New Healthcare laws 2027: state healthcare laws taking effect in 2027

• 1 January 2027

  Alaska SB 133: An Act relating to prior authorization requests for medical care covered by a health care insurer; relating to a prior authorization application programming interface; relating to step therapy; and providing for an effective date.

  Requires health care insurers to establish reasonable prior authorization processes for medical care and prescription drugs, respond to requests within specified timeframes, and make authorization standards publicly available.

• 1 January 2027

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

  Requires the State Department of Health Care Services to ensure that providers billing Medi-Cal managed care plans for dual-covered enrollees face no excessive administrative requirements compared to fee-for-service billing.

• 1 January 2027

  California AB 1199: Medical staff: health care provider credentialing.

• 1 January 2027

  California AB 1587: Prescription drug refills: prescriber notifications.

• 1 January 2027

  California AB 1629: Dental coverage.

• 1 January 2027

  California AB 1637: Physicians and surgeons: medical records.

• 1 January 2027

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

• 1 January 2027

  California AB 173: Health.

• 1 January 2027

  California AB 1760: Dentistry.

• 1 January 2027

  California AB 1770: Arbitration: health care service plans: Lindalee's Law.

• 1 January 2027

  California AB 1811: Health professionals.

• 1 January 2027

  California AB 1843: Communicable diseases: hepatitis C.

  Prohibits health care service plans and health insurers from requiring prior authorization for medically necessary direct-acting antiviral drugs treating hepatitis C.

• 1 January 2027

  California AB 1876: Health care coverage: nondiscrimination.

• 1 January 2027

  California AB 1887: Prescription drug coverage for rare diseases.

• 1 January 2027

  California AB 1906: Health care coverage: home test kits.

• 1 January 2027

  California AB 1979: Health care services: artificial intelligence.

  Requires health care chatbots to comply with patient confidentiality rules and ensures licensed health care professionals retain independent judgment when using clinical decision support systems.

• 1 January 2027

  California AB 2233: Behavioral health treatment plans.

• 1 January 2027

  California AB 2311: Health care districts: employment.

• 1 January 2027

  California AB 2499: Health care coverage: claims payments.

  Requires health care service plans and insurers to accept electronic medical records and supporting documentation through standard electronic submission methods and prohibits them from denying or delaying claims solely because their systems cannot accept otherwise compliant documentation.

• 1 January 2027

  California AB 2531: Public health: abortion services.

• 1 January 2027

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

• 1 January 2027

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

• 1 January 2027

  California AB 2613: Health care service plans: provider contract termination: notice.

• 1 January 2027

  California AB 2775: Chiropractic Act.

• 1 January 2027

  California AB 280: Health care coverage: provider directories.

• 1 January 2027

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

• 1 January 2027

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

  Requires health care service plans and health insurers to cover antiretroviral drugs, devices, and products for HIV prevention without prior authorization or step therapy, and mandates coverage under both medical and prescription drug benefits starting 1 January 2027.

• 1 January 2027

  California SB 1049: Health care claims reimbursement.

• 1 January 2027

  California SB 1094: Prescription drugs.

• 1 January 2027

  California SB 1124: Public health.

• 1 January 2027

  California SB 1302: Nursing.

• 1 January 2027

  California SB 1323: Health care providers: patient access: immigration enforcement.

  Some duties start later: the text names an operative date.

• 1 January 2027

  California SB 1400: Alameda Health System: hospital authority.

• 1 January 2027

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

• 1 January 2027

  California SB 331: Health care coverage: hearing aids.

• 1 January 2027

  California SB 503: Health care services: artificial intelligence.

  Requires developers and deployers of artificial intelligence systems supporting clinical decisions to identify, mitigate, and monitor risks of biased impacts, with annual reporting to the state department beginning 1 January 2027.

• 1 January 2027

  California SB 626: Perinatal health screenings and treatment.

• 1 January 2027

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

• 1 January 2027

  California SB 950: Health care coverage: dementia.

• 1 January 2027

  California SB 964: Prescription drug coverage: dose adjustments.

  Requires health care service plans and health insurers to grant treating providers' written requests to adjust prescription drug doses or frequency without prior authorization if specified conditions are met.

