Medicaid and public health programs laws by state

SB 145: Hospitals, private hospital assessment and Medicaid funding program sunset clause removed.

Privately operated hospitals must pay an assessment of 6.00 percent of net patient revenue to the Alabama Medicaid Agency, determined using Medicare Cost Report data. The assessment is permanent with no sunset date. The Medicaid Agency must make quarterly inpatient and outpatient hospital access payments to eligible hospitals.

Took effect 1 October 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.

HB 2177: AHCCCS; waivers; American Indians; services

The director of AHCCCS must apply annually by March 30 for section 1115 waivers to authorize payments for covered services provided to American Indian or Alaskan native members by Indian health services facilities or tribal facilities, including medically necessary diagnostic, therapeutic and preventative dental services that were eliminated, reduced or limited in the state plan on or after September 2010.

SB 63: An act for the department of human services - division of aging, adult, and behavioral health services supplemental appropriation.

Appropriates $2,000,000 to the Department of Human Services Division of Aging, Adult, and Behavioral Health Services for senior citizen centers, supplemental to Act 890 of 2025, with funds transferred from the General Revenue Allotment Reserve Fund.

HB 1062: An act for the department of human services - medicaid tobacco settlement program appropriation for the 2026-2027 fiscal year.

Appropriates funds from the Medicaid Expansion Program Account to the Department of Human Services for the Medicaid Tobacco Settlement Program for fiscal year 2026-2027, including $87,250 for Medical Services operations, $145,569,113 for grants, and $1,301,838 for Aging, Adult, and Behavioral Health Services operations.

HB 1096: An act for the department of human services - medicaid tobacco settlement program appropriation for the 2025-2026 fiscal year.

This amendment to HB 1096 changes the departmental division name from Provider Services and Quality Assurance to Aging, Adult, and Behavioral Health Services for the Department of Human Services Medicaid Tobacco Settlement Program appropriation for fiscal year 2025-2026.

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 331: Health care coverage: hearing aids.

Large group health care service plans and large group health insurers must cover hearing aids for enrollees and insureds under 21 years of age if medically necessary, effective January 1, 2027. Coverage must include initial assessment, new hearing aids at least once every three years, earmolds, fittings, adjustments, auditory training, and maintenance, with maximum required coverage of $3,000 per individual hearing aid and no deductible, coinsurance, or copayment.

Takes effect 1 January 2027

SB 1124: Public health.

Beginning January 1, 2028, retailers engaged in retail sale of cigarettes or tobacco products must prominently display lung cancer screening signage at every retail location. The State Department of Public Health must develop the signage by July 1, 2027, including eligibility criteria, effectiveness information, the Kick It California toll-free number, and a QR code.

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 2009: Blood banks and plasma centers.

Blood banks and plasma centers must require identification issued by the Department of Motor Vehicles, another state, federal agency, or tribal government from donors receiving payment. Licensees must designate a person in charge of biologics production within 30 days of disassociation or face license revocation. Licensees must notify the department within 24 hours of such disassociation.

Takes effect 1 January 2027

AB 2160: Medi-Cal: lactation services.

The State Department of Health Care Services must issue updated Medi-Cal guidance by July 1, 2027 that clarifies coverage for lactation services including health education, basic support, and clinical consultation. The guidance must clarify billing procedures, managed care plan responsibilities, and specify that lactation services require no prior authorization, prescription, or referral.

Takes effect 1 January 2027

AB 2531: Public health: abortion services.

Medi-Cal enrolled providers may apply for grants to provide abortion and contraception services at no cost or reduced cost to individuals with household income at or below 400 percent of the federal poverty level and to veterans who lack coverage for both services. The Department of Veterans Affairs must publish a link to the abortion.ca.gov website on its women veterans resources page.

Takes effect 1 January 2027

AB 2562: Alcohol or other drug recovery and treatment programs and facilities: suicide prevention.

Licensed alcohol or other drug recovery and treatment facilities must develop a suicide prevention plan. Certified alcohol or other drug programs must include a suicide prevention plan in their operation manual. The State Department of Health Care Services shall implement these requirements by bulletin or letter after stakeholder input until regulations are promulgated.

Takes effect 1 January 2027

AB 2598: Health care facilities: notification of next of kin.

General acute care hospitals and skilled nursing facilities must make a reasonable attempt to notify any known next of kin within 72 hours of a person's death. If unable to locate next of kin or if requirements are met, they must notify the county public administrator within two business days.

Takes effect 1 January 2027

SB 329: Alcohol and drug recovery: licensed treatment facilities and certified programs: investigations.

The State Department of Health Care Services must assign complaints within its jurisdiction regarding alcohol or drug recovery or treatment facilities to an analyst for investigation within 10 days of receiving the complaint. The department must complete investigations within 60 days of receiving the complaint unless it requires assistance from other agencies or significant additional resources. The department must notify complainants in writing if complaints fall outside its jurisdiction or if investigations cannot be completed within 60 days.

Takes effect 1 January 2027

SB 874: Medi-Cal: behavioral health treatment: stakeholder feedback.

The State Department of Health Care Services must ensure individuals providing Medi-Cal behavioral health treatment services without a current state license undergo background checks by July 1, 2027. The department must convene a stakeholder workgroup in the first quarter of 2027, release clinical guidance by January 1, 2028, and report to the Legislature by January 1, 2029.

Takes effect 1 January 2027

SB 1023: Health care coverage: antiretroviral drugs, drug devices, and drug products.

Health care service plans and health insurers must not subject antiretroviral drugs, drug devices, or drug products medically necessary for HIV/AIDS prevention to prior authorization or step therapy, except that at least one therapeutically equivalent version must be covered without such restrictions. Contracts or policies issued, amended, or renewed on or after January 1, 2027, covering non-self-administered antiretroviral drugs approved by the FDA must also include them as outpatient prescription drug benefits.

Takes effect 1 January 2027

AB 173: Health.

This bill expresses the Legislature's intent to enact statutory changes relating to the Budget Act of 2025.

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 1126: Medi-Cal managed care plans: enrollees with other health care coverage.

The State Department of Health Care Services must ensure that providers not contracted with Medi-Cal managed care plans do not face administrative requirements significantly exceeding those for billing the fee-for-service system. Providers participating in fee-for-service need not contract with managed care plans to bill for Medi-Cal allowable costs for enrollees with other health coverage, except managed care plans may require agreements for prior authorization or non-covered services.

Takes effect 1 January 2027

SB 165: Skilled nursing facilities: reimbursement rates.

The State Department of Health Care Services must continue collecting the skilled nursing facility quality assurance fee through December 31, 2027, and implement reimbursement rate methodologies for freestanding skilled nursing facilities according to specified annual increase limits through 2027. Skilled nursing facilities must demonstrate compliance with direct care service hours, minimum wage laws, and wage passthrough requirements upon department request.

SB 164: Health.

The act imposes numerous duties on state and county agencies and health care providers. Key requirements include: counties must accept specified signature methods for Medi-Cal renewal forms and conduct outreach regarding federal eligibility changes; the Department of Health Care Services must develop applications, establish data dashboards, and seek federal approvals for new programs; health care service plans and insurers must cover menopause treatments and establish access programs; home health agencies must employ specified management personnel and demonstrate unmet need; hospitals may establish skilled nursing distinct parts meeting specified criteria.

SB 125: Medi-Cal: managed care organization provider tax.

