In the US, policymakers are people who are involved in making decisions and plans of action for a larger organization, such as a political party or a level of government.1 Policymakers play a critical role in worker health because policy, or courses of action, influences how the government makes and enforces new laws that promote health and well-being in the workplace.2 So if policymakers understand worker needs and are committed to helping meet them, this can help improve workers’ lives in several areas, including healthcare,3 health-related issues in the workplace,4 occupational licensing,5 socioeconomic disparities,6 and other health and safety topics.7 Because they do not always benefit from lobbyists to share their concerns, policymakers must remain informed about the diversity, needs, and interests of the working class specifically.8
On the global stage, organizations like the World Health Organization (WHO) have created resources for policy-makers to help them understand the need for healthy workplaces and how to take action to achieve them.9 In the US specifically, policy issues and policy-makers can be influenced by specific professional groups10 or at the different levels of government, such as federal, state, and local. Working with federal policymakers is more likely to impact federal law, while working with state policymakers can change state law. Advocates should keep in mind where they are trying to make change and then target policymakers in that arena specifically.
This topic in Utah
In Utah, policymakers include the bicameral state legislature (e.g., the state Senate and state House of Representatives), city leadership such as mayors and city councils, and the leadership of non-governmental associations, such as schools, businesses, and local organizations.
Most, though not all, Utah policymakers are conservative and aligned with the Republican party. This is in part because Utah's culture has long been shaped by the religious values of the Church of Jesus Christ of Latter-Day Saints and continues to be so today, although changing demographics in Utah may lead to a shift in priorities. At present, however, conservative views tend to be reflected in Utah policies relating to work and occupational health. For example, the leadership of the Church of Jesus Christ of Latter-Day Saints played an important role in making Utah a right-to-work state,11 a law that can make it difficult for workers to form effective labor unions.12 Religious protections are also robust in Utah law, but worded in such a way that non-majority religious accommodations can be denied,13 and such laws can allow employers to deny employment or services on religious grounds.14
Some Utah policy has been criticized as being detrimental to worker rights to health, safety, and benefits. For example, a recent law provided more benefits to contractors, but did so without labeling them as full-time employees and granting them the security or protections that would come with this status.15 Utah is also challenging federal regulations on abortion care for employees,16 and as of 2024, signed into law a bill that would enable state officials to ignore other federal laws that they see as “overreaching."17
However, there have also been victories in Utah policy for worker rights. Early unions in Utah collaborated to win provisions like the United State’s first eight-hour workday, plus important victories in banning prison labor and ensuring compensation for workplace injuries.18 Today, unions across Utah have united to continue protecting workers’ rights,19 and public opinion also seems to be shifting in favor of unions.20 Paid leave laws are being examined to better cover modern workers.21 In other states, worker-led policy reformation has led to victories for better-paid sick leave, unemployment insurance, higher wages, and protection for frontline workers22 and hopefully Utah will see more of the same.
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- Oxford Learner’s Dictionaries. n.d. “policymaker.” https://www.oxfordlearnersdictionaries.com/us/definition/english/policymaker).
- Takino, S., Piatrova, A., Vazquez-Venegas, P.I., Kang, H., Devaux, M., & M. Cecchini. 2022. “Government policies to promote health and well-being at work: An analysis of ten OECD countries.” In Promoting Health and Well-being at Work: Policy and Practices. OECD Health Policy Studies. https://doi.org/10.1787/e179b2a5-en
- Tripoli, S., Fishman, E., Hewitt, A., Ruff, E., C. Sanders. 2021. “ To Advance Health Equity, Federal Policy Makers Should Build On Lessons From State Medicaid Experiments.” Health Affairs Forefront, HealthAffairs.org. April 14, 2021. https://www.healthaffairs.org/content/forefront/advance-health-equity-federal-policy-makers-should-build-lessons-state-medicaid
