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Supplemental Materials



The Supplemental Materials compilation lists key documents and additional resources about the issues raised in the Scope of Practice Toolkit. The documents listed are for reference purposes only and are not a complete listing of resources available on the issue. Individual users are responsible for researching the current text of laws, statutes, regulations, and other materials. The document lists bibliographical information and, where available, online links to the resources. All links are current as of January 31, 2012. Please report broken links to ASTHO at communications@astho.org.

Index


General Resources and Compilations


A—N
At-Risk Individuals and Communities
Countermeasures Injury Compensation Program (CICP)
Emergency Management Assistance Compact (EMAC)
Emergency Use Authorization (EUA)
Entity Liability
Federal Tort Claims Act (FTCA)
HHS Office of the Assistant Secretary for Preparedness and Response (ASPR)
Mutual Aid Agreements

O—Z
Pandemic and All-Hazards Preparedness Act (PAHPA)
Pandemic Strategies and Plans
Public Health Service Act, Section 319—Authorities Related to Public Health Emergencies
Public Readiness and Emergency Preparedness Act (PREP Act)
Scope of Practice Resources
Social Security Act, Section 1135
Uniform Emergency Volunteer Health Practitioners Act (UEVHPA)
Vaccination Resources
Vaccine Injury Compensation Program (VICP)
Volunteer Protection Act (VPA)
Workers’ Compensation and Disability





_______________________________________________________________________________________



General Resources and Compilations


Governmental
Centers for Disease Control and Prevention. Public Health Law Program. “Federal Public Health Emergency Law: Implications for State and Local Preparedness and Response.” Facilitated Teleconference. April 28, 2009. Available at www.bt.cdc.gov/coca/ppt/Federal_PH_Emergency_Law_042809.pps.

Centers for Disease Control and Prevention. Public Health Law Program. “Selected Federal Legal Authorities Pertinent to Public Health Emergencies.” September 2009. Available at http://www2.cdc.gov/phlp/docs/Selected%20Fed%20Legal%20Authorities%20re%20PH%20Emergencies%20102709%20v2.pdf.

HHS Office of the Assistant Secretary for Preparedness and Response. “Legal Authority and Related Guidance” webpage. Available at www.phe.gov/Preparedness/planning/authority/Pages/default.aspx.

HHS Office of the Assistant Secretary for Preparedness and Response. “Legal Authority of the Secretary” webpage. Available at www.phe.gov/preparedness/support/secauthority/Pages/default.aspx.

Lister SA. Congressional Research Service. The Public Health and Medical Response to Disasters: Federal Authority and Funding (RL33579). August 1, 2008. Available at http://digital.library.unt.edu/ark:/67531/metacrs9495/m1/1/high_res_d/RL33579_2006Jul28.pdf.

Swendiman KS and Jones NL. Congressional Research Service. The 2009 Influenza Pandemic: Selected Legal Issues (R40560). June 15, 2009. Available at http://digital.library.unt.edu/ark:/67531/metadc26152/m1/1/high_res_d/R40560_2009Jun15.pdf.

Other Sources
American Health Lawyers Association. Emergency Preparedness Toolkit. May 4, 2010. Available at www.healthlawyers.org/Members/PracticeGroups/THAMC/EmergencyPreparednessToolkit/Pages/default.aspx.



At-Risk Individuals and Communities


Offices/Programs/Activities
HHS Office of the Assistant Secretary for Preparedness and Response. “At-Risk Individuals, Behavioral Health, and Human Services Coordination” webpage. Available at www.phe.gov/Preparedness/planning/abc/Pages/default.aspx.

Other Resources
Association of State and Territorial Health Officials. “At-Risk Populations Project” webpage. Available at www.astho.org/Programs/Infectious-Disease/At-Risk-Populations/.



Countermeasures Injury Compensation Program (CICP)


Offices/Programs/Activities
Health Resources and Services Administration. “Countermeasures Injury Compensation Program” webpage. Available at www.hrsa.gov/gethealthcare/conditions/countermeasurescomp/.

