Licensure, scope of practice and telehealth laws by state

HB 156: Physician Assistants; interstate licensure compact, established

Participating states must license physician assistants, participate in the PA Licensure Compact Commission's data system, investigate complaints, report adverse actions and significant investigative information, implement criminal background checks, comply with commission rules, require passage of the NCCPA PANCE exam, and grant compact privileges to qualifying licensees. Licensees must meet education, certification, and conduct requirements to exercise compact privileges across member states.

Took effect 1 October 2026

SB 160: Athletic Trainers; interstate licensure compact, established

Member states must license and regulate athletic trainers, require continuing competence standards, investigate complaints, grant compact privileges to qualifying licensees, participate in the compact commission's data system, report adverse actions and investigative information, and implement criminal background check procedures. Licensed athletic trainers must comply with the scope of practice laws of the state where the patient is located.

Took effect 1 October 2026

SB 100: Sunset law; Alabama State Board of Pharmacy continued with modification until October 1, 2027

The Alabama State Board of Pharmacy continues to exist and function until October 1, 2027. The appointing authorities specified in Section 34-23-90(b)(1) must appoint nine board members according to the categories and nomination procedures outlined, with each appointing authority having 45 days to fill vacancies.

Took effect 1 June 2026

SB 181: Interstate compact, respiratory therapists

Member states must license respiratory therapists, participate in the commission's data system, investigate complaints, report adverse actions and significant investigative information to the commission, complete criminal background checks for new licensees, and grant compact privilege to holders of active home state licenses meeting specified requirements. Licensees must maintain active home state licenses, hold current National Board credentials, report adverse actions within 30 days, and notify the commission of domicile changes within 30 days.

Took effect 1 October 2025

HB 110: An Act relating to the rural health transformation program; relating to the interstate medical licensure compact; relating to the PA licensure compact; relating to the psychology interjurisdictional compact; relating to the practice of respiratory care; relating to the duties of the Department of Commerce, Community, and Economic Development; relating to telehealth provided by respiratory care practitioners; relating to a social work licensure compact; relating to the practice of social work; relating to medical malpractice liability of respiratory care practitioners; relating to immunity from civil liability for a respiratory care practitioner providing free health care services; relating to national criminal history record checks; relating to respiratory care practitioners providing documentation and treatment plans for public school students with asthma or anaphylaxis; relating to the recognition of EMS personnel licensure interstate compact; prohibiting unfair discrimination under group health insurance against respiratory care practitioners; establishing the Rural Health Transformation Program Advisory Council; and providing for an effective date.

The Department of Commerce, Community, and Economic Development must regulate respiratory care practitioners under AS 08.90. Applicants for expedited medical licenses, compact privileges for audiologists and speech-language pathologists, and physician assistant licenses must submit fingerprints and fees for criminal history record checks. Respiratory care practitioners must use appropriate professional identification letters or titles on all signs, stationery, and advertising.

HB 195: An Act changing the term 'physician assistant' to 'physician associate'; relating to physician associates; relating to collaborative practice agreements for pharmacists; relating to the prescription of opioid overdose drugs; relating to the prescription and administration of drugs and devices by pharmacists; relating to reciprocity for pharmacists; amending the definition of 'practitioner'; and providing for an effective date.

Pharmacists must receive education in pain management and opioid use and addiction unless they lack a valid federal Drug Enforcement Administration registration number. Pharmacists prescribing or administering drugs under collaborative practice agreements must recognize the limits of their education, training, and experience and consult with and refer to other practitioners as appropriate.

Took effect 1 January 2026

HB 14: An Act relating to health care insurance; relating to insurance reimbursement for health care services provided through telehealth; relating to telehealth; relating to workers' compensation coverage for disability from diseases for certain firefighters; repealing programs for catastrophic illness assistance and medical assistance for chronic and acute medical conditions; relating to occupational disability benefits and medical benefits available under the public employees' retirement system; providing for an effective date by amending the effective date of secs. 9 and 10, ch. 38, SLA 2022; and providing for an effective date.

Health care insurers must reimburse health care providers for health care services, including behavioral health services, provided through telehealth on the same basis and at least at the same rate as comparable in-person services, though geographic pay differentials may apply to out-of-state providers. Municipalities offering group health care insurance plans must comply with these telehealth reimbursement requirements.

SB 89: An Act relating to physician assistants; relating to collaborative agreements between physicians and physician assistants; relating to the practice of medicine; relating to health care providers; and relating to provisions regarding physician assistants in contracts between certain health care providers and health care insurers.

Physician assistants with less than 4,000 hours of postgraduate clinical experience must practice under a written collaborative agreement with a collaborating physician who oversees their performance. Health care insurers may not impose practice, education, or collaboration requirements on physician assistants that are inconsistent with or more restrictive than requirements under AS 08.64.

HB 2408: nursing board; regulatory actions; expungement

The Arizona state board of nursing must establish procedures for investigating complaints against regulated parties, prioritizing complaints involving patient harm, sexual misconduct, abuse, or impaired practice. The board must complete investigations within 180 days or provide written notice of delay. The board may expunge disciplinary actions meeting specified criteria, but cannot expunge actions involving criminal convictions for assault or fraud, patient abuse or harm, sexual misconduct, impaired practice, or falsified records.

SB 1235: EMS reciprocity; compact.

Member states must recognize the privilege to practice of EMS personnel licensed in other member states that meet compact requirements, including use of NREMT examination, criminal background checks within five years, and reporting adverse actions to the commission. Home states have exclusive power to impose adverse actions on their own licenses.

HB 2308: dental insurers; dental practice; prohibition

A dental insurer or holding company may not have any ownership interest in a business organization that offers professional services regulated by the board. Business entities offering dental services must register with the board, file applications describing services and responsible dentists, and establish written protocols for secure storage and transfer of patient dental records.

HB 2686: physicians; surgical centers; call coverage

Physicians who perform surgeries at outpatient surgical centers must annually provide the center with their call-coverage plan, including hospital call coverage, and must provide updated plans as changes are made.

HB 2190: physician assistants; licensure compact

Participating states must license physician assistants, participate in the compact commission's data system, receive and investigate complaints, report adverse actions and significant investigative information to the commission, implement criminal background checks, comply with commission rules, require passage of the national commission on certification of physician assistants exam, and grant compact privileges to qualifying license holders.

HB 2137: dental board; licensure; renewal

A person who submits claims for or receives payment for behavioral health services under the Arizona Health Care Cost Containment System must maintain records necessary to disclose the nature of services and all income and expenditures on which payment rates were based, and must report any destruction of such records.

SB 1075: audiologists; speech-language pathologists; compact

Audiologists and speech-language pathologists seeking licensure must meet educational, examination, and background check requirements. Those practicing under the compact privilege in remote states must comply with that state's practice laws and are subject to that state's regulatory authority and discipline.

HB 2628: pharmacists; emergency medication; administration

A pharmacist authorized to order and administer medication may order and administer emergency medication to manage an acute allergic reaction to medication administered at the pharmacy. The pharmacist must notify the patient's primary care provider or physician within forty-eight hours and follow the pharmacy's standard operating procedures.

HB 1585: To provide an exception from licensure as a home healthcare service to an entity that solely provides therapy services that are not reimbursed by medicare part a.

Entities that solely provide therapy services not reimbursed under Medicare Part A by licensed healthcare professionals are exempt from licensure requirements as home healthcare services under Arkansas Code § 20-10-807.

HB 1712: To establish the social work licensure compact in this state.

Member States must license and regulate social workers at clinical, master's, or bachelor's levels to participate. Regulated Social Workers must hold an active, unencumbered license in their Home State, pass a Qualifying National Exam, notify their Home State of adverse actions within 30 days, and abide by laws where clients are located. Member States must report adverse actions and investigative information to the Data System.

HB 1241: To ensure that the arkansas medicaid program reimburses for dental and anesthesia costs for high complexity oral health care.

The Arkansas Medicaid Program shall reimburse dental schools accredited by the Commission on Dental Accreditation and academic medical centers for dental and anesthesia costs not exceeding three thousand seven hundred fifty dollars per episode of care for individuals eighteen years or older with high complexity oral health care requiring sedation dentistry, with an annual cap of five thousand dollars per individual.

SB 99: To authorize a physician assistant to delegate certain tasks.

The Arkansas State Medical Board shall adopt rules establishing standards and procedures for physicians and physician assistants to delegate medical practices to qualified, trained employees not licensed to perform such practices. Delegating physicians or physician assistants remain responsible for delegated acts. Delegated drug administration requires evaluation of patient acuity, training and competency requirements, and must occur within the physician's or physician assistant's office.

AB 1199: Medical staff: health care provider credentialing.

Governing bodies of general acute care hospitals and acute psychiatric hospitals must require medical staff to establish controls ensuring high standards of professional ethical practices. Medical staff must require members to demonstrate ability to perform surgical and other procedures competently at original appointment and every three years thereafter. Staff reappointments must occur at least every three years.

Takes effect 1 January 2027

SB 1094: Prescription drugs.

Pharmacists may select alternative biological products that are biosimilar to or interchangeable with prescribed reference products if prescribers do not indicate "Do not substitute." Pharmacists must notify prescribers within five days of dispensing. Health care service plans and health insurers must not limit coverage for previously approved drugs if appropriately prescribed and safe and effective, but may require trial of AB-rated generics or biosimilars under specified conditions with 30 days' advance notice.

