, and dramatically increase access to care. Then, Cory Caldwell, senior policy analyst at the National Association of Medicaid Directors, discusses the new 'Medicaid Leaders Playbook for Building Public Health Partnerships,' developed in collaboration with ASTHO.

Community health workers (CHWs) play a critical role in bridging the gap between health systems and the communities they serve, especially in rural and underserved areas. In this episode, ASTHO Senior Director of Population Health, Alex Kearly, explains who CHWs are, how they build trust and address both health and social needs, and why Medicaid reimbursement can help make these roles sustainable.

As part of our state health policy portfolio, ASTHO releases an annual Legislative Prospectus Series: policy briefs summarizing state and territorial legislation that impacts public health. Today, Dr. Joseph Kanter, ASTHO’s CEO, will summarize the 2026 series, identify trends in public health law for the next year, and provide a high-level overview for public health professionals and policymakers in time for upcoming legislative sessions.

New research out of New York shows that naloxone didn’t just save more than 6,500 lives in two years—it delivered one of the most dramatic returns on investment in public health. In this episode, Dr. James McDonald, ASTHO member and commissioner of the New York State Department of Health, breaks down the first statewide health-economic evaluation of naloxone administration.

In this episode, ASTHO’s Catherine Jones, senior analyst for government affairs, breaks down the 2025 federal government shutdown, the longest in U.S. history, and what made it uniquely disruptive compared to the 2018–2019 closure.

In this episode: how telehealth has evolved from a pandemic-era necessity into a powerful tool for improving access to health care. ASTHO senior analyst Ashley Cram breaks down the different types of telehealth, from video visits and audio-only consultations to remote patient monitoring, and why each plays an essential role for patients facing challenges like provider shortages, transportation barriers, or limited broadband access. Also, State Epidemiologist Tracy Miller explains how a partnership with North Dakota State University created a student assistantship program that gives MPH students hands-on experience, builds leadership skills among early career staff, and strengthens public health capacity. She shares lessons learned, how the model evolved, and why it could be a blueprint for other states and health departments looking to grow the next generation of public health professionals.

In this episode, health leaders from Iowa, Maine and Mississippi share their strategies for revitalizing rural healthcare. We hear excerpts from an ASTHO media briefing featuring ASTHO members as they address the urgent challenges facing millions of rural Americans, including healthcare provider shortages, transportation inadequacies, and significant health disparities. The discussion highlights collaborative, evidence-based initiatives designed to ensure the long-term sustainability and quality of rural care.

Francesca Provenzano, public health section chief of the Office of Public Health Preparedness and Response with the Connecticut Department of Public Health, discusses themes and insights from her term as chair of ASTHO’s Director of Public Health Preparedness Peer Network; Dr. Sara Collins, senior scholar for expanding coverage and access and tracking health system performance at The Commonwealth Fund, walks through some of the trends...

Rachel Lehman, acting director of the Administration for Strategic Preparedness and Response (ASPR)’s Technical Resources Assistance Center and Information Exchange (TRACIE), celebrates 10 years of the Center’s existence and discusses how it provides states and territories with timely information and technical assistance; Peter Orton, director of media design at the Institute for Vaccine Safety at Johns Hopkins Bloomberg School of Public Health, explains...

Dr. Daniel Edney, state health officer for the Mississippi State Department of Health and ASTHO member, shares how his state declared infant mortality a public health emergency to offer services across the state more rapidly; Bonny Mayes, epidemiologist with the Texas Department of State Health Services, discusses the article she co-authored...

Mickal Lewis, associate director of the Center of Excellence on Dementia Risk Reduction with the Alzheimer's Association, shares how community health workers play an essential role supporting a continuum of care for community members with dementia, and how public health leaders can help advance progress; Jeffrey Ekoma, senior director of government affairs at ASTHO, provides an update on the current government shutdown and explains how federal health agencies are impacted in this week’s View from Washington, D.C. report,...

JW Randolph, deputy commissioner at the Tennessee Department of Health, shares how his state’s new Office for Healthy Aging has been successful in coordinating statewide efforts to care for Tennessee’s aging communities; Jeffrey Ekoma, ASTHO’s senior director for government affairs, provides an update on funding for the federal government in this week’s View From Washington, D.C. report...

Dr. Susan Kansagra, chief medical officer at ASTHO, discusses updates to federal health initiatives that continue to impact public health agencies, including the latest report from the Make America Healthy Again Commission and recent activity regarding vaccines; Tiffany Day, public health specialist with the Henry County Health Department in Ohio, previews...

Dr. Arti Barnes, chief medical officer at the Illinois Department of Public Health, describes how her agency is working collaboratively with other state departments to enhance access to pediatric vaccinations; Jeffrey Ekoma, senior director of government affairs at ASTHO, discusses changes to the CDC, this month’s federal funding deadline...

Dr. Joseph Kanter, CEO of ASTHO, joined us from the Public Health Infrastructure Grant Annual Recipient Convening to discuss the importance of public health leaders coming together to learn from one another; Dr. Sameer Vohra, ASTHO member and director of the Illinois Department of Public Health...

Keyonie 'Key' James, reproductive health unit manager with the Michigan Department of Health and Human Services, shares her takeaways as a recent graduate of ASTHO’s Developing Executive Leaders in Public Health program; Suleima Salgado, CEO of the Global Partnership for Telehealth and principal investigator for the Southeastern Telehealth Resource Center...

Dr. Joseph Kanter, ASTHO CEO, Dr. Susan Kansagra, ASTHO chief medical officer, Dr. Scott Harris, ASTHO president and state health Officer for the Alabama Department of Public Health, Dr. Ayanna Bennett, director of the District of Columbia Department of Health, and Dr. Manisha Juthani, ASTHO president-elect and commissioner for the Connecticut Department of Public Health, held a deskside briefing on the preparations for the upcoming respiratory virus season; Ericka McGowan, senior director of emerging infectious disease at ASTHO...