In this week’s update: CMS releases new implementation details on the BALANCE model, Alabama Senate committee passes DLR measure, Colorado Governor’s budget continues to propose cuts to medical education funding, Delaware Senate introduces measure to cap healthcare costs, Florida proposed Medicaid work requirements stalls in the House, Maine responds to Medicaid fraud, waste and abuse request for information, Michigan Senate passes package of bills on medical debt and hospital financial assistance programs, Minnesota Governor announces proposal to transform state’s human services system, Mississippi Legislature enrolls bill to loosen CON requirements for rural hospitals, Montana intends to adopt Medicaid work requirements in July, Rhode Island senate democrats release healthcare package proposal, Tennessee subcommittee holds hearing on CON bill, Virginia Legislature passes alternative to PDAB bills, and Wyoming Governor signs abortion ban into law.

In this week’s update: CMS extends deadline for GENEROUS Model Application, Colorado House passes behavioral health workforce bill, Colorado Senate Committee votes down bill to enhance oversight of health care transactions, Florida Department of Health cuts AIDS drug assistance program, Iowa Legislature enrolls prior authorization reform measure, Minnesota sues CMS for withholding $243 million in Medicaid payments, Minnesota 340B covered entities report over $1.3 billion in 340B revenue, New York Attorney General orders hospital to resume gender affirming care to minors, Tennessee bills to prohibit co-ownership of PBMs and pharmacies advance in committees, Texas Attorney General declares gender affirming care ban applies to mental health providers, South Dakota Legislature enrolls legislation clarifying abortion ban, Virginia lawsuit filed challenging reproductive rights constitutional amendment, Washington House Committee advances 340B reform measure, and Wyoming Legislature passes fetal heartbeat abortion ban.

In this week’s update: States sue the Trump Administration on vaccine recommendations, NASHP opens applications for state Medicaid policy and strategy learning collaborative, CMS releases toolkit for Children’s Behavioral Health Services & EPSDT requirements, Arkansas to test pilot Medicaid work requirement checks, Indiana General Assembly passes healthcare reforms and wraps up regular session, CMS to withhold $259 million in federal Medicaid funding to Minnesota, New York Senate passes package of bills focused on healthcare affordability, Oregon Senate passes bill to regulate ICE presence in hospitals, South Carolina Senate passes teledentistry bill, South Dakota enacts rural health recruitment bill, Texas Attorney General files another abortion medication lawsuit, Wyoming House advances abortion measures, and Wyoming Senate advances measures related to Medicaid eligibility.

In this week’s update: Colorado Medical Services Board provides preliminary approval of Medicaid cuts, Connecticut seeks payment caps for unionized nursing home workers, Kansas Senate passes PBM regulatory reform, Minnesota Court of Appeals upholds constitutionality of state 340B contract pharmacy law, New Hampshire House votes against repealing all vaccine mandates, New Mexico Legislature passes bill to repeal abortion reporting requirements, New Mexico Legislature enrolls bills to address healthcare affordability and malpractice reform, Oklahoma purchases vacant hospital for new behavioral health campus, Federal District Court prohibits implementation of key provision of Texas law for vision care plans, Virginia House passes measure to establish PDAB, Wisconsin General Assembly passes postpartum Medicaid expansion and breast cancer screening legislation, and Wyoming Legislature opts against introducing abortion ballot measure.

In this week’s update: Trump Administration to cut $600 million in public health grants to some states, California Governor approves $90 million in grants to family planning providers, Delaware Legislature passes resolution to develop statewide perinatal mental healthcare system, Iowa House subcommittee advances effort to reform subacute mental health care, Iowa House subcommittee advances abortion medication restrictions, Louisiana 340B contact pharmacy law upheld by 5th Circuit, Minnesota advances automated Medicaid pre-payment review system, New Mexico medical malpractice reform bill moves out of committee, New York ASCs to be allowed to perform coronary interventions, South Dakota Governor signs two bills to enhance emergency medical services, Ivermectin bill stalls out in Utah Legislature, Virginia Governor signs bill to send reproductive rights to the ballot, Wisconsin Governor highlights healthcare affordability in his 2026 agenda, and Wyoming seeks to provide Medicaid reimbursement for birthing centers.

