Health Affairs September 5, 2024
Direct democracy processes play an important role in state policy making related to the myriad drivers of population health and health disparities. Stakeholders who are focused on public policy approaches to population health improvement and health equity need to be aware of the potential role and key challenges that state ballot initiatives hold for their work.
KEY POINTS:
- Direct democracy through state ballot initiatives, initiated by both citizens and legislatures, holds potential for policy change relating to a large array of important social issues, including population health.
- Of the 534 state referenda and constitutional amendment ballot initiatives that passed nationwide between 2014 and 2023, 339 (63.5 percent) were related to population health in the categories of health care, public...
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