In this week’s update: CMS issues proposed rules on Medicaid provider tax limits and enhanced reporting requirements, HHS defers over $1 billion in Medicaid payments to California and Minnesota, Arkansas Attorney General sues drug manufacturers alleging 340B contract pharmacy law violations, Georgia Department of Community Health releases claims processing and financial management RFP, Massachusetts Division of Insurance approves double-digit health insurance premium increases, Michigan Governor signs several healthcare bills into law.

In this week’s update: Idaho’s abortion ballot initiative qualifies for November general election ballot, Michigan Department of Health and Human Services announces $34 million in RHTP funding opportunities, Mississippi Department of Health approves revisions to State Health Plan and CON Review Manual, Missouri Governor enacts comprehensive healthcare reform bill, New York State Department of Health seeks five year extension of Medicaid redesign team demonstration, South Dakota U.S. District Judge temporarily blocks abortion pill advertising ban, West Virginia Governor releases $25 million in RHTP funding for preventative health programs.

In this week’s update: 15 states sue Department of Education to block school mental health funding cuts, California Governor Newsom enacts Medi-Cal fair share bill, federal judge issues preliminary injunction on Colorado PDAB’s UPL for Enbrel, Idaho abortion ballot initiative receives 108,000 signatures, Massachusetts Governor Healy signs $63.4 billion budget with HIV PrEP coverage and dental service benefit cap, Missouri releases RFP to provide statewide Medicaid managed care services, North Carolina Governor Stein signs $34 billion budget fully funding Medicaid and repealing CON laws, Ohio Governor DeWine enacts Medicaid fraud prevention bill, Oregon Health Authority awards $97.1 million in RHTP funding, Vermont Governor Scott issues executive order on healthcare affordability, and Wyoming Health Department releases RFP for $205 Million in RHTP funding.

In this week’s update: DOJ launches 2026 national health care fraud takedown, Alabama Medicaid pauses implementation of stricter ABA referral requirements, Kansas rural hospitals form clinically integrated network, Florida Attorney General launches investigation into alleged anticompetitive practices, Illinois Governor signs abortion medical information protection law, Indiana partners with CMS to launch AI Medicaid FWA Prevention Pilot, Iowa becomes first state to full allocate RHTP funding, Maryland extends pause on Medicaid behavioral health provider enrollments, Montana budget shortfall leads to elimination of Medicaid provider pay increases, Vermont Governor enacts legislation to expand optometrist scope of practice, and West Virginia Governor releases RHTP funding for worksite clinics.

In this week’s update: CMS releases 1115 budget neutrality guidance, HHS announces $700 million in funding opportunities for behavioral health services, HHS finds 500 hospitals non-compliant with federal price transparency rules, Colorado receives FDA approval to import lower-cost drugs from Canada, Florida Governor announces Medicaid fraud initiative, Iowa state auditor finds alleged $100 million in PBM Medicaid back-end payments, Nevada Health Authority announces first round of RHTP grant awards, DOJ sues New York state officials over alleged Medicaid fraud, North Carolina Supreme Court rejects petition to bypass Court of Appeals for CON case, PCMA files lawsuit against Tennessee law prohibiting joint pharmacy and insurer or PBM, Vermont Governor vetoes legislation implementing reference-based pricing, Wisconsin DHS releases $40 million in RHTP grant funding, and Wyoming judge rules three state abortion laws are unconstitutional.

In this week’s update: SAMHSA unveils $40 million in funding for behavioral health initiatives in communities, Alabama Attorney General issues cease-and-desist letters to companies over mail-order abortion pills, Arizona finalizes budget with rural health and human services funding, Arkansas RHTP grant released focusing on healthcare workforce and service gaps, Idaho opens first round of RHTP funding opportunities, Montana to move forward with July 1 Medicaid community engagement implementation, New Jersey calls for expanded access and coordination in youth mental health services, North Carolina expands RHTP efforts with EMS workforce funding opportunity, Rhode Island creates commission to study hospital staffing levels and patient safety, Rhode Island Senate advances bill to establish a licensure pathway for foreign-trained dentists and hygienists, and Virginia enacts Sickle Cell reform package.

In this week’s update: CMS releases Interim Final Rule on Medicaid work requirements, Connecticut Governor signs law restricting private equity influence in hospitals, Colorado judge hears arguments on manufacturer lawsuit against PDAB, Florida Governor considers options on FY27 Budget, Illinois Legislature enrolls 340B reform and downcoding legislation, Hawaii experiences federal funding cut to its Medicaid Fraud Control Unit, Louisiana Legislature enrolls measures to establish a PDAB and accelerate MCO utilization review determinations, Sixth Circuit Court affirms decision to dismiss lawsuit against a 2022 Michigan constitutional amendment protecting abortion access, New York Governor signs FY27 budget with an increase to Medicaid, Ohio Medicaid MCOs are required to apply new statewide prior authorization standards, CMS approves Oregon’s proposal for rural maternity care support, Pennsylvania releases RFI for Community HealthChoices MCO procurement, Texas House holds interim committee hearings on affordability and RHTP, Washington seeks comments on defining medical frailty for its Medicaid work requirements implementation, and West Virginia Governor announces $3.4 million in new RHTP funding.

