Title: prohibiting surprise ambulance billing and regulating ground ambulance reimbursement.
Current Status: Passed House
Introduction Date: 2025-01-23
Last Action Date: Ought to Pass with Amendment 2025-2458h: MA VV 06/05/2025 HJ 16. 2025-06-05
Summary: This bill prohibits health carriers and providers from balance billing for ambulance services and establishes parameters for reimbursement of ground ambulance services by participating and non-participating ambulance service providers.
Location: US-NH
Title: AN ACT CONCERNING PROTECTIONS FOR ACCESS TO HEALTH CARE AND THE EQUITABLE DELIVERY OF HEALTH CARE SERVICES IN THE STATE.
Current Status: Passed House
Introduction Date: 2025-03-18
Last Action Date: Disagreeing Action, Tabled for Calendar, Senate. 2025-05-29
Summary: This act proposes amending the general statutes to protect ongoing access to health care and ensure the equitable delivery of health care services in the state, particularly in response to potential changes in federal law. The purpose of the act is to maintain consistent access to and fairness in health care services for state residents.
Description: To protect continued access to health care and the equitable delivery of health care services in the state.
Location: US-CT
Title: An Act to Provide Full Reimbursement for Emergency Ambulance Services Provided to MaineCare Members
Current Status: Failed
Introduction Date: 2025-04-03
Last Action Date: Pursuant to Joint Rule 310.3 Placed in Legislative Files (DEAD). 2025-05-27
Summary: This bill mandates full reimbursement for emergency ambulance services provided to MaineCare (Medicaid) members, ensuring payments at the usual, customary, and reasonable rate as determined by the Department of Health and Human Services. It applies to municipal, quasi-municipal, private ambulance services, and fire department emergency medical services. The department must allocate sufficient state and federal funds, prioritize federal matching funds, and submit an annual report to the Legislature on reimbursement data and policy recommendations. The bill includes a rulemaking requirement.
Location: US-ME
Title: SPECIAL DAY/WEEK/MONTH: Designates the week of May 18-24, 2025, as Emergency Medical Services Week in Louisiana.
Current Status: Enacted
Introduction Date: 2025-05-14
Last Action Date: Enrolled. Signed by the President of the Senate and sent to the Secretary of State by the Secretary of the Senate on 5/22/2025.. 2025-05-27
Location: US-LA
Title: Ems-Opioid Overdose Reports
Current Status: Passed Senate
Introduction Date: 2025-02-07
Last Action Date: Passed Both Houses. 2025-05-22
Description: Amends the Emergency Medical Services (EMS) Systems Act. In provisions concerning opioid overdose reporting, provides that overdose information reported by a covered vehicle service provider shall not be used in an opioid use-related criminal investigation, prosecution, welfare checks, or warrant checks of the individual who was treated by the covered vehicle service provider personnel for experiencing the suspected or actual overdose. Provides that any misuse of the information reported by a covered vehicle service provider shall result in, but is not limited to, the Department of Transportation reporting misuse to the Washington/Baltimore High Intensity Drug Trafficking Area Overdose Detection Mapping Application or similar technology platform. Permits the Department of Health to adopt rules to set forth standards under which misuse of access may be reported to the Washington/Baltimore High Intensity Drug Trafficking Area Overdose Detection Map or similar platform based on misuse or misconduct by a covered vehicle service provider or other individual or entity at the discretion of the Department. Provides that no data that allows for or creates a risk of identification of an individual or individuals experiencing a suspected or actual overdose treated by the covered vehicle service provider personnel shall be submitted to the Washington/Baltimore High Intensity Drug Trafficking Area Overdose Detection Mapping Application or Similar technology platform. Provides that covered vehicle service provider personnel may report overdose surveillance through an identified technology platform for the use of overdose surveillance under exceptions to HIPAA and the reported data shall only be used to support public safety and public health efforts. Sets forth additional provisions concerning requirements for the Department concerning opioid overdose reporting. Makes changes to defined terms. Provides that, upon receipt of a patient care report that documents an overdose, the Department of Public Health (rather than a covered vehicle service provider) shall report the information from a patient care report to the specified organizations. Makes other changes. Replaces everything after the enacting clause. Amends the Emergency Medical Services (EMS) Systems Act. Makes changes to defined terms. Provides that, upon receipt of a patient care report that documents an overdose, the Department of Public Health (rather than a covered vehicle service provider) shall report the information from a patient care report to the specified organizations. In provisions concerning opioid overdose reporting, provides that overdose information reported by a covered vehicle service provider shall not be used in an opioid use-related criminal investigation, prosecution, welfare checks, or warrant checks of the individual who was treated by the covered vehicle service provider personnel for experiencing the suspected or actual overdose. Provides that any misuse of the information reported by a covered vehicle service provider shall result in, but is not limited to, the Department of Transportation reporting misuse to the Washington/Baltimore High Intensity Drug Trafficking Area Overdose Detection Mapping Application or a similar technology platform. Establishes rulemaking authority for the Department concerning standards under which misuse of access may be reported. Prohibits the submission of data that allows for or creates a risk of identification of an individual or individuals experiencing a suspected or actual overdose treated by the covered vehicle service provider personnel. Permits covered vehicle service provider personnel to report overdose surveillance through an identified technology platform for the use of overdose surveillance, as provided. Sets forth additional provisions concerning opioid overdose reporting requirements for the Department.