In this week’s update: NASHP announces new rural primary care learning network, new lawsuit from multiple state Attorneys General expected against drug manufacturers following settlement on antitrust cases in Connecticut, Florida submits 1115 IMD Demonstration application, Florida Senate committee votes to advance healthcare omnibus and 340B study bill, Illinois joins WHO’s Global Disease Network, Indiana to release RFP all Medicaid manage care programs, Kentucky House passes bill to remove state mandate on water fluoridation, Mississippi Governor signs certificate of need bill into law, Michigan to cancel efforts to overhaul Medicaid mental health administration, New Mexico Legislature adopts Interstate Medical Licensure Compact, North Carolina Governor signs Executive Order related to behavioral health, Oklahoma Governor calls for Medicaid expansion adjustments, Texas resident utilizes recently enacted statutory authority to open a lawsuit concerning Abortion medication, Virginia Senate passes PDAB bill, and West Virginia Senate committee advances abortion medication legislation.

In this week’s update: CMS announces private company investment in Medicaid work requirements implementation, CMS issues Final Rule on non-uniform provider taxes, State Marketplace Network releases state-based marketplace enrollment data, Department of Justice requests federal court to pause Mifepristone case, California psychiatric hospital emergency staffing rules delayed, Florida Senate committee advances bill enhancing vaccine exemptions, Indiana Senate passes bill authorizing civil lawsuits against abortion-inducing drug distribution, Massachusetts releases roadmap for 1115 demonstration extension, Michigan House committee advances 340B measure, Nebraska Governor reverses planned caregiver cap on aged and disabled Medicaid waiver, Oklahoma Governor issues executive order on Medicare Advantage plans, Rhode Island Governor’s budget proposal drops Medicaid coverage of GLP-1s for weight loss, Texas Attorney General files second lawsuit against out-of-state abortion medication provider, and Virginia Senate committee moves PDAB bill forward.

In this week’s update: Connecticut plans for State-Based Exchange subsidies, Florida Senate Committee advances bill authorizing certain lawsuits against drug manufacturers, Idaho Committees consider $22 million in Medicaid cuts, Illinois receives letter from HHS requesting adherence to federal conscience protection laws, Maine committee hears and considers claims of Medicaid fraud, New Mexico Senate and House committees consider licensure compacts and other health reform efforts, New York Governor announces state budget proposal with healthcare implications, North Dakota special session begins to allocate Rural Health Transformation Program funds, Oregon Governor directs $25 million to be invested in maternity care, Texas intends to investigate its own Medicaid program for fraud, and Texas Attorney General launches investigation into any causation between financial incentives and childhood vaccine recommendations.

In this week’s update: Twelve states sue HHS over policy prohibiting gender affirming care, Arkansas legislators discuss CMS rejection of Medicaid dental expansion plan, Idaho Medicaid coverage and benefits at risk in 2026, Kentucky Medicaid Oversight Board issues recommendations for 2026, Massachusetts Governor to prohibit prior authorization requirements for essential care, Missouri Supreme Court upholds ban on gender transition care, and New York Governor unveils new healthcare initiatives.

In this week’s update: CMS awards Rural Health Transformation Program grants, CMS plans to negotiate GLP-1 drug pricing and coverage, HHS revises childhood vaccine schedule, HHS authorized to now share limited Medicaid enrollee personal data, California ends Medicaid coverage of GLP-1 drugs for weight loss, Colorado Joint Budget Committee discusses Medicaid spending concerns, Delaware Legislature sees legislation to weaken state hospital oversight board, Federal Court in Florida rules the state violated constitutional rights of residents dropped from Medicaid, Georgia study committee releases report on cancer care, Maryland Governor introduces legislation to establish state vaccine authority, Mississippi House committee passes CON reform bill, New Jersey enacts bill banning copay accumulators, North Carolina trial court upholds constitutionality of state’s CON law, Utah initiates pilot program to begin prescribing medication renewals, and Wyoming Supreme Court strikes down abortion ban.

In this week’s update: Bipartisan coalition targets misleading AI-generated weight-loss advertisements, District Court orders $1 billion in school mental health grants to be reinstated, Connecticut to help offset loss of ACA tax credits for consumers, Illinois legalizes medical aid in dying, Louisiana reverses Medicaid contract terminations, Nebraska set to become one of first states to implement new Medicaid work requirements, New York Governor announces intent to sign medical aid in dying legislation, and Texas and Florida file lawsuit challenging abortion drug access.