Takes effect 1 January 2027

SB 503: Health care services: artificial intelligence.

Developers and deployers of artificial intelligence systems used to support clinical decisionmaking or health care resource allocation must make reasonable efforts to identify and mitigate risks of biased impacts in system outputs. Deployers must regularly monitor these systems and take reasonable steps to mitigate bias. Beginning January 1, 2027, developers must report compliance efforts to the department before commercial deployment.

Takes effect 1 January 2027

AB 1629: Dental coverage.

Health care service plans and health insurers covering dental services must pay noncontracting dental providers directly for covered services upon written assignment of benefits from enrollees, provide predetermination or prior authorization, and reimburse at least that amount. Noncontracting dental providers must disclose they are noncontracting and may not charge enrollees more than estimated cost-sharing before plan payment.

Takes effect 1 January 2027

AB 1637: Physicians and surgeons: medical records.

A physician and surgeon's patient notes shall not be altered, modified, or edited by anyone other than the authoring physician and surgeon, except by a scribe or medical assistant acting under delegated authority, by another physician and surgeon adding notes after care transfer, or by a supervising physician and surgeon editing notes of a trainee.

Takes effect 1 January 2027

AB 1696: Emergency services and care: nurse-midwives.

Health facilities and health care service plans shall not require physician supervision of a nurse-midwife licensed under Business and Professions Code Section 2746.5 when the nurse-midwife provides emergency services and care in labor and delivery units, obstetric triage, or dedicated emergency obstetric evaluation units within the scope of licensure, or when specifically requested by the treating physician for obstetric consultation.

Takes effect 1 January 2027

AB 1811: Health professionals.

Specified boards must collect workforce data from licensees and registrants at license or registration issuance and at least biennially thereafter, including hours worked in inpatient and outpatient care and whether the licensee offers a formal sliding fee scale. Each board must provide individual licensee and registrant data to the Department of Health Care Access and Information monthly. Licensees and registrants cannot be required to provide this information as a condition of renewal and cannot be disciplined for not providing it.

Takes effect 1 January 2027

AB 1906: Health care coverage: home test kits.

Health care service plans and health insurers must provide coverage without cost sharing for cervical cancer screening tests ordered by in-network providers and consistent with nationally recognized clinical guidelines, including FDA-authorized or cleared self-collected cervical screening home test kits, for plans issued, amended, or renewed on or after January 1, 2027. Medi-Cal must cover cervical cancer screening tests and FDA-authorized home test kits ordered by health care providers without cost sharing on or after January 1, 2027.

Takes effect 1 January 2027

AB 375: Medical Practice Act: health care providers: qualified autism service paraprofessionals.

Health care providers initiating telehealth must inform patients about telehealth use and obtain verbal or written consent before delivery of health care services via telehealth. The consent must be documented. Qualified autism service paraprofessionals certified by a national entity are now included in the definition of health care provider.

Takes effect 1 January 2027

SB 964: Prescription drug coverage: dose adjustments.

Health care service plans and health insurers must grant treating providers authority to adjust a drug's dose or frequency without prior authorization when the drug was previously approved for a chronic medical condition or cancer treatment, the drug is not an opioid or scheduled controlled substance, the dose has not been adjusted more than twice without prior authorization, and off-label uses are supported by two major peer-reviewed medical journal articles.

Takes effect 1 January 2027

SB 1302: Nursing.

The Board of Registered Nursing must make the list of approved schools of nursing available on its internet website and ensure inspection criteria are consistent with the 2020 Nursing Education Approval Guidelines established by the National Council of State Boards of Nursing or its successor. Directors of approved nursing programs may request to reduce required direct patient care hours to 200 hours in medical-surgical if specified conditions are met.

Takes effect 1 January 2027

AB 2311: Health care districts: employment.

Until January 1, 2037, health care districts and nonprofit corporations with a health care district as sole corporate member that own or control a general acute care hospital may employ physicians and surgeons and charge for professional services if medical staff concur by affirmative vote, the district or corporation does not interfere with professional judgment, and new positions do not supplant existing medical staff positions as of January 1, 2026. Such entities must publish annual reports on recruitment and retention data beginning July 1, 2028.

Takes effect 1 January 2027

AB 2775: Chiropractic Act.

The State Board of Chiropractic Examiners must automatically revoke a chiropractor's license if the licensee has been convicted of offenses requiring sex offender registration under Penal Code Section 290, or automatically suspend a license following conviction of a serious felony. The board must distribute directories electronically to licensees and by mail upon request without charging distribution costs.

Takes effect 1 January 2027

AB 1760: Dentistry.

Applicants for dentistry licensure must receive a passing grade rather than 85% to exempt from reexamination on a subject within two years. After three failed attempts at an examination section, applicants must retake the entire examination. Out-of-state applicants must document 5,000 hours of clinical practice or equivalent credentials. Dentists performing elective facial cosmetic surgery must possess a permit and malpractice insurance.

Takes effect 1 January 2027

AB 1587: Prescription drug refills: prescriber notifications.

A pharmacist may refill a prescription for a dangerous drug or dangerous device without prescriber authorization if the prescriber is unavailable and the pharmacist judges that failure to refill might interrupt the patient's ongoing care and cause significant adverse effects. The pharmacist must inform the patient of the refill and notify the prescriber within a reasonable period of time if a prescriber is identified.

Takes effect 1 January 2027

SB 387: Physicians and surgeons: special faculty permits: academic medical centers.

Medical schools and academic medical centers must meet specific criteria to qualify as academic medical centers for special faculty permit purposes, including training minimum resident or fellow physicians annually and maintaining accreditation. The Medical Board of California must establish a review committee with representation from academic medical centers and may approve up to five special faculty permit applications per academic medical center annually.

SB 596: Health facilities: administrative penalties.

The State Department of Public Health must assess administrative penalties against licensees of health facilities that violate nurse-to-patient ratio regulations: fifteen thousand dollars for the first violation and thirty thousand dollars for the second and each subsequent violation. General acute care hospitals may avoid penalties by demonstrating unpredictable staffing fluctuations, prompt remedial efforts, and exhaustion of on-call nurse lists.

SB 775: Board of Psychology and Board of Behavioral Sciences.

The Board of Psychology must extend its operation to January 1, 2030. Out-of-state psychologists offering services must inform clients of the limited timeframe, that they are unlicensed in California, provide the board's website address, and submit a signed statement under penalty of perjury acknowledging jurisdiction. Registered psychological associates must be supervised by licensed psychologists.

AB 1041: Health care coverage: health care provider credentials.

Full service health care service plans and health insurers, or their delegates, must subscribe to and use the CAQH credentialing form on and after January 1, 2028. They must make credentialing determinations within 90 days of receiving completed applications and notify applicants of receipt within 10 business days. Providers must be activated and notified within 10 days of approval.

AB 489: Health care professions: deceptive terms or letters: artificial intelligence.

Entities that develop or deploy artificial intelligence or generative artificial intelligence systems must not use terms, letters, or phrases in advertising or functionality that indicate or imply the advice, care, reports, or assessments are provided by a natural person with an appropriate health care license or certificate.

AB 836: Midwifery Workforce Training Act.

Upon legislative appropriation, requires the Department of Health Care Access and Information to fund and administer a statewide study on midwifery education conducted by an outside consultant, and to report findings to the Legislature and post the report online within 36 months.

SB 520: Nurse-midwifery education program.

The Department of Health Care Access and Information shall administer the California Nurse-Midwifery Education Fund, establish competitive application criteria for selecting education program sites within California State University or University of California, ensure master's degrees are offered, and support annual operating costs through first cohort graduation or five years, whichever is shorter.

AB 1037: Public health: substance use disorder.

Licensed alcohol or other drug recovery or treatment facilities must maintain at least two unexpired doses of opioid antagonist on premises and ensure at least one trained staff member knows its location. The department must offer combined applications for licensure by January 1, 2027. Licensees must prioritize residents maintaining treatment connection after relapse and cannot require abstinence for admission.

SB 389: Pupil health: individuals with exceptional needs: respiratory services: licensed vocational nurses.

Licensed vocational nurses may perform suctioning and other basic respiratory tasks and services under the supervision of a credentialed school nurse to assist individuals with exceptional needs who require specialized physical health care services during the regular schoolday. Licensed vocational nurses performing respiratory services must hold current certification of competency from specified organizations.

SB 582: Health and care facilities: licensing during emergencies or disasters.

Skilled nursing facilities must review external disaster and mass casualty program plans at least once per year, seek input from county/regional/local planning offices including the medical health operational area coordinator, incorporate lessons learned from recent disasters, and provide plan copies to local emergency planning offices. Licensees of various health and care facilities may request inactive license status if nonoperational due to destruction, significant damage, or prolonged closure from declared emergencies or disasters.

AB 1418: Department of Health Care Access and Information.

Health facilities, clinics, home health agencies, and hospices shall annually report to the Department of Health Care Access and Information starting January 1, 2027, whether all health care employees eligible for employer-sponsored coverage are eligible without a waiting period, and if not, report the length of waiting periods by employee classification using specified date ranges.

AB 447: Emergency room patient prescriptions.