Location: US-IL
Title: An Act to Establish the Maine Emergency Medical Services Commission
Current Status: Failed
Introduction Date: 2025-04-10
Last Action Date: Pursuant to Joint Rule 310.3 Placed in Legislative Files (DEAD). 2025-05-21
Location: US-ME
Title: A resolution to declare May 18-24, 2025, as Emergency Medical Services Week in the state of Michigan.
Current Status: Enacted
Introduction Date: 2025-05-21
Last Action Date: adopted. 2025-05-21
Location: US-MI
Title: EMS Week
Current Status: Enacted
Introduction Date: 2025-05-01
Last Action Date: Scrivener's error corrected. 2025-05-20
Description: A Concurrent Resolution To Declare The Week Of May 18-24, 2025, As The Fifty-First "Emergency Medical Services Week" In South Carolina, In Recognition Of The Vital Contributions That Emergency Medical Services Teams Make To Public Health And To The State Of South Carolina.
Location: US-SC
Title: Senate Resolution Commemorating The 50Th Anniversary Of "National Ems Week" On May 18-24, 2025, In The State Of Rhode Island
Current Status: Enacted
Introduction Date: 2025-05-14
Last Action Date: Senate read and passed. 2025-05-15
Location: US-RI
Title: An Act amending Title 20 (Decedents, Estates and Fiduciaries) of the Pennsylvania Consolidated Statutes, in health care, further providing for applicability, for definitions, for criminal penalties, for emergency medical services, for definitions, for orders, bracelets and necklaces, for revocation, for absence of order, bracelet or necklace and for emergency medical services, repealing provisions relating to advisory committee and providing for discontinuance and for Pennsylvania orders for life-sustaining treatment.
Current Status: In Senate
Introduction Date: 2025-05-12
Last Action Date: Referred to Health & Human Services. 2025-05-12
Location: US-PA
Title: An Act making appropriations for the fiscal year 2026 for the maintenance of the departments, boards, commissions, institutions, and certain activities of the commonwealth, for interest, sinking fund, and serial bond requirements, and for certain permanent improvements
Current Status: In House
Introduction Date: 2025-04-17
Last Action Date: Consolidated amendment F (Energy and Environmental Affairs) adopted - 154 YEAS to 3 NAYS (See YEA and NAY No. 46 ). 2025-04-30
Summary: This bill allocates $1,980,000 in grant funding to improve reproductive health access, infrastructure, and security. Grants may be awarded to organizations such as Tides for Reproductive Freedom, the Abortion Rights Fund of Western Massachusetts, and the Eastern Massachusetts Abortion Fund. By March 3, 2026, the Department of Public Health must report to the House and Senate Committees on Ways and Means with details on how grants were distributed, a full list of applicants, and information on recipients, including award amounts and supported projects.
Location: US-MA
Title: A Resolution recognizing the week of May 18 through 24, 2025, as "Emergency Medical Services Week" in Pennsylvania.
Current Status: In House
Introduction Date: 2025-04-22
Last Action Date: Referred to Veterans Affairs & Emergency Preparedness. 2025-04-22
Location: US-PA
Title: HB1767 - TO ABOLISH THE EMERGENCY MEDICAL SERVICES ADVISORY COUNCIL; AND TO CREATE THE EMERGENCY MEDICAL SERVICES ADVISORY COMMITTEE.
Current Status: Enacted
Introduction Date: 2025-03-12
Last Action Date: Notification that HB1767 is now Act 863. 2025-04-17
Location: US-AR
Title: An Act amending Title 20 (Decedents, Estates and Fiduciaries) of the Pennsylvania Consolidated Statutes, in health care, further providing for applicability, for definitions, for criminal penalties, for definitions, for orders, bracelets and necklaces, for revocation, for absence of order, bracelet or necklace and for emergency medical services, repealing provisions relating to advisory committee and providing for discontinuance and for Pennsylvania orders for life-sustaining treatment; and making an editorial change.
Current Status: In House
Introduction Date: 2025-04-17
Last Action Date: Referred to Judiciary. 2025-04-17
Location: US-PA
Title: Relating to emergency medical services; creating new provisions; amending ORS 137.300, 682.208 and 682.216 and sections 2, 3, 4, 5, 6, 7, 8, 10, 11, 12, 31 and 32, chapter 32, Oregon Laws 2024; and prescribing an effective date.
