Driving Change Through Community Partnerships in Substance Use Prevention

A Southeast PTTC Webinar Series

Building capacity and maintaining stakeholder engagement is not always easy. Communities often have competing needs across organizations and agencies, challenges with buy-in, and at times issues around readiness. The International Certification & Reciprocity Consortium (IC&RC)’s credentialing for Prevention Specialist has six domains. In this series, we focused on Domain 4: Community Organizing.


 

Session 1 – Navigating the Realm of Community Organizing in Today's World

Presented by Kathleen Roberts, MS, CEO of Community Coalition Alliance, Inc.

This webinar explored the complex realm of community organizing to impart strategies that build community ownership, increase understanding of community norms and priorities and enhance collaboration across diverse stakeholders. This is a two-part series that provides strategies, tips, and cautions, as well as real world examples of community organizing in action.

Learning Objectives:

 


Session 2 – Community Organizing in Action - Tales from Coalitions in Florida

January 29, 2025, at 2:00 p.m. – 3:30 p.m. ET

Presented by Kathleen Roberts, MS, CEO of Community Coalition Alliance, Inc.

The International Certification & Reciprocity Consortium (IC&RC)’s credentialing for Prevention Specialist has six domains. This series is focused on Domain 4: community organizing. This webinar is part two of a series exploring the complexities of community organizing that will provide examples from local coalitions in Florida. Community organizing requires understanding community norms and readiness, knowing how to prioritize, building rapport with meaningful engagements, and establishing buy-in to deliver prevention strategies. Examples of community organizing will be shared by coalitions implementing prevention efforts in local communities.

Learning Objectives:

 


CONTACT HOUR ELIGIBILITY
In order to be eligible for the stated contact hours/certificate of attendance, you must join the live webinar on the video platform.
Certificates must be requested within one week of the event and will be processed within 30 days.

If you are having issues accessing the room/application at the time of the event: Please email [email protected] before the start of the webinar so that we can assist you.

Community Organizing_Session 1

PTTC_Certificate-Navigating the Realm of Community Organizing in Today's World

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Session 2_Addressing Equity

Session 2_Addressing Equity

Session 2_Addressing Equity

Session 2_Addressing Equity

Premption Graphic Screenshot

2024 Health Equity Session 2 Graphic

Southeast PTTC Needs Assessment Survey

The Southeast Prevention Technology Transfer Center (PTTC) is conducting a Needs Assessment Survey to explore the capacity and needs of the prevention workforce.

The Southeast PTTC is a center funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) with the goal to improve implementation and delivery of effective substance misuse prevention interventions and provide training and technical assistance services to the substance misuse prevention field.

We are interested in learning about the training and technical assistance needs of the substance misuse prevention workforce in the Southeastern United States. The survey will assess participants' needs specific to skills training, content, and modes of delivery as well as participation and satisfaction with the Southeast PTTC's offerings including webinars, in-person trainings and online courses.

The survey will close January 6th.

If you have trouble accessing the survey or have other questions, please email:

Southeast PTTC Evaluator Olivia Horton at [email protected]

Community Organizing in Action - Tales from Coalitions in Florida

Navigating the Realm of Community Organizing in Today's World

PTTC_092524_Infographic_Final

Regulation Information on Alcohol, Tobacco, and Other Substances in the Southeast

An Overview on State Preemption, Local Authority & Public Health Policies

The authority for localities to determine public health policies surrounding the regulation and enforcement of alcohol, tobacco & e-cigarettes, and cannabis & other drugs varies in each state. Preemption can function as an important tool or a barrier for public health professionals navigating the policy environment of their community and state.

When browsing this page on a mobile or tablet device, tap the "button "Download" button below to open the resource in a new browser tab. Click each icon to access state-based information.

