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Public Health Law Map - Beta 5 - Medical and Public Health Law Site

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so completely controls the area that there is no room for state regulation. Federal<br />

regulation of television <strong>and</strong> radio, both intrinsically interstate activities because of<br />

the potential for their signals to cross state lines, leaves no room for state laws<br />

governing electronic communications. The FDA regulations on the approval,<br />

manufacture, labeling, <strong>and</strong> promotion of prescription drugs are so comprehensive as<br />

to leave little room for state regulation.<br />

In some cases, federal law also preempts private lawsuits brought under state law.<br />

The Cigarette Labeling Act provided that states cannot require more or different<br />

health warnings on a cigarette package than those required by federal law. The<br />

Supreme Court found that this preempted state court lawsuits by smokers who<br />

claimed that the cigarettes were defective because the packages did not carry<br />

adequate warnings (the tobacco litigation has been based on fraudulently concealing<br />

the risks of smoking). Federal law also preempts certain lawsuits alleging vaccine-<br />

related injuries <strong>and</strong> substitutes an administrative compensation fund for possible state<br />

tort recoveries.<br />

4. Limits to Federal Power<br />

Federal power is limited. If there is no interstate commerce involved <strong>and</strong> the matter<br />

does not involve individual rights under the Constitution, the states have the right to<br />

control their affairs. The federal government also has very limited authority to<br />

comm<strong>and</strong>eer state personnel to enforce federal law. If the federal government wants<br />

to regulate an area that is reserved to the states, or does not have the funds to take a<br />

specific action with a federal agency, it can provide the states with a financial<br />

incentive to encourage them to follow federal guidelines. When Congress wanted the<br />

states to pass laws requiring people in cars to wear seatbelts, it told the states to pass<br />

seatbelt laws or lose some of their federal highway construction money. The<br />

Medicaid program is a state–federal partnership in which the federal government<br />

controls actions of state personnel through restrictions on the federal matching<br />

money.<br />

5. The State Court System<br />

The state legal systems are quite diverse. Many predate the formation of the United<br />

States. The East Coast states derive their law from the English common law, many of<br />

the western states were influenced by the Spanish civil law, Louisiana follows the<br />

French civil law, <strong>and</strong> Texas entered the Union as an independent nation with a strong<br />

Spanish <strong>and</strong> Mexican heritage.<br />

Despite the diverse backgrounds, the state court systems tend to follow the three<br />

levels of the federal courts. The levels have different names, but the process of<br />

starting in a trial court, progressing to an appeals court, <strong>and</strong> ending up in a state<br />

supreme court is common to most of the states. In some cases that involve federal<br />

laws or constitutional rights, it is possible to appeal the state supreme court decision<br />

directly to the U.S. Supreme Court.<br />

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