Health plans must pay a managed care organization provider tax of $8.85 per countable enrollee per month for calendar years 2027, 2028, and 2029. The State Department of Health Care Services must not collect the tax until the Director certifies federal compliance or receives federal approval. Tax revenues fund Medi-Cal administrative costs and capitation payments.

SB 278: Health data: HIV test results.

A provider of health care may disclose HIV test results identifying a Medi-Cal beneficiary without written authorization to the beneficiary's assigned Medi-Cal managed care plan and to external quality review organizations, for quality improvement programs including value-based payment and healthy behavior incentive programs. A Medi-Cal managed care plan may disclose de-identified HIV test results to State Department of Health Care Services staff for the same purpose.

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.

AB 1415: California Health Care Quality and Affordability Act.

Health care entities must provide the Office of Health Care Affordability written notice at least 90 days before entering agreements or transactions that sell, transfer, or dispose of a material amount of assets or transfer control of operations. Noticing entities (private equity groups, hedge funds, management services organizations) must similarly notify the office of such transactions involving health care entities or management services organizations.

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.

SB 669: Rural hospitals: standby perinatal services.

Participating critical access hospitals must establish and maintain standby perinatal services meeting specified standards, including Level I maternal and neonatal care capabilities, 24-hour physician and nursing coverage within 30 minutes, required equipment and supplies, quality improvement programs, and quarterly data reporting to the State Department of Public Health.

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 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 492: Alcohol and drug programs: licensing.

The State Department of Health Care Services must concurrently provide written notification to the city or county where an alcohol or other drug recovery or treatment facility is located whenever it issues a license to operate such a facility. The notice must include the licensee's name and mailing address and the facility's location.

AB 543: Medi-Cal: field medicine.

Medi-Cal managed care plans that elect to offer field medicine services must allow members experiencing homelessness to receive services directly from in-network field medicine providers regardless of PCP or IPA assignment, allow field medicine providers to directly refer members for covered services, establish care coordination mechanisms, and provide methods for members to report homelessness status. The department must reimburse field medicine providers in fee-for-service systems and include an optional homelessness question on insurance affordability program applications by January 1, 2027.

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 530: Medi-Cal: time and distance standards.

Medi-Cal managed care plans must maintain provider networks meeting specified time and distance standards through January 1, 2029. Plans must ensure subcontractor networks comply with appointment time standards, demonstrate annual compliance to the department, inform enrollees of telehealth and transportation options, and submit documentation of provider contracting efforts.

AB 1288: Registered environmental health specialists.

The State Department of Public Health must make its registry of registered environmental health specialists and trainees publicly available on its internet website within 90 days of each examination administration. Environmental health specialist trainees may work under supervision of a registered specialist for a period not exceeding five years. Applicants who fail the written examination cannot be reexamined until 90 days have elapsed.

AB 424: Alcohol and other drug programs: complaints.

When the State Department of Health Care Services receives a complaint against a licensed alcohol or other drug recovery or treatment facility or an unlicensed facility allegedly operating in violation of law, the department must provide notice to the complainant within 10 days that the complaint was received, and upon closing the complaint, must notify the complainant whether the facility was found in violation.

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 338: Virtual Health Hub for Rural Communities Pilot Program.

The State Department of Public Health shall administer the Virtual Health Hub Fund and distribute grants to partnerships of community-based organizations to establish and deploy virtual health hubs in two rural communities. Grant recipients must deploy hubs equipped with computers, Wi-Fi, cubicles for virtual visits, and exam rooms for telemedicine, and report specified deidentified data to the department.

SB 439: California Health Benefit Review Program: extension.

Health care service plans and health insurers must pay annual assessments determined by the Department of Managed Health Care and Department of Insurance in consultation with the University of California. Total annual assessment shall not exceed three million two hundred thousand dollars for fiscal years 2026–27 to 2032–33, inclusive. Assessments must be paid by August 1 each year.

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.

SB 660: California Health and Human Services Data Exchange Framework.

General acute care hospitals, physician organizations and medical groups, skilled nursing facilities, health care service plans, disability insurers, clinical laboratories, acute psychiatric hospitals, and emergency medical services must execute the California Health and Human Services Data Exchange Framework data sharing agreement and exchange health information in real time by specified deadlines. The Department of Health Care Access and Information must take over establishment and implementation by January 1, 2026.

AB 1356: Alcohol and other drug programs.

Licensed facilities must submit a telephonic report to the department within one working day of a resident's death, a written report within seven calendar days, and any additional relevant information within 30 days of the initial incident. The department must issue a written notice of deficiency if violations are identified during death investigations.

Took effect 1 January 2026

AB 960: Patient visitation.

A general acute care hospital must allow a patient with physical, intellectual, or developmental disabilities, cognitive impairment including dementia, or another disability to have a family or friend caregiver with them as needed, including outside standard visiting hours, unless the hospital reasonably determines the visitor would endanger health or safety, significantly disrupt operations, or impede medical care delivery.

Took effect 1 January 2026

SB 862: Health.

Manufacturers of baby food must test representative samples of each production aggregate at proficient laboratories for toxic elements (arsenic, cadmium, lead, mercury) at least monthly beginning January 1, 2024. Manufacturers must disclose test results on their websites and include QR codes on product labels linking to results and FDA guidance.

Took effect 1 January 2026

AJR 3: Public social services: Social Security, Medicare, and Medicaid.

This resolution calls on California's Congressional Representatives to support legislation repealing provisions of H.R. 1 that adversely affect Social Security, Medicare, and Medicaid, and opposes privatization of these programs. It also calls on the President to restore program staffing and rescind executive orders affecting these programs.

Took effect 1 January 2026

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 1328: Medicaid Nonemergency Medical Transportation

The state department of health care policy and financing must establish rules for safety and oversight of nonemergency medical transportation services. Transportation brokers must establish a Transportation Community Advisory Board and implement brokered programs on a phased, region-by-region basis. Transportation providers must use credentialed drivers and vehicles and comply with state requirements.

Took effect 1 July 2026

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 1412: Department of Health Care Policy & Financing Statistical Sampling & Extrapolation

The state department of health care policy and financing is authorized to use statistical sampling and extrapolation to determine and recover overpayments from providers of nonemergency medical transportation services or pediatric behavioral therapy for services provided from January 1, 2022, through December 31, 2023, for audits initiated after July 1, 2026. The department must issue notice within sixty days and cannot use contingency-based contracts.

HB 1429: County Administration Public Assistance Programs

State departments must contract with a single county department to operate a centralized member integrity service by July 1, 2027, handling fraud investigations and program integrity functions for six public assistance programs. State departments must establish performance-based contracts with county departments by July 1, 2027, and implement a redesigned public benefits delivery model of no more than twelve county cohorts by July 1, 2028.

HB 1063: Treating People with Behavioral Health Disorder

SB 188: Residential Treatment for Members in Colorado Department of Human Services Custody

HB 1336: Increase Access to Pharmacy Services

HB 1377: Managed Care Entity Payments

SB 187: Establishing Commission on Medicaid

SB 191: Gifts Grants & Donations for Nursing Facilities

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 1107: Health Care in Regulated Facilities

HB 1155: Department of Health Care Policy & Financing Supplemental

SB 2: State-Only Funding for Certain Entities

The State Department shall reimburse prohibited entities, as defined in Public Law 119-21 Section 71113, using only state funds for services covered under Title XIX of the Federal Social Security Act provided on or after July 1, 2025, except those services covered pursuant to Section 25.5-2-106. This requirement does not apply if a prohibited entity is eligible for federal reimbursement at the time services are provided.