Preemption Screenshot

PTTC_092524_Infographic_Final

Florida: State Preemption, Local Authority & Public Health Policies

Basics of Preemption

Many levels of government in the U.S. (e.g., Congress, state legislatures, city councils, county boards, regional authorities, and administrative agencies) regularly make new policies and revise existing ones. Preemption is a legal concept that seeks to bring some order to this system1 Preemption is a legal doctrine in which a higher level of government may limit or even eliminate the power of a lower level of government to regulate a specific issue2

Preemption can function as an important tool or a barrier in public health. For example, uniform policies, state-level policies on quarantines, and vaccination requirements can be beneficial and necessary for preventing or limiting the spread of communicable diseases. Conversely, preemption at the state level is sometimes used to remove the ability of local communities to enact stronger laws at the local level. For example, a state prohibition on local outdoor smoking bans takes away a tool for communities seeking to reduce the harms caused by exposure to secondhand smoke.

Examples: Local Authority & Public Health Policies

The chart indicates whether cities and counties (“localities”) in Florida have authority to enact certain evidence-based policies at the local level. The policies included are examples that have been used by communities throughout the country to address alcohol, tobacco, and other drug use issues.

Florida: Local Authority to Enact Specific Public Health Policies

PolicyPolicy DescriptionLocal Regulation Allowed?
Alcohol
Alcohol Retail Monitoring3Includes local oversight of alcohol retail operations, such as regulating location of new retailers, imposing operating conditions on retailers (e.g., server training, security requirements), and closing problem retailers.No
Tax alcohol sales4Includes local taxes on the sale of alcoholic beverages.Limited (up to 1% sales tax at on-premises retail; revenue must be used for emergency-related services; up to 2% sales tax at lodgings)
Social Host OrdinancesLocal prohibition on hosting underage drinking partiesNo
Tobacco & E-cigarettes5
Local licensingRequires retailers receive a local license to sell productsNo
Smokefree Air LawsIncludes bans on smoking outdoors or indoorsLimited (cities and counties may restrict smoking within the boundaries of any public beach or park they own)
Youth AccessIncludes local restrictions on product distribution to underage persons and vending machinesNo
E-cigarette Restrictions6Includes local restrictions on products or in-store marketingNo
Tax tobacco products7Local taxation of cigarettes and non-cigarette productsNo
Cannabis & Other Drugs
Ban Medical Retail8Local bans allowed in states where medical cannabis is legalYes
Syringe Exchange9Local government or other local entity may establish syringe exchanges.Yes
NOTE: This chart is intended as an illustration and is not comprehensive, nor is it to be construed as legal advice. Revised Sept. 12, 2024

What do the local regulation responses mean?

What can be done if there is no local policymaking allowed on a topic?

Restrictions on local policymaking are often specific in scope. As a result, policy objectives – despite restricted local authority in a policy area – can often be achieved by reframing the potential policy. For example, North Carolina preempts localities from establishing SHOs. By expanding a policy from focusing on underage possession and consumption of alcohol on private property to the problems commonly associated with underage drinking parties (e.g., loud music, illegal parking), localities could achieve many of the same policy objectives of a more typical SHO without running afoul of state limits.


  1. The Southeast Prevention Technology Transfer Center (SE PTTC) provides information, education and technical assistance on issues related to public health – including alcohol, tobacco, and other drugs. The SE PTTC does not provide legal representation or legal advice. This document should not be considered legal advice or a substitute for obtaining legal advice from an attorney who can represent you. It is recommended that you consult with local legal counsel before implementing any evidence-based measures. ↩︎
  2. Good Governance: Preemption – Connecting preemption, public health and equity. Available at https://www.changelabsolutions.org/good-governance/preemption ↩︎
  3. Preemption Tool (Current as of January 1, 2021). Available at: https://wwwapp.bumc.bu.edu/BEDAC_Camy/ResearchToPractice/Place/AlcoholOutletDensity/PreemptionDataTool ↩︎
  4. Mosher, J. F., Adler, S. S., Pamukcu, A. M., & Treffers, R. D. (2017). Review of state laws restricting local authority to impose alcohol taxes in the United States. Journal of Studies on Alcohol and Drugs 78:2, 241-248. Available at https://www.jsad.com/doi/10.15288/jsad.2017.78.241 ↩︎
  5. STATE System Preemption Fact Sheet (March 31, 2024). Available at https://www.cdc.gov/statesystem/factsheets/preemption/Preemption.html ↩︎
  6. Azagba, S., Jensen, J. K., Ebling, T., & Hall, M. (2023). E-cigarette preemption laws: Limiting local communities from protecting youth. Preventive Medicine, 170, 107462. Available at https://doi.org/10.1016/j.ypmed.2023.107462 ↩︎
  7. Tobacco Pricing Strategies (Current as of September 1, 2019). Available at http://lawatlas.org/datasets/tobacco-pricing-strategies ↩︎
  8. Marijuana preemption conflicts between state and local governments (Last updated September 2, 2021). Available at https://ballotpedia.org/Marijuana_preemption_conflicts_between_state_and_local_governments ↩︎
  9. Syringe Distribution Laws (Current as of June 30, 2017). Available at http://lawatlas.org/datasets/syringe-policies-laws-regulating-non-retail-distribution-of-drug-parapherna ↩︎