Rules and Regulations
CICP Administrative Rules
A correction to the Interim Final Rules was published on Thursday, October 21, 2010. Available at www.hrsa.gov/gethealthcare/conditions/countermeasurescomp/cicp_final_rule_correction.pdf.

The CICP Administrative Implementation Interim Final Rule was published in the Federal Register on Friday, October 15, 2010. Available at www.hrsa.gov/gethealthcare/conditions/countermeasurescomp/cicp_admin_final_rule.pdf.



Emergency Management Assistance Compact (EMAC)


Public Law, Statute, and Regulations
Emergency Management Assistance Compact. Pub. L. No. 104-321. Available at www.gpo.gov/fdsys/pkg/PLAW-104publ321/pdf/PLAW-104publ321.pdf.

Key Documents
Emergency Management Assistance Compact. Articles of Agreement. Available at www.emacweb.org.

Summaries of Law, Statute, and Regulations
Government Accountability Office. Emergency Management Assistance Compact: Enhancing EMAC's Collaborative and Administrative Capacity Should Improve National Disaster Response (GAO-07-854). June 2007. Available at www.gao.gov/new.items/d07854.pdf.

Lindsay B. Congressional Research Service. The Emergency Management Assistance Compact (EMAC): An Overview (RL34585). July 21, 2008. Available at www.policyarchive.org/handle/10207/bitstreams/20206.pdf.

Offices/Programs/Activities
Emergency Management Assistance Compact website. Available at www.emacweb.org.

Other Resources
CDC Public Health Law Program. “Mutual Aid” webpage. Available at http://www2a.cdc.gov/phlp/mutualaid/index.asp.

Emergency Management Assistance Compact. Model Intrastate Mutual Aid Legislation (March 2004). Available at www.emacweb.org.

Emergency Management Assistance Compact. “Model State-County Mutual Aid Deployment Contract” webpage. Available at www.emacweb.org.

Federal Emergency Management Agency. “Mutual Aid Agreements for Public Assistance and Fire Management Assistance” (Disaster Assistance Policy 9523.6). August 13, 2007. Available at http://www.fema.gov/government/grant/pa/9523_6.shtm.

Hodge J et al. Model Memorandum of Understanding Between Hospitals During Declared Emergencies. June 15, 2009. Available at http://premierinc.com/all/safety/topics/disaster_readiness/downloads/11-PACER_Model_MOU.pdf.

U.S. EPA. “Mutual Aid and Assistance” webpage. Available at http://water.epa.gov/infrastructure/watersecurity/mutualaid/index.cfm.






Emergency Use Authorization (EUA)


Public Law, Statute, and Regulations
Federal Food, Drug, and Cosmetic Act §564, as amended. Codified at 21 U.S.C. §564.

Guidance Documents
U.S. Food and Drug Administration. Emergency Use Authorization of Medical Products Guidance. July 2007. Available at www.fda.gov/RegulatoryInformation/Guidances/ucm125127.htm.

Offices/Programs/Activities
U.S. Food and Drug Administration. “Emergency Use Authorization” webpage. Available at www.fda.gov/emergencypreparedness/counterterrorism/ucm182568.htm.

U.S. Food and Drug Administration. “Emergency Use Authorizations Questions and Answers” webpage. Available at www.fda.gov/NewsEvents/PublicHealthFocus/ucm153297.htm.

U.S. Food and Drug Administration and the U.S. Centers for Disease Control and Prevention. “Emergency Use Authorization” online course. Available at www.bt.cdc.gov/training/eua/index.html.

Sherman S. Department of Health and Human Services. “Public Health Emergency Authorities: Determinations and Declarations.” Presentation at Federal, State, and Local Public Health Preparedness meeting. Baltimore, Maryland. December 14-15, 2010. Available at www.fda.gov/EmergencyPreparedness/Counterterrorism/ucm247676.htm.

