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…

In this week’s update: Arkansas and Iowa to prioritize Medicaid work requirements, Georgia to expand Medicaid coverage, Indiana Senate Republicans release 2025 agenda, New Hampshire to consider surprise billing legislation, New Jersey to stockpile abortion medications, New Mexico Democrats propose budget with increased healthcare spending, North Carolina sees new reproductive healthcare executive action, Virginia passes PDAB bill out of committee, West Virginia to authorize religious exemptions for vaccines, and Wisconsin Supreme Court hears oral arguments on case pertaining to rulemaking process.

In this week’s update: California Gov. Newsom issues executive order limiting access to ultra-processed foods, Connecticut Office of Health Strategy implements new CON process, Florida Grand Jury finds no evidence of criminal activity related to COVID-19 vaccines, CMS approves Iowa’s request to extend Medicaid postpartum coverage to 12 months, Indiana proposed bill would repeal Certificate of Public Advantage process, Indiana and Maine cite Medicaid costs heading into 2025, Massachusetts Gov. Healey signs sweeping healthcare reform into law, Virginia lawmakers to address prescription drug costs, and more…

In this week’s update: Colorado’s Hospital Association working on 340B protections, Maryland’s Department of Health to provide $19 million to expand primary care access, Massachusetts Legislature passes health care market reform bill, Michigan’s Senate adopts package to address maternal mortality, Ohio’s Legislature passes hospital price transparency bill and Governor line-item vetoes medical free speech bill, and Washington’s Legislature to consider bill prohibiting cost-sharing on maternal health services.