- Centers for Disease Control and Prevention (CDC). n.d. “Health-related Policies.” Workplace Health Promotion, CDC, U.S. Department of Health & Human Services. https://www.cdc.gov/workplacehealthpromotion/model/implementation/policies.html
- The Department of the Treasury Office of Economic Policy, the Council of Economic Advisers, & the Department of Labor. 2015. “Occupational Licensing: A Framework for Policymakers.” The White House, July 2015. https://obamawhitehouse.archives.gov/sites/default/files/docs/licensing_report_final_nonembargo.pdf
- Dako, F. 2024. “Growing Health Worker Migration to the U.S. and U.K. Raises Fairness and Training Issues.” Leonard Davis institute of Health Economics, Pennsylvania State University, Mmay 1, 2024. https://ldi.upenn.edu/our-work/research-updates/growing-health-worker-migration-to-the-u-s-and-u-k-raises-fairness-and-training-issues/
- Sorenson, G., Dennerlein, J.T., Peters, S.E., Sabbath, E.L., Kelly, E.l., & G.R. Wagner. 2021. “The future of research on work, safety, health and wellbeing: A guiding conceptual framework.” Social Science & Medicine 269. https://doi.org/10.1016/j.socscimed.2020.113593
- Glass, A. 2023. “What Policymakers Need To Know About Today’s Working Class.” Cap 20, American Progress, April 6, 2023. https://www.americanprogress.org/article/what-policymakers-need-to-know-about-todays-working-class/
- Environment, Climate Change and Health (ECH) team. 2010. “Healthy workplaces: a model for action For employers, workers, policymakers and practitioners.” World Health Organization (WHO), January 19, 2010. https://www.who.int/publications/i/item/9789241599313
- National Association of Social Workers (NASW). n.d. “Policy Issues.” Socialworkers.org.https://www.socialworkers.org/Advocacy/Policy-Issues
- Davies, J.K. n.d. “The Right-To-Work Movement.” The Utah History Encyclopedia, UEN.org. https://www.uen.org/utah_history_encyclopedia/r/RIGHT-TO-WORK.shtml
- FindLaw team. 2016. “Utah Right to Work Laws.” FindLaw.com. https://www.findlaw.com/state/utah-law/utah-right-to-work-laws.html
- Miller, S. 2024. “Utah lawmakers look to expand religious protections in the workplace.” Politics and Government, KUER 90.1, February 22, 2024. https://www.kuer.org/politics-government/2024-02-22/utah-lawmakers-look-to-expand-religious-protections-in-the-workplace
- Ethington, R. 2015. “Utah LGBTQ Rights Bill a Trojan Horse for Religious Right’s Agenda.” Political Research Associates, March 15, 2018. https://politicalresearch.org/2015/03/18/utah-lgbtq-rights-bill-trojan-horse-religious-rights-agenda
- Olander, O. 2023. “Utah follows conservative avenue to boost benefits for contractors.” PoliticoPro, March 27, 2023. https://subscriber.politicopro.com/article/2023/03/utah-follows-conservative-avenue-to-boost-benefits-for-contractors-00088944
- Demillo, A. 2024. “17 states, including Utah, challenge federal rules entitling workers to accommodations for abortion.” Associated Press/KSL TV 5, April 25, 2024. https://ksltv.com/639965/17-states-including-utah-challenge-federal-rules-entitling-workers-to-accommodations-for-abortion/
- Levenson, E. 2024. “Utah’s new ‘Sovereignty Act’ sets up a process to overrule the federal government. But is it constitutional?” CNN US, February 19, 2024. https://www.cnn.com/2024/02/19/us/utahs-sovereignty-act-overrule-federal/index.html
- Christensen. J. 2017. “Eight-Hour Workday.” The Beehive Archive, Utah Humanities, August 18, 2017. https://www.utahhumanities.org/stories/items/show/336
- Schott, B. 2024. “‘You better be ready for a fight’: Labor union warns Legislature not to target workers’ rights in Utah.” Salt Lake Tribune, February 29, 2024. https://www.sltrib.com/news/politics/2024/02/29/you-better-be-ready-fight-labor/
- Gatrell, C. 2024. “Opinion: Is attacking Utah workers really the Utah Way?” Utah Policy, January 28, 2024. https://utahpolicy.com/opinion/69693-opinion-is-attacking-utah-workers-really-the-utah-way
- Gould, L.J. 2021. “Utah is Changing: Should Our Leave Laws Follow Suit?” Utah Women and Leadership Project, Utah State University. September 1, 2021. https://www.usu.edu/uwlp/files/wp/no-3.pdf
- Sherer, J., & J. Worker. 2021. “Worker-led state and local policy victories in 2021 showcase potential for an equitable recovery.” Working Economics Blog, Economic Policy Institute, July 20, 2021.https://www.epi.org/blog/worker-led-state-and-local-policy-victories-in-2021-showcase-potential-for-an-equitable-recovery/