SB 25-297: Implementation of Colorado Natural Medicine Initiative

SB 25-294: Behavioral Health Services for Medicaid Members

The state department of health care policy and financing must develop policies by December 1, 2025, in collaboration with the department of human services, behavioral health administration, and relevant stakeholders to transition qualified residential treatment programs and psychiatric residential treatment facilities to the statewide managed care system for Medicaid members in county custody. The state department must implement these policies by July 1, 2026.

SB 25-071: Prohibit Restrictions on 340B Drugs

Manufacturers, third-party logistics providers, repackagers, and their agents or affiliates shall not deny, restrict, prohibit, discriminate against, or limit acquisition or delivery of 340B drugs to covered entities or contracted pharmacies. Manufacturers shall not require submission of health information or data unrelated to federal health care program claims. Reporting hospitals shall not use 340B savings for board compensation exceeding thirty-five percent annually, tax penalties, certain advertising, lobbying, board travel expenses, or gifts.

SB 25-228: Enterprise Disability Buy-in Premiums

The Colorado healthcare affordability and sustainability enterprise must charge and collect Medicaid buy-in premiums from individuals eligible for Medicaid buy-in programs. The state department must establish premium payment schedules in consultation with the enterprise, based on a sliding-fee scale determined by the state board.

Took effect 1 May 2025

SB 25-308: Medicaid Services Related to Federal Authorizations

Creates two reinvestment cash funds for unspent Medicaid appropriations: one for health-related social needs services and one for reentry services for justice-involved individuals, with annual transfers beginning June 30, 2026, and appropriates $14,971,442 for fiscal year 2025-26.

HB 25-1213: Updates to Medicaid

The state department must establish an annual process to review and update the general billing manual to include all necessary CPT codes or links to CPT codes. Managed care entities must submit annual payment and medical loss ratio information to the state department. The state department must not impose signature requirements beyond federal Centers for Medicare and Medicaid Services requirements for rehabilitation therapy plans of care.

SB 25-084: Medicaid Access to Parenteral Nutrition

The State Department must create specific professional dispensing fees for infusion pharmacies preparing and dispensing parenteral nutrition by January 1, 2026, not exceeding thirty percent of infusion pharmacy administrative costs. The State Department must report annually to the Joint Budget Committee on infusion pharmacy numbers, geographic distribution, and network sufficiency.

SB 25-290: Stabilization Payments for Safety Net Providers

The state department of health care policy and financing must annually allocate provider stabilization payments from the fund to eligible safety net providers proportionate to the number of low-income, uninsured individuals each serves. Safety net providers must annually submit information demonstrating eligibility, including patient caseload data and evidence of providing services at no cost or on sliding-fee schedules.

HB 25-1288: Support for Federally Qualified Health Centers

The state department of health care policy and financing must allocate 115% of gifts designated for federally qualified health centers or qualified providers to those designated recipients, except when the donor is an FQHC or qualified provider with a direct or indirect relationship to medicaid payments and the allocation is positively correlated to the donation. FQHCs may establish separate subsidiary companies for fee-for-service services meeting specified conditions.

SB 25-226: Extending Spinal & Related Medicine Program

The state department shall continue operations of a pilot program allowing eligible persons with disabilities to receive integrative health services including chiropractic care, massage therapy, and acupuncture. The state board shall adopt rules for implementation and administration. The state department shall develop accountability requirements to safeguard public money and promote effective service delivery.

SB 25-229: Reimbursement for Community Health Workers

Upon receiving necessary federal authorization and subject to available appropriations, beginning January 1, 2026, the state department shall reimburse community health workers who comply with subsection (8) requirements. By January 31, 2027, the state department shall report to specified legislative committees on community health worker utilization and associated costs or savings.

SB 25-045: Health-Care Payment System Analysis

Requires the Colorado School of Public Health to research and select draft model legislation for a single-payer universal health-care system by July 1, 2025, and analyze it by December 31, 2026, with findings reported to legislative committees. Creates an advisory collaborative to assist with the analysis.

SB 25-196: Insurance Coverage Preventive Health-Care Services

Health insurance policies must cover preventive health-care services according to task force recommendations, ACIP recommendations, or comprehensive guidelines. If those recommendations are repealed or modified, the commissioner may adopt rules requiring coverage based on guidelines in effect in January 2025 or recommendations from the Nurse-Physician Advisory Task Force. Health savings account-qualified policies are exempt to the extent necessary for federal qualification.

HB 25-1132: Military Family Behavioral Health Grant Program

The Division of Veterans Affairs must reimburse health-care professionals for mental health-care sessions with eligible veterans, providing each eligible veteran twenty-six reimbursed sessions per year. The Behavioral Health Administration must provide grants to local nonprofit organizations to establish and expand community behavioral health programs serving service members, veterans, and their family members.

SB 25-270: Enterprise Nursing Facility Provider Fees

The Colorado Healthcare Affordability and Sustainability Enterprise must charge and collect nursing facility provider fees beginning May 1, 2025, and intermediate care facility fees beginning May 1, 2025. The enterprise must obtain federal matching funds and return both fees and federal matching money to providers to sustain or increase reimbursement rates and make supplemental Medicaid payments.

Took effect 1 May 2025

HB 25-1027: Update Disease Control Statutes

The state board of health must establish rules for required immunizations considering CDC recommendations and other medical organizations. Schools must maintain official certificates of immunization for enrolled students and suspend or expel noncompliant students. The department must annually evaluate immunization practices and provide vaccines to indigent children at public expense.

HB 25-1124: Universal Contracting Provision Requirements

The BHA shall work with the department of health care policy and financing and relevant stakeholders to develop universal contracting provisions for state agencies contracting for behavioral health safety net services. The provisions must address minimum data collection standards, grievance reporting, evidence-based practices, access and quality standards, payment methodologies, claims procedures, liability limitations, priority population standards, and federal compliance.

HB 25-1033: Medicaid Third-Party Liability Payments

A third party must respond to state inquiries about health-care claims within sixty days by either paying the claim or issuing a written denial. Third parties must not deny claims solely based on submission date, claim form type or format, or missing documentation if the state commences enforcement within six years. Third parties must accept state payment as equivalent to prior authorization.

SB 25-093: Department of Health Care Policy & Financing Supplemental

Appropriates $16.3 billion to the Department of Health Care Policy and Financing for fiscal year 2024-25, including funding for Medicaid services, behavioral health programs, and administrative costs. Also appropriates $223.7 million to cover 2023-24 overexpenditures.

HB 5354: An act concerning medicaid provider audits.

Findings of overpayment or underpayment to Medicaid providers shall not be based on extrapolation unless the total net amount of extrapolated overpayment exceeds two and three-quarters per cent of total claims paid for the audit period. Beginning with audit review periods commencing January 1, 2027, the commissioner shall make available education materials and technical assistance to assist providers with proper Medicaid billing.

Took effect 1 October 2026

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 5514: An act concerning various revisions to the public health statutes.

Each health care provider must notify patients in writing at initial intake of laws concerning medical record retention length and how to request copies. Each school of nursing must report first-time pass rates, graduation rates, and job placement outcomes biannually on a standardized form and post data on its website. The Connecticut State Board of Examiners for Nursing must develop evaluation criteria and corrective actions for schools falling below acceptable performance thresholds.

Took effect 1 October 2026

HB 6978: An act concerning the department of public health's recommendations regarding various revisions to the public health statutes.