In this week’s update: CDC vaccine committee overturns Hepatitis B recommendation for newborns, CMS issues guidance on community engagement requirements for Medicaid expansion states, Colorado prepares implementation of new behavioral health services utilization review requirements, Florida Speaker proposes new healthcare reform measures, Indiana Appeals Court blocks releases of individual abortion reports, Michigan enacts bills lowing healthcare costs for National Guard members and their families, Mississippi Attorney General issues recommendations on opioid settlement funds, Mississippi Senate study group issues healthcare recommendations for women and children, New York enacts bill requiring hospitals to implement language assistance programs, North Carolina Governor to halt Medicaid rate cuts, and North Carolina Trial Court upholds constitutionality of CON laws in the state.

In this week’s update: Federal Court issues preliminary injunction on effort to prohibit Medicaid funding be directed to Planned Parenthood, Florida Department of Health to hold stakeholder meeting on school immunization requirements, Idaho releases managed care transition RFI, Massachusetts Governor signs FY25 supplemental budget with healthcare implications, Nevada Governor signs special session healthcare bill into law, New Mexico solicits input to improve behavioral health services, North Dakota Supreme Court decision renders abortion care illegal, Washington Insurance Commissioner releases 2026 legislative priorities, Washington AI Task Force releases new interim report, West Virginia Board of Education reinstates school vaccination mandate, and Wisconsin Governor vetoes bill prohibiting state funds for healthcare of undocumented immigrants.

In this week’s update: Florida Senate committee advances measure mandating Medicaid MCOs ensure more after hour care access, Maryland PDAB takes next steps to set UPLs, Nebraska submits 1115 SUD demonstration amendment request, New York provides $6 million for behavioral health crisis response teams, South Carolina Senate committee fails to advance restrictive abortion measure, South Carolina Medicaid to stop covering GLP-1s for obesity, and Wisconsin Senate advances bill prohibiting use of state funds for healthcare services for undocumented immigrants.

In this week’s update: CMS issues preliminary guidance on provider tax sections from OBBA, Connecticut Legislature passes children’s behavioral health efforts, Michigan issues grant funding opportunity for behavioral crisis response initiatives, Maryland task force releases report on decriminalizing natural psychedelics, North Carolina Medicaid cuts to ABA providers are temporarily halted, Oklahoma federal district judge issues preliminary injunction on 2025 340B reform law, and Pennsylvania Governor signs FY25-26 Budget into law.

In this week’s update: All 50 states apply for the Rural Health Transformation Program, SNAP will be partially funded, NASHP to hold webinar on site-neutral payment model legislation, Arizona Governor launches prescription drug discount card program, Challenge filed to Colorado PDAB’s UPL, New York issues first ever report on maternal mental health, North Carolina Governor calls special session to fund Medicaid, Pennsylvania state court hears arguments in Medicaid covered abortion care case, Texas voters pass Proposition 14 to fund Dementia Initiative, and New York judge dismisses Texas challenge to shield law.

In this week’s update: ACA premiums to increase dramatically; California estimates 1.2 million will lose Medi-Cal coverage; Illinois passes measure to require hospitals to have a plan to deal with ICE; Oklahoma’s hospital pricing transparency law goes into effect; Pennsylvania mandates immunization coverage; and West Virginia may be allowed to use public nuisance laws against opioid distributors.

In this week’s update: CMS announces another round of funding for the Innovation in Behavioral Health Model; the USDA notifies states that SNAP funding is suspended due to the federal government closure; Kentucky holds a hearing on fluoride; Massachusetts considers prior authorization reform; a Michigan court allows the DHHS to rebid its prepaid inpatient health plans; and Wyoming considers maternity care shortages.

In this week’s update: Fifteen governors launch the Governors Public Health Alliance, NASHP releases new model law on site neutrality, California Governor signs PBM licensure bill into law, Governor signs CARE Court expansion into law, California to begin selling insulin under its own label, Florida analysis finds notable disenrollment from KidCare program, Florida Auditor General criticizes DBPR for lack of wholesaler and manufacturer monitoring, Mississippi study committee explores health insurance solutions, and North Carolina Governor offers update on medical debt relief program.

In this week’s update: SCOTUS hears oral arguments on conversion therapy case, California Governor signs prior authorization and corporate practice of medicine bills into law, New Maine healthcare commission to focus on healthcare transactions, Federal Court dismissed a challenge to Michigan’s 2022 constitutional amendment that protects abortion care, New Hampshire issues its Rural Health Transformation Plan, New York Drug Utilization Review Board recommends pausing Medicaid coverage of Duchenne drug, Ohio House committees holds hearings on reproductive healthcare legislation, and Pennsylvania lawmakers introduce legislation to regulate AI in healthcare.