Current Status: In House
Introduction Date: 2025-02-18
Last Action Date: Referred to Ways and Means by prior reference.. 2025-04-10
Description: Digest: The Act tells the EMS Program to make a 10-year strategic plan and to give money to some emergency medical services providers. The Act also tells the program to give money to some areas of the state to make EMS better. The Act lets the Governor use EMS resources for emergencies in this state. (Flesch Readability Score: 66.7). [Digest: The Act tells the EMS Program to make a 10-year plan and give money to some EMS providers. The Act also makes Oregon join a compact to let EMS providers from other states work in this state. The Act also tells the program to give money to some areas of the state to make EMS better. The Act lets the Governor use EMS resources for emergencies in this state. (Flesch Readability Score: 76.6).] Directs the Emergency Medical Services Program to develop a state emergency medical services 10-year strategic plan. Sunsets on January 2, 2037. Directs the program to provide loan repayment subsidies to certain licensed emergency medical services providers. Directs the program to subsidize the cost of obtaining an emergency medical services provider license for which an individual must have earned at least an associate degree. [Enacts the EMS Personnel Licensure Interstate Compact. Permits the Oregon Health Authority to disclose specified information to the Interstate Commission for EMS Personnel Practice. Exempts individuals authorized to work as emergency medical services providers from the requirement to obtain a license from the authority. Allows the authority to use moneys to meet the financial obligations imposed on the State of Oregon as a result of participation in the compact. Requires an entity to provide a labor peace agreement prior to engaging certain individuals authorized under compact privilege to practice as emergency medical services providers. Sunsets on January 2, 2030.] Allows the program to award funding to each regional emergency medical services advisory board for innovation proposals to improve emergency medical services within the emergency medical services regions. Accepts specified emergency medical services training programs and apprenticeships as sufficient for meeting certain emergency medical services provider education requirements for licensure. Allows the Governor to assign and make available for use any emergency medical services resources and equipment in response to an emergency for which emergency medical services are required. Establishes the Emergency Medical Services Mobilization Advisory Board to advise the Governor on the mobilization of emergency medical services in this state. Changes the "Pediatric Emergency Medical Services Advisory Committee" to the "Emergency Medical Services for Children Advisory Committee." Directs the Legislative Assembly to allocate moneys from the Criminal Fine Account to the Emergency Medical Services Program Fund. Takes effect on the 91st day following adjournment sine die.
Location: US-OR
Title: Relating to Medicaid reimbursement rates for certain ground ambulance services.
Current Status: Sine Die - Failed
Introduction Date: 2025-03-11
Last Action Date: Referred to Human Services. 2025-04-02
Summary: This Texas bill establishes minimum Medicaid reimbursement rates for ground ambulance services, requiring that payments be at least 40% of the Medicare rate for services originating in rural areas. It mandates that Medicaid managed care organizations (MCOs) reimburse in-network ground ambulance providers at Medicare rates and increase these rates by 3% annually. The Health and Human Services Commission must ensure compliance in new and renewed MCO contracts and seek amendments to existing contracts. If federal approval is required, implementation may be delayed until authorization is granted. The bill takes effect September 1, 2025.
Location: US-TX
Title: Honoring EMS providers.
Current Status: Enacted
Introduction Date: 2025-03-27
Last Action Date: Returned to the Senate. 2025-04-02
Description: A CONCURRENT RESOLUTION honoring Emergency Medical Service (EMS) providers in Indiana and recognizing those who gave their lives in the line of duty.
Location: US-IN
Title: Ambulances; response times; rates
Current Status: Sine Die - Failed
Introduction Date: 2025-02-03
Last Action Date: Reported do pass amended/strike-everything out of Transportation & Infrastructure Committee. 2025-03-26
Location: US-AZ
Title: Health insurers; minimum reimbursement rate for ambulance services that are out-of-network established
Current Status: Sine Die - Failed
Introduction Date: 2025-03-20
Last Action Date: Read for the first time and referred to the House Committee on Insurance. 2025-03-20
Summary: This bill would regulate the provision of emergency ambulance services in the state for a period of approximately four years, by imposing requirements on reimbursement by health insurers for ambulance providers that depend on whether the provider is in-network or out-of-network. This bill would prohibit this practice and limit the charge to an enrollee to no more than the in-network cost-sharing amount under the insurance contract. This bill would require health insurers to reimburse an ambulance service within 30 days of receiving the claim.
Location: US-AL
Title: A Resolution designating the week of May 18 through 24, 2025, as "Emergency Medical Services Week" in Pennsylvania.