Medical Countermeasures Dispensing: Emergency Use Authorization and the Postal Model. Workshop Summary. Institute of Medicine (US). Forum on Medical and Public Health Preparedness for Catastrophic Events. Washington (DC). National Academies Press (US). 2010. Available at www.ncbi.nlm.nih.gov/books/NBK53126/pdf/TOC.pdf.



Entity Liability


Key Documents
Public/Private Legal Preparedness Initiative. North Carolina Institute for Public Health. “Good Samaritan Entity Liability Protection Initiative” webpage. Available at http://nciph.sph.unc.edu/law/good_sam.htm.

Other Resources
Nonprofit Risk Management Center. State Liability Laws for Charitable Organizations and Volunteers. Updated as of December 2009. Available at www.probonopartner.org/FileLib/Documents/nonprofitriskmgmtstateliability.pdf.

Uniform Emergency Volunteer Health Practitioners Act (UEVHPA). Uniform Law Commission. “Emergency Volunteer Health Practitioners” website. Available at http://uniformlaws.org/Act.aspx?title=Emergency%20Volunteer%20Health%20Practitioners.



Federal Tort Claims Act (FTCA)


Public Law, Statute, and Regulations
Federal Tort Claims Act, as amended. Codified at 28 U.S.C. §§1346(b), 2671-2680. Available at http://origin.www.gpo.gov/fdsys/pkg/USCODE-2009-title28/pdf/USCODE-2009-title28-partIV-chap85-sec1346.pdf and http://uscode.house.gov/download/pls/28C171.txt.



HHS Office of the Assistant Secretary for Preparedness and Response (ASPR)


Offices/Programs/Activities
HHS Office of the Assistant Secretary for Preparedness and Response website. Available at www.phe.gov/preparedness/support/secauthority/Pages/default.aspx.



Mutual Aid Agreements


See also “Emergency Management Assistance Compact

Other Resources
CDC Public Health Law Program. “Mutual Aid” webpage. Available at http://www2a.cdc.gov/phlp/mutualaid/index.asp.

Emergency Management Assistance Compact. Model Intrastate Mutual Aid Legislation. March 2004. Available atwww.emacweb.org.

Emergency Management Assistance Compact. “Model State-County Mutual Aid Deployment Contract” webpage. Available at www.emacweb.org.

Federal Emergency Management Agency. “Mutual Aid Agreements for Public Assistance and Fire Management Assistance” (Disaster Assistance Policy 9523.6). August 13, 2007. Available at www.fema.gov/government/grant/pa/9523_6.shtm.

Hodge J et al. Model Memorandum of Understanding Between Hospitals During Declared Emergencies. June 15, 2009. Available at http://premierinc.com/all/safety/topics/disaster_readiness/downloads/11-PACER_Model_MOU.pdf.

U.S. EPA. “Mutual Aid and Assistance” webpage. Available at http://water.epa.gov/infrastructure/watersecurity/mutualaid/index.cfm.



Pandemic and All-Hazards Preparedness Act (PAHPA)


Public Law, Statute, and Regulations
Pandemic and All-Hazards Preparedness Act of 2006. Pub. L. No. 109-417 (120 STAT. 2831). Available at www.gpo.gov/fdsys/pkg/PLAW-109publ417/pdf/PLAW-109publ417.pdf.

Codified, in part, in the Public Health Service Act, 42 U.S.C. 201 et seq. Available at www.gpo.gov/fdsys/pkg/USCODE-2009-title42/pdf/USCODE-2009-title42-chap6A.pdf.


Summaries of Law, Statute, and Regulations
Department of Health and Human Services. “Pandemic and All Hazards Preparedness Act” webpage. Available at www.phe.gov/Preparedness/legal/pahpa/Pages/default.aspx.

Lister SA and Gottron F. Congressional Research Service. The Pandemic and All-Hazards Preparedness Act (P.L. 109-417): Provisions and Changes to Preexisting Law (RL33589). March 12, 2007. Available at www.fas.org/programs/bio/resource/documents/CRS%20-%20PAHPA%203-07.pdf.

