Journal of Community Health

, Volume 41, Issue 2, pp 315–325 | Cite as

Do State Community Health Worker Laws Align with Best Available Evidence?

  • Colleen BarberoEmail author
  • Siobhan Gilchrist
  • Jamie F. Chriqui
  • Molly A. Martin
  • Ashley Wennerstrom
  • Jennifer VanderVeur
  • Kim Prewitt
  • J. Nell Brownstein
Original Paper


Community health workers (CHWs) are expected to improve patient care and population health while reducing health care costs. Law is a tool states are using to build a supportive infrastructure for the CHW workforce. This study assessed the extent existing state law pertaining to the CHW workforce aligned with best available evidence. We used the previously developed Quality and Impact of Component (QuIC) Evidence Assessment method to identify and prioritize those components that could comprise an evidence-informed CHW policy at the state level. We next assessed the extent codified statutes and regulations in effect as of December 31, 2014 for the 50 states and D.C. included the components identified in the evidence assessment. Fourteen components of an evidence-informed CHW policy were identified; eight had best, three had promising, and three had emerging evidence bases. Codified law in 18 states (35.3 % of 51) pertained to the CHW workforce. Fifteen of these 18 states authorized at least one of the 14 components from the evidence assessment (maximum: nine components, median: 2.5). The most frequently authorized component was a defined scope of practice for CHWs (authorized by eight states) followed by a standard core competency curriculum and inclusion of CHWs in multidisciplinary health care teams (each authorized by six states). States could consider the components presented in this article when developing new or strengthening existing law.


Community health worker Evidence-informed policy Health policy Health law 



This project was funded by Centers for Disease Control and Prevention, Division for Heart Disease and Stroke Prevention. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.


Centers for Disease Control and Prevention (#11IPA1103219).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest.


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Copyright information

© Springer Science+Business Media New York (outside the USA) 2015

Authors and Affiliations

  • Colleen Barbero
    • 1
    Email author
  • Siobhan Gilchrist
    • 2
  • Jamie F. Chriqui
    • 3
  • Molly A. Martin
    • 3
  • Ashley Wennerstrom
    • 4
  • Jennifer VanderVeur
    • 1
  • Kim Prewitt
    • 5
  • J. Nell Brownstein
    • 1
  1. 1.Centers for Disease Control and PreventionAtlantaUSA
  2. 2.IHRC, Inc.AtlantaUSA
  3. 3.University of Illinois at ChicagoChicagoUSA
  4. 4.School of Medicine, Department of Internal MedicineTulane UniversityNew OrleansUSA
  5. 5.Brown School of Social WorkWashington University in St. LouisSt. LouisUSA

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