In this week’s update: California advances prior authorization bills, Connecticut fails to amend hospital provider tax increase prior to end of session, Florida Attorney General issues subpoenas on health price transparency probe, Florida submits new 1115 demonstration application for workforce programs, Illinois budget leaves out coverage for some undocumented immigrants, Massachusetts Senate holds hearing on upper payment limits bill, Minnesota special session on budget to consider eliminating Medicaid coverage for undocumented immigrants, Nebraska enacts prior authorization reform, North Carolina Senate passes healthcare reform measure, Oregon Legislature considers amending Death with Dignity Act, Pennsylvania House passes insurance mandate for contraceptive coverage, and Texas enrolls its budget with significant implications for healthcare.

In this week’s update: CMS to enhance oversight on states providing Medicaid coverage for undocumented immigrants, lawsuits filed in Arkansas on bill restricting PBMs from owning pharmacies, California Senate passes gold carding bill, Illinois General Assembly enrolls PBM reform measure, Kentucky establishes interim legislative healthcare task forces, Louisiana House Committee votes down anti-fluoride bill, Missouri Supreme Court blocks recent abortion circuit court ruling, Nebraska passes bill reforming state’s behavioral health contracts, New Hampshire settles lawsuit on state’s provider tax and a House Committee votes to pass surprise billing protections, North Carolina House adopts two-year budget proposal and Senate amends prior authorization bill, Oklahoma Legislature overrides Governor’s veto on 340B bill, prior authorization bills in Oklahoma become enacted, Texas House opts not to consider distribution of abortion medication measure, Texas Legislature enrolls telehealth and provider payment bills, and West Virginia Governor’s Executive Order authorizing religious exemptions from vaccinations in school settings is challenged in court.

In this week’s update: Colorado opts to cover GLP-1s to a limited extent for state employees, Connecticut reaches agreement on Medicaid spending and Senate passes bill limiting insurers’ rate increases, Delaware legalizes physician-assisted suicide, Maryland enacts PDAB bill and the Department of Health proposes regulations for community-based behavioral health programs, Minnesota Governor and Legislature reach budget agreement which eliminates coverage for undocumented immigrants, Montana Governor vetoes presumptive eligibility and mandatory coverage bills, New York Senate passes healthcare package, New York submits 1115 demonstration amendment for its Medicaid Buy-In for Working People with Disabilities program, Ohio legislative leader introduces 340B bill, Oklahoma Governor vetoes 340B bill, and Texas House passes bill clarifying medical exceptions to abortion.

In this week’s update: U.S. House Energy & Commerce Committee release reconciliation proposal with significant state Medicaid implications, California Governor’s revised budget takes on PBM reform and healthcare for undocumented immigrants, Florida Governor to veto medical malpractice reform, Georgia enacts teledentistry bill into law, Iowa enrolls Medicaid work requirements and PBM reform, Kentucky releases proposal on Medicaid community engagement, Michigan state judge strikes down state’s 24-hour waiting period for abortion care, Missouri sending abortion back to the ballot, Nevada Governor introduces healthcare reform package, Oklahoma enrolls 340B reform, Rhode Island Senate passes cap on prescription drug costs, and a Texas bill codifying transparency requirements on costs for undocumented immigrants stalls out and the Governor submits waiver on SNAP.

In this week’s update: NASHP launches cell and gene therapy state network, Alabama authorizes Farm Bureau health plan, Colorado enrolls 340B bill, Florida enrolls mental health reform bill, Florida Medicaid Expansion campaign files suit against state, Georgia submits 1115 demonstration extension application, Illinois Governor signs EO on data sharing of individuals with autism, Michigan Attorney General files lawsuit against PBMs, Minnesota House passes human services omnibus, North Carolina passes surprise billing protections for ambulance services, New York Governor signs budget with key healthcare provisions, Texas 340B bill waiting for agenda placement in House Calendars Committee, and Virginia Governor vetoes contraception bill.

In this week’s update: U.S. HHS Secretary Robert F. Kennedy, Jr., announces new programs at NCOIL, Arizona Governor signs provider credentialing bill, Colorado Governor likely to sign non-compete prohibition for physicians, California considers prior authorization reform, Florida bans Fluoride, Iowa Senate passes PBM reform and considers prohibition on Medicaid funding for gender dysphoria treatment, Missouri closer to putting abortion back on the ballot, Nevada Senate passes bill limiting AI in prior authorization, North Carolina House passes significant prior authorization reform, Texas takes action on a number of bills related to abortion and vaccines, and Washington enrolls a measure to standardize mental health coverage.

