The association between preconception body mass index and subfertility among Hispanic and non-Hispanic women: A cross-sectional study from Utah's Pregnancy Risk Assessment Monitoring System survey (2012-2015).

Objective: To investigate the association between pre-pregnancy body mass index (BMI) and subfertility within a population-based cohort, exploring Hispanic ethnicity as a potential effect modifier.

Methods: We used cross-sectional study data from the Utah Pregnancy Risk Assessment Monitoring System from 2012-2015. Relationships between maternal pre-pregnancy BMI and subfertility were evaluated via Poisson regression models with robust error variance, accounting for the stratified survey sampling.

Executive Order 13,422, OMB's good guidance practices, and implications for health rulemaking and guidance.

In early 2007, President Bush issued Executive Order 13,422, extending executive review to significant guidance documents, requiring the designation of a politically-appointed Regulatory Policy Officer (RPO) within each agency, and strengthening the review and consultation role of the Office of Management and Budget's (OMB) Office of Information and Regulatory Affairs (OIRA). Almost simultaneously, the OMB issued its Final Bulletin for Good Guidance Practices (GGP) to address the growing agency practice of using non-binding guidance documents in lieu of rulemaking procedures to direct the conduct of regulated entities. This paper describes the evolution of executive review of rulemaking and guidance, the impetus for the current changes, and the possible implications of the executive order and OMB's Final Bulletin on Good Guidance Practices for the health law arena.