Hospitals must provide the Department of Public Health with access to complete patient medical records, including remote access, to review maternal death cases. The department must keep all personal information confidential. Licensed health care institutions must comply with public health statutes or face disciplinary action.

Took effect 1 July 2025

SB 1473: An act requiring medicaid coverage for fda-approved gene therapies to treat sickle cell disease.

The Commissioner of Social Services shall provide Medicaid coverage for gene therapies approved by the federal Food and Drug Administration to treat sickle cell disease. The commissioner shall apply for federal initiatives to increase cost-effective access to these therapies. The commissioner shall file a report by January 1, 2026, detailing efforts to increase access, number of recipients served, state costs, and estimated appropriations needed.

SB 281: An act to amend title 31 and title 29 of the delaware code relating to technical updates for the delaware hospital for the chronically ill.

The Department of Health and Social Services shall establish policies and procedures for admission to the Eleanor Cain Center requiring applicants to have skilled nursing facility level of care, choose long-term care after being informed of community options, and be refused admission from all private long-term care facilities in Delaware.

HB 305: An act to amend title 16 of the delaware code relating to the delaware diabetes wellness pilot program within the department of health and social services to study diabetic well care.

The Secretary of the Department of Health and Social Services must establish and administer the Delaware Diabetic Wellness Pilot Program, working with the Delaware healthcare system and physicians in partnership with selected technology companies. The Secretary must develop a request for proposals, enlist 400 to 500 volunteer Type 2 diabetic patients, and ensure physician-led healthcare teams establish individualized management plans for each participant.

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.

SJR 20: Directing the division of medicaid and medical assistance to evaluate assessments for individuals receiving home and community-based services.

The Department of Health and Social Services shall evaluate the Home and Community-Based Services assessment process, including investigating the feasibility of using independent assessment tools and independent assessment entities for determining support needs for individuals eligible for HCBS. The Department shall submit a report to the General Assembly by March 1, 2027.

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.

SJR 19: Directing the department of health & social services to explore solutions related to the state’s high health care costs.

The Department of Health and Social Services must submit a report to the General Assembly no later than January 1, 2027 that explores the feasibility of multiple strategies to lower health care costs across insurance, long-term care, pharmacy, and hospitals sectors, and evaluates strategies to prevent chronic disease, improve health outcomes, advance health equity, and reduce prescription drug spending.

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.

HB 1121: Aging and Disability Services

Area agencies on aging must comply with competitive solicitation requirements for procurements exceeding $35,000. Chief executive officers and executive directors cannot receive salaries exceeding 150 percent of the Secretary of Elderly Affairs' annual salary. The Department of Elderly Affairs must maintain a statewide pre-enrollment wait list and adopt screening tools generating priority scores.

Took effect 1 July 2026

SB 2502: Implementing the 2025-2026 General Appropriations Act

Implements the 2025-2026 General Appropriations Act by authorizing budget amendments, extending certain rulemaking exemptions for medical marijuana, revising Medicaid provider reimbursement rates, and establishing various operational and fiscal procedures for state agencies.

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

HB 1299: Department of Health

Medical marijuana treatment centers must notify the Department of Health by email within 24 hours of actual or attempted theft, diversion, or loss of marijuana and report attempted thefts to law enforcement within the same timeframe. The act also revises licensure requirements for various health professions and establishes a physical therapy compact among member states.

SB 1490: Children’s Medical Services Program

Effective July 1, 2025, the Agency for Health Care Administration shall assume operation of the Department of Health's Children's Medical Services Managed Care Plan, including all contracts, personnel, and funds. The Department of Health's Children's Medical Services program shall conduct clinical eligibility screening and provide ongoing consultation to ensure high-quality, coordinated health services for children and youth with special health care needs.

HB 506: Social services; Medicaid coverage for tobacco cessation treatments; provide

Healthcare plans must cover emergency transport service as a covered service when requested by a first responder. Out-of-network ambulance providers must receive minimum reimbursement of the lesser of 325 percent of Medicare Part A or B rates or billed charges. Insurers must remit payment within 30 days of receiving a clean claim directly to the ambulance provider.

Takes effect 1 January 2027

HB 196: State employees' health insurance plan; drugs dispensed for self-administration; provisions

On and after January 1, 2026, insurers must reimburse pharmacies for drugs dispensed to covered persons for self-administration under state health plans using the national average drug acquisition cost plus a professional dispensing fee of at least $10.50 for chain pharmacies and $11.50 for independent pharmacies. Insurers must not circumvent these reimbursement requirements through prescription drug discount cards or programs.

SB 276: Recovery of Medical Assistance from Third Party; certain provisions to comply with federal law; revise

Insurers, group health plans, managed care entities, pharmacy benefits managers, and other legally responsible parties must not refuse payment for healthcare items or services solely because prior authorization was not obtained. They must respond to Department of Community Health inquiries within 60 days and accept the department's authorization as their own.

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 1974: Relating to health.

The state agency shall develop and publish a comprehensive state plan on hearing loss by twenty days prior to the 2027 regular legislative session, and submit update reports by twenty days prior to each odd-numbered regular session thereafter, covering assessment of current policies, epidemiological data, gaps in screening, access to care, workforce development, and recommendations for improving services and affordability.

SB 2271: Relating to hospital licensing.

The department of health shall adopt rules allowing hospitals to demonstrate compliance with all state licensing inspections through accreditation or certification by any organization approved by the Centers for Medicare and Medicaid Services. Hospitals meeting specified conditions may be exempt from licensing inspections on a continuing basis, though the department may still conduct inspections regarding complaints, adverse findings, or periodic validation surveys.

SB 3045: Relating to health insurance.

Health insurers, hospital and medical service plans, and health maintenance organizations in Hawaii must provide coverage for continuous glucose monitors and related supplies for individuals diagnosed with diabetes, including gestational diabetes, regardless of insulin use, for policies issued or renewed after December 31, 2026. Coverage must include repairs and replacement parts and be subject to no less favorable cost-sharing than other medical services.

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 2319: Relating to the state health planning and development agency.

The state agency must promote universal access to high-quality, equitable, and affordable health care for all people of the State. The state agency must conduct health planning activities in collaboration with state agencies and private health care sector participants to assess and address gaps affecting access, quality, and cost, including artificial intelligence. The state agency must establish and update a state health services and facilities plan at least every four years.

SCR 149: Requesting the department of health to assess the services and funding necessary to address the needs of complex patients who have two or more diagnoses that include substance use disorders, mental health disorders, or chronic physical illnesses.

Requests the Department of Health to assess services and funding needed for complex patients with two or more diagnoses including substance use disorders, mental health disorders, or chronic physical illnesses, and to establish a working group to develop integrated care recommendations.

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 1322: Relating to mental health.

Qualified psychiatric examiners must conduct emergency examinations and determine whether criteria for involuntary hospitalization exist. Law enforcement officers must contact mental health emergency workers before detaining individuals for emergency examination. Psychiatric facilities must discharge involuntary patients within seventy-two hours unless voluntary agreement or court-ordered proceedings occur.

HB 713: Relating to a rate study for home health services.

Appropriates an unspecified sum from general revenues to the department of human services for fiscal year 2025-2026 to conduct a rate study on medicaid home health services in Hawaii.

HB 250: Relating to health.

Utilization review entities doing business in the State must submit annual prior authorization data to the state agency by January 31 each year in a format specified by the agency. The state agency must compile and post findings by March 1. A health care appropriateness and necessity working group must research clinical standards and make recommendations on prior authorization processes.