In this week’s update: Colorado considers EMTALA-like bill, Florida examines bill prohibiting discrimination based on vaccination status, Indiana General Assembly adjourns with numerous healthcare measures enrolled, Michigan Senate passes PDAB bill, Mississippi Governor vetoes CON bill, Montana does not advance personhood constitutional amendment, New Jersey proposes newly integrated care licensure standards, New Mexico Governor signs M&A oversight bill, North Dakota Senate passes prescription drug cost measure, Ohio Medicaid releases study on moving to single PBM model, Oklahoma advances bill to criminalize delivery of abortion-inducing medications, Tennessee enrolls 340B bill, Texas holds hearing on bill related to uncompensated care costs for certain immigrants, and Vermont enrolls bill to erase medical debt.

In this week’s update: CMS issues SMD letter on gender affirming care, Alabama enacts PBM reform, Arizona submits 1115 amendment to CMS, Arkansas submits waiver banning soft drinks and candy under SNAP and enrolls Medicaid MLR bill, California enacts Medicaid supplemental budget, Idaho court loosens abortion ban, Indiana enrolls Medicaid reform and Governor Mike Braun issues new healthcare executive orders, Iowa submits 1115 amendment for work requirements and the Legislature advances healthcare appropriation bills and prior authorization reform, Missouri constitutional amendment to ban abortion passes the House, Nevada Assembly committee passes bill establishing psychedelic therapy pilot program, and North Carolina Senate approves measure to repeal CON and rolls out their budget plan.

In this week’s update: Updates on CMS nursing home staffing rule and federal match for DSIP and DSHP initiatives, Alabama moves forward on PBM reform and coverage initiatives, Arkansas enrolls bill prohibiting PBMs from owning pharmacies, Idaho enacts legislation limiting public benefits for certain immigrants, Illinois right of conscience law ruled partly unconstitutional, Indiana moves forward on Medicaid reform, Maryland’s UPL bill goes to the Governor, Nebraska enacts 340B reform, New York enrolls bill to prohibit for-profit hospices, Oregon Senate advances bill to limit hospital facility fees, Vermont CON bill receives hearing, and Washington enacts prior authorization bills.

In this week’s update: Temporary relief to state’s $11 billion in federal funding for infectious disease purposes, Court ruling prohibits Alabama from prosecuting for out-of-state abortion care assistance, Arkansas submits 1115 demonstration application, Arkansas House passes bill prohibiting PBMs from owning pharmacies, California Medical Association releases advocacy agenda, Georgia passes protections for IVF, Indiana keeps moving Medicaid reform along, Michigan invests in Healthy Community Zones, Mississippi Governor vetoes Medicaid reform bill, Montana Governor signs bill extending Medicaid expansion, Nebraska cuts funding to prescription drug donation program, Nevada considers fixes to Medicaid shortfall, North Carolina considers CON repeal and Medicaid work requirements, South Carolina Governor’s nominee for Director of Public Health fails to advance, and West Virginia opts against moving Medicaid expansion poison pill and advances bill to restrict abortion care medications.

In this week’s update: HHS pulls back $12 billion in funding to states, Arkansas enacts PBM prompt payment bill, activity in Colorado on UPLs and 340B, Florida committees navigate AI in healthcare and the House passes medical malpractice reform, Iowa Senate passes Medicaid work requirements, Kentucky General Assembly overrides vetoes on healthcare bills, Maine submits 1115 renewal application, Mississippi enrolls CON reform, New York provides guidance on healthcare transaction law, North Dakota Senate passes 340B bill, Pennsylvania House passes bill to codify ACA protections in state statute, Oklahoma House passes measure on limiting insulin costs, Oregon opts against pursuing UPL setting authority for PDAB, Utah enacts 340B reform, Virginia Governor vetoes PDAB bill again, West Virginia enacts bill banning food dye and considers limited CON reform.

In this week’s update: Alabama Senate advances PBM reform, California and Connecticut grapple with continued Medicaid budget shortfalls, Florida Senate considers medical malpractice adjustments, Indiana continues committee work on Medicaid and health cost reform, Idaho Governor signs Medicaid reform into law, Iowa continues Appropriations committee work on health care legislation, Kentucky enrolls Medicaid reform, New Mexico House passes healthcare transaction reform, New Hampshire holds second hearing on bill to repeal vaccine purchasing program, New York launches new PBM and drug manufacturer complaint platform, North Carolina to consider prior authorization legislation, Ohio court issues ruling on gender-affirming care ban, Ohio Governor provides new details on dental pilot program, Pennsylvania House seeks to codify ACA protections, and Washington House considers bill authorizing restitution to victims of fraudulent and illegal acts by insurers.

In this week’s update: California and Maine navigate Medicaid budget shortfalls, Colorado continues work on mental health reform, Connecticut and Mississippi continue work on PBM reform, Connecticut FQHCs file petition calling for increased Medicaid rates, Idaho passes Medicaid reform, Kentucky amends state’s abortion ban, Louisiana audit examines Medicaid incentive payment program, Maryland inches closer to enhanced PDAB authority, Michigan advances 340B and medical debt measures, Missouri advances gold carding measure, Montana judge strikes down two 2023 abortion bills, New Hampshire advances Medicaid work requirements bill, New Mexico continues effort to reform prior authorization, Tennessee tackles conscience protections for providers, and Utah will be the first state to ban fluoride.

