Abstract
This issue brief explores successes and challenges
experienced by public health practitioners in early SIM
states. It is designed to assist state officials designing
and implementing SIM plans in effectively working
with public health practitioners. When developing this
issue brief, APHA first reviewed SIM plans and testing
proposals of states to identify plans with strong public
health components. To provide real world context to SIM
development and implementation, APHA conducted key
informant interviews.