Prescribers may dispense unused portions of non-controlled dangerous drugs to emergency room patients upon discharge if the drug was administered from single patient use multidose packaging, can be self-administered, and dispensing is required to continue treatment. An automated unit dose system used to dispense dangerous drugs to emergency room patients is exempt from licensure if operated by a licensed hospital pharmacy that owns or leases it.

AB 894: General acute care hospitals: patient directories.

Beginning July 1, 2026, general acute care hospitals must inform patients or their representatives at admission that they may restrict or prohibit use or disclosure of protected health information in the hospital's patient directory. Hospitals must provide this information using a separate document with a checkbox and verbal notification, in the top five non-English languages spoken in the hospital's service area.

SB 306: Health care coverage: prior authorizations.

Health care service plans and health insurers must report prior authorization statistics by December 31, 2026. By January 1, 2028, they must cease requiring prior authorization for covered health care services approved at rates of 90 percent or higher, as identified by their respective departments. They may reinstate prior authorization only for specific providers based on clear and convincing evidence of fraud or clinically inappropriate care.

SB 351: Health facilities.

A private equity group or hedge fund involved with a physician or dental practice doing business in California must not interfere with physicians' or dentists' professional judgment in making health care decisions or exercise control over patient records, hiring, billing, equipment selection, or contractual relationships with payers. Such entities must not enter contracts containing non-compete or disparagement clauses barring providers from competing or commenting on quality of care or revenue-increasing strategies.

AB 645: Emergency medical services: dispatcher training.

By January 1, 2027, a public safety agency that provides 911 call processing services for emergency medical response must provide prearrival medical instructions to 911 callers requiring medical assistance, including airway and choking instructions, AED and CPR instructions, childbirth, bleeding control, epinephrine administration, and naloxone administration. Instructions must be approved by the local EMS agency medical director and implemented consistent with the public safety agency's medical protocols.

SB 250: Medi-Cal: provider directory: skilled nursing facilities.

The State Department of Health Care Services must include skilled nursing facilities as a searchable provider type in the Medi-Cal Managed Care Health Care Options provider directory that lists accepted Medi-Cal managed care plans. The department must annually update this provider directory to ensure information is accurate and readily accessible to the public.

SB 568: Pupil health: epinephrine delivery systems: schoolsites and childcare programs.

Local educational agencies must provide emergency epinephrine delivery systems stored at each schoolsite and childcare program location for use by school nurses, trained volunteers, and trained childcare employees to treat anaphylactic reactions. Pupils may carry and self-administer prescription epinephrine delivery systems with appropriate written statements from physicians and parents.

AB 1501: Physician assistants and podiatrists.

Physician and surgeons must not supervise more than eight physician assistants at any one time, except as provided in Section 3502.5. Physician assistants must renew licenses on an electronic form or other form provided by the board, with application forms containing legal verification under penalty of perjury that information is true and correct.

Took effect 1 January 2026

AB 1503: Pharmacy.

The California State Board of Pharmacy must establish a Pharmacy Technician Advisory Committee. Pharmacists must provide services consistent with accepted standard of care. Nonresident pharmacies must designate a California-licensed pharmacist-in-charge by July 1, 2026, and notify the board within 90 days. All licensed facilities must complete self-assessments every odd-numbered year and within 30 days of specified changes.

Took effect 1 January 2026

AB 876: Nurse anesthetists: scope of practice.

Nurse anesthetists are authorized to perform anesthesia services including preoperative, intraoperative, and postoperative care and pain management. An order by a physician, dentist, or podiatrist for anesthesia services authorizes the nurse anesthetist to select, implement, abort, or modify the anesthesia modality. Medication selection and administration by nurse anesthetists pursuant to such orders does not constitute a prescription.

Took effect 1 January 2026

SB 386: Dental providers: fee-based payments.

Health care service plans and health insurers that provide payment to dental providers must offer a non-fee-based default payment method. They must obtain the dental provider's affirmative consent before offering fee-based payment and must apply any opt-in or opt-out decision to the provider's entire practice and all covered products or services.

Took effect 1 January 2026

AB 50: Pharmacists: furnishing contraceptives.

A pharmacist may furnish over-the-counter contraceptives without standardized procedures or protocols. A pharmacist may furnish self-administered prescription-only hormonal contraceptives and emergency contraception drug therapy according to specified standardized procedures or protocols. A pharmacist may furnish up to a 12-month supply of FDA-approved self-administered hormonal contraceptives or over-the-counter contraceptives at a patient's request.

AB 144: Health.

The State Department of Public Health must establish a baseline of immunization recommendations from USPSTF, ACIP, and HRSA in effect January 1, 2025, and may modify or supplement those recommendations without rulemaking. The department must publish recommendations and updates. Health care service plans and disability insurers must cover immunizations consistent with State Department of Public Health recommendations.

AB 116: Health omnibus trailer bill.

Skilled nursing facilities must have an alternative power source for at least 96 hours during power outages, complying on or after January 1, 2026 when the State Department of Health Care Services publishes notice of sufficient legislative appropriation. Pharmacy benefit managers must obtain a Department of Managed Health Care license by January 1, 2027 or when the licensure process is established, whichever is later.

HB 1411: Changes to Cover All Coloradans Program

The state department of health care policy and financing must create a state medical assistance program beginning no later than January 1, 2025, offering benefits and services at the same cost to beneficiaries as the medical assistance program. Pregnant women and children under nineteen not eligible for medical assistance solely due to immigration status with family household income not exceeding two hundred sixty percent of the federal poverty line are eligible, subject to specified limitations on dental services, behavioral health, accountable care collaborative services, and managed care beginning specified dates in 2026 and 2027.

HB 1069: Availability of Emergency Medical Services

SB 138: Reducing Administrative Burdens on Health Care

HB 1336: Increase Access to Pharmacy Services

HB 1307: Sunset Colorado Medical Board

HB 1344: Sunset Podiatry Board

HB 1366: Denver Health Federal Funds for Physician Services

Authorizes the state to maximize reimbursement for physician services at Denver Health and Hospital Authority through a state-directed payment program under federal regulations. Appropriates $3,527,482 from the healthcare affordability and sustainability hospital provider fee cash fund for the 2026-27 fiscal year.

HB 1044: Measures to Improve Black Maternal Health Equity

Health facilities must make electronically available to birthing parents and their companions a required notice by January 1, 2027 describing components of respectful labor and childbirth, including freedom from harm, dignity, informed consent, and culturally sensitive care, plus complaint filing information. Boards must adopt rules requiring CME credit hours on health disparities, reproductive health, cultural competence in maternal care, and bias.

HB 1238: Designating Emergency Medical Services Essential Services

Designates emergency medical services, including ambulance and air ambulance services, as essential services in Colorado. Defines emergency and nonemergency ambulance services, out-of-hospital services, and clarifies that off-duty providers have no obligation to respond.

HB 1070: Third-Party Network Agreements for Dental Services

Carriers must obtain affirmative consent from participating dental providers before entering third-party network lease agreements granting access to those providers' services and discounts. Carriers must not cancel contracts or refuse to contract with providers based on refusal to consent. Carriers must provide lists of third parties, allow removal of consent, maintain updated websites, give thirty days notice before new agreements, and make contracts available within thirty days of request.

SB 25-146: Fingerprint-Based Criminal History Record Checks

Regulators must require applicants for specified licenses (funeral directors, embalmers, cremationists, audiologists, dentists, dental hygienists, physician assistants, social workers, counselors, midwives, occupational therapists, and speech-language pathologists) to submit fingerprints for fingerprint-based criminal history record checks. Applicants must pay costs and authorize fingerprint submission to the Colorado Bureau of Investigation and Federal Bureau of Investigation.

SB 25-192: Sunset Community Health Service Agency

SB 25-130: Providing Emergency Medical Services

A facility must provide emergency medical services to a person who requests them or when a prudent layperson would believe the person needs them. Facilities must maintain a central log of patient outcomes, not delay services for financial inquiries, and not transfer or discharge unstabilized patients without proper certification and informed consent.

SB 25-194: Sunset Dental Practice Act

Dentists must furnish dental laboratory work orders to unlicensed technicians for laboratory-fabricated dental prostheses. Dental hygienists may prescribe fluorides, antimicrobial agents, and nonnarcotic analgesics within articulated plans with dentists. Providers performing itinerant surgery must develop written emergency follow-up care protocols and provide post-procedure care plans.

HB 5561: An act concerning a five-year medicaid rate review, dental representation on a medical assistance oversight council, biomarker testing and opioid prescription coverage requirements and a study concerning payment of spouses for state-subsidized home care.

The Commissioner of Social Services must create a five-year process for regular review of Medicaid reimbursement rates, beginning January 1, 2027, benchmarking rates to Medicare when possible. Prescribing practitioners must consider feasibility of nonopioid treatment options when prescribing opioid drugs to Medicaid beneficiaries.

Took effect 1 July 2026

HB 5377: An act concerning return of health care provider payments.

Contracting health organizations shall not cancel, deny, or demand return of payment for authorized covered services more than fifteen months after receipt of a clean claim, except for fraud, improper billing, duplicate payment, federal or state program payment, or coordination of benefits. Health organizations must provide thirty days' advance notice and establish an electronic appeal process. Hospital-based facilities located off-site from a hospital campus must submit their national provider identifier and federal tax identification number with each claim.

