ANNAPOLIS, Md. -- Starting in January, Maryland becomes the second state in the nation to restrict the routine use of antibiotics in animals.

The state's new Keep Antibiotics Effective Act will prohibit large farms from feeding healthy cattle, hogs and poultry antibiotics at low doses to promote growth. It's a response to public health concerns that overusing antibiotics - both in agriculture and healthcare - contributes to the rising threat of antibiotic resistance.

Maryland State Veterinarian Michael Radebaugh pointed out that very few antibiotics are used in both humans and animals to treat bacterial infections.

"Of all the antibiotics that are used in people, a very small amount of those are also used in animals,” Radebaugh said. "You can't really compare apples to apples on this; the humans are using different antibiotics."

Critics of the new state law have said it's a good start, but a loophole undercuts the overall goal by not requiring confirmation of disease in a flock or herd before using antibiotics. The law also doesn't apply to small farm operations selling fewer than 200 cattle or swine, or 60,000 birds per year.

California is the only other state to restrict the routine use of antibiotics in animals.

Professor Ellen Silbergeld with the Johns Hopkins University Bloomberg School of Public Health also worked on the World Health Organization's strongly worded recommendation against using antibiotics in healthy animals.

"And one of the first things we said was 'no' - no giving drugs to animals unless you know the disease you're afraid of, you're concerned about, it is actually present in the herd or the flock, and you know what drug to use,” Silbergeld said.

State officials say the new law will do just that, as it prevents the use of medically important antibiotics and requires a veterinarian's permission to use antibiotics, including recommended dosage for targeted treatment.

Health care policy expert Jordan Cooper said he remains concerned about widespread antibiotic resistance on a global scale.

"People are actually getting sicker in hospitals; tax dollars and health insurance premiums are increasing,” Cooper said. "This all is a result of the misuse of antibiotics in agriculture. It'll hit your pocketbook and it will hit your loved ones. And that's why everyone ought to care."

Cooper also suggests that people ask their doctor if an antibiotic prescription is absolutely necessary before taking it.

According to the World Health Organization, consumers are also driving the demand for meat raised without antibiotics, with more major food chains adopting "antibiotic-free" policies for their meat supplies.


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California's program helping low-income families buy fresh fruit and vegetables is on the chopping block and health care advocates are asking legislators to save the Market Match program.

Gov. Gavin Newsom has proposed cutting most of the program's $35 million budget to help close the state's budget shortfall.

Sophia Vaccaro, a participant in Market Match from Echo Park, said she depends on Market Match in more ways than one.

"It helps people being able to stretch their budget further," Vaccaro explained. "Then, I think it helps the community, in that it creates a sense of camaraderie at the farmers' market and makes people more invested in the community itself."

The program matches every dollar CalFresh customers spend on fresh fruits and vegetables at a farmer's market up to between $10 and $20 per day. It is active at 294 sites across the state and is partially paid for through federal matching funds.

Dr. John Maa, surgeon at Marin Health Medical Center and board member of the San Francisco Bay Area chapter of the American Heart Association, said Market Match promotes healthy eating and boosts the local farm economy.

"An improved diet really will have long-term meaningful impacts on health, and also reduce health care costs," Maa explained. "It really helps to sustain the growers and the merchants. I guess it's a win-win-win."

Siu Han Cheung, outreach coordinator for the Tenderloin Neighborhood Development Corporation and board member of the Heart of the City Farmers' Market, argued the program is vital to residents across the state.

"If the Market Match will be cut, that is terrible," Cheung stressed. "That means they have less money to buy their food. So, Market Match is very important for the low-income families and the seniors."

Legislators and the governor are working toward the May budget revisions, and must pass a balanced budget by June 15.

South Dakotans face high prices at the grocery store and some are working to ease the burden.

A new report from the Federal Trade Commission finds some grocery retailers used the supply-chain disruptions of the pandemic to raise prices and collect bigger profits, even after supply chains regulated.

One South Dakota group is trying to reduce sticker shock by targeting the state sales tax on groceries. Dakotans for Health is sponsoring a citizens ballot initiative to repeal the 4.2 % tax.

Rick Weiland, co-founder of the group, said lower food bills would make a meaningful difference for some.

"People of modest means, or low income hardworking families, disproportionately spend upwards of 30% on food," Weiland pointed out. "This is going to be helpful."

South Dakota is one of only two states in the country to apply its full state sales tax rate to groceries with no exemptions, Mississippi being the other. More than 9% of South Dakotans are considered food insecure, meaning they do not always have access to enough healthy food.

The grocery tax has been a popular topic among state legislators in recent years. Republican Gov. Kristi Noem even campaigned on the promise to repeal it. Critics have said proposing a tax cut without a way to finance it is irresponsible.

Weiland pointed out Gov. Noem had a formula spelled out when she brought forward her bill in 2023, which was voted down.

"She had no problem defending her position in front of the Legislature, in terms of how much revenue the state was going to lose and where they could make it up," Weiland recounted.

The initiative needs about 17,500 signatures by next month to appear on the November ballot.

Colorado families must sign up before the end of April to receive $120 per child to buy food through the new Summer EBT program approved by Congress. Families with incomes that qualify for free and reduced-price school lunches - up to around $49,000 a year for a family of three - must enroll through their school.

Anya Rose, public policy director with Hunger Free Colorado, said as school cafeterias close their doors for summer, EBT cards can help kids get the nutrition they need to return to school in the fall ready to learn.

"A lot of families will be automatically enrolled, if they are enrolled in programs like TANF, SNAP, Medicaid. If you are unsure, then talk to your school about filling out the household income form to make sure you can qualify this year if you're income eligible," she said.

EBT grocery cards can be used to buy fruits and vegetables, milk, cheese, eggs, breads, meat, fish and other food at all grocery stores that accept SNAP, the Supplemental Nutrition Assistance Program formerly known as food stamps.

Rose noted grocery cards will be sent by mail, so it's important to make sure schools have your correct address.

Some 337,000 Colorado children are eligible for the program that is expected to generate up to $72 million in economic activity across the state. Grocery cards are available to all income-qualifying households regardless of their immigration status.

"There are no immigration eligibility requirements. And accessing Summer EBT and school meals do not impact immigration status in any way," she explained.

Filling out your school's household income application, sometimes called a school meal or benefit form, will also bring critical federal dollars into Colorado's Healthy School Meals for All initiative. It's currently running $24 million over budget. Rose adds there are other benefits for families who participate in Summer EBT.

"That same form can also qualify students to get discounts on school-related fees for things like SAT or ACT testing, or athletics or band or field trips or other activities," she said.