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Policy, Recommendations, and Adoption

Below is a map indicating progress on MAHC adoption, key stakeholder links to public health and aquatic sector MAHC support and development documents, and an example of using the MAHC as a public health indicator. These resources provide an adoption progress update and examples of stakeholder support for the MAHC that may be useful in educating stakeholders and serve as models for increasing stakeholder engagement in your community.

MAHC Adoption Progress


This map illustrates state and/or county use of the MAHC. As of 08/22/2018, the map shows four majority adoptions and five partial adoptions by five states, one county, and three U.S.G agencies. At least 21 states/counties are in the process of, or considering, adoption. For map changes and updates, E-mail

Public Health Support for the MAHC

Aquatics Sector Support for the MAHC

  • National Swimming Pool Foundation (NSPF). Position Statement: Model Aquatic Health Code [PDF – 3 pages], 2018. NSPF funds education, research, and helps create swimmers. NSPF urges state, territorial, and local health departments; aquatic facilities; and the industry at large to evaluate and adopt all or part of the MAHC.
  • Commercial Energy Specialists (CES). Endorsement of CDC’s Model Aquatic Health Code, 2018 [PDF – 1 page]. CES provides water treatment programs to maintain safe recreational water. CES strongly urges all manufacturers, distributors, customers, and service agents to embrace and support the MAHC as the all-inclusive guidance document for public pools.

Stakeholders Using the MAHC as a Public Health Indicator

State map showing the NSC grading scale of states in the US that are on track or not for having one of the following indicators for helping to prevent drownings. Indicator 1: State has updated public pol and water facility regulations to conform with the Model Aquatic Health code; Indicator 2: High school graduates are required to know CPR; Indicator 3: Regulations require barriers to be installed around residential pools. Green is on track with 3 out of 3 indicators (Arizona only), gray is developing these indicators with 2 indicators in place (Oregon, Washington, Idaho, Michigan, Illinois, Indiana, Kentucky, Virginia, North Carolina, Georgia, Alabama, Maryland, New York, Connecticut, Rhode Island, and Maine), red is off track with 1 or zero indicators in place (California, Nevada, Utah, Arizona, Montana, Wyoming, Colorado, North Dakota, South Dakota, Nebraska, Kansas, Oklahoma, Texas, Minnesota, Iowa, Missouri, Arkansas, Louisiana, Mississippi, Tennessee, South Carolina, Florida, Ohio, West Virginia, Pennsylvania, Delaware, Vermont, New Hampshire, Massachusetts.

The National Safety Council (NSC) “The State of Safety” [PDF – 25 pages] report now references the MAHC as an indicator for improved state status in drowning prevention. The NSC uses three indicators including “State has updated public pool and water facility regulations to conform with Model Aquatic Health Code”. See the full report. [PDF – 25 pages] The drowning indicator discussion can be found on page 26.

Policy Statements and Articles that Led to the Creation of the MAHC