Offices/Programs/Activities
HHS Assistant Secretary for Preparedness and Response website. Available at http://www.phe.gov/preparedness/pages/default.aspx.

HHS Status Reports on PAHPA Implementation
HHS Assistant Secretary for Preparedness and Response. Pandemic and All-Hazards Preparedness Act Public Law 109-417 Progress Report. November 2007. Available at http://healthyamericans.org/reports/bioterror07/PAHPAProgressReport.pdf.

HHS Assistant Secretary for Preparedness and Response. Progress Report on the Implementation of Provisions Addressing At-Risk Individuals. August 2008. Available at www.phe.gov/Preparedness/legal/pahpa/Documents/pahpa-at-risk-report0901.pdf.

HHS Assistant Secretary for Preparedness & Response. Telehealth Report to Congress. January 2009. Available at www.phe.gov/Preparedness/legal/pahpa/Documents/telehealthrtc-091207.pdf.



Pandemic Strategies and Plans


Key Documents
Homeland Security Council. The National Strategy for Pandemic Influenza. November 2005. Available at www.flu.gov/professional/federal/pandemic-influenza.pdf.

Homeland Security Council. National Strategy for Pandemic Influenza: Implementation Plan. May 2006. Available at www.flu.gov/professional/federal/pandemic-influenza-implementation.pdf.

HHS. HHS Pandemic Influenza Plan. November 2005. Available at www.hhs.gov/pandemicflu/plan/.

Department of Homeland Security. Pandemic Influenza Preparedness, Response, and Recovery Guide for Critical Infrastructure and Key Resources. September 2006. Available at www.flu.gov/professional/pdf/cikrpandemicinfluenzaguide.pdf.

CDC. National Biosurveillance Strategy for Human Health (NBSHH). February 2010. Available at www.cdc.gov/osels/pdf/NBSHH_V2_FINAL.PDF.

Offices/Programs/Activities
Flu.gov. Available at www.flu.gov.



Public Health Service Act, Section 319—Authorities Related to Public Health Emergencies


Public Law, Statute, and Regulations
PHS Act Sec. 319. Codified at 42 U.S.C. § 247d. Available at www.gpo.gov/fdsys/pkg/USCODE-2009-title42/html/USCODE-2009-title42-chap6A-subchapII.htm.



Public Readiness and Emergency Preparedness Act (PREP Act)


See also “Countermeasures Injury Compensation Program

Public Law, Statute, and Regulations
• Public Readiness and Emergency Preparedness Act of 2005. Pub. L. No. 109-417 (120 STAT. 2831). Available at www.gpo.gov/fdsys/pkg/PLAW-109publ417/pdf/PLAW-109publ417.pdf.

• Codified in the Public Health Service Act at 42 U.S.C. §§ 247d-6d, 247d-6e. Available at www.gpo.gov/fdsys/pkg/USCODE-2009-title42/html/USCODE-2009-title42-chap6A-subchapII.htm.

Offices/Programs/Activities
• Department of Health and Human Services. “Public Readiness and Emergency Preparedness Act” webpage. Available at www.phe.gov/Preparedness/legal/prepact/Pages/default.aspx.

• Department of Health and Human Services. “Public Readiness and Emergency Preparedness Act Questions and Answers” webpage. Available at www.phe.gov/Preparedness/legal/prepact/Pages/prepqa.aspx.


