Regulatory Enforcement and Fiscal Impact in Local Health Agencies

Bibliographic Data

ID11036642
AuthorsJulia F Costich (0000-0001-8687-4478, At the time of study, Julia F. Costich and Kristina M. Rabarison were with the Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington. Monika K. Rabarison is with the University of Texas-Pan American, Edinburg.), Kristina M Rabarison (0000-0002-9384-0118, At the time of study, Julia F. Costich and Kristina M. Rabarison were with the Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington. Monika K. Rabarison is with the University of Texas-Pan American, Edinburg.), Monika K Rabarison (0000-0001-7191-5783, At the time of study, Julia F. Costich and Kristina M. Rabarison were with the Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington. Monika K. Rabarison is with the University of Texas-Pan American, Edinburg.)
Year2015
Volume105
IssueS2
PagesS323-S329
Publication date2015-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2014.302446
PMID25689178
OpenAlexW2044285754
LanguageEN
References cited7

Objectives. We used a cross-sectional, retrospective study design to analyze the association between local health agency regulatory activities and revenues from nonclinical fees and fines (NFF). Methods. We extracted data from the 2010 National Association of County and City Health Officials (NACCHO) Profile Survey, the most recent report including NFF information, and used 2-part multivariable regression models to identify relationships between regulatory activities and revenue. We also interviewed LHD directors on access to revenue from fines. Results. NFFs generated substantial revenue for most LHDs, increasing in scope and amount with jurisdiction size for all but the largest municipalities. The greatest proportion of net revenue came from public pools, campgrounds and recreational vehicles, and solid waste disposal. For small and mid-sized LHDs, enforcement activities generated revenue in a dose–response pattern, with higher returns for increased activities. LHDs in decentralized governance states collected more NFF revenue than those in centralized states. States vary regarding LHD access to revenue from sanctions. Conclusions. The fiscal impact of changes in regulatory activity needs careful assessment to avoid unanticipated consequences of applicable law

Business · Enforcement · Environmental health · Law enforcement · Political science · Public health · Healthcare Policy and Management · Law · Medicine · Nursing · Public Health Policies and Education · Regulation and Compliance Studies

Tools

Open DOISci-HubOpen Access