Forces of Change in Public Health

In 2014, ASTHO began monitoring the current climate at member health agencies related to budget, workforce, billing capacity, and other changes as a result of the implementation of the Affordable Care Act. Data will be collected approximately yearly.

NACCHO Forces of Change Survey

The National Association of County and City Health Officials (NACCHO) publishes their own Forces of Change report, which complements the state-level data produced by ASTHO. View the NACCHO survey report »

State Health Agency Budget Cuts

From 2008 through 2013, ASTHO conducted a series of surveys approximately every six months to monitor how state budget and financial issues affected their programs, practices, and workforces. Similar data is now captured in the ASTHO Forces of Change survey.

Budget Cuts In the News

Budget Cuts Research Briefs