Alabama: State Preemption, Local Authority & Public Health Policies

Basics of Preemption

Many levels of government in the U.S. (e.g., Congress, state legislatures, city councils, county boards, regional authorities, and administrative agencies) regularly make new policies and revise existing ones. Preemption is a legal concept that seeks to bring some order to this system1 Preemption is a legal doctrine in which a higher level of government may limit or even eliminate the power of a lower level of government to regulate a specific issue2

Preemption can function as an important tool or a barrier in public health. For example, uniform policies, state-level policies on quarantines, and vaccination requirements can be beneficial and necessary for preventing or limiting the spread of communicable diseases. Conversely, preemption at the state level is sometimes used to remove the ability of local communities to enact stronger laws at the local level. For example, a state prohibition on local outdoor smoking bans takes away a tool for communities seeking to reduce the harms caused by exposure to secondhand smoke.

Examples: Local Authority & Public Health Policies

The chart indicates whether cities and counties (“localities”) in Alabama have authority to enact certain evidence-based policies at the local level. The policies included are examples that have been used by communities throughout the country to address alcohol, tobacco, and other drug use issues.

Alabama: Local Authority to Enact Specific Public Health Policies

PolicyPolicy DescriptionLocal Regulation Allowed?
Alcohol
Alcohol Retail Monitoring3Includes local oversight of alcohol retail operations, such as regulating location of new retailers, imposing operating conditions on retailers (e.g., server training, security requirements), and closing problem retailers.Yes
Tax alcohol sales4Includes local taxes on the sale of alcoholic beverages.No
Social Host OrdinancesLocal prohibition on hosting underage drinking partiesNo
Tobacco & E-cigarettes5
Local licensingRequires retailers receive a local license to sell productsYes
Smokefree Air LawsIncludes bans on smoking outdoors or indoorsYes
Youth AccessIncludes local restrictions on product distribution to underage persons and vending machinesYes
E-cigarette Restrictions6Includes local restrictions on products or in-store marketingYes
Tax tobacco products7Local taxation of cigarettes and non-cigarette productsNo
Cannabis & Other Drugs
Ban Medical Retail8Local bans allowed in states where medical cannabis is legalYes
Syringe Exchange9Local government or other local entity may establish syringe exchanges.No
NOTE: This chart is intended as an illustration and is not comprehensive, nor is it to be construed as legal advice. Revised Sept. 12, 2024

What do the local regulation responses mean?

What can be done if there is no local policymaking allowed on a topic?

Restrictions on local policymaking are often specific in scope. As a result, policy objectives – despite restricted local authority in a policy area – can often be achieved by reframing the potential policy. For example, North Carolina preempts localities from establishing SHOs. By expanding a policy from focusing on underage possession and consumption of alcohol on private property to the problems commonly associated with underage drinking parties (e.g., loud music, illegal parking), localities could achieve many of the same policy objectives of a more typical SHO without running afoul of state limits.