Public Readiness and Emergency Preparedness Act (PREP) Act Declarations
Current and Expired PREP Act Declarations

www.phe.gov/Preparedness/legal/prepact/Pages/default.aspx

Current Declarations
Amendment to Pandemic Influenza Vaccine (to add additional provisions) – March 1, 2010 – Public Readiness and Emergency Preparedness (PREP) Act Declaration (http://edocket.access.gpo.gov/2010/2010-4644.htm)
Original Declaration and Past Amendments:


Anthrax Countermeasures - October 1, 2008- Public Readiness and Emergency Preparedness(PREP) Act Declaration
Botulism Countermeasures - October 17, 2008- Public Readiness and Emergency Preparedness (PREP) Act Declaration
Pandemic Antiviral Countermeasures - October 17, 2008- Public Readiness and Emergency Preparedness (PREP) Act Declaration

Smallpox Countermeasures - October 17, 2008- Public Readiness and Emergency Preparedness (PREP) Act Declaration
Acute Radiation Syndrome Countermeasures - October 17, 2008- Public Readiness and Emergency Preparedness (PREP) Act Declaration
Pandemic Influenza Diagnostics, Personal Respiratory, Protection Devices and Respiratory Support Devices - December 22, 2008 - Public Readiness and Emergency Preparedness (PREP) Act Declaration

Expired Declarations
Influenza Antiviral Peramivir – September 28, 2009 – Public Readiness and Emergency Preparedness (PREP) Act Declaration - Expired June 1, 2010



Scope of Practice Resources


Other Resources
Courtney B et al. “Expanding Practitioner Scopes of Practice During Public Health Emergencies: Experiences from the 2009 H1N1 Pandemic Vaccination Efforts.” Biosecurity and Bioterrorism. Vol. 8, No. 3. 2010.

Federation of State Medical Boards. Assessing Scope of Practice in Healthcare Delivery: Critical Questions in Assuring Public Access and Safety. 2005. Available at www.fsmb.org/pdf/2005_grpol_scope_of_practice.pdf.

Health Resources and Services Administration. Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP)—Legal and Regulatory Issues. Draft Report. May 2006. Available at www.publichealthlaw.net/Research/PDF/ESAR%20VHP%20Report.pdf.

National Council on State Boards of Nursing. Changes in Healthcare Professions’ Scope of Practice: Legislative Considerations. January 2012. Available at www.ncsbn.org/Scope_of_Practice_2012.pdf.



Social Security Act, Section 1135


Public Law, Statute, and Regulations
• Social Security Act, Section 1135. Codified at 42 U.S.C. § 1320b-5. Available at www.ssa.gov/OP_Home/ssact/title11/1135.htm.

Summaries of Law, Statute, and Regulations
• Department of Health and Human Services. “Public Health Emergency Declaration Q&As” webpage. Available at www.phe.gov/Preparedness/legal/Pages/phe-qa.aspx.

Offices/Programs/Activities
• CMS. “Emergency” webpage. Available at www.cms.gov/Emergency.

• CMS. “Medicare Fee-For-Service Emergency and Disaster-Related Policies and Procedures That May Be Implemented Only With a § 1135 Waiver.” October 3, 2011. Available at www.cms.gov/Emergency/downloads/MedicareFFS-EmergencyQsAs1135Waiver.pdf.

• CMS. “Medicare Fee-For-Service Emergency-Related Policies and Procedures That May Be Implemented Without § 1135 Waivers.” October 30, 2011. Available at www.cms.gov/Emergency/Downloads/Consolidated_Medicare_FFS_Emergency_QsAs.pdf.

• CMS. “Requesting an 1135 Waiver.” November 4, 2009. Available at www.cms.gov/H1N1/Downloads/RequestingAWaiver101.pdf.



Uniform Emergency Volunteer Health Practitioners Act (UEVHPA)


Resources
Uniform Emergency Volunteer Health Practitioners Act (UEVHPA). Uniform Law Commission. “Emergency Volunteer Health Practitioners” website. Available at http://uniformlaws.org/Act.aspx?title=Emergency%20Volunteer%20Health%20Practitioners.



Vaccination Resources


Other Resources
U.S. Centers for Disease Control and Prevention. “Fact Sheet for Vaccine Information Statements” webpage. Updated December 7, 2010. Available at www.cdc.gov/vaccines/pubs/vis/vis-facts.htm.