In this week’s update: CMS rescinds HRSN guidance for states, Arizona abortion ban found unconstitutional, Colorado passes mental health reform, Delaware providers prepare for legislative session, Florida regulators request personal prescription drug data, Idaho negotiated Medicaid expansion bill passes House, Missouri House passes bill to cover hearing aids, Mississippi moves CON and PBM measures, New Hampshire moves bill to terminate vaccine association, Ohio seeks implementation of Medicaid work requirements, Oregon considers corporate practice of medicine bill, South Dakota approves sending another Medicaid question to the ballot in 2026, and West Virginia debates universal licensure bill.

In this week’s update: Arizona House tackles AI in prior authorization and Medicaid expansion reform, Connecticut passes emergency CON process and mifepristone stockpile, Florida prepares to consider scope of practice enhancements, Idaho sees negotiated Medicaid reform bill introduced, Illinois releases audit on health care programs for noncitizens, Montana Legislature signs off on Medicaid expansion extension, New Hampshire prepares for Medicaid premiums, New Mexico Governor signs behavioral health reform into law, New York considers bill to lower prescription drug prices and finalizes new network adequacy regulations for behavioral health, Utah close to banning fluoride, Virginia wraps their session and sends prior authorization and PDAB bills to the Governor, West Virginia House committee votes CON repeal down, and Wyoming Governor signs measure limiting access to abortion services.

In this week’s update: Arkansas Senate adopts reform to vision benefit plans, Florida Senate committee passes step therapy prohibition, Idaho House passes limitations on Medicaid expansion, Illinois Governor Pritzker highlights prescription drug costs in State of the State, Indiana deals with Medicaid and other health care reform, Kansas legislature overrides veto on gender-affirming care ban, Maryland moves on Exchange subsidies and PDAB measure, Mississippi House enhances APRN scope, Missouri circuit court strikes down abortion care facility licensure requirements, Montana continues discussion of extending Medicaid expansion, New Mexico House moves on behavioral health reform, Texas entertains legislation limiting insurers’ use of certain PBMs, Virginia House passes prior authorization reform, and West Virginia deals with CON reform.

In this week’s update: Arkansas Senate Committee votes down repeal of fluoride requirement in water, Colorado House passes measure on mental health coverage, Georgia advances measure prohibiting funds for gender affirming care, Idaho and Montana tackle questions on Medicaid expansion programs, Indiana House Committee advances Medicaid HCBS diversion measure, Kansas Governor vetoes measure banning gender affirming care for minors, Louisiana to stop promoting mass vaccination efforts, Maine can’t advance Medicaid supplemental budget, Montana House committee advances personhood proposal, New Mexico moves behavioral health reform through Senate, North Carolina Senate locks number of health coverage mandates, North Dakota considers prior authorization reform, Pennsylvania examines rural healthcare workforce, Tennessee Governor announces healthcare investments in State of the State, and Wisconsin continues to consider Medicaid postpartum coverage extension.

In this week’s update: Arkansas House committee examines vision insurance changes, Colorado’s Lt. Governor seeks to establish healthcare reimbursement maximums, Connecticut Governor prioritizes prescription drug reform, Idaho and Montana examine their Medicaid expansion programs, Indiana lawmakers continue their efforts on healthcare reform, Kentucky and Nebraska lawmakers consider 340B reform bills, Missouri navigates facility licensure barriers for abortion services, New Mexico Senate continues work on behavioral health reform, New York pushes back on the federal administration with key activities, and Rhode Island Senators introduce package of healthcare reform bills.

In this week’s update: OMB memo on funding freeze, Alabama looks at prior authorization reform and extending presumptive eligibility, Arkansas submits 1115 demonstration amendment, Connecticut considers Medicaid rate increase, Illinois considers PDAB establishment this session, Maine to consider 340B reform, Mississippi House passes CON reform and the Governor opposes Medicaid expansion, Montana to invest in behavioral health care capacity, Nebraska grapples with low behavioral health reimbursement for dual-eligibles, North Carolina to consider prior authorization reform, and North Dakota’s gender affirming ban hears challenge in state court.

In this week’s update: California Governor declares State of Emergency, Colorado to limit state employee coverage of GLP-1s, Connecticut to consider enhanced oversight of healthcare ownership and transactions, Georgia and South Carolina to make moves on 1115 waivers, Indiana Governor issues five healthcare executive orders, Maine kicks off supplemental budget hearings, Mississippi House passes bill on PBM transparency, New York passes bill on health privacy, South Dakota wants to send Medicaid expansion back to the ballot, and more…