  1. The Southeast Prevention Technology Transfer Center (SE PTTC) provides information, education and technical assistance on issues related to public health – including alcohol, tobacco, and other drugs. The SE PTTC does not provide legal representation or legal advice. This document should not be considered legal advice or a substitute for obtaining legal advice from an attorney who can represent you. It is recommended that you consult with local legal counsel before implementing any evidence-based measures. ↩︎
  2. Good Governance: Preemption – Connecting preemption, public health and equity. Available at https://www.changelabsolutions.org/good-governance/preemption ↩︎
  3. Preemption Tool (Current as of January 1, 2021). Available at: https://wwwapp.bumc.bu.edu/BEDAC_Camy/ResearchToPractice/Place/AlcoholOutletDensity/PreemptionDataTool ↩︎
  4. Mosher, J. F., Adler, S. S., Pamukcu, A. M., & Treffers, R. D. (2017). Review of state laws restricting local authority to impose alcohol taxes in the United States. Journal of Studies on Alcohol and Drugs 78:2, 241-248. Available at https://www.jsad.com/doi/10.15288/jsad.2017.78.241 ↩︎
  5. STATE System Preemption Fact Sheet (March 31, 2024). Available at https://www.cdc.gov/statesystem/factsheets/preemption/Preemption.html ↩︎
  6. Azagba, S., Jensen, J. K., Ebling, T., & Hall, M. (2023). E-cigarette preemption laws: Limiting local communities from protecting youth. Preventive Medicine, 170, 107462. Available at https://doi.org/10.1016/j.ypmed.2023.107462 ↩︎
  7. Tobacco Pricing Strategies (Current as of September 1, 2019). Available at http://lawatlas.org/datasets/tobacco-pricing-strategies ↩︎
  8. Marijuana preemption conflicts between state and local governments (Last updated September 2, 2021). Available at https://ballotpedia.org/Marijuana_preemption_conflicts_between_state_and_local_governments ↩︎
  9. Syringe Distribution Laws (Current as of June 30, 2017). Available at http://lawatlas.org/datasets/syringe-policies-laws-regulating-non-retail-distribution-of-drug-parapherna ↩︎

Georgia: State Preemption, Local Authority & Public Health Policies

Basics of Preemption

Many levels of government in the U.S. (e.g., Congress, state legislatures, city councils, county boards, regional authorities, and administrative agencies) regularly make new policies and revise existing ones. Preemption is a legal concept that seeks to bring some order to this system1 Preemption is a legal doctrine in which a higher level of government may limit or even eliminate the power of a lower level of government to regulate a specific issue2

Preemption can function as an important tool or a barrier in public health. For example, uniform policies, state-level policies on quarantines, and vaccination requirements can be beneficial and necessary for preventing or limiting the spread of communicable diseases. Conversely, preemption at the state level is sometimes used to remove the ability of local communities to enact stronger laws at the local level. For example, a state prohibition on local outdoor smoking bans takes away a tool for communities seeking to reduce the harms caused by exposure to secondhand smoke.

Examples: Local Authority & Public Health Policies

The chart indicates whether cities and counties (“localities”) in Georgia have authority to enact certain evidence-based policies at the local level. The policies included are examples that have been used by communities throughout the country to address alcohol, tobacco, and other drug use issues.

Georgia: Local Authority to Enact Specific Public Health Policies

PolicyPolicy DescriptionLocal Regulation Allowed?
Alcohol
Alcohol Retail Monitoring3Includes local oversight of alcohol retail operations, such as regulating location of new retailers, imposing operating conditions on retailers (e.g., server training, security requirements), and closing problem retailers.Yes
Tax alcohol sales4Includes local taxes on the sale of alcoholic beverages.Yes
Social Host OrdinancesLocal prohibition on hosting underage drinking partiesYes
Tobacco & E-cigarettes5
Local licensingRequires retailers receive a local license to sell productsYes
Smokefree Air LawsIncludes bans on smoking outdoors or indoorsYes
Youth AccessIncludes local restrictions on product distribution to underage persons and vending machinesYes
E-cigarette Restrictions6Includes local restrictions on products or in-store marketingYes
Tax tobacco products7Local taxation of cigarettes and non-cigarette productsNo
Cannabis & Other Drugs
Ban Medical Retail8Local bans allowed in states where medical cannabis is legalMedical Prohibited (only THC oil allowed)
Syringe Exchange9Local government or other local entity may establish syringe exchanges.No
NOTE: This chart is intended as an illustration and is not comprehensive, nor is it to be construed as legal advice. Revised Sept. 12, 2024

What do the local regulation responses mean?

What can be done if there is no local policymaking allowed on a topic?