U.S. Centers for Disease Control and Prevention. “School Vaccination Requirements, Exemptions, and Web Links” webpage. Updated July 21, 2011. Available at http://www2a.cdc.gov/nip/schoolsurv/schImmRqmtReport.asp.

U.S. Centers for Disease Control and Prevention. CDC Guidelines for Large-Scale Influenza Vaccination Clinic Planning. Webpage updated September 14, 2011. Available at www.cdc.gov/flu/professionals/vaccination/vax_clinic.htm.

U.S. Department of Health and Human Services. “School Planning” webpage. Available at www.flu.gov/professional/school/index.html.

U.S. Centers for Disease Control and Prevention. 2009 H1N1 Influenza School-located Vaccination: Information for Planners. Undated. Available at www.flu.gov/professional/school/vaccinschools.html.

U.S. Department of Education. “Tips for Setting Up a Vaccination Clinic” Fact Sheet. October 8, 2009. Available at http://www2.ed.gov/admins/lead/safety/emergencyplan/pandemic/guidance/h1n1-news.pdf.



Vaccine Injury Compensation Program (VICP)


Offices/Programs/Activities
• Health Resources and Services Administration. “National Vaccine Injury Compensation Program (VICP)” webpage. Available at www.hrsa.gov/vaccinecompensation/default.htm.



Volunteer Protection Act (VPA)


Public Law, Statute, and Regulations
Volunteer Protection Act of 1977. Pub. L. No. 105-19. Codified at 42 USC §14501 et seq. Available at http://uscode.house.gov/download/pls/42C139.txt.

Other Resources
Chu V. Congressional Research Service. Emergency Response: Civil Liability of Volunteer Health Professionals (R40176). January 19, 2011. Available at www.fas.org/sgp/crs/misc/R40176.pdf.

Federal Emergency Management Agency. Citizen Corps Volunteer Liability Guide (undated). Available at http://www.citizencorps.gov/councils/volunteer_mgmt.shtm.

Health Resources and Services Administration. Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP)—Legal and Regulatory Issues. Draft Report—May 2006. Available at www.publichealthlaw.net/Research/PDF/ESAR%20VHP%20Report.pdf.

Hodges JG and Arias JJ. “Liability Risks and Protections for Volunteer Health Practitioners in Emergencies.” Presentation to the Public Health Law Network-Western Region. November 2010. Available at www.publichealthlawnetwork.org/wp-content/uploads/Western-Region-VHP-Liability-Webinar-12-2.pdf.

Hoffman S. “Responders’ Responsibility: Liability and Immunity in Public Health Emergencies.” 96 Geo. L.J. 1913, 1944. 2008.

Nonprofit Risk Management Center. State Liability Laws for Charitable Organizations and Volunteers. Updated as of December 2009. Available at www.probonopartner.org/FileLib/Documents/nonprofitriskmgmtstateliability.pdf.

Uniform Emergency Volunteer Health Practitioners Act (UEVHPA). Uniform Law Commission. “Emergency Volunteer Health Practitioners” website. Available at http://uniformlaws.org/Act.aspx?title=Emergency%20Volunteer%20Health%20Practitioners.



Workers’ Compensation and Disability


Summaries of Law, Statute, and Regulations
U.S. Department of Labor. “Summary of the Major Laws of the Department of Labor” webpage. Available at www.dol.gov/opa/aboutdol/lawsprog.htm.

Other Resources
International Association of Industrial Accident Boards and Commissions. “Contemporary Workers' Compensation Systems in the United States” webpage. Available at www.iaiabc.org/i4a/pages/index.cfm?pageid=3303.

Mashaw J and Reno V, eds. National Academy of Social Insurance. The Environment of Disability Income Policy: Programs, People, History, and Context: Interim Report of the Disability Policy Panel. August 1996. Available at www.nasi.org/research/1996/environment-disability-income-policy-programs-people-history.

Sengupta I et al. National Academy of Social Insurance. Workers’ Compensation: Benefits, Coverage, and Costs, 2008. September 2010. Available at www.nasi.org/research/workers-compensation.