Strategies

Establish local regulations for confined animal feeding operations (CAFOs) that address location, size, facility management, and pollution contributions to complement U.S. EPA regulations

Support the federal-state partnership that pays participating landowners an annual rental rate for removing environmentally sensitive land from production and introducing conservation practices on the land.

Encourage methods of soil cultivation that keep at least one-third of cultivated soil covered with the previous year’s crop residue (e.g., mulch till, ridge till, strip till, or no-till)

Expand incentives such as scholarships and loans with service requirements and loan repayment or forgiveness programs for health care providers who practice in rural or other underserved areas

Support a four-tiered approach to outdoor pest control that minimizes potential hazards to people, property, and the environment

Expand use of J-1 physician visa waivers for foreign national physicians who have trained in the U.S. and will serve patients in designated Health Professional Shortage Areas (HPSAs)

Increase access to LARCs through cost reduction, comprehensive birth control counseling, provider training, efforts to ensure availability at local clinics, etc.

Support site-specific plans for crop production that match nutrient applications to crop needs, typically with agricultural best management practices

Provide women with information about the risks and benefits of behaviors that affect their health before, during, and after pregnancy

Ensure appropriate access to 17P, a synthetic version of the hormone progesterone, by identifying high-risk women, reducing barriers to treatment receipt and completion, coordinating care, etc.