Restrictions on local policymaking are often specific in scope. As a result, policy objectives – despite restricted local authority in a policy area – can often be achieved by reframing the potential policy. For example, North Carolina preempts localities from establishing SHOs. By expanding a policy from focusing on underage possession and consumption of alcohol on private property to the problems commonly associated with underage drinking parties (e.g., loud music, illegal parking), localities could achieve many of the same policy objectives of a more typical SHO without running afoul of state limits.


  1. The Southeast Prevention Technology Transfer Center (SE PTTC) provides information, education and technical assistance on issues related to public health – including alcohol, tobacco, and other drugs. The SE PTTC does not provide legal representation or legal advice. This document should not be considered legal advice or a substitute for obtaining legal advice from an attorney who can represent you. It is recommended that you consult with local legal counsel before implementing any evidence-based measures. ↩︎
  2. Good Governance: Preemption – Connecting preemption, public health and equity. Available at https://www.changelabsolutions.org/good-governance/preemption ↩︎
  3. Preemption Tool (Current as of January 1, 2021). Available at: https://wwwapp.bumc.bu.edu/BEDAC_Camy/ResearchToPractice/Place/AlcoholOutletDensity/PreemptionDataTool ↩︎
  4. Mosher, J. F., Adler, S. S., Pamukcu, A. M., & Treffers, R. D. (2017). Review of state laws restricting local authority to impose alcohol taxes in the United States. Journal of Studies on Alcohol and Drugs 78:2, 241-248. Available at https://www.jsad.com/doi/10.15288/jsad.2017.78.241 ↩︎
  5. STATE System Preemption Fact Sheet (March 31, 2024). Available at https://www.cdc.gov/statesystem/factsheets/preemption/Preemption.html ↩︎
  6. Azagba, S., Jensen, J. K., Ebling, T., & Hall, M. (2023). E-cigarette preemption laws: Limiting local communities from protecting youth. Preventive Medicine, 170, 107462. Available at https://doi.org/10.1016/j.ypmed.2023.107462 ↩︎
  7. Tobacco Pricing Strategies (Current as of September 1, 2019). Available at http://lawatlas.org/datasets/tobacco-pricing-strategies ↩︎
  8. Marijuana preemption conflicts between state and local governments (Last updated September 2, 2021). Available at https://ballotpedia.org/Marijuana_preemption_conflicts_between_state_and_local_governments ↩︎
  9. Syringe Distribution Laws (Current as of June 30, 2017). Available at http://lawatlas.org/datasets/syringe-policies-laws-regulating-non-retail-distribution-of-drug-parapherna ↩︎

Mississippi: State Preemption, Local Authority & Public Health Policies

Basics of Preemption

Many levels of government in the U.S. (e.g., Congress, state legislatures, city councils, county boards, regional authorities, and administrative agencies) regularly make new policies and revise existing ones. Preemption is a legal concept that seeks to bring some order to this system1 Preemption is a legal doctrine in which a higher level of government may limit or even eliminate the power of a lower level of government to regulate a specific issue2

Preemption can function as an important tool or a barrier in public health. For example, uniform policies, state-level policies on quarantines, and vaccination requirements can be beneficial and necessary for preventing or limiting the spread of communicable diseases. Conversely, preemption at the state level is sometimes used to remove the ability of local communities to enact stronger laws at the local level. For example, a state prohibition on local outdoor smoking bans takes away a tool for communities seeking to reduce the harms caused by exposure to secondhand smoke.

Examples: Local Authority & Public Health Policies

The chart indicates whether cities and counties (“localities”) in Mississippi have authority to enact certain evidence-based policies at the local level. The policies included are examples that have been used by communities throughout the country to address alcohol, tobacco, and other drug use issues.

Mississippi: Local Authority to Enact Specific Public Health Policies

PolicyPolicy DescriptionLocal Regulation Allowed?
Alcohol
Alcohol Retail Monitoring3Includes local oversight of alcohol retail operations, such as regulating location of new retailers, imposing operating conditions on retailers (e.g., server training, security requirements), and closing problem retailers.Limited
Tax alcohol sales4Includes local taxes on the sale of alcoholic beverages.No
Social Host OrdinancesLocal prohibition on hosting underage drinking partiesNo
Tobacco & E-cigarettes5
Local licensingRequires retailers receive a local license to sell productsYes
Smokefree Air LawsIncludes bans on smoking outdoors or indoorsYes
Youth AccessIncludes local restrictions on product distribution to underage persons and vending machinesNo
E-cigarette Restrictions6Includes local restrictions on products or in-store marketingYes
Tax tobacco products7Local taxation of cigarettes and non-cigarette productsNo
Cannabis & Other Drugs
Ban Medical Retail8Local bans allowed in states where medical cannabis is legalYes
Syringe Exchange9Local government or other local entity may establish syringe exchanges.No
NOTE: This chart is intended as an illustration and is not comprehensive, nor is it to be construed as legal advice. Revised Sept. 12, 2024