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.

SB 1441: Relating to the transition of the oahu regional health care system from the hawaii health systems corporation into the department of health.

The Oahu regional health care system and the department of health must enter into a formal memorandum of agreement no later than November 30, 2025, regarding care of patients transferred from the Hawaii state hospital to Oahu regional health care system facilities, with patient care starting no later than December 31, 2025.

SB 1411: Relating to medicaid third party liability.

Health insurers must not deny claims solely based on lack of prior authorization, submission date, claim format, or missing point-of-sale documentation. Insurers must respond to state inquiries within sixty calendar days regarding health care claims submitted within three years of service provision. Insurers must accept state medical assistance program authorization as prior authorization.

SB 1429: Relating to medical cannabis.

Qualifying patients may obtain medical cannabis from licensed dispensaries, by cultivating cannabis not exceeding an adequate supply, or from a primary caregiver who cultivates cannabis not exceeding an adequate supply. Primary caregivers shall register with the department of health and be responsible for not more than five qualifying patients at any given time, with exceptions for parents or guardians of multiple minor qualifying patients.

S 1429: APPROPRIATIONS – HEALTH AND WELFARE – BEHAVIORAL HEALTH SERVICES – Relates to the appropriation to the Department of Health and Welfare for the Behavioral Health Services Division for fiscal years 2026 and 2027.

Appropriates $16,445,600 to the Department of Health and Welfare for behavioral health divisions for fiscal year 2027, reduces other appropriations by $8,887,400, authorizes 15 additional full-time positions for Mental Health Services, and requires a report on Idaho Behavioral Health Plan expenditures by December 1, 2026.

S 1433: APPROPRIATIONS – HEALTH AND WELFARE – MEDICAID – Relates to the appropriation to the Department of Health and Welfare for fiscal years 2026 and 2027.

Appropriates $1,163,296,100 to the Department of Health and Welfare Division of Medicaid for fiscal year 2027 and reduces that appropriation by $669,941,300. Appropriates $783,590,000 for fiscal year 2026 and reduces that appropriation by $676,346,000.

S 1435: APPROPRIATIONS – HEALTH AND HUMAN SERVICES – Relates to the maintenance appropriations to the Department of Health and Welfare and the State Independent Living Council for fiscal year 2027.

The Department of Health and Welfare must provide services authorized or mandated by law in each program only to the extent of funding and available resources appropriated. The department must be responsible for educational needs of school-age children in its custody. Funds appropriated for trustee and benefit payments shall not be transferred to other expense classes.

Took effect 1 July 2026

S 1446: APPROPRIATIONS – Relates to the appropriation to the Department of Health and Welfare and the Judicial Branch for fiscal year 2027.

Appropriates $30,702,000 to the Department of Health and Welfare and $250,000 to the Judicial Branch for fiscal year 2027 to restore assertive community treatment and peer support services, and allows up to $5,808,000 of opioid settlement funds to serve participants with substance abuse or mental health conditions without opioid use disorder.

S 1453: APPROPRIATIONS – HEALTH AND WELFARE – RURAL HEALTH – Relates to the appropriation to the Department of Health and Welfare for rural health care for fiscal year 2027.

Creates the Idaho Rural Health Transformation Fund and Committee to manage federal rural health transformation grant moneys. Appropriates $3,737,600 for fiscal year 2026 and $295,405,200 for fiscal year 2027 to the Department of Health and Welfare's Division of Indirect Support Services, and authorizes 12 additional FTE positions for each year.

S 1314: DEPARTMENT OF HEALTH AND WELFARE – Amends and repeals existing law to revise provisions regarding the Board of Health and Welfare, substate administrative regions, and regional behavioral health boards.

Repeals the Board of Health and Welfare and transfers its rulemaking authority to the Department of Health and Welfare. Eliminates regional behavioral health boards and related provisions while maintaining existing rules in effect.

H 480: APPROPRIATIONS – HEALTH AND WELFARE – BEHAVIORAL HEALTH SERVICES – Relates to the appropriation to the Department of Health and Welfare for the Behavioral Health Services Division for fiscal years 2025 and 2026.

The Department of Health and Welfare must ensure no appropriated funds are used for training or programming that advances diversity, equity, and inclusion; critical race theory; or transgender ideology; or for programs that distribute or restrict funding based on race or gender. The Department must submit a report on Child and Adolescent Needs and Strengths assessment alternatives by January 15, 2026.

S 1194: APPROPRIATIONS – HEALTH AND WELFARE – PUBLIC HEALTH SERVICES – Relates to the appropriation to the Department of Health and Welfare for fiscal years 2025 and 2026.

The Department of Health and Welfare must notify the chairmen of the Health and Welfare Committees in both the Senate and House of Representatives prior to applying or reapplying for any federal grant, including grant type, CFDA and DUNSF numbers, title, start date, end date, and brief description. The department must submit multiple reports by specified deadlines regarding program transitions and cost-benefit analyses.

S 1201: APPROPRIATIONS – HEALTH AND WELFARE – MEDICAID – Relates to the appropriation to the Department of Health and Welfare for fiscal years 2025 and 2026.

Appropriates $691,592,600 to the Department of Health and Welfare Division of Medicaid for fiscal year 2026 and reduces Expansion Medicaid Plan funding by $17,400,000. Directs the division to explore value-based addiction treatment models, transition contracts to fiscal year periods, and report on Emergency Medicaid expenditures.

S 1206: APPROPRIATIONS – HEALTH AND WELFARE – EARLY LEARNING AND DEVELOPMENT AND SERVICES FOR THE DEVELOPMENTALLY DISABLED – Relates to the appropriation to the Department of Health and Welfare for fiscal year 2026.

The director of the Department of Health and Welfare is prohibited from allocating funds for buildings or related infrastructure and is directed to find programs needing short-term investment to help expand long-term availability of child care without creating a need for ongoing public subsidy. The agency must revert state funds appropriated to satisfy match requirements for federal funds to the maximum extent possible if federal funds requiring match are reduced or eliminated.

Took effect 1 July 2025

S 1108: APPROPRIATIONS – HEALTH AND HUMAN SERVICES – Relates to the maintenance appropriations to the Department of Health and Welfare and the State Independent Living Council for fiscal year 2026.

The Department of Health and Welfare must provide educational services for school-age children in its custody, paying for education at licensed residential treatment facilities when appropriate. The department must deliver monthly Medicaid tracking reports comparing appropriations to expenditures. The department must implement cost-sharing for expanded Medicaid populations and provide oversight of Idaho Drug Free Youth funds.

Took effect 1 July 2025

H 427: APPROPRIATIONS – MILITARY DIVISION – DEPARTMENT OF HEALTH AND WELFARE – Relates to the appropriation to the Military Division and the Department of Health and Welfare for the Public Health Services Division for fiscal year 2026.

Appropriates $7,662,900 to the Military Division and increases its full-time equivalent positions by 33.84 for fiscal year 2026. Reduces the Department of Health and Welfare Public Health Services Division appropriation by $13,337,400 and reduces its positions by 32.80, while appropriating $5,877,500 to its Physical Health Services Program.

Took effect 1 July 2025

H 220: BEHAVIORAL HEALTH – Amends, repeals, and adds to existing law to revise provisions regarding behavioral health services.

The department of health and welfare must determine costs for behavioral health services based on individuals' ability to pay, capping annual costs to parents or adult patients at five percent of adjusted gross income following all other coverage. The department must serve as payer of last resort for individuals qualifying for medicaid or having third-party coverage.