• 1 January 2027

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

• 1 January 2027

  Georgia SB 444: Private Review Agents; certain decisions with regard to the provision of insurance coverage for healthcare services shall not be based solely on artificial intelligence systems; provide

  Requires private review agents and utilization review entities to have a human clinical peer conduct reviews before issuing adverse coverage determinations, prohibiting artificial intelligence systems from making those decisions alone.

• 1 January 2027

  Illinois HB 4464: INS-DENTAL COVERAGE REIMBURSE

• 1 January 2027

  Kentucky SB 97: AN ACT relating to coverage for prostheses and orthoses.

  Requires health benefit plans to provide coverage for prostheses and orthoses with minimum standards established on 1 January 2027.

• 1 January 2027

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

  Beginning 1 January 2027, the Maryland Medical Assistance Program and insurers must cover orthoses, their components, repairs, and replacements when medically necessary.

• 1 January 2027

  Maine LD 2201: An Act To Implement Certain Recommendations Related To The Regulatory Review And Approval Of Certain Health Care Transactions Involving Private Equity Companies, Hedge Funds Or Management Services Organizations From The Commission To Evaluate The Scope Of Regulatory Review And Oversight Over Health Care Transactions That Impact The Delivery Of Health Care Services In The State

• 1 January 2027

  New York A 1195: Relates to mandatory health insurance coverage for follow-up screening or diagnostic services for lung cancer

  Requires health insurers to cover follow-up lung cancer screening or diagnostic services recommended by healthcare providers at no cost to patients starting 1 January 2027.

• 1 January 2027

  Rhode Island HB 8579: AN ACT RELATING TO INSURANCE -- PHARMACY BENEFIT MANAGERS ACT

  Requires pharmacy benefit managers to obtain a certificate of authority from the health insurance commissioner to operate in Rhode Island and subjects violators to penalties and restitution.

• 1 January 2027

  Rhode Island HB 8582: AN ACT RELATING TO INSURANCE -- PHARMACY FREEDOM OF CHOICE--FAIR COMPETITION AND PRACTICES

  Requires pharmacy benefit managers to register as third-party administrators, prohibit certain drug substitutions without prescriber approval, allow pharmacists to disclose pricing information, and establish dispute resolution processes for generic drug pricing.

• 1 January 2027

  Utah SB 319: Health Insurance Preauthorization Amendments

  Requires insurers to post preauthorization requirements and statistics on their websites, disclose use of artificial intelligence in authorization reviews, and establish maximum timeframes and validity periods for authorizations.

• 1 January 2027

  Virginia HB 2099: Health insurance; required provisions regarding prior authorization for health care services.

• 1 January 2027

  Virginia SB 1215: Health insurance; required provisions regarding prior authorization for health care services.

  Requires health insurance carriers to include specific provisions in contracts with prescribers regarding prior authorization for drug benefits, including timeframes for approvals, denial reasons, and protections for approved authorizations.

• 1 January 2027

  Washington SB 6228: Removing a tax exemption for the warehousing and reselling of prescription drugs. (REVISED FOR ENGROSSED: Removing a tax exemption for the warehousing and reselling of prescription drugs and providing tax relief for critical access pharmacies.)

• 31 January 2027

  Tennessee SB 2366: Physicians and Surgeons - As enacted, requires the board of medical examiners to issue a provisional foreign training license of two years, which may be extended for an additional one year, to an internationally trained physician who has successfully completed the examination described in current law upon finding sufficient evidence that the internationally trained physician has met certain listed criteria; makes related changes. - Amends TCA Title 63.

• 1 July 2027

  Alaska HB 73: An Act relating to complex care residential homes; and providing for an effective date.

  Requires the Department of Health to regulate complex care residential homes that provide 24-hour specialized care to individuals with mental, behavioral, medical, or disability-related needs.

• 1 July 2027

  Illinois HB 5295: REPRODUCTIVE HEALTH PRIVACY

  Requires electronic health networks to prevent disclosure of patients' abortion-related and gender dysphoria health information to out-of-state entities without explicit patient consent.

Next year's healthcare laws are bills now. Follow them in every state with the Healthcare Legislation Tracker.