Legal preparedness: 19 states have not adopted entity emergency liability protections or have made no formal determination under existing law.
Public health funding commitment: 27 states cut funding for public health from budgets from 2007-08 to 2008-09.
The report authors recommended that funding be restored for emergency preparedness -- federal preparedness funds have dropped by 27 percent since 2005 -- to help address remaining deficiencies.
They also recommended:
Improvements in surge capacity;
Increased accountability and transparency of public health agencies, which should include a publicly available H1N1 after-action report;
Improvements in community preparedness, including additional measures to reach out quickly to high-risk populations and to address disparities based on income or race;
Development of full legal preparedness for public health emergencies at the state level, including liability protections for healthcare workers and mandates that insurance companies cover vaccines;
Establishment of sick-leave policies.