Current Status: In House
Introduction Date: 2025-03-18
Last Action Date: Referred to Veterans Affairs & Emergency Preparedness. 2025-03-18
Location: US-PA
Title: Ems-Rural Staffing-Part-Time
Current Status: In House
Introduction Date: 2025-01-16
Last Action Date: Referred to Rules Committee. 2025-01-28
Description: Amends the Emergency Medical Services (EMS) Systems Act. Provides that the Department of Public Health shall allow for an alternative rural staffing model for vehicle service providers that serve a rural or semi-rural population of 10,000 or fewer inhabitants and exclusively use volunteers, paid-on-call, or part-time employees, or a combination thereof (now, the use of part-time employees is not an option). Effective immediately.
Location: US-IL
Title: Register Entry
Type: Proposed
Citations: Emergency Medical Services
Agency: Department of Public Health
Publication Date: Feb 01, 2025
Description: Emergency Medical Services
Location: US-GA
Title: An Act amending Title 20 (Decedents, Estates and Fiduciaries) of the Pennsylvania Consolidated Statutes, in health care, further providing for applicability, for definitions, for criminal penalties, for emergency medical services, for definitions, for orders, bracelets and necklaces, for revocation, for absence of order, bracelet or necklace and for emergency medical services, repealing provisions relating to advisory committee and providing for discontinuance and for Pennsylvania orders for life-sustaining treatment.
Current Status: In Senate
Introduction Date: 2025-05-12
Last Action Date: Referred to Health & Human Services. 2025-05-12
Location: US-PA
Title: An act relating to the collection, sharing, and selling of consumer health data
Current Status: In Senate
Introduction Date: 2025-02-19
Last Action Date: Read 1st time & referred to Committee on [Health and Welfare]. 2025-02-19
Summary: This bill aims to strengthen privacy protections and regulate the collection, sharing, and sale of consumer health data in Vermont. It acknowledges that health-related information collected by non-HIPAA-covered entities, such as certain apps and websites, lacks adequate safeguards. The bill intends to close this gap by requiring additional disclosures and obtaining consumer consent before collecting, using, or sharing health data.
Location: US-VT
Title: Statue of limitations decrease for medical malpractice claims
Current Status: In Senate
Introduction Date: 2025-05-07
Last Action Date: Referred to Judiciary and Public Safety. 2025-05-07
Location: US-MN
Title: Civil Practice; substantive and comprehensive revision of provisions regarding civil practice, evidentiary matters, damages, and liability in tort actions; provide
Current Status: Enacted
Introduction Date: 2025-01-30
Last Action Date: Effective Date. 2025-04-21
Description: A BILL to be entitled an Act to amend Titles 9, 13, 40, and 51 of the Official Code of Georgia Annotated, relating to civil practice, contracts, motor vehicles, and torts, respectively, so as to provide for substantive and comprehensive revision of provisions regarding civil practice, evidentiary matters, damages, and liability in tort actions; to provide limitations relative to pain and suffering testimony; to provide for timing of answers and discovery; to provide for dismissals of civil actions; to provide for definitions; to provide for related matters; to provide for an effective date and applicability; to repeal conflicting laws; and for other purposes.
Location: US-GA
Title: Medical Malpractice Modifications
Current Status: Enacted
Introduction Date: 2025-02-14
Last Action Date: Governor Signed. 2025-03-27
Location: US-UT
Title: Medical Liability Ins-Ob-Gyn
Current Status: In Senate
Introduction Date: 2025-02-06
Last Action Date: Rule 3-9(a) / Re-referred to Assignments. 2025-03-21
Summary: This bill requires medical liability insurance companies in Illinois to assess premium rates for OB-GYNs based on their specific scope of practice. Insurers must distinguish between OB-GYNs who provide obstetric services, including childbirth, and those who solely practice gynecology, classifying the latter as lower-risk providers. The Department of Insurance must establish guidelines to ensure insurers properly classify OB-GYNs and adjust premiums accordingly.
Description: Amends the Illinois Insurance Code. Provides that companies that issue medical liability insurance must evaluate premium rates based on the specific scope of practice of each insured physician who specializes in obstetric and gynecologic services (OB-GYN), considering whether the OB-GYN provides obstetric services, including childbirth, or limits the OB-GYN's practice to gynecologic services only. Requires companies that issue medical liability insurance to classify OB-GYNs who do not provide obstetric services as lower-risk providers for the purposes of determining premium rates. Requires the Department of Insurance to establish guidelines for companies that issue medical liability insurance to classify and adjust premiums based on the risk profiles of OB-GYNs.
Location: US-IL
Title: An act relating to medical malpractice actions
Current Status: In House
Introduction Date: 2025-02-28
Last Action Date: Read first time and referred to the Committee on [Judiciary]. 2025-02-28
Location: US-VT
Title: HB1204 - TO ESTABLISH RECOVERY OF DAMAGES FOR NECESSARY MEDICAL CARE, TREATMENT, OR SERVICES RENDERED.
