Health Data

• National Conference of State Legislatures - Health Reform and State Health Legislative Initiatives
  • State Family and Medical Leave Laws 
  • Mental Health Benefits: State laws mandating or regulating
  • Medical marijuana laws by state
• State Policy Database (alcohol and drugs, health insurance, tobacco, abortion)

• Ballotpedia - Healthcare Policy in the United States

• National Academy for State Health Policy (NASHP)

• Kaiser Family Foundation. State Health Facts.

  • Medicaid Expansion

• Policy Surveillance Program (LawAtlas Project)

• U.S. E-cigarette regulations - 50 State Review 
• Indoor Smoking Restriction and Vaping Restriction Coverage Nationally and by State, United States, 1990-2021
• IPUMS Contextual Determinants of Health Series. Provides access to measures of disparities, policies, and counts, by state or county, for historically marginalized populations in the United States including Black, Asian, Hispanic/Latina/o/e/x, and LGBTQ+ persons, and women including:
  • Gender Measure: Abortion Access by State, United States, 2009-2022
  • Gender Measure: Paid Family Medical Leave by State, United States, 2004-2023

• State Health Policy Research Dataset (SHEPRD): 1980-2010
  Developed to study trends in the adoption of state public health laws. Specifically, the dataset covers annual trends in seatbelt laws, speed limits for passenger vehicles on rural interstates, minimum legal drinking ages, drunk driving laws, laws prohibiting the purchase of alcohol on Sundays, regulations for registering purchased kegs and/or prohibitions against selling kegs, beer taxes and total alcohol tax revenues, motorcycle and bicycle helmet laws, cigarette taxes, cigarette advertising bans, bans on workplace smoking, bans on smoking in restaurants and bars, and tobacco taxes (total revenue). Contains information about these laws for each year between 1980 and 2010, inclusive. In addition, it contains variables that describe the social, economic, demographic, health care, political, and crime characteristics of the states in each of these years.

• National Survey of State Laws 

  • First edition 1993
  • 2nd 1997
  • 3rd 1999
  • 4th 2003
  • 5th 2005
  • 6th 2008
  • 7th 2015
  • 8th 2019
  • 9th 2022

• Subject Compilations of State Laws.  

• Selected State Substantive and Preemptive Laws 2009-2018, United States. Developed to study trends in preemption laws across states from 2009-2018. Researchers selected 4 domains where states and localities had enacted substantive and preemptive laws: (1) Paid sick days, (2) food, (3) tobacco, and (4) firearms. For 3 of these domains (sick days, food, and tobacco), state substantive laws are also included in this dataset for each of the policy topics included in the domain.

• Wikipedia

  • Examples

    • Opioid epidemic

    • Soda tax

    • Needle and syringe programs

    • Cannabis/Marijuana

Keep in mind most health surveys are relatively small and contain no geographic markers.  Some major datasets with subnational geography include:

• Behavioral Risk Factor Surveillance System (1984+) (BRFSS).  Established in 1984 with 15 states, BRFSS now collects data in all 50 states as well as the District of Columbia and three U.S. territories. BRFSS completes more than 400,000 adult interviews each year, making it the largest continuously conducted health survey system in the world. Tracks health risks in the United States. Monitors state-level prevalence of the major behavioral risks among adults associated with premature morbidity and mortality. Collects data on actual behaviors, rather than on attitudes or knowledge. 
• Youth Risk Behavior Surveillance System 1991+ (YRBS). Monitors health risk behaviors that contribute markedly to the leading causes of death, disability, and social problems among youth and adults in the United States. These behaviors, often established during childhood and early adolescence, include tobacco use, unhealthy dietary behaviors, inadequate physical activity, alcohol and other drug use. Sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases, including HIV infection. Behaviors that contribute to unintentional injuries and violence. Dataset is national.  Not all states participated.   Individual state data is potentially available through restricted contracts.
• Annual Survey of Hospitals. Survey of for-profit and not-for-profit hospitals on utilization and cost related matters is produced by the American Hospital Association. Documentation is available at (DSS)RA981.A2.A32. Data access: 1975-2022. Princeton also has the AHA Annual Survey IT Database for 2007-2020, 2022 (covers data for 2008-2020, 2022; Note 2021 was not conducted due to Covid), the AHA Survey of Care Systems and Payment for 2013, 2015, 2016 and the AHA System Survey (2016).  The 2020 survey added questions regarding Covid-19 on bed changes; isolation rooms, temporary spaces, ventilators, and emergency departments as related to Covid. Also new to 2020 are data on telehealth visits; remote patient monitoring (RPM); behavioral health; radiology; substance use disorder; and community and social health programs and strategies.
• Area Resource File (ARF) (1979, 1998-2000, 2005, 2008, 2012-2023).Contains more than 6,000 variables for each of the nation's counties and states on health facilities, health professions, measures of resource scarcity, health status, economic activity, health training programs, and socioeconomic and environmental characteristics.  ICPSR contains 1940-1990.  
• Some health surveys may only cover a specific city or state.

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