In this week’s update: Alaska Legislature passes bills to fulfill RHTP application commitments, California 1115 Waiver open for public comment, Connecticut enacts CON reform, Illinois Legislature enrolls bill prohibiting certain downcoding practices, Iowa enacts prior authorization reform and a tax on vapes and alternative nicotine products, Minnesota releases RFI on Medicaid work requirements, Mississippi Legislature holds hearing on RHTP implementation, Nevada providers urge Legislature to strengthen 340B protections, New Mexico Governor expands health professional loan repayment program, Tennessee faces lawsuit on law prohibiting joint PBM and pharmacy ownership, and Vermont enrolls reference-based pricing bill.

In this week’s update: CMS proposes caps to Medicaid provider payment rates, California has deferral of $1.3 billion in Medicaid reimbursements, Illinois’ House engrosses bill to establish PDAB with UPL authority, Indiana Medicaid gets CMS approval to incentivize hospitals to lower costs, Iowa’s Governor Reynolds signs bill restricting telehealth abortion medication access, Maryland PDAB votes to set UPL on Ozempic, New Jersey Assembly engrosses comprehensive PBM reform bill, Pennsylvania Attorney General Sunday appeals ruling authorizing Medicaid funding for abortions, Tennessee Governor Lee enacts law prohibiting joint PBM, pharmacy, and health plan ownership, Virginia Governor Spanberger vetoes PDAB Advisory Panel bill, Wyoming gets CMS approval for updated RHTP application.

In this week’s update: SCOTUS overrides ban on mail-order abortion medication access, Arizona to utilize AI for Medicaid prepayment claim review, Colorado Governor signs FY27 budget with Medicaid reductions, Delaware Governor announces introduction of two bills to lower healthcare costs, Georgia issues Medicaid fraud, waste and abuse RFI, Indiana Supreme Court denies petition to hear challenge to state abortion ban, Iowa Governor signs prior authorization reform bill into law, Minnesota Senate opts not to concur with House adopted Medicaid reform bill, Missouri General Assembly enrolls healthcare omnibus bill, New Hampshire House Committee opts to sit on insurer assessment bill, Rhode Island Attorney General announces a series of healthcare reform legislation, Virginia Governor signs package of bills related to healthcare, and West Virginia Governor announces additional RHTP funding.

In this week’s update: SCOTUS temporarily reinstates mail-order abortion medication rule, Arkansas opens up application portal for RHTP Funding, Connecticut Legislature enrolls bill providing oversight of private equity nursing home ownership, Idaho Medicaid managed care implementation delayed due to MMIS contract, Montana seeks applicants for RHTP Center of Excellence Advisory Council, New Mexico releases RFP for RHTP technical assistance vendor for rural providers, North Carolina Senate passes bills related to Medicaid reimbursed facility fees and hospital price transparency, North Carolina county officials delay vote on WakeMed and Atrium Health merger, Oklahoma Attorney General requests state audit of Oklahoma Health Care Authority, Oklahoma enacts bill banning abortion-inducing medications, Settlement reached in Oregon case challenging corporate medicine law, Tennessee enacts bill allowing COPA to expire for health system, and Lawsuit filed in Virginia to overturn abortion ballot initiative.

In this week’s update: Alabama Medicaid releases RFPs for Medicaid Management Information System, Colorado Legislature enrolls budget limiting coverage for immigrant children and capping dental benefits, Florida House rejects Governor’s efforts at vaccine repeal bill, Kentucky circuit court finds certain provisions of near-total abortion ban unconstitutional, Fifth Circuit blocks mail-order abortion medication nationwide, Mississippi Governor launches Rural Health Transformation Program Office, Nebraska becomes the first state to implement Medicaid work requirements, North Carolina enacts bill to fund Medicaid shortfall and implement program integrity measures, Federal District Court finds North Dakota’s 340B contract pharmacy law unconstitutional, Oklahoma Senate enrolls bill criminalizing abortion pill dispensing, Pennsylvania releases applications for Rural Health Transformation Program grant funding, Utah Medical Licensing Boards requests a suspension of the AI Pilot Prescription Program, and Wyoming state court granted temporary block on state abortion band.

In this week’s update: CMS issues Medicaid FWA letters to Governors and Medicaid Directors, Connecticut Senate engrosses bill restricting REITs in healthcare, Delaware Senate enrolls bill removing COPA requirement for major medical equipment, Idaho Rural Health Transformation Committee begins process to award state’s funding, Kentucky to implement 1115 reentry demonstration, Louisiana Attorney General asks 5th Circuit to block mail-order abortion medication, North Carolina Legislature enrolls bill covering Medicaid shortfall and introducing program integrity measures, Pennsylvania court finds ban on Medicaid abortion coverage unconstitutional, South Carolina Senator seeks to block debate on abortion ban bill, Tennessee Legislature enrolls bill restricting joint PBM, pharmacy, and health insurer ownership, Sixth Circuit affirms ERISA exemptions from pharmacy anti-steering laws, and Virginia Legislature rejects Governor’s amendments to Prescription Drug Affordability Advisory Panel bill.

In this week’s update: Florida opens applications for RHTP grants, Idaho Governor signs Medicaid work requirements legislation, Iowa House subcommittee advances bill restricting mail-order abortion medication, Iowa Legislature enrolls bill to expand subacute mental health services, Maryland PDAB votes to set upper payment limit on Jardiance, Missouri House committee advances emergency contraception bill, Nevada launches the Nevada Hospital Price Finder tool, Federal judge in Oregon rules that state law requiring insurance coverage of abortion care and contraception is unconstitutional, Oklahoma Legislature enrolls bill to order a referendum seeking to move Medicaid expansion authority from the constitution to statute, Tennessee Legislature enrolls bill removing CON requirements for acute care hospitals, Tennessee Legislature enrolls bill setting expiration date on a hospital system’s certificate of public advantage, and Virginia Governor issues amendments to the Prescription Drug Affordability Advisory Panel bill.

In this week’s update: Kansas Legislature overrides Governor Kelly’s veto of two abortion bills, Federal judge in Louisiana issues a hold on a telehealth abortion pill case, Louisiana Governor establishes Office of Rural Health Transformation and Sustainability, Maine Governor enacts legislation expanding physician associate scope of practice, Maine Legislature enrolls two bills to bolster vaccine access, Minnesota Senate committee advances Medicaid fraud bill, Nebraska opens applications for the Rural Health Workforce Incentive program, North Carolina announces new Rural Health Transformation Program Director, Ohio Rural Health Transformation Program funding released, Tennessee House enrolls bill setting expiration date on hospital system’s COPA, Texas Attorney General launches fraud investigation into Medicaid providers, and Utah case on abortion trigger law now delayed.

In this week’s update: Federal investigation into undocumented Medicaid enrollees yields limited findings, Colorado Department of Health Care Policy and Financing Executive Director resigns, Colorado Joint Budget Committee staff drafts state budget with Medicaid cuts, U.S. Supreme Court rules against Colorado’s ban on conversion therapy, Idaho to delay Medicaid managed care implementation, Idaho Governor approves restoring funds to Medicaid mental health programs, Maryland Legislature establishes protections for emergency abortions, Mississippi Legislature sends bill to ban abortion-inducing drugs to Governor, Nevada Health Authority submits SPA to update Medicaid reimbursement policies, New Mexico Senate Republicans request a fraud, waste and abuse committee, North Carolina State Treasurer requests the North Carolina Supreme Court to revisit CON law, South Dakota announces interim committee work related to healthcare, South Dakota awards $7.8 million in opioid settlement grants, Tennessee House of Representatives is set for a vote on CON reform measure this week, Virginia Legislature enrolls contraception bills, Pharmaceutical companies sue Washington state over its recently enacted 340B drug pricing law, and 4th Circuit upholds a preliminary injunction on West Virginia 340B law.

In this week’s update: Colorado House Committee adopts measure to require certain businesses to help fund Medicaid, Idaho enrolls measure to cut Medicaid disability services by $21.8 million, Idaho enrolls bill establishing Medicaid work requirements, Illinois PDAB bill moves past first committee vote in the House, Iowa enrolls bill to raise taxes on HMO plans, Iowa enrolls bill to strengthen conscience protections for providers, Kansas enrolls PBM dispensing and transparency bill, Mississippi Governor signs CON reform into law for rural hospitals, Missouri Senate passes measure enhancing access to outpatient services for involuntary mental health treatment, Nebraska seeks to limit retroactive Medicaid eligibility, Oregon PDAB approves 2025 Drug Review Report and identifies subset list for 2026 review, Oklahoma House adopts measures to send Medicaid expansion questions back to the ballot, and West Virginia establishes a Rural Health Transformation Program email listserv.

In this week’s update: Federal judge temporarily blocks HHS from changing childhood vaccine recommendations, HHS launches investigation into 13 states for possibly violating the Weldon Amendment, Alabama becomes the 24th state to join the Physician Assistant Licensure Compact, Trump Administration requests information from Florida on Medicaid fraud oversight, Idaho Legislature weighs competing bills on directing Rural Health Transformation Program funds, Iowa House Committee approves measure to address Medicaid shortfall, Kansas Governor enacts bill expanding optometrist scope of practice, Maryland PDAB publishes draft UPL regulations for public comment, North Carolina Senate Committee establishes healthcare priorities ahead of upcoming short session, Oklahoma Rural Health Transformation Program releases first NOFO, Tennessee continues movement on CON reform, Utah Governor signs healthcare measures into law, and Wisconsin Governor signs bill extending postpartum Medicaid coverage into law.

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.