Current Status: Enacted
Introduction Date: 2025-01-22
Last Action Date: Notification that HB1204 is now Act 28. 2025-02-11
Location: US-AR
Title: Ems-Opioid Overdose Reports
Current Status: Passed Senate
Introduction Date: 2025-02-07
Last Action Date: Passed Both Houses. 2025-05-22
Description: Amends the Emergency Medical Services (EMS) Systems Act. In provisions concerning opioid overdose reporting, provides that overdose information reported by a covered vehicle service provider shall not be used in an opioid use-related criminal investigation, prosecution, welfare checks, or warrant checks of the individual who was treated by the covered vehicle service provider personnel for experiencing the suspected or actual overdose. Provides that any misuse of the information reported by a covered vehicle service provider shall result in, but is not limited to, the Department of Transportation reporting misuse to the Washington/Baltimore High Intensity Drug Trafficking Area Overdose Detection Mapping Application or similar technology platform. Permits the Department of Health to adopt rules to set forth standards under which misuse of access may be reported to the Washington/Baltimore High Intensity Drug Trafficking Area Overdose Detection Map or similar platform based on misuse or misconduct by a covered vehicle service provider or other individual or entity at the discretion of the Department. Provides that no data that allows for or creates a risk of identification of an individual or individuals experiencing a suspected or actual overdose treated by the covered vehicle service provider personnel shall be submitted to the Washington/Baltimore High Intensity Drug Trafficking Area Overdose Detection Mapping Application or Similar technology platform. Provides that covered vehicle service provider personnel may report overdose surveillance through an identified technology platform for the use of overdose surveillance under exceptions to HIPAA and the reported data shall only be used to support public safety and public health efforts. Sets forth additional provisions concerning requirements for the Department concerning opioid overdose reporting. Makes changes to defined terms. Provides that, upon receipt of a patient care report that documents an overdose, the Department of Public Health (rather than a covered vehicle service provider) shall report the information from a patient care report to the specified organizations. Makes other changes. Replaces everything after the enacting clause. Amends the Emergency Medical Services (EMS) Systems Act. Makes changes to defined terms. Provides that, upon receipt of a patient care report that documents an overdose, the Department of Public Health (rather than a covered vehicle service provider) shall report the information from a patient care report to the specified organizations. In provisions concerning opioid overdose reporting, provides that overdose information reported by a covered vehicle service provider shall not be used in an opioid use-related criminal investigation, prosecution, welfare checks, or warrant checks of the individual who was treated by the covered vehicle service provider personnel for experiencing the suspected or actual overdose. Provides that any misuse of the information reported by a covered vehicle service provider shall result in, but is not limited to, the Department of Transportation reporting misuse to the Washington/Baltimore High Intensity Drug Trafficking Area Overdose Detection Mapping Application or a similar technology platform. Establishes rulemaking authority for the Department concerning standards under which misuse of access may be reported. Prohibits the submission of data that allows for or creates a risk of identification of an individual or individuals experiencing a suspected or actual overdose treated by the covered vehicle service provider personnel. Permits covered vehicle service provider personnel to report overdose surveillance through an identified technology platform for the use of overdose surveillance, as provided. Sets forth additional provisions concerning opioid overdose reporting requirements for the Department.
Location: US-IL
Title: A bill for an act relating to the opioid settlement fund, establishing the opioid epidemic response advisory council, making appropriations, and including effective date provisions.
Current Status: In House
Introduction Date: 2025-02-25
Last Action Date: Introduced, referred to Appropriations.. 2025-02-25
Location: US-IA
Title: Register Entry
Type: Final
Citations: Enhanced Reimbursement—medication Assisted Treatment For Opioid Use Disorder, To Change The Title To Enhanced Reimbursement—medication For Opioid Use Disorder (MOUD), And To Clarify The Requirements For Receiving The Enhanced Reimbursement For MOUD
Agency: Health Care Authority
Publication Date: Apr 02, 2025
Summary: This final rule updates the title and definitions in WAC 182-531-2040 and WAC 182-531-0050 to replace medication-assisted treatment" with "medication for opioid use disorder (MOUD)." Effective April 17, 2025, the rule clarifies that Medicaid will provide enhanced reimbursement at the Medicare rate for MOUD when included in selected evaluation and management (E/M) visits. To qualify, providers must use an expedited prior authorization process, treat clients with qualifying diagnoses, use FDA-approved medications, and provide opioid-related counseling. The enhanced reimbursement is limited to one payment per client per day, aiming to improve access to evidence-based treatments for opioid use disorder. These changes are expected to impact healthcare providers by potentially enhancing the financial viability of those offering MOUD services.
