Health Equity
Many states are transforming their health care delivery systems to improve health and control costs. Reducing health disparities — and addressing their social and economic causes — is at the heart of many of these efforts.
Health equity means everyone has an equal opportunity to live a long and healthy life regardless of race, ethnicity, gender, income, neighborhood, education, or any other social condition.
Despite its high price tag, the majority of health care spending ignores critical determinants of health, including social and economic factors, the environment, and health behaviors. By increasing health equity, states can achieve improved, long-term health outcomes.
The following resources showcase effective state efforts to achieve health equity, improve care, and prioritize the social determinants of health. To suggest a resource or share your state’s efforts, contact Elinor Higgins.
Sign Up for Our Weekly Newsletter
Sign Up for Our Weekly Newsletter
Washington, DC Office:
1233 20th St., N.W., Suite 303Washington, DC 20036
p: (202) 903-0101
f: (202) 903-2790
Contact Us
Phone: 202-903-0101


For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
























































































































































The State of the States: Amid the Pandemic, Governors Tackle Health, Social, and Economic Issues
/in Policy Blogs, Featured News Home Chronic Disease Prevention and Management, COVID-19, Eligibility and Enrollment, Equity, Health Coverage and Access, Health Equity, Housing and Health, Immunization, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Allie Atkeson, Anita Cardwell, Rebecca Cooper, Gia Gould and Elinor HigginsGovernors use their annual state of the state addresses to showcase recent successes and define their policy priorities for the year ahead. By late February, 45 governors had delivered speeches outlining plans to address a wide range of health and related issues in the coming months. All mentioned their states’ responses to COVID-19, frequently praising […]
2021 State of the States: Amid the Pandemic, Governors Tackle Health, Social, and Economic Issues
/in Policy Charts, Maps Chronic Disease Prevention and Management, Consumer Affordability, COVID-19, Eligibility and Enrollment, Equity, Health Coverage and Access, Health Equity, Health System Costs, Housing and Health, Immunization, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by NASHP StaffHow States Improve Housing Stability through Medicaid Managed Care Contracts
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Equity, Housing and Health, Medicaid Managed Care, Medicaid Managed Care, Population Health, Social Determinants of Health /by Ariella LevisohnIn 2019, more than 500,000 individuals experienced homelessness and nearly 20 million renters spent 30 percent or more of their income on housing. These numbers are increasing as the COVID-19 pandemic exacerbates housing insecurity for people of color and low-wage workers. To improve housing stability – a critical social determinant of health (SDOH) – states […]
State Maternal Mortality Review Committee Membership and Recommendations
/in Policy Charts, Featured News Home, Maps Health Equity, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Social Determinants of Health /by Taylor Platt and Eddy FernandezStates Identify and Address COVID-19 Vaccine Disparities through Targeted Rollout and Outreach
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Health Equity, Population Health, Social Determinants of Health, Vaccines /by Rebecca Cooper, Ariella Levisohn and Jill RosenthalAs states rapidly work to get COVID-19 vaccines into arms as quickly as possible as viral variants spread, state officials know vaccine rollout plans must focus on equitable distribution to communities of color, especially Black and Latinx communities that have experienced disproportionately high infection rates, hospitalizations, and deaths. However, early data suggests that these populations are receiving vaccines […]
Oregon’s Community Care Organization 2.0 Fosters Community Partnerships to Address Social Determinants of Health
/in Medicaid Managed Care Oregon Featured News Home, Reports Accountable Health, Health Equity, Housing and Health, Medicaid Managed Care, Population Health, Program Design, Quality and Measurement, Social Determinants of Health /by Neva KayeRestoring Federalism to Win the War against COVID-19
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Health Equity, Population Health, Social Determinants of Health /by Trish RileyIn its understandable urgency to build a long-needed national strategy on COVID-19, the Biden Administration faces a patchwork of state-based initiatives that can simultaneously support and confound a new national strategy. The previous Administration made states the frontlines against COVID-19 and, working with the US Centers for Disease Control and Prevention (CDC), states have built […]
States Begin to Incorporate Children into their COVID-19 Vaccine Distribution Plans
/in COVID-19 State Action Center Blogs, Featured News Home Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, COVID-19, Health Equity, Immunization, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health, Vaccines /by Olivia RandiTo date, there have been more than 2 million COVID-19 infections in US children and 8,000 pediatric hospitalizations. As states begin vaccinating those age 16 and older, many are drafting plans and applying lessons learned from their existing vaccination initiatives for the day when a vaccine is authorized for younger children.
Implementing the Family First Prevention Services Act: What to Watch in 2021
/in Policy Blogs, Featured News Home Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Social Determinants of Health /by Veronnica ThompsonEnacted in 2018, the Family First Prevention Services Act (FFPSA) significantly reformed the child welfare system and allowed states to use Title IV-E funds to reduce out-of-home placements for children and youth. When those placements are necessary, the FFPSA authorized specific types of allowable congregate settings, including qualified residential treatment programs (QRTPs).
Government Eliminates Waiver Requirement for Doctors Prescribing the Addiction Treatment Medication Buprenorphine
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Equity, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health /by Jodi Manz and Kitty PuringtonUpdate: On Jan. 27, 2021, the Office of National Drug Control Policy (ONDCP) notified stakeholders that the earlier announcement from the Department of Health and Human Services (HHS) that physicians will no longer have to obtain a federal waiver to prescribe the opioid use disorder treatment buprenorphine to patients – as described in this blog – will not […]