Took effect 1 July 2025

H 345: MEDICAID – Amends, repeals, and adds to existing law to provide that legislative approval is required for certain state plan amendments and waivers and to provide legislative approval for certain state plan amendments and waivers.

The state department of health and welfare must obtain legislative approval before seeking or implementing any Medicaid state plan amendment or waiver under sections 1115 or 1915 of the Social Security Act that would expand coverage to additional individuals or increase net state costs. The department must submit specific state plan amendments and waivers by July 1, 2026, regarding work requirements, cost-sharing, managed care, and other provisions.

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 246: APPROPRIATIONS – Relates to the appropriation to the Department of Commerce, Department of Environmental Quality, and the Department of Health and Welfare for fiscal year 2025.

Reduces Department of Commerce appropriations by $291,737,000 and reallocates those funds to the Broadband Office Program; transfers $2,000,000 to Department of Environmental Quality; and shifts $160,000 and $240,000 between expense classes for Department of Health and Welfare programs.

SB 3365: Medicare/medicaid dual eligibl

The Department of Healthcare and Family Services shall provide each managed care organization with quarterly facility-specific nursing component per diem along with add-ons for enhanced care services, support component per diem, and capital component per diem for each nursing home under contract with the managed care organization.

HB 1277: Health and human services matters.

The office of the secretary of family and social services must apply to the federal government by September 1, 2026 for a new Medicaid waiver to provide assisted living services and for an amendment to establish an individual cost limit not exceeding institutional nursing facility costs. Managed care organizations must pay interest on clean claims from nursing facilities not accurately and fully paid within required timeframes.

Took effect 1 July 2026

SB 222: Family and social services administration matters.

The division of mental health and addiction must train and certify individuals as certified peers to provide ongoing support to individuals and families receiving mental health or substance use recovery services. The 9-8-8 crisis response centers and mobile crisis teams certified by the division must function as first responders.

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 1358: Indiana department of health.

The state department shall maintain a trauma registry and collect trauma care data. Hospitals, trauma centers, rehabilitation hospitals, and emergency medical services providers must submit trauma data to the registry according to specified timelines and formats. A person who generates infectious waste must ensure appropriate containment, labeling, effective treatment, transport, and disposal.

Took effect 1 July 2026

SB 1: Human services matters.

The division of family resources must terminate Indiana's participation in expanded categorical eligibility within SNAP, verify immigration status for SNAP applicants using SAVE, and report to USDA individuals whose immigration status cannot be verified. The office of the secretary must verify Medicaid applicants' citizenship and immigration status, conduct eligibility redeterminations at least semiannually for HIP participants, and verify work requirements on an ongoing and at least quarterly basis.

Took effect 1 July 2026

HB 1296: Mental health services.

Owners of recovery residences must register with the division and adhere to ethical standards. Owners must provide qualifications, zoning documentation, references, a registration fee of five hundred dollars per residence, proof of age for staff, and certify compliance. Owners may not use the term "recovery residence" unless registered and in good standing.

Took effect 1 July 2026

HB 1001: State budget.

Appropriates money for state operations, K-12 and higher education, Medicaid, and other services for fiscal years 2025-2027. Establishes tax exemptions for school supplies and recreational equipment, creates workforce and child care programs, and extends hospital assessment fee collection.

Took effect 1 July 2025

HB 1003: Health matters.

Clinical laboratories and diagnostic imaging facilities must post pricing information on their websites by December 31, 2025, including service descriptions and standard charges by payer category. Hospitals and ambulatory surgical centers must submit claims with appropriate place of service codes. Providers must provide patients written lists of services received and intended to be billed upon discharge.

Took effect 1 July 2025

HB 1004: Health care matters.

Hospitals must remit hospital facility fee excise taxes to the department of state revenue before the tenth day of each month. Nonprofit hospitals must report aggregate billing data and Medicare reimbursement comparisons to the state department and department of insurance before November 1 of each fiscal year. Nonprofit hospitals must provide Schedule H portions of federal Form 990 to the health care cost oversight task force and make them available for publication before August 1 of each year.

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

HB 1689: Human services matters.

The office of the secretary must apply for a Medicaid waiver amendment before October 1, 2025, to establish reimbursement for structured family caregiving services and allow legally responsible individuals to provide home and community based waiver services under specified conditions. The office must also prepare annual reports on Medicaid home and community based waiver services for medically complex conditions, due September 1, 2025, and each September 1 thereafter.

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 2: Medicaid matters.

The office of the secretary of family and social services must report aggregate Medicaid fraud, waste, and abuse data annually to the oversight committee. The office must verify income, residency, age, household composition, and other factors before Medicaid enrollment without self-attestation. The office must conduct monthly data matching with lottery and gaming commissions, review vital statistics monthly, and perform eligibility redeterminations when circumstances change.

Took effect 1 July 2025

HB 1466: Various agency administrative procedures.

The secretary of family and social services is the ultimate authority for Medicaid applicant and recipient eligibility appeals. For Medicaid applicant eligibility cases, the administrative law judge's order becomes final after 61 days without further affirmation from the ultimate authority, absent objection or notice. The department of child services is the ultimate authority for reviews of residential child care base rates.

Took effect 1 July 2025

SB 486: Family and social services matters.

Sheriffs must assist individuals incarcerated at least 30 days in county jails or specified juvenile facilities in applying for Medicaid if eligible, before release. Insurers must respond to Medicaid claim inquiries within 60 days and cannot deny claims solely for lack of prior authorization. Child care providers must ensure at least one adult certified in pediatric CPR is present when children are in care.

Took effect 1 July 2025

SF 2422: A bill for an act relating to public assistance programs under the purview of the department of health and human services, including the supplemental nutrition assistance program, Medicaid, and the Iowa health and wellness plan, and including effective date provisions.

HF 2739: A bill for an act relating to state finances by modifying the taxes imposed on health maintenance organizations, making transfers from the taxpayer relief fund, making and supplementing appropriations to the department of health and human services, and including effective date, contingent effective date, and retroactive applicability provisions.

Each health maintenance organization transacting business in Iowa must pay a health care-related tax equal to ninety-five hundredths of one percent of the applicable percentage of taxable funds, commencing January 1, 2026. Health maintenance organizations must remit prepayments on or before June 1 and August 15 based on prior year taxable funds.

HF 1049: A bill for an act relating to and making appropriations to the department of veterans affairs and the department of health and human services, and related provisions and appropriations, including aging and disability services; behavioral health, public health, community access and eligibility; the medical assistance program, state supplementary assistance, Hawki, and other health-related programs; sex reassignment surgeries or associated procedures; family well-being and protection; state-operated specialty care, administration and compliance; transfers, cash flows, and nonreversions; prior appropriations; the beer and liquor control fund, and the behavioral health fund; report on nonreversion of moneys; emergency rules; and a hospital directed payment program; and including effective date and retroactive applicability provisions.

The department of health and human services must not use moneys appropriated from the general fund for the medical assistance program to reimburse sex reassignment surgery, associated procedures, hormone therapy, or other medical interventions intended to alter primary or secondary sex characteristics related to gender dysphoria diagnosis. The department must adopt rules to administer this prohibition.

HF 972: A bill for an act relating to health care including a funding model for the rural health care system; the elimination of several health care-related award, grant, residency, and fellowship programs; establishment of a health care professional incentive program; Medicaid graduate medical education; the health facilities council; and the Iowa health information network, making appropriations, and including effective date provisions.