Description: Enhanced Reimbursement—medication Assisted Treatment For Opioid Use Disorder, To Change The Title To Enhanced Reimbursement—medication For Opioid Use Disorder (MOUD), And To Clarify The Requirements For Receiving The Enhanced Reimbursement For MOUD
Location: US-WA
Title: Register Entry
Type: Proposed
Citations: Enhanced Reimbursement—medication Assisted Treatment For Opioid Use Disorder; Physician-related Services Definitions
Agency: Health Care Authority
Publication Date: Feb 19, 2025
Summary: The Washington Health Care Authority (HCA) is proposing amendments to WAC 182-531-0050 and WAC 182-531-2040 to clarify and update definitions related to physician services and enhanced reimbursements for Medication for Opioid Use Disorder (MOUD). The proposed rule changes the term from Medication Assisted Treatment (MAT) to MOUD and revises the requirements for enhanced reimbursement under Medicaid for this treatment. The aim is to simplify the reimbursement process and ensure consistency across definitions and procedures. The amendments reflect changes in provider reimbursement related to Medicaid, specifically enhancing support for MOUD services, and are set to be adopted following a public hearing on March 11, 2025.
Description: Enhanced Reimbursement—medication Assisted Treatment For Opioid Use Disorder
Location: US-WA
Title: relative to licensure for psychotherapy activities or services.
Current Status: Enacted
Introduction Date: 2025-01-07
Last Action Date: Signed by Governor Ayotte 06/02/2025; Chapter 59; 08/01/2025. 2025-06-06
Location: US-NH
Title: Clinic Psyc-No Prescrip Opioid
Current Status: In Senate
Introduction Date: 2025-02-05
Last Action Date: Rule 3-9(a) / Re-referred to Assignments. 2025-06-02
Summary: This bill eliminates the restriction that prevents prescribing psychologists from prescribing medications to patients under 17 or over 65. It states that no prescriptive authority for any Schedule II opioid can be delegated. After the collaborating physician submits a notice delegating authority to prescribe non-narcotic, nonopioid Schedule II through V controlled substances (instead of non-narcotic Schedule III through V substances), the licensed clinical psychologist can register for a mid-level practitioner controlled substance license according to the Illinois Controlled Substances Act. It defines "opioid" and makes relevant amendments to the Illinois Controlled Substances Act. Additionally, it modifies the Medical Assistance Article of the Illinois Public Aid Code to ensure that the Department of Healthcare and Family Services covers and reimburses prescription management services offered by prescribing psychologists to eligible medical assistance recipients under the Article.
Description: Amends the Clinical Psychologist Licensing Act. In provisions concerning written collaborative agreements, removes a provision prohibiting a prescribing psychologist from prescribing medications to patients who are less than 17 years of age or over 65 years of age. Provides that no prescriptive authority for any Schedule II opioid shall be delegated. Provides that after the collaborating physician files a notice delegating authority to prescribe any nonnarcotic, nonopioid Schedule II through V controlled substances (rather than any nonnarcotic Schedule III through V controlled substances), the licensed clinical psychologist shall be eligible to register for a mid-level practitioner controlled substance license under the Illinois Controlled Substances Act. Defines "opioid". Makes corresponding changes in the Illinois Controlled Substances Act. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall provide coverage and reimbursement for prescription management services provided by prescribing psychologists for persons who are otherwise eligible for medical assistance under the Article. Effective immediately.
Location: US-IL
Title: Provide laws related to healthcare provider burnout
Current Status: Enacted
Introduction Date: 2025-02-26
Last Action Date: Chapter Number Assigned. 2025-05-16
Location: US-MT
Title: relative to the regulation of various occupations.
Current Status: Passed Senate
Introduction Date: 2024-12-23
Last Action Date: Ought to Pass with Amendment #2025-1983s, MA, VV; OT3rdg; 05/15/2025; SJ 13. 2025-05-15
Summary: This bill removes the requirement for members of mental health advisory committees in New Hampshire to be residents of the state and eliminates civil immunity exemptions for non-public members of the board and licensed mental health professionals performing board-related duties. It also repeals provisions related to the processing of license applications, including the requirement for the board to request additional information within 15 days or act on an application within 30 days of receiving a completed application. Additionally, the board will no longer be required to review complete applications received at least 10 days before a meeting at its next regularly scheduled meeting.