What do the local regulation responses mean?

What can be done if there is no local policymaking allowed on a topic?

Restrictions on local policymaking are often specific in scope. As a result, policy objectives – despite restricted local authority in a policy area – can often be achieved by reframing the potential policy. For example, North Carolina preempts localities from establishing SHOs. By expanding a policy from focusing on underage possession and consumption of alcohol on private property to the problems commonly associated with underage drinking parties (e.g., loud music, illegal parking), localities could achieve many of the same policy objectives of a more typical SHO without running afoul of state limits.


  1. The Southeast Prevention Technology Transfer Center (SE PTTC) provides information, education and technical assistance on issues related to public health – including alcohol, tobacco, and other drugs. The SE PTTC does not provide legal representation or legal advice. This document should not be considered legal advice or a substitute for obtaining legal advice from an attorney who can represent you. It is recommended that you consult with local legal counsel before implementing any evidence-based measures. ↩︎
  2. Good Governance: Preemption – Connecting preemption, public health and equity. Available at https://www.changelabsolutions.org/good-governance/preemption ↩︎
  3. Preemption Tool (Current as of January 1, 2021). Available at: https://wwwapp.bumc.bu.edu/BEDAC_Camy/ResearchToPractice/Place/AlcoholOutletDensity/PreemptionDataTool ↩︎
  4. Mosher, J. F., Adler, S. S., Pamukcu, A. M., & Treffers, R. D. (2017). Review of state laws restricting local authority to impose alcohol taxes in the United States. Journal of Studies on Alcohol and Drugs 78:2, 241-248. Available at https://www.jsad.com/doi/10.15288/jsad.2017.78.241 ↩︎
  5. STATE System Preemption Fact Sheet (March 31, 2024). Available at https://www.cdc.gov/statesystem/factsheets/preemption/Preemption.html ↩︎
  6. Azagba, S., Jensen, J. K., Ebling, T., & Hall, M. (2023). E-cigarette preemption laws: Limiting local communities from protecting youth. Preventive Medicine, 170, 107462. Available at https://doi.org/10.1016/j.ypmed.2023.107462 ↩︎
  7. Tobacco Pricing Strategies (Current as of September 1, 2019). Available at http://lawatlas.org/datasets/tobacco-pricing-strategies ↩︎
  8. Marijuana preemption conflicts between state and local governments (Last updated September 2, 2021). Available at https://ballotpedia.org/Marijuana_preemption_conflicts_between_state_and_local_governments ↩︎
  9. Syringe Distribution Laws (Current as of June 30, 2017). Available at http://lawatlas.org/datasets/syringe-policies-laws-regulating-non-retail-distribution-of-drug-parapherna ↩︎

Kentucky: State Preemption, Local Authority & Public Health Policies

Basics of Preemption

Many levels of government in the U.S. (e.g., Congress, state legislatures, city councils, county boards, regional authorities, and administrative agencies) regularly make new policies and revise existing ones. Preemption is a legal concept that seeks to bring some order to this system1 Preemption is a legal doctrine in which a higher level of government may limit or even eliminate the power of a lower level of government to regulate a specific issue2

Preemption can function as an important tool or a barrier in public health. For example, uniform policies, state-level policies on quarantines, and vaccination requirements can be beneficial and necessary for preventing or limiting the spread of communicable diseases. Conversely, preemption at the state level is sometimes used to remove the ability of local communities to enact stronger laws at the local level. For example, a state prohibition on local outdoor smoking bans takes away a tool for communities seeking to reduce the harms caused by exposure to secondhand smoke.