The college student aid commission, in coordination with the department of health and human services, shall administer a health care professional incentive program offering loan repayments or income bonuses to eligible health care professionals in shortage areas. The commission must determine available awards annually and establish profession lists and aggregate award amounts not exceeding two hundred thousand dollars every five years.

SF 474: A bill for an act relating to services and support for youth, including treatment, physical assessments, and behavioral health evaluations for youth involved in juvenile delinquency and child in need of assistance proceedings; the licensing and certification of certain residential facilities; the provision of home and community-based services and habilitation services to certain youth by residential programs; administration and supervision of juvenile court services; and the suspension of Hawki eligibility for inmates of public institutions.

Psychiatric medical institutions for children must provide shelter, food, supervision, care, assessment, evaluation, diagnosis, treatment, counseling, and rehabilitative services to youth with serious emotional disturbance or substance use disorder. Licensees must specify whether they provide serious emotional disturbance services, substance use disorder services, or both, and may only provide services for which licensed.

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.

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 2: AN ACT relating to Medicaid, making an appropriation therefor, and declaring an emergency.

The cabinet must condition Medicaid eligibility on demonstrated community engagement for applicable individuals by January 1, 2027, requiring monthly engagement of eighty hours of work, community service, education, or equivalent income. The cabinet must begin providing notice by July 1, 2026, and conduct eligibility redeterminations every six months starting July 1, 2026.

SB 173: AN ACT relating to legislative oversight of the Medicaid state plan and declaring an emergency.

The Department for Medicaid Services must submit by July 1 each year to the Legislative Research Commission copies of current Medicaid and KCHIP state plans and summaries of all state plan amendments approved, denied, or pending with CMS since the prior July 1. The Medicaid Oversight and Advisory Board must review these by August 31 and the Interim Joint Committee on Health Services must review by October 31.

HB 676: AN ACT relating to the Kentucky statewide health data utility.

Participants including health facilities, health care payers, and health care professionals must submit health information to the Kentucky statewide health data utility according to requirements established by the executive director, within three months after the relevant exchange becomes operational or when the person begins doing business requiring compliance.

HB 169: AN ACT relating to coverage for feeding or eating disorders.

Health plans must provide coverage for diagnosis and treatment of feeding or eating disorders. Insurers offering such coverage cannot deny, limit, or restrict coverage based on body mass index, ideal body weight, or achieved weight standards, but may consider eating behaviors, supervised meals, laboratory results, recovery environment, and co-occurring disorders when determining medical necessity.

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.

SCR 9: A CONCURRENT RESOLUTION directing the Legislative Research Commission to conduct a feasibility study for an Accountable Communities for Health Medicaid delivery model pilot project.

Directs the Legislative Research Commission to procure a vendor to conduct a feasibility study for an Accountable Communities for Health Medicaid delivery model pilot project, with results due November 1, 2026, assessing implementation opportunities, geographic regions, financing options, and evaluation metrics.

HB 470: AN ACT relating to behavioral health services and declaring an emergency.

Licensed alcohol and other drug treatment entities, behavioral health service organizations, behavioral health multi-specialty groups, and entities that bill for peer support services must employ only registered alcohol and drug peer support specialists beginning January 1, 2028. The Cabinet for Health and Family Services shall promulgate administrative regulations establishing these requirements and standards for peer support specialists and other behavioral health service providers.

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 695: AN ACT relating to the Medicaid program and declaring an emergency.

The cabinet must obtain specific General Assembly authorization before making changes to Medicaid eligibility, coverage, benefits, reimbursement rates, or pursuing waivers or state plan amendments, except when required by federal law or responding to emergencies. The cabinet must submit detailed fiscal impact assessments to specified legislative committees before seeking authorization for such changes.

HB 152: AN ACT relating to a Medicaid supplemental payment program for public ground ambulance providers.

The Department for Medicaid Services must submit a Medicaid preprint to the Centers for Medicare and Medicaid Services within 90 days seeking authorization for a supplemental payment program for public ground ambulance providers. If approved, the department must establish the program, utilize cost reports for payment calculations, and promulgate regulations. Public ground ambulance providers must hold valid Medicaid provider agreements, submit annual cost reports, and provide emergency medical transportation to Medicaid beneficiaries to be eligible.

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.

SB 222: BEHAVIORAL HEALTH: Provides for Medicaid behavioral health services. (gov sig) (EN NO IMPACT See Note)

A medical director for a medical behavioral health provider must be a physician, advanced practice registered nurse, medical psychologist, or physician assistant. Any healthcare provider serving as medical director must hold a current unrestricted Louisiana license, have minimum two years qualifying experience treating psychiatric disorders, and practice pursuant to a collaborative practice agreement or supervision arrangement as required by Louisiana law.

SB 24: FUNDS/FUNDING: Provides for dedication of revenue and use of monies in the Medical Assistance Programs Fraud Detection Fund. (7/1/26) (EN INCREASE SD RV See Note)

Dedicates revenue to the Medical Assistance Programs Fraud Detection Fund and requires monies to fund the Medicaid Fraud Control Unit within the office of the attorney general and the Louisiana Department of Health program integrity section, after accounting for federal share and excluding third party liability and estate recoveries.

SB 96: MEDICAID: Establishes Medicaid reimbursement rates for certain behavioral health services. (7/1/25) (EN +$1,830,352 GF EX See Note)

The Louisiana Department of Health shall reimburse Medicaid providers for partial hospitalization program services provided to adult and geriatric patients at licensed inpatient psychiatric hospitals. The department shall determine appropriate reimbursement rates as provided by specific legislative appropriation each year.

HB 314: HEALTH CARE/FACILITIES: Modifies the regulatory authority of the Louisiana Department of Health in relation to hospital classifications

Took effect 1 January 2026

HB 529: Code Revision - Health - Maryland Medical Assistance Program

The Secretary shall administer the Maryland Medical Assistance Program and provide specified medical and health care services to eligible individuals subject to state budget limitations and federal law. The Department shall establish an Express Lane Eligibility Program by January 1, 2025, and managed care organizations must comply with quality assurance, enrollee access, and reporting requirements.

Took effect 1 October 2026

SB 496: Maryland Medical Assistance Program - Coverage for the Treatment of Obesity - Authorization

Beginning January 1, 2027, the Maryland Medical Assistance Program may provide comprehensive coverage for the treatment of obesity, including intensive behavioral therapy, bariatric surgery, and FDA-approved medications for chronic weight management. If the Department elects to provide this coverage, it must notify Program recipients.

Took effect 1 October 2026

HB 1365: Health Occupations, Public Health, and Insurance - Menopause - Provider Training Coverage Requirements, Policy Initiatives, and Access to Care

Insurers, nonprofit health service plans, and health maintenance organizations must provide coverage for the evaluation and management of menopause and menopause-associated symptoms as determined by the treating health care provider. Health occupations boards must grant at least 2 hours of continuing education credits for every 1 hour of continuing education on menopause completed by licensees or certificate holders.

Took effect 1 July 2026

HB 445: Maryland Medical Assistance Program and Health Insurance - Coverage for Orthoses and Prostheses (So Every Body Can Move Act)

Beginning January 1, 2027, insurers, nonprofit health service plans, and health maintenance organizations must provide annual coverage for orthoses, orthosis components, repairs, and replacements. Coverage must include all orthoses a treating health care provider determines medically necessary for activities of daily living, job-related activities, or physical activities to maximize health and limb function. The Maryland Medical Assistance Program must provide the same orthosis coverage.