Location: US-NH
Title: Prescriptive Authority Certification for Psychologists
Current Status: In House
Introduction Date: 2024-12-06
Last Action Date: Indefinitely postponed and withdrawn from consideration. 2025-05-03
Summary: This bill establishes prescriptive authority certification for psychologists, creating section 490.0065, Florida Statutes (F.S.). It requires the Board of Psychology to certify psychologists who meet specific criteria, including application and continuing education requirements. The bill mandates the board to develop procedures, adopt rules, and address deficiencies related to certification. It includes provisions for prescribing drugs and controlled substances, prohibits certain prescribing actions, and requires prescribing psychologists to file their federal DEA registration numbers with the board. Certified prescribing psychologists must maintain professional liability insurance; the board will keep records of those authorized to prescribe. Additionally, the bill calls for an interim panel to develop a formulary and submit recommendations for related rules, with panel provisions expiring on a specified date. This legislation aims to enhance psychologists' ability to provide comprehensive mental health care by expanding their practice scope to include prescribing authority.
Description: Requires Board of Psychology to certify psychologists to exercise prescriptive authority if specified criteria are met; requires board to maintain current record of every prescribing psychologist authorized to prescribe controlled substances; requires board to establish interim panel; requires panel to submit recommendations for rules to board by specified date; requires panel to develop formulary for prescribing psychologists; provides for expiration of panel on specified date.
Location: US-FL
Title: PRESCRIBING PSYCHOLOGIST PSYCHOTROPICS
Current Status: Enacted
Introduction Date: 2025-01-22
Last Action Date: Signed by Governor - Chapter 59 - Apr. 7. 2025-04-07
Summary: This bill amends the Professional Psychologist Act to expand the scope of practice for certain prescribing psychologists in New Mexico. Specifically, it updates the definition of “independently licensed prescribing clinician” to include prescribing psychologists who have at least four years of independent experience prescribing psychotropic medication to treat behavioral and emotional conditions and mental illness. This amendment allows these experienced prescribing psychologists to be recognized alongside physicians, nurse practitioners, and clinical nurse specialists, effectively granting them broader authority in supervision and prescribing roles under state law.
Location: US-NM
Title: Psychologists - As introduced, creates prescribing authority for certain psychologists if certain conditions and prerequisites are met. - Amends TCA Title 39; Title 53; Title 63 and Title 68.
Current Status: In Senate
Introduction Date: 2025-02-05
Last Action Date: Assigned to General Subcommittee of Senate Health and Welfare Committee. 2025-03-26
Summary: This bill amends Tennessee law to grant qualified doctoral-level psychologists the authority to prescribe certain medications. It establishes a certification process, requiring psychologists to obtain an advanced certificate to prescribe, which includes completing a post-doctoral master's degree in clinical psychopharmacology, passing a national prescribing exam, and undergoing supervised clinical training. Prescribing psychologists will have the authority to prescribe drugs for mental and behavioral health conditions but are prohibited from prescribing narcotics or opiates and from treating patients who are not under the care of a physician. The bill also outlines renewal requirements, record-keeping obligations, and collaboration with the state pharmacy board while allowing non-prescribing healthcare professionals to follow prescribing psychologists' orders within their scope. It takes effect on July 1, 2025.
Description: This bill requires the board of examiners in psychology ("board") to certify doctoral-level psychologists to exercise prescriptive authority. The board must develop and implement rules for reviewing education and training credentials for the certification process, in accordance with current standards of professional psychological practice. ADVANCED CERTIFICATE APPLICATION Eligibility This bill requires a psychologist who applies for prescriptive authority to demonstrate the following by official transcript or other official evidence satisfactory to the board: ď‚· The psychologist holds a current license at the doctoral level to provide healthcare services as a psychologist in this state. ď‚· The psychologist has a current certificate to prescribe from the board, which authorizes a licensed health service provider to prescribe psychotropic medication under supervision by a physician. ď‚· The psychologist has completed an educational program leading to a post-doctoral master's degree in clinical psychopharmacology from a regionally accredited college or university, or its equivalent as determined by the board, which offers intensive didactic education of at least 450 patient contact hours, and includes certain core subjects. ď‚· The psychologist passed a prescribing examination developed by a nationally recognized body and approved by the board. ď‚· The psychologist has completed a fellowship of at least one year in length, completing psychopharmacological evaluations of a minimum of 100 patients under the supervision of a physician or prescribing psychologist. Upon completion of such requirements, this bill authorizes a psychologist to apply to the board for an advanced certificate to prescribe as a prescribing psychologist in such manner as the board may require. A prescribing psychologist or medical psychologist who is currently licensed in another state or territory that meets the requirements of this bill may apply to the board for an advanced certificate to prescribe as long as the applicant currently holds or obtains a license at the doctoral level to provide healthcare services as a psychologist in this state. Renewal This bill requires the board to prescribe by rule a method to renew these advanced certificates. A prescribing psychologist must fulfill such continuing education requirements for psychologists as required by the board by rule. In