Took effect 1 October 2026

SB 196: An act concerning hospital sale-leaseback transactions and attestations concerning lack of a controlling interest of a hospital or of interference with the professional judgment and clinical decisions of certain health care providers of a hospital by a private equity entity.

Hospitals must not enter into sale-leaseback transactions with real estate investment trusts involving the main campus after October 1, 2026, except hospitals in financial distress may do so with ten days' prior notice to the commissioner and Attorney General. All hospitals must submit annual attestations to the commissioner by October 1, 2026, and thereafter that no private equity entity controls the hospital or interferes with clinicians' professional judgment and clinical decisions.

SB 1380: An act prohibiting discrimination by health care providers in the provision of health care services in the state.

Health care providers licensed by the state shall not knowingly discriminate in providing health care services based on race, color, religious creed, sex, gender identity or expression, sexual orientation, marital status, age, national origin, ancestry, intellectual disability, mental disability, learning disability, physical disability, veteran status, or domestic violence victim status. Nothing requires delivery of futile care or conflicts with professional judgment.

Took effect 1 October 2025

SB 1450: An act concerning recruitment and retention of the health care workforce.

The Department of Public Health shall establish a health care provider loan reimbursement program awarding grants to full-time health care providers, with at least twenty percent to primary care providers and at least twenty percent to providers in rural communities or federally qualified health centers. On and after October 1, 2026, state-administered loan reimbursement programs for physicians, physician assistants, or advanced practice registered nurses shall not require nonprofit employer employment as eligibility criteria.

Took effect 1 July 2025

SB 271: An act to amend title 18 of the delaware code relating to pharmacy benefits managers.

Pharmacy benefits managers must provide 14 days' notice before initial on-site audits, conduct audits under uniform standards, limit audits to once every 12 months, bear all audit costs, respond to appeals within 10 calendar days, provide 60 days' notice before amending contracts, and reimburse pharmacies at least the national average drug acquisition cost or wholesale acquisition cost as of the date of service.

SB 334: An act to amend titles 18 and 29 of the delaware code relating to health care.

Carriers requiring provider credentialing must use uniform credentialing applications beginning January 1, 2028, establish written credentialing policies, verify credentials before contracting, and render credentialing decisions within 30 days of clean applications. Carriers must provide provisional credentials to certain health care professionals and cannot charge application fees.

Takes effect 1 January 2028

SB 94: An act to amend title 24 of the delaware code relating to respiratory care practitioners.

Respiratory care practitioners may perform all forms of extracorporeal life support, including extracorporeal membrane oxygenation (ECMO) and extracorporeal carbon dioxide removal (ECCO2R), while working under the general supervision of a person certified to practice medicine.

HB 435: An act to amend titles 18, 29, and 31 of the delaware code relating to certified registered nurse anesthetists.

Health insurers, health service corporations, health maintenance organizations, and carriers must reimburse certified registered nurse anesthetists at rates not less than those paid to licensed physicians for the same services. They may establish variable rates based on quality or performance measures.

HJR 13: Directing the department of labor to study the creation of a delaware healthcare apprenticeship degree program and to report findings and recommendations to the governor and the general assembly.

SB 283: An act to amend title 24 of the delaware code relating to dental hygiene.

Dental hygienists may administer local anesthesia under direct supervision of a dentist, prescribe and dispense fluoride under standing order of a dentist, apply sealants without prior dentist examination if patient seen within 12 months, provide direct access prophylaxis without prior examination if patient seen within 12 months, and directly supervise dental assistants as prescribed by Board regulations.

SB 320: An act to amend title 16 and title 24 of the delaware code relating to pharmacy and pharmacists.

Licensed pharmacists may exercise independent prescriptive authority for over-the-counter products, opioid antagonists, and non-controlled drug categories meeting specified criteria without collaborative agreements or protocols. Pharmacists may prescribe controlled substances only for opioid use disorder treatment under standing orders from the Division of Public Health. Pharmacists administering immunizations must report to DelVAX within 72 hours.

SB 208: An act to amend title 24 of the delaware code relating to psychology professionals.

Psychologists, licensed psychology associates, doctoral-level psychological assistants, and master's-level psychological assistants must not engage in the practice of psychology without proper licensure or registration. Applicants must meet education, training, and experience requirements; pass the EPPP examination; submit criminal history reports; and comply with supervision requirements where applicable.

SB 238: An act to amend title 24, title 29, and title 31 of the delaware code relating to insurance coverage for chiropractic therapy and physical therapy.

SB 122: An act to amend titles 16 and 29 of the delaware code relating to health care workforce planning.

SB 107: An act to amend title 14 of the delaware code relating to the interstate compact for school psychologists.

SB 109: An act to amend title 24 of the delaware code relating to a social work licensure compact.

Member states must license and regulate clinical, master's, and bachelor's social workers and participate in the Social Work Licensure Compact Commission. Regulated social workers must hold an unencumbered license in their home state, pass a qualifying national exam, submit fingerprints for criminal history checks, and notify their home state of any adverse actions within 30 days. Licensees must abide by laws and regulations of the remote state where clients are located.

HB 205: An act to amend titles 10, 11, 18, 24, and 29 of the delaware code relating to healthcare services.

No insurer may increase premiums or take other adverse action against a healthcare professional or healthcare organization when issuing or renewing an insurance policy if the professional or organization performs or assists in providing reproductive health services that are legal in Delaware to out-of-state individuals, including prescribing medication for pregnancy termination via telehealth.

SB 101: An act to amend title 16 of the delaware code relating to the definition of the patient-practitioner relationship.

SB 180: An act to amend chapter 25, title 24 of the delaware code relating to the board of pharmacy.

Amends Delaware pharmacy law to clarify that the Board may deny licensure based on administrative penalties, discipline, or criminal convictions after hearing or review, allows out-of-state pharmacists to practice during emergencies, and specifies that Section 1 takes effect one year after enactment while Section 2 takes effect immediately.

HB 140: An act to amend title 16 of the delaware code relating to end of life options.

An attending physician or attending APRN must determine that a terminally ill adult has decision-making capacity, is making an informed decision, and is acting voluntarily before prescribing medication for the individual to self-administer to end their life. A consulting physician or consulting APRN must confirm the terminal illness diagnosis and prognosis. The Department of Health and Social Services must promulgate regulations and collect compliance information.

SB 2514: Health and Human Services

Nursing home facilities must conduct biennial patient safety culture surveys and submit results to the Agency for Health Care Administration in a format specified by rule. Medical directors must obtain certification as a certified medical director by January 1, 2026, or be in process of seeking such designation. Nursing homes must make electronic health record data available to the Florida Health Information Exchange program.

Took effect 1 July 2025

SB 168: Mental Health

The state attorney has sole discretion to determine felony defendant eligibility for pretrial mental health diversion and must consider dismissal upon successful treatment completion. Courts must order mental health assessments for certain misdemeanor defendants and may release them on recognizance conditioned on treatment compliance. The Department of Corrections must evaluate inmate physical and mental health before work assignments.

Took effect 1 October 2025

SB 162: Georgia Composite Medical Board; implement an automated credentialing system for healthcare providers in this state; provide

The Georgia Composite Medical Board must modify its data management software system by January 1, 2027, to streamline and automate the licensing process for physicians, physician assistants, anesthesiologist assistants, and other healthcare providers licensed by the board. The system must organize, verify, and store licenses to allow a single verification process resulting in statewide authorization.

SB 195: Pharmacies; pharmacists are authorized to dispense preexposure prophylaxis and postexposure prophylaxis under certain conditions; provide

Pharmacists must complete an approved training program before dispensing or administering preexposure prophylaxis or postexposure prophylaxis. Pharmacists may dispense PrEP (30 to 90 day supply or long-acting injectable) if patient is HIV negative and meets clinical criteria. Pharmacists may dispense PEP (30 day supply) if patient meets CDC clinical criteria. Physicians may delegate prescriptive authority to pharmacists via written PEP or PrEP protocol agreements.

SB 500: Behavioral Health Care Workforce Data Base; expand to include data from licensed health care professionals

The Georgia Board of Health Care Workforce shall create and maintain a Health Care Workforce Data Base collecting minimum data set surveys from health care professionals regulated by specified licensing boards. The board shall enter into agreements to house and provide information to the Governor, General Assembly, state agencies, and the public, and establish an online dashboard on its website.

HB 717: Medical Practice Act; regulation of the administration of psychedelic-assisted treatment and therapy; provide

The board shall establish rules and regulations for psychedelic-assisted treatment and therapy in clinics by December 31, 2026. Clinics must be licensed by the board and biennially renewed starting July 1, 2027. Only specified physicians, certified registered nurse anesthetists, anesthesiologist assistants, nurse practitioners, and physician assistants with required training and credentials may administer psychedelic-assisted treatment and therapy.

SB 427: Physicians; limited provisional licenses and a pathway to licensure for certain internationally trained physicians; provide

The Georgia Medical Board may issue limited provisional licenses to internationally trained physicians meeting specified qualifications including foreign medical licensure, English proficiency, medical competency demonstration, and full-time employment under a supervising physician in rural counties, hospitals, federally qualified health centers, or accredited medical schools. Limited provisional licensees must not practice medicine outside these approved settings.

HB 1278: Professions and businesses; improve efficiencies in issuance of permits for dentists to administer conscious sedation and general anesthesia

Dentists must not be issued permits to administer conscious sedation or general anesthesia unless they meet training requirements, utilize a properly equipped facility evaluated and certified by the board or its designee, and demonstrate proficiency in administering the techniques safely and effectively.

HB 219: Professions and businesses; establish a professional health program to provide for monitoring and rehabilitation of impaired healthcare professionals; authorize

The Georgia Composite Board of Professional Counselors, Social Workers, and Marriage and Family Therapists and the Georgia Board of Nursing must each establish a professional health program to monitor and rehabilitate impaired healthcare professionals. Each board may contract with entities to conduct these programs. Impaired healthcare professionals participating must bear all costs.

HB 567: Professions and businesses; authorize and regulate teledentistry by licensed dentists

Licensed dentists providing teledentistry must notify the board, maintain a physical office in Georgia, and establish a referral relationship with a referred dentist. Authorizing dentists may authorize dental hygienists to perform specific functions, prescribe non-controlled medications, and provide certain teledentistry services. Dental insurers may not exclude teledentistry services from coverage solely because they are provided through teledentistry.

Took effect 1 January 2026

SB 130: Health; medical education funding and the service cancelable loan program; expand

The Department of Community Health shall pay no more than $10,000.00 per annum to hospital authorities or designated teaching hospital institutions for each resident or fellow receiving medical education and training through ACGME accredited programs. Physicians in residency or fellowship programs become eligible for service cancelable loans to practice in underserved rural areas of Georgia.

SB 140: Optometrists; doctors of optometry to dispense and sell pharmaceutical agents to patients under certain conditions; provide

Doctors of optometry are authorized to dispense and sell pharmaceutical agents other than controlled substances related to treatment of eye diseases and conditions. They must be on premises during dispensing, inform patients of appropriate use, document the pharmaceutical agent in patient records, maintain retrievable records of all agents purchased, and comply with State Board of Pharmacy requirements.

SB 847: Relating to psychologists.

Licensed clinical psychologists meeting specified education, training, and examination requirements may prescribe psychotropic medications only to patients at federally qualified health centers in Kauai County under supervision of a licensed physician or psychiatrist. The state health planning and development agency must report to the legislature by twenty days before the 2030 regular session with recommendations on the pilot program's expansion, permanence, or termination.

HB 2314: Relating to emergency medical systems of care.

The department of health shall establish and maintain a statewide emergency medical systems of care including emergency medical services, air-medical services, and trauma services. The department shall regulate ambulances statewide, establish standards for emergency medical services personnel, maintain a statewide communication system, and oversee development of a statewide 911 dispatch system. Counties shall provide no fewer than twenty-one ground ambulance units.

SB 3203: Relating to air medical services.

The department of health shall establish a statewide air medical services program within its emergency medical services and injury prevention systems branch with three permanent positions: a state air medical director, state air medical program manager, and air medical coordinator. All air medical providers operating in the state must cooperate with and participate in statewide air medical coordination, data reporting, and quality improvement activities as required by the department.

HB 1875: Relating to health care.

Covered entities must not disclose protected health information for investigations into persons seeking, receiving, providing, or facilitating reproductive or gender-affirming health care services lawful in Hawaii. Insurers issuing medical malpractice policies must not deny, cancel, or refuse to renew policies solely because providers offer such lawful services. Health carriers must not terminate contracts with providers on that sole basis.

Took effect 1 July 2026

HB 1643: Relating to pharmacy.

Entities conducting audits of registered pharmacists or pharmacies must provide written electronic notice at least two weeks before on-site audits, identify prescriptions by number or date range, consult a registered pharmacist for clinical judgments, and limit audit periods to two years. Clerical errors alone cannot constitute fraud or be recouped unless they result in actual overpayment or wrong medication dispensing.

HB 302: Relating to cannabis.

Physicians and advanced practice registered nurses may establish bona fide relationships via telehealth without initial in-person consultation to certify patients for medical cannabis. Persons must not operate dispensaries without a license or operate search platforms, web hosting services, or social media platforms advertising unlicensed cannabis sales. Certifying providers' fees shall not exceed three times the department of health's registration certificate fee.

SB 1245: Relating to pharmacists.

Insurers issuing individual or group accident and health insurance policies and mutual benefit societies issuing hospital or medical service plan contracts in Hawaii must recognize pharmacists licensed under chapter 461 as participating providers, provide coverage for services provided by participating registered pharmacists within their scope of practice to the same extent as other health care providers, and pay or reimburse pharmacists for covered services. These requirements apply to policies and contracts delivered or issued for delivery on or after July 1, 2026.

SB 1281: Relating to telehealth.

Health care providers must conduct an in-person visit within six months before an initial audio-only telehealth visit, or within twelve months before any subsequent audio-only visit, to be reimbursed for two-way, real-time audio-only telehealth services. Reimbursement for telehealth via interactive telecommunications system must be equivalent to in-person services. Verification of patient's lack of video capability or consent must be appended to claims for audio-only telehealth services.

SB 1365: Relating to the interstate medical licensure compact.

The department of commerce and consumer affairs must authorize the Hawaii medical board to conduct criminal history record checks on applicants for physician licensure or license renewal through the Interstate Medical Licensure Compact.

HB 1179: Relating to rural emergency hospitals.

The department of health may license a hospital as a rural emergency hospital if it elects the medicare designation, provides emergency treatment with average length of stay of twenty-four hours or less, meets federal requirements under title 42 United States Code section 1395x(kkk)(2), and passes inspection. Medicaid payments to rural emergency hospitals shall be calculated on a cost basis using medicare reasonable cost principles.

HB 799: Relating to health care.

Exempts physicians practicing at organized ambulatory health care facilities in counties with populations under 500,000 from the requirement to obtain hospital privileges at a licensed hospital in the same geographical location.

HB 951: Relating to prescription drugs.

A physician may prescribe an opiate prescription for a three-day supply or less via telehealth to a patient who has been seen in person by a health care provider in the same medical group as the prescribing provider. Telehealth treatment recommendations must meet the same standards of appropriate practice as traditional in-person settings.

HB 1194: Relating to midwives.

Midwives must obtain and maintain licensure as either certified midwives or certified professional midwives. Licensed midwives must complete thirty continuing education contact hours per triennium, maintain current CPR and neonatal resuscitation certifications, participate in peer review of minimum five clinical cases per triennium, and submit required data. Certified midwives only may prescribe drugs within specified formulary.

H 703: OCCUPATIONAL AND PROFESSIONAL LICENSING – Amends, repeals, and adds to existing law to revise provisions regarding the Division of Occupational and Professional Licenses.

The act revises provisions across multiple occupational and professional licensing boards in Idaho, including their powers, duties, and disciplinary procedures. Boards must conduct examinations, issue licenses, adopt rules, conduct hearings, and impose discipline including fines up to $5,000, suspension, revocation, and probation. The act establishes uniform disciplinary procedures under Idaho Code chapter 52, title 67.

Took effect 1 July 2026

H 639: MIDWIFERY – Amends and adds to existing law to provide for a licensed midwife to obtain and administer medication indicated for maternal care or neonatal care if a midwife possesses requisite education, training, and experience.

Licensed midwives may obtain and administer medications indicated for maternal care or neonatal care if they possess requisite education, training, and experience, as defined in the formulary and protocol established by the board. The board must adopt rules defining the formulary, protocols, scope of practice standards, and peer review systems for midwifery care.

Took effect 1 July 2026

H 28: DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSES – Amends, repeals, and adds to existing law to provide for the Idaho Board of Long-Term Care Facility Administrators.

Nursing homes and residential care facilities must operate under supervision of a current licensed administrator, administrator designee, or provisional permit holder. No person may practice long-term care administration or use related titles without proper licensure, provisional permit, or designee status. Licensed administrators must renew biennially and complete continuing education.

Took effect 1 July 2025

H 110: MEDICAID – Adds to existing law to provide that the Department of Health and Welfare shall not prohibit licensed or registered health care providers from providing services covered by the state Medicaid program.

The state department of health and welfare shall not prohibit any state licensed or registered health care provider from providing services covered by the state medicaid program within the provider's state-authorized practice, unless state law or regulation expressly excludes that provider type or the provider fails to enter into a written provider agreement with the medicaid program.

Took effect 1 July 2025

H 200: PHARMACISTS – Amends, repeals, and adds to existing law to update provisions regarding the practice of pharmacy in Idaho.

Pharmacists must attest at license renewal that they have maintained competence through continuing education commensurate with their active practice setting. Persons engaging in compounding must obtain active pharmaceutical ingredients from FDA-registered manufacturers, obtain certificates of analysis, use suitable equipment, and remove questionable products from stock. Persons preparing sterile or hazardous drugs must follow specific documentation, storage, and safety requirements.

Took effect 1 July 2025

H 206: EMERGENCY MEDICAL SERVICES – Amends, repeals, and adds to existing law to transfer emergency medical services responsibilites to the Idaho Military Division.

The Idaho Military Division must establish and administer an emergency medical services program, including licensing and certification of EMS personnel and agencies. The division must distribute grant funds from two created funds to qualifying nonprofit and governmental entities. Counties accepting sustainability grants must ensure emergency medical services are reasonably available throughout the county.

H 207: EMERGENCY MEDICAL SERVICES – Repeals and adds to existing law to provide for the recognition of the EMS personnel licensure interstate compact.

Member states must recognize the privilege to practice of EMS personnel licensed in other member states, subject to conditions including current unrestricted licensure, age 18 or older, and practice under medical director supervision. Home states must report adverse actions and significant investigatory information to the interstate commission.

Took effect 1 July 2025

H 89: NURSES – Amends existing law to revise a definition.

Revises the definition of licensed practical nurse in Idaho Code Section 54-1402 to specify that the nurse performs appropriate delegated focused assessments rather than contributing to assessments, effective July 1, 2025.

Took effect 1 July 2025

SB 3211: Teledentistry examinations

Dentists practicing teledentistry must treat only patients of record and obtain informed consent explaining teledentistry's limitations. Dental hygienists may perform oral prophylaxis and fluoride application only after a dentist has examined and authorized procedures using synchronous systems, limited to 2 procedures until in-person examination occurs. Dentists must direct patients to appropriate in-person care following teledentistry services.

Takes effect 1 January 2027

HB 4793: Pharmacist dispensing ability

It is unlawful to require a pharmacist or pharmacy to dispense a prescription drug for less than its fair market value, including the cost of dispensing. A pharmacist exercising professional judgment may add missing non-pharmaceutical devices or durable medical equipment to a prescription and complete missing information if evidence supports the change, with documentation required in the patient's record.

Takes effect 1 January 2027

HB 4464: Ins-dental coverage reimburse

Insurers, dental service plan corporations, professional service corporations, insurance network leasing companies, and their contracted vendors must not require dental care providers to accept only credit card or electronic funds transfer payments or incur fees to access reimbursement. They must provide 100% of contracted payment amounts and implement requested payment methodology changes within 30 business days.

Takes effect 1 January 2027

HB 4154: Pharmacist application/exam

Applicants for examination as pharmacists for calendar years 2025, 2026, and 2027 must pass only the North American Pharmacist Licensure Examination; results from the Multistate Pharmacy Jurisprudence Examination shall be disregarded for these applicants. The Department and Board of Pharmacy must regularly monitor the examination to ensure it fairly tests applicant qualifications.

HB 2688: Nurse practice act midwives

Advanced practice registered nurses certified as nurse midwives, clinical nurse specialists, or nurse practitioners must file a notarized attestation with the Department documenting at least 250 hours of continuing education and 4,000 hours of clinical experience after national certification to practice without a written collaborative agreement. For nurse midwives, clinical experience must be in collaboration with a certified nurse midwife with full practice authority.

Took effect 1 January 2026

HB 3489: Pharmacists-contraceptives

Pharmacists must complete an accredited educational training program on patient self-screening risk assessment, contraceptive counseling, and dispensation before dispensing contraceptives including emergency contraception. Pharmacists may dispense up to a 12-month supply pursuant to valid prescription or standing order, must have patients complete self-screening risk assessment tools, provide counseling on all contraceptive methods, and maintain appropriate records.

Took effect 1 January 2026

SB 2492: Dental practice act

Dentists, employees of dentists, and agents of dentists must not arrange for, broker, or establish third-party financing for patients, complete financing applications for patients, or provide electronic devices for patients to apply for financing. They must provide written notice in at least 14-point font when discussing or providing third-party financing applications.

SB 180: Various health care matters.

Operators of mental health chat bots must not share or sell individually identifiable health information or user input of Indiana users to third parties, except as necessary for chat bot functionality with contracted persons complying with HIPAA. Operators must clearly disclose the chat bot is artificial intelligence, not human, before access and at specified intervals. Operators must not use downcoding to prevent providers from collecting reimbursement for actual services performed.

Took effect 1 July 2026

SB 225: Health matters.

Hospitals must comply with specified statutes (IC 16-21-6, IC 16-21-9, IC 16-21-17.1, IC 16-21-19) to pursue medical debt collection. Hospitals must provide written notice at least sixty days before closing or eliminating a service line for longer than ninety days, including patient continuity of care plans.

Took effect 1 July 2026

HB 1278: Nursing matters; education programs.

The Indiana State Nurses Association must recommend to the governor a list of qualified nurses for appointment to the board in the number of not less than twice the number of nurse vacancies to be filled or nurse appointments to be made, at any time there is a vacancy or expiration of a term. An institution operating an eligible nursing program for at least five years may increase enrollment at any rate it considers appropriate.

Took effect 1 July 2026

HB 1254: Various dental matters; respiratory care.

Dental hygienists and dental assistants must complete a three-hour didactic nitrous oxide course and demonstrate clinical competency on at least five patients under direct supervision of a licensed dentist before administering nitrous oxide. Applicants who fail licensure examinations may face additional requirements before retesting. Respiratory care practitioners must meet educational and examination requirements, with different standards applying before and after January 1, 2028.

Took effect 1 July 2026

HB 1555: Licensure of foreign trained physicians.

The medical licensing board of Indiana must issue limited licenses to foreign-trained physicians who meet specified criteria including holding a medical doctorate from an international medical program, possessing a certificate from the Educational Commission on Foreign Medical Graduates, completing residency training, practicing medicine full-time for five of the preceding six years, passing USMLE step three, and obtaining employment sponsorship at a health care facility in an underserved area. Limited licensees may practice only at sponsored underserved area facilities.

Took effect 1 July 2025

HB 1587: Insurance matters.

State employee health plans, policies of accident and sickness insurance, and health maintenance organization contracts must provide reimbursement for emergency medical services performed by certified advanced life support provider organizations during 911 responses or as part of mobile integrated healthcare programs. Managed care organizations and providers may agree in writing to different reimbursement rates for emergency department services, subject to secretary review.

Took effect 1 July 2025

HB 1666: Ownership of health care providers.

Hospitals must file annual financial reports within 120 days of fiscal year end, including ownership information for persons or entities with at least 5% ownership interest, controlling interest, or private equity partnership interest. Health care entities, insurers, third party administrators, and pharmacy benefit managers must report similar ownership information to the secretary of state or department of insurance.

Took effect 1 July 2025

SB 140: Pharmacy benefits.

Ambulatory pharmacies must provide dispensing cost data to the Indiana board of pharmacy before March 1, 2027, and March 1 of every other year thereafter. Insurers, pharmacy benefit managers, and other pharmacy benefit administrators must ensure networks are reasonably adequate and accessible, file annual reports, and comply with minimum reimbursement requirements and prohibitions on retroactive denials and discriminatory practices.

Took effect 1 January 2026

SB 505: Emergency transport to appropriate facility.

An employing entity or individual emergency medical responder, emergency medical technician, advanced emergency medical technician, or paramedic must enter into a written agreement with a facility detailing transport procedures, operating hours, criteria for appropriateness, and procedures for directing transport elsewhere or handling declined care before transporting individuals to health care facilities, mental health facilities, or urgent care facilities.

Took effect 1 July 2025

HB 1031: Dental matters.

A dentist who maintains a dental office must provide the board with names, addresses, and license numbers of persons practicing or assisting in dentistry within the preceding sixty days, within twenty days of the board's request. A dentist must post and keep conspicuously displayed the dentist's name and license in the dental office.

Took effect 1 July 2025

HB 1457: Indiana department of health.

The state department must establish fee schedules for state health laboratory services based on Medicare or Medicaid reimbursement rates for clinical tests and actual costs for nonclinical tests. The state department must approve auto-injectable epinephrine courses meeting its criteria and publish criteria on its website. Health care facilities must not employ nurse aides convicted of specified crimes within defined timeframes.

Took effect 1 July 2025

SB 480: Prior authorization.

Utilization review entities must not require prior authorization for the first twelve physical therapy or chiropractic visits of each new episode of care. Insurers must not deny claims for covered services solely because the referring provider is out of network. Utilization review entities must respond to prior authorization requests within specified timeframes and may not deny authorized claims except for fraud, materially incorrect information, or other enumerated grounds.

Took effect 1 July 2025

HB 1051: Mobile integration healthcare grants.

Amends Indiana Code to allow the commission to award mobile integration healthcare grants to emergency medical services provider agencies operated by a city, town, township, or county to develop and implement approved mobile integrated healthcare programs.

Took effect 1 July 2025

HF 2498: A bill for an act enacting the interstate podiatric medical licensure compact.

Member boards must evaluate podiatric physicians' eligibility for expedited licensure, perform criminal background checks, and issue expedited licenses to qualified applicants. Member boards must report disciplinary actions and complaints to the interstate commission and participate in joint investigations. Podiatric physicians must maintain full unrestricted licenses in their state of principal license to renew expedited licenses.

HF 2602: A bill for an act relating to the licensure of massage establishments, and making penalties applicable.

HF 990: A bill for an act relating to the issuance of medical cannabidiol registration cards and licensure of medical cannabidiol dispensaries.

SF 469: A bill for an act creating an emeritus license to practice medicine and surgery or osteopathic medicine and surgery.

SF 2139: A bill for an act enacting the athletic trainer compact.

Member states must license and regulate athletic trainers, require continuing competence standards, investigate complaints, grant compact privileges to qualified licensees, participate in the compact commission's data system, report adverse actions and investigative information, and implement criminal background checks for compact qualifying licenses.

SF 572: A bill for an act prohibiting the licensure of certain entities of the People’s Republic of China, the Russian Federation, and the Democratic People’s Republic of Korea to establish, conduct, or maintain a hospital or health care facility.