Takes effect 1 January 2027

HB 746: Maryland Medical Assistance Program and Health Insurance - Collaborative Care Model - Cost Sharing Prohibition and Coverage Requirements

The Maryland Department of Health may not impose copayments, coinsurance, or deductibles for Collaborative Care Model services provided to Program recipients. Insurers, nonprofit health service plans, and health maintenance organizations may not impose such cost sharing for Collaborative Care Model services, except that high-deductible health plan enrollees may be subject to the plan's deductible.

Took effect 1 July 2026

SB 276: Maryland Medical Assistance Program and Health Insurance - Coverage for Orthoses and Prostheses (So Every Body Can Move Act)

Beginning January 1, 2027, insurers, nonprofit health service plans, and health maintenance organizations must provide annual coverage for orthoses, orthosis components, repairs, and replacements. The Maryland Medical Assistance Program must provide the same coverage. Coverage must include all orthoses a treating health care provider determines medically necessary for daily living, job activities, or physical activities to maximize health and limb function.

Takes effect 1 January 2027

SB 428: Maryland Medical Assistance Program and Health Insurance - Collaborative Care Model - Cost Sharing Prohibition

The Maryland Department of Health must implement and provide reimbursement for Collaborative Care Model services statewide in primary care settings and may not impose copayments, coinsurance, or deductibles for such services. Insurers, nonprofit health service plans, and health maintenance organizations must provide coverage for Collaborative Care Model services and may not impose cost-sharing except deductibles for high-deductible health plans.

Took effect 1 July 2026

SB 892: Health Occupations, Public Health, and Insurance - Menopause - Provider Training Coverage Requirements, Policy Initiatives, and Access to Care

Insurers, nonprofit health service plans, and health maintenance organizations must provide coverage for evaluation and management of menopause and menopause-associated symptoms as determined by the treating health care provider. Health occupations boards requiring continuing education must grant at least 2 hours of credit for every 1 hour of continuing education on menopause and menopause-associated symptoms.

Took effect 1 July 2026

HB 1372: Public Health - Office of Health Care Quality Information and Maryland Health Centralization Commission

The Maryland Health Care Commission, in collaboration with the Office of Health Care Quality, must develop a process to receive and publish inspection information on its Maryland Quality Reporting Website. Each health occupations board must designate a liaison representative and provide requested information within 10 business days. The Secretary of Information Technology must ensure all health occupations boards meet minimum cybersecurity requirements.

HB 1376: Maryland Medical Assistance Program, Maryland Children's Health Program, and Health Insurance - Transfers to Special Pediatric Hospitals - Requirements

The Maryland Medical Assistance Program, Maryland Children's Health Program, managed care organizations, insurers, nonprofit health service plans, and health maintenance organizations must provide prior authorization determinations for transfers to special pediatric hospitals within 3 business days upon request by a special pediatric hospital or referring health care provider, and must reimburse for all administrative days at the applicable rate from the medical necessity determination date until retrospective review conclusion.

Takes effect 1 January 2027

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 672: Public Health - Maryland Pediatric Cancer Fund - Entities Eligible for Grants

The Secretary shall use the Maryland Pediatric Cancer Fund to provide grants to nonprofit hospitals, educational institutions, and other nonprofit organizations to conduct pediatric cancer research. The Secretary may distribute up to 5% of the Fund annually to a promotional account for a state-based childhood cancer organization and for administrative costs.

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

HB 1104: Maryland Department of Health - AHEAD Model Implementation - Electronic Health Care Transactions and Population Health Improvement Fund

The Health Services Cost Review Commission may assess a uniform, broad-based, and reasonable amount in hospital rates each year during the Total Cost of Care Model, AHEAD Model, or any successor model, with funds credited to the Population Health Improvement Fund. The Department and Health Services Cost Review Commission jointly administer the Fund for population health improvements supporting statewide population health targets.

Took effect 1 July 2025

HB 1142: Public Health - Maryland Interested Parties Advisory Group - Establishment

The Maryland Department of Health must establish the Maryland Interested Parties Advisory Group and provide it staff and financial support. The Advisory Group must evaluate Medicaid payment rate sufficiency, examine direct care workforce conditions, and submit annual reports by September 1 beginning in 2026. The Department must consult the Advisory Group before changing payment rates.

Took effect 1 July 2025

HB 1244: Maryland Developmental Disabilities Administration Waiver Advisory Council - Establishment

Establishes the Maryland Developmental Disabilities Administration Waiver Advisory Council to advise the Administration on system design, service delivery, and quality enhancement for Medicaid waiver programs, with voting members including individuals with lived experience, providers, and family members, and nonvoting members from state agencies and advocacy organizations.

Took effect 1 October 2025

HB 1301: Maryland Medical Assistance Program, Maryland Children’s Health Program, and Health Insurance – Transfers to Special Pediatric Hospitals – Prior Authorizations

Beginning January 1, 2026, the Maryland Medical Assistance Program, the Maryland Children's Health Program, insurers, nonprofit health service plans, and health maintenance organizations may not require prior authorization for transfers to special pediatric hospitals. A special pediatric hospital is a state facility providing nonacute medical, rehabilitation, therapy, and palliative services to individuals under 22 years old or those 2 to 23 years old with co-occurring physical and behavioral health conditions.

Took effect 1 January 2026

HB 1478: Public Health - Report on Establishing a Directory of Home Health Care Providers

The Maryland Department of Health shall establish and maintain an online directory of home health care providers searchable by criteria such as language proficiency and certifications. Each residential service agency shall annually provide and submit provider information to the Department in the manner required. The Department may not publicly disclose providers' addresses, email addresses, or phone numbers.

HB 666: Maryland Medical Assistance Program and Health Insurance - Required Coverage for Calcium Score Testing

Insurers, nonprofit health service plans, health maintenance organizations, and managed care organizations must provide coverage for calcium score testing for individuals with at least three of the following risk factors: diabetes, high blood pressure, high cholesterol, or family history of premature coronary artery disease, in accordance with American College of Cardiology guidelines. The Maryland Medical Assistance Program must provide such coverage beginning January 1, 2026.

Took effect 1 January 2026

HB 722: Maryland Department of Health - Report on Oversight of Substance Use Disorder Treatment Programs and Recovery Residences

The Maryland Department of Health must submit reports to specified legislative committees on or before December 1, 2025, and December 1, 2026, addressing revision of COMAR 10.63, improvements to oversight of substance use disorder treatment programs, and improvements to certification, monitoring, and oversight procedures for recovery residences.

Took effect 1 July 2025

HB 729: Public Health - Use of Opioid Restitution Fund and Training Under the Overdose Response Program

Alters the Overdose Response Program training to emphasize restoration of breathing, avoiding withdrawal, and compassionate post-overdose support. Restricts the Opioid Restitution Fund to uses specified in settlement agreements and removes certain authorized uses while adding racial disparities addressing.

Took effect 1 July 2025

HB 813: Maryland Insurance Administration and Maryland Department of Health - Workgroup to Study Pharmacy Benefits Managers

The Maryland Medical Assistance Program must establish minimum reimbursement levels for generic drugs equal to the national average drug acquisition cost plus the fee-for-service professional dispensing fee from the most recent in-state cost-of-dispensing survey. Pharmacy benefits managers contracting with pharmacies on behalf of managed care organizations must reimburse pharmacies at least that same amount.

Took effect 1 June 2025