addition, each applicant for renewal of prescriptive authority must present satisfactory evidence to the board demonstrating the completion of an additional 20 contact hours of continuing education instruction relevant to prescriptive authority during the previous two-year licensure renewal period. Limitations This bill requires that a prescribing psychologist comply with all of the following: ď‚· Only exercise prescriptive authority and generate prescriptions in accordance with this bill. ď‚· Only prescribe drugs utilized for the treatment of behavioral health or mental, nervous, substance abuse, emotional, or cognitive diseases or disorders. ď‚· Have a valid advanced certificate to prescribe as a prescribing psychologist or an initial certificate to prescribe. ď‚· Maintain a record of each prescription written to a patient in the patient's record. This bill requires each prescription issued by a prescribing psychologist to (i) comply with all applicable state and federal laws and rules; and (ii) be identified as written by the prescribing psychologist in such manner as determined by the board by rule. This bill prohibits a prescribing psychologist from doing any of the following: ď‚· Administering electroconvulsive therapy. ď‚· Prescribing a narcotic drug or an opiate. ď‚· Prescribing medications for patients who are not concurrently under the care of a treating physician or other primary care provider. Controlled and Dangerous Substances Certificate This bill provides that a prescribing psychologist licensed by the board is eligible for a controlled and dangerous substances certificate issued by this state and the United States drug enforcement agency (DEA). The board must maintain current records of every psychologist authorized to prescribe, including DEA registration and number. Communications This bill requires the board to transmit to the board of pharmacy a list of prescribing psychologists that contains all of the following information: ď‚· The name of the prescribing psychologist. ď‚· The prescribing psychologist's identification number assigned by the board of examiners in psychology. ď‚· The effective date of prescriptive authority. This bill requires the board to (i) promptly forward to the board of pharmacy additions to the list as new certificates are issued; and (ii) notify the board of pharmacy in a timely manner upon the termination, suspension, or reinstatement of a prescribing psychologist's prescriptive authority. Scope This bill provides that it is considered to be within the scope of practice for a registered nurse, licensed practical nurse, polysomnographer, or other non-prescribing healthcare professional to execute and effectuate a verbal or written order or direction otherwise within the scope of practice of such healthcare provider when that order is within the scope of practice of psychology and given to the healthcare provider by a psychologist or prescribing psychologist. Rulemaking This bill requires the board to promulgate rules for denying, modifying, suspending, or revoking the prescriptive authority of a prescribing psychologist. The board may require remediation of any deficiencies in the training or practice pattern of a prescribing psychologist when, in the judgment of the board, such deficiencies could reasonably be expected to jeopardize the health, safety, or welfare of the public. CRIMINALITY Present law provides that it is an offense for a person to knowingly possess or casually exchange a controlled substance or legend drug, unless the substance was obtained directly through a valid prescription of a practitioner while acting in the course of professional practice. This bill adds prescribing psychologists to the list of practitioners for such exemption. PRESCRIPTION ORDERS Present law generally regulates pharmacy practice, including the standards for pharmacy orders. Pharmacy orders may be verbal or, if written, must be legible. This bill provides that a prescribing psychologist must adhere to current law pertaining to prescription orders. SUPERVISORY POWERS Present law authorizes the practice of polysomnography, which is generally the practice of sleep studies, to provide sleep-related services under the general supervision of a licensed physician. This bill adds that such services may also be provided under the supervision of a prescribing psychologist. EXAMINATION ON HUMAN SPECIMENS Present law prohibits a person, except patients who are performing tests on themselves by order of their physician, from examining human specimens without the written request of a physician, an intern or resident in an American Medical Association (AMA) approved training program, a duly licensed optometrist, a duly licensed dentist, a duly licensed chiropractic physician, or other health care professional legally permitted to submit to a medical laboratory a written request for tests appropriate to that professional's practice, or the written request of a law enforcement officer to test the blood alcohol content of a motor vehicle operator. This bill expands the list of professionals authorized to so examine human specimens to include prescribing psychologists.
Location: US-TN
Title: PSYCHOLOGISTS – Amends and repeals existing law to revise provisions regarding the licensure and practice of psychology in Idaho.
Current Status: Sine Die - Failed
Introduction Date: 2025-02-10
Last Action Date: Read First Time, Referred to Health & Welfare. 2025-02-28
Summary: This bill amends several sections of the Idaho Code related to psychologists, including defining terms, establishing requirements for the Board of Psychologist Examiners, and providing for collaboration. It also introduces a requirement for fingerprint-based criminal history background checks for individuals in certain roles. The bill revises provisions regarding prescriptive authority, provisional certification for prescriptive authority, and certification for prescriptive authority. Additionally, it repeals certain sections concerning the unauthorized practice of medicine and the advisory panel for reviewing prescriptive rules. An emergency is declared, and an effective date is provided.
Location: US-ID
Title: Relating to the provision of behavioral health crisis services, including the operation of crisis centers and mobile crisis outreach teams; authorizing a fee.
Current Status: Sine Die - Failