State program approval

When used for the treatment of narcotic addict ion in detoxification or maintenance programs, can only be dispensed by approved hospital pharmacies, approved community pharmacies, and maintenance programs approved by the Food and Drug Administration and the designated state authority... 

To further add to the confusion, in the U.S. environmental regulations are enforced by the states, but only after the U.S. EPA approves each state s enforcement plan for consistency with the Federal program. States also can be more stringent than the Federal requirements. Thus, when the U.S. EPA decides to relax a requirement, states must act affirmatively to implement relaxed requirements. Nothing in the U.S. federal system requires them to act, so state programs are frequently inconsistent with the Federal model. 

Medicaid is a cooperative state-federal program that provides medical care to those individuals who cannot obtain or afford the medical care through other insurance avenues. The states provide the care and the federal government oversees the administration of the care and contributes matching funds for approved state programs. 

York plans cover public employees only). States with approved programs must have a standard that is identical to, or at least as effective as, the federal standard. 

As discussed in Chapter 3, land-based wind farms and wind farms within state territorial waters fall under the regulatory authority of the Occupational Safety and Health Administration (OSHA) or OSHA-approved state programs. OSHA regulations and standards address many of the tasks and hazards associated with wind farm development, and industry can draw on them in developing the safety management system (SMS) required by the Bureau of Ocean Energy Management... 

In summary, information is readily available to help employers identify which employees should receive safety and health information, education, and training, and who should receive it before others. Employers can request assistance in obtaining information by contacting such organizations as OSHA Area Offices, the Bureau of Labor Statistics, OSHA-approved state programs, state on-site consultation programs, the OSHA Office of Training and Education, or local safety councils. 

States with OSHA state plans must cover their employees with regulations at least as effective as the Federal OSHA standards. Public employees in states without approved state OSHA programs covering hazardous waste operations and emergency response are covered by the U.S. EPA under 40 CFR 311, a regulation virtually identical to 1926.65. 

These states and territories operate their own OSHA-approved job safety and health programs and cover state and local government workers as well as private sector workers. The Connecticut, Illinois, New Jersey, New York and Virgin Islands plans cover public workers only. States with approved programs must have standards that are identical to, or at least as effective as, the federal OSHA standards. 

A number of on-site consultation programs provide collections of sample safety and health programs on their websites, including those listed below. The on-site consultation programs are run by the states with funding from OSHA. If you are in a state with an OSHA approved state program, please check with your state agency. 

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