A person or governmental unit shall not establish, conduct, or maintain a hospital, rural emergency hospital, or health care facility in Iowa without a license. A license shall not be issued or renewed for an instrumentality of the government of the People's Republic of China, the Russian Federation, or the Democratic People's Republic of Korea, or for individuals who are citizens of those countries, or for business entities in which a majority interest is owned directly or indirectly by such instrumentalities or citizens.

Took effect 1 July 2026

HF 300: A bill for an act enacting the physician assistant licensure compact.

HF 875: A bill for an act relating to health insurers’ credentialing process.

SF 470: A bill for an act relating to prior authorization for dental care services, notice to dental care providers that a dental care service plan is state-regulated, and the recovery of overpayments by a dental carrier.

Took effect 1 July 2025

HF 547: A bill for an act enacting the respiratory care interstate compact.

HB 2068: Establishing the remote practice of pharmacy, requiring certain conditions for such practice and limiting activities performed under such practice, permitting a pharmacist to initiate therapy for certain conditions consistent with the pharmacist's education, training and experience, adding pharmacists who initiate such therapy to the healthcare stabilization fund and allowing a pharmacist to dispense a one-time emergency refill of a noncontrolled prescription drug for up to a 90-day supply when no refills remain, adopting compounding standards established by the United States pharmacopeia and allowing for exemptions from such standards and removing the authority of the state board of pharmacy to authorize individuals to access the prescription monitoring program database by rules and regulations.

HB 2250: Substitute for HB 2250 by Committee on Health and Human Services - Permitting the use of expedited partner therapy to treat sexually transmitted infections, authorizing a licensed private psychiatric hospital to maintain a stock supply of emergency medication kits for pharmaceutical emergencies, allowing expired emergency opioid antagonists to be used to treat an opioid overdose, permitting first responders to distribute and administer expired emergency opioid antagonists, permitting a pharmacist to distribute epinephrine delivery systems to a school for use in emergency medication kits and amending definitions related to medication in schools to allow for use of epinephrine delivery systems.

HB 2509: Allowing licensed physical therapists to perform certain capillary blood tests, adding advanced practice registered nurse to the definition of healthcare provider for purposes of the healthcare provider insurance availability act, adding an advanced practice registered nurse position to the board of governors of the healthcare stabilization fund and requiring advance practice registered nurses to maintain professional liability insurance as a condition of active licensure.

Licensed physical therapists may perform CLIA-waived capillary blood tests limited to lactate and blood glucose for muscle metabolism, exercise tolerance, or rehabilitation assessment. Advanced practice registered nurses must maintain professional liability insurance as a condition of active licensure commencing January 1, 2028, unless initial surcharge exceeds 15%.

HB 2533: Enacting the occupational therapy licensure compact, respiratory care interstate compact, esthetics licensure compact and athletic trainer licensure compact to provide interstate practice privileges.

Member states must license occupational therapists and assistants, participate in the compact commission's data system, investigate complaints, report adverse actions, conduct criminal background checks, implement continuing competence requirements, and recognize compact privileges granted by other member states to licensees holding valid unencumbered licenses.

HB 2069: Enacting the school psychologist compact, the dietitian compact, the cosmetology compact and the physicians assistant compact to provide interstate practice privileges.

SB 67: Substitute for SB 67 by Committee on Public Health and Welfare - Authorizing registered nurse anesthetists to prescribe, procure and administer drugs consistent with the registered nurse anesthetist's education and qualifications.

Registered nurse anesthetists may prescribe, procure, and administer drugs consistent with their education and qualifications, including durable medical equipment. They must not prescribe, procure, or administer anesthetic agents except as permitted under physician or dentist orders. Controlled substances must be prescribed in accordance with the uniform controlled substance act, and registered nurse anesthetists must register with the federal drug enforcement administration to prescribe controlled substances.

HB 236: AN ACT relating to medical services.

Establishes the Kentucky Board of Emergency Medical Services as an independent state agency to regulate emergency medical services, certify EMS personnel and educators, license ambulance services and training institutions, and administer an EMS education grant program for paramedic training.

HB 689: AN ACT relating to the establishment of a Medicaid state-directed payment program.

The Department for Medicaid Services must submit a Medicaid preprint with January 1, 2026 effective date to the federal Centers for Medicare and Medicaid Services within sixty days of the Act's effective date. Qualifying hospitals must report applicable quality measures. Medicaid managed care organizations must make enhanced add-on payments to qualifying hospitals based on commercial or Medicare rates.

HB 776: AN ACT relating to health care services and declaring an emergency.

Persons and entities must not represent themselves as dentists, dental specialists, dental hygienists, or dental assistants unless licensed or registered by the Kentucky Board of Dentistry. Licensed dentists must retain final authority and responsibility for all clinical decisions. Entities cannot own or control dental practices unless employing licensed dental personnel, and cannot control clinical decision-making, diagnosis, treatment planning, or professional judgment.

HB 280: AN ACT relating to health care and declaring an emergency.

Applicants for registered nurse, licensed practical nurse, and advanced practice registered nurse licenses must pass jurisprudence examinations. Advanced practice registered nurses must enter written collaborative agreements with physicians before prescribing nonscheduled legend drugs and controlled substances, except after four years of prescribing experience. Persons must notify the board within thirty days of criminal convictions.

HB 424: AN ACT relating to social work.

Persons must not engage in the practice of social work in Kentucky unless licensed as a certified social worker, licensed social worker, or licensed clinical social worker, or practicing under a temporary permit or holding an active multistate license. Persons must not hold themselves out by titles including "Certified Social Worker," "Licensed Social Worker," or "Licensed Clinical Social Worker" unless authorized.

SB 116: AN ACT relating to physician assistants.

Physician assistants must practice under a collaboration agreement with a collaborating physician that outlines communication and collaboration procedures. Collaborating physicians may not enter into collaboration agreements with more than four physician assistants. Physician assistants must notify the board within five business days of collaboration agreement dissolution.

SB 137: AN ACT relating to a provisional license to practice medicine.

Applicants for a provisional license to practice medicine must have fulfilled certain requirements for regular licensure, obtained an offer of employment with a healthcare entity licensed in Kentucky, maintained good standing in their licensing country within the last five years, completed a residency, and practiced as a physician for at least five years. A provisional license automatically converts to a regular license after three years of employment.

SB 18: AN ACT relating to health services.

Podiatrists must hold a valid, current license from the State Board of Podiatry registered in their practice county. For initial licensure after January 1, 2027, applicants must complete at least two years of podiatric residency. Podiatric assistants and residents may practice only under specified conditions with board approval.

HB 388: AN ACT relating to prescription drugs.

The Department for Medicaid Services or contracted managed care organizations must provide medication synchronization programs for chronic illness treatments when agreed by member, provider, and pharmacist, provided medications meet specified criteria including not being Schedule II controlled substances or Schedule III hydrocodone products. Health benefit plans must similarly provide synchronization programs and early refill exceptions policies.

HB 48: AN ACT relating to physical therapy.

Physical therapists and physical therapist assistants must be licensed by the Board of Physical Therapy and practice only within their scope. No person may practice physical therapy or hold themselves out as able to do so without a current active license, provisional license, or compact privilege. Employers must not use terms like "physical therapy" or "P.T." unless services are provided by or under supervision of a licensed physical therapist.

HB 36: AN ACT relating to interstate licensure compacts.

Member states must license respiratory therapists, participate in the commission's data system, investigate complaints, report adverse actions and significant investigative information to the commission, grant compact privileges to holders of active home state licenses meeting specified requirements, and complete criminal background checks for new licensees at initial licensure.

HB 501: AN ACT relating to pharmaceutical drugs.

Pharmacists may dispense prescriptions from deceased practitioners within specified timeframes based on professional judgment: new prescriptions within 90 days of death, and previously dispensed refillable prescriptions within 180 days of death. Controlled substance prescriptions may only be dispensed if permitted under federal law.

HB 305: AN ACT relating to health care.

The Council on Postsecondary Education shall reserve at least sixty-five percent of net moneys in the Kentucky healthcare workforce investment fund for partnership proposals between healthcare programs and healthcare partners to provide healthcare training scholarships to Kentucky residents. Healthcare programs must award scholarships directly to recipients and require recipients to practice as licensed or certified medical professionals in Kentucky for one year per academic year funded, up to two years maximum.

HB 303: AN ACT relating to military healthcare personnel.

The Kentucky Community and Technical College System must develop academic career pathways and integrated academic bridge programs for military healthcare personnel across 27 specified occupations, designed to reduce time-to-credential outcomes. Professional licensure boards must collaborate with the system to integrate these pathways into licensure requirements. The system must submit annual reports to the Legislative Research Commission by September 1.

SJR 26: A JOINT RESOLUTION directing the Department for Medicaid Services to provide the Legislative Research Commission with a report regarding pharmacist payment parity.

The Department for Medicaid Services must prepare and deliver a report on pharmacist payment parity to the Legislative Research Commission no later than August 1, 2025. The report must analyze changes necessary for Medicaid and KCHIP to comply with KRS 304.12-237, anticipated fiscal impacts, and effects on access to care in rural communities.

HB 747: BOARDS/COMMISSIONS: Provides relative to medical psychologists

Medical psychologists must obtain licensure from the board and are exclusively regulated by it. Those seeking advanced practice licenses must have three years of experience, treat at least one hundred patients with psychotropic medications, obtain recommendations from two collaborating physicians and the Medical Psychology Advisory Committee, and complete one hundred hours of continuing medical education.

HB 137: HEALTH/EMERG MED SERVICE: Authorizes psychologists and medical psychologists to evaluate a patient via telehealth for emergency certificates

Psychologists and medical psychologists may execute emergency certificates only after actual examination of a person alleged to have mental illness or substance-related disorder who is determined dangerous to self or others or gravely disabled. Telehealth examination by psychiatrist, psychologist, medical psychologist, or psychiatric mental health nurse practitioner requires a licensed healthcare professional present with the patient. Patient must be medically cleared before admission to mental health treatment facility.

HB 1091: Health Insurance and Dental Plan Organizations - Dentists - Assignment of Benefits and Reimbursement of Nonpreferred Providers

Insurers may not prohibit assignment of benefits to dentists or refuse to directly reimburse nonpreferred dentists. Dental plan organizations may not prohibit assignment of benefits to dentists or refuse to directly reimburse nonpreferred dentists. Nonpreferred dentists seeking assignment of benefits must provide specified disclosures to enrollees before performing services and submit disclosure forms to document assignments.

Takes effect 1 January 2027

HB 340: School Psychologist Interstate Licensure Compact

Maryland enters the School Psychologist Interstate Licensure Compact, authorizing licensed school psychologists holding multistate licenses to provide services in member states. Member states must grant equivalent licenses to qualifying licensees, establish a licensing authority representative on the Commission, investigate complaints, report adverse actions, and require applicants to pass a qualifying national exam, complete 1200 hours supervised internship (600 in school), and graduate from approved programs.

Took effect 1 October 2026

SB 238: School Psychologist Interstate Licensure Compact

Member states must establish mechanisms for school psychologists to obtain equivalent licenses to practice in other member states. Licensees must hold an active home state license, satisfy state-specific requirements, complete administrative requirements, and undergo criminal background checks. Member states must report adverse actions and investigative information to the Commission.

Took effect 1 October 2026

HB 1047: State Board of Physicians - Delegation of Duties - Alterations

Individuals performing limited X-ray machine operations must register with the State Board of Physicians and complete specified training, clinical experience, and examination requirements. Physicians' offices employing such operators must ensure all registration and procedural requirements are met. Physician assistants may perform X-ray duties on extremities only after completing required coursework and obtaining Board approval.

Took effect 1 October 2026

HB 1135: Health Occupations - Pharmacists - Vaccination Orders

Pharmacists may order intranasal vaccinations for individuals at least 3 years old without administering them, if they complete 20 hours of approved practical training, maintain current CPR certification, complete 2 hours of continuing education on immunizations, and follow a written vaccine-specific protocol established by the Department. Pharmacists must report all ordered vaccinations to the ImmuNet Program and document efforts to inform prescribers and primary care providers.

Took effect 1 October 2026

HB 1284: Residential Service Agencies - Private Duty Nursing - On-Site Nurse Training Programs

The Maryland Department of Health must adopt regulations authorizing residential service agencies to provide on-site training to licensed nurses after hire. Residential service agencies providing private duty nursing may employ licensed nurses lacking required clinical experience if they establish training programs, ensure clinical supervision by qualified registered nurses, assign preceptors until competency is demonstrated, document completion, and conduct annual competency evaluations.

Took effect 1 October 2026

HB 377: Physician Assistants and Midwives - Parity With Other Health Care Practitioners

Expands the scope of physician assistants to perform actions previously limited to other health care practitioners, including guardianship evaluations, mental health facility admissions, emergency allergy treatment authorization, and attendant care program certification. Requires the Maryland Health Care Commission to study emergency department length of stay for involuntary admission patients.

Took effect 1 October 2026

HB 422: Public Health - Expedited Partner Therapy - Bacterial Vaginosis and Licensed Certified Midwives

Physicians, advanced practice registered nurses with prescriptive authority, authorized physician assistants, registered nurses employed by local health departments, and licensed certified midwives may prescribe, dispense, or otherwise provide antibiotic therapy to sexual partners of patients diagnosed with chlamydia, gonorrhea, trichomoniasis, or bacterial vaginosis without personally assessing the partner. Pharmacists may dispense such prescribed antibiotics.

Took effect 1 October 2026

HB 595: Income Tax - Credit for Physician Preceptors in Areas With Health Care Workforce Shortages - Alterations

Licensed physicians may claim a state income tax credit of $1,000 per student rotation for serving without compensation as physician preceptors in preceptorship programs in areas with health care workforce shortages, provided they work a minimum of three rotations of 90 hours each of community-based clinical training. The Maryland Department of Health must issue tax credit certificates on a first-come, first-served basis.

Took effect 1 July 2026

HB 769: State Board of Social Work Examiners - Provisional License to Practice Social Work - Established

The Board of Social Work Examiners shall issue conditional licenses to applicants who meet education and experience requirements but have not yet passed the required examination. Conditional license holders must practice under Board-approved supervision and may obtain full licensure by passing the examination or completing at least 1,500 hours of supervised social work experience.

SB 159: Emergency Medical Services - Vehicles and Ambulances - Required Supplies

The Executive Director of the Maryland Institute for Emergency Medical Services Systems must coordinate minimum equipment, supplies, and medications for emergency medical services vehicles. Each county and municipality operating or contracting emergency medical services must conduct quarterly reviews of performance data and certify completion. Each county must establish and maintain a formal complaint filing system for ambulance quality, conduct, or compliance complaints.

Took effect 1 July 2026

SB 18: State Board of Social Work Examiners - Provisional License to Practice Social Work - Established

Beginning November 1, 2026, the Board of Social Work Examiners shall issue provisional licenses to applicants who meet education and experience requirements but have not yet passed the required examination. Provisional license holders must practice under Board-approved supervision. The Board must adopt regulations establishing supervision requirements, evaluation standards, and fees.

SB 326: Physician Assistants and Midwives - Parity With Other Health Care Practitioners (Physician Assistant Parity Act of 2026)

Expands the scope of actions physician assistants may perform to include guardianship certifications, mental health facility admissions, emergency epinephrine prescriptions, and primary care provider selection in health maintenance organizations, effective October 1, 2026.

Took effect 1 October 2026

SB 773: Health Occupations - Pharmacists - Vaccination Orders

Pharmacists may order vaccinations for individuals at least 3 years old without administering them, provided they complete 20 hours of approved practical training, maintain current CPR certification, complete 2 hours of continuing education on immunizations, comply with record-keeping requirements, and operate under a written vaccine-specific protocol established by the Department.

Took effect 1 October 2026

HB 276: State Emergency Medical Services Board - Public Access Automated External Defibrillator Program - Revisions

Entities deploying automated external defibrillators must obtain and maintain valid certificates from the EMS Board, except law enforcement agencies for patrol vehicle AEDs. Entities must have written AED use plans, maintain AED functionality per manufacturer standards, notify 911 on AED use, and ensure awareness of AED location among potential operators. Grocery stores and restaurants must comply with Public Access AED Program requirements under Education Article 13-517.

Took effect 1 October 2026

HB 619: Interstate Podiatric Medical Licensure Compact

Member boards must report public actions and complaints against podiatrists with expedited licenses to the Interstate Commission. Podiatrists seeking expedited licensure must meet eligibility requirements including holding a full unrestricted license, passing criminal background checks, and having no disciplinary history. Member states must enforce compact provisions and comply with Interstate Commission rules.

Took effect 1 October 2026

HB 637: Public Health - Recommendations for Immunizations, Screenings, and Preventive Services - Pharmacist Administration and Required Health Insurance Coverage (The Vax Act)

The Secretary of Health must issue recommendations for immunizations, screenings, and preventive services based on guidance from specified authoritative medical organizations and federal agencies, holding a 30-day notice and comment period before adopting non-immunization preventive service recommendations. Pharmacists may administer specified vaccinations to individuals at least 3 years old if they complete required training and comply with reporting requirements. Carriers must provide coverage without cost-sharing for recommended immunizations and preventive services.

Took effect 1 July 2026

SB 293: Professional Liability Insurance Coverage - Nursing Homes, Assisted Living Facilities, Nurse Midwives, and Licensed Certified Midwives - Disclosure (Nyeli Rose Lewis Act of 2026)

Nursing homes, assisted living programs, nurse midwives, and licensed certified midwives must notify residents, prospective residents, or patients in writing or by written electronic communication if they do not maintain professional liability insurance coverage or if such coverage has lapsed and not been renewed. Notifications must be signed and retained in records. Facilities and practitioners without coverage must post conspicuous notice.

Took effect 1 October 2026

SB 562: State Board of Pharmacy - Prescriber-Pharmacist Agreements - Treatment of Opioid Use Disorders

Pharmacists may enter prescriber-pharmacist agreements to treat opioid use disorders using controlled dangerous substances if they individually register with the Federal Drug Enforcement Agency and Office of Controlled Substances Administration, complete applicable training, and follow a protocol. Protocols authorizing controlled dangerous substances therapy must require pharmacists to request relevant data from the Prescription Drug Monitoring Program before initiating or modifying therapy.

Took effect 1 July 2026