Examples: Local Authority & Public Health Policies

The chart indicates whether cities and counties (“localities”) in Kentucky have authority to enact certain evidence-based policies at the local level. The policies included are examples that have been used by communities throughout the country to address alcohol, tobacco, and other drug use issues.

Kentucky: Local Authority to Enact Specific Public Health Policies

PolicyPolicy DescriptionLocal Regulation Allowed?
Alcohol
Alcohol Retail Monitoring3Includes local oversight of alcohol retail operations, such as regulating location of new retailers, imposing operating conditions on retailers (e.g., server training, security requirements), and closing problem retailers.No
Tax alcohol sales4Includes local taxes on the sale of alcoholic beverages.No
Social Host OrdinancesLocal prohibition on hosting underage drinking partiesYes
Tobacco & E-cigarettes5
Local licensingRequires retailers receive a local license to sell productsYes
Smokefree Air LawsIncludes bans on smoking outdoors or indoorsYes
Youth AccessIncludes local restrictions on product distribution to underage persons and vending machinesNo
E-cigarette Restrictions6Includes local restrictions on products or in-store marketingNo
Tax tobacco products7Local taxation of cigarettes and non-cigarette productsYes
Cannabis & Other Drugs
Ban Medical Retail8Local bans allowed in states where medical cannabis is legalMedical Retail Prohibited
Syringe Exchange9Local government or other local entity may establish syringe exchanges.Yes
NOTE: This chart is intended as an illustration and is not comprehensive, nor is it to be construed as legal advice. Revised Sept. 12, 2024

What do the local regulation responses mean?

What can be done if there is no local policymaking allowed on a topic?

Restrictions on local policymaking are often specific in scope. As a result, policy objectives – despite restricted local authority in a policy area – can often be achieved by reframing the potential policy. For example, North Carolina preempts localities from establishing SHOs. By expanding a policy from focusing on underage possession and consumption of alcohol on private property to the problems commonly associated with underage drinking parties (e.g., loud music, illegal parking), localities could achieve many of the same policy objectives of a more typical SHO without running afoul of state limits.


  1. The Southeast Prevention Technology Transfer Center (SE PTTC) provides information, education and technical assistance on issues related to public health – including alcohol, tobacco, and other drugs. The SE PTTC does not provide legal representation or legal advice. This document should not be considered legal advice or a substitute for obtaining legal advice from an attorney who can represent you. It is recommended that you consult with local legal counsel before implementing any evidence-based measures. ↩︎
  2. Good Governance: Preemption – Connecting preemption, public health and equity. Available at https://www.changelabsolutions.org/good-governance/preemption ↩︎
  3. Preemption Tool (Current as of January 1, 2021). Available at: https://wwwapp.bumc.bu.edu/BEDAC_Camy/ResearchToPractice/Place/AlcoholOutletDensity/PreemptionDataTool ↩︎
  4. Mosher, J. F., Adler, S. S., Pamukcu, A. M., & Treffers, R. D. (2017). Review of state laws restricting local authority to impose alcohol taxes in the United States. Journal of Studies on Alcohol and Drugs 78:2, 241-248. Available at https://www.jsad.com/doi/10.15288/jsad.2017.78.241 ↩︎
  5. STATE System Preemption Fact Sheet (March 31, 2024). Available at https://www.cdc.gov/statesystem/factsheets/preemption/Preemption.html ↩︎
  6. Azagba, S., Jensen, J. K., Ebling, T., & Hall, M. (2023). E-cigarette preemption laws: Limiting local communities from protecting youth. Preventive Medicine, 170, 107462. Available at https://doi.org/10.1016/j.ypmed.2023.107462 ↩︎
  7. Tobacco Pricing Strategies (Current as of September 1, 2019). Available at http://lawatlas.org/datasets/tobacco-pricing-strategies ↩︎
  8. Marijuana preemption conflicts between state and local governments (Last updated September 2, 2021). Available at https://ballotpedia.org/Marijuana_preemption_conflicts_between_state_and_local_governments ↩︎
  9. Syringe Distribution Laws (Current as of June 30, 2017). Available at http://lawatlas.org/datasets/syringe-policies-laws-regulating-non-retail-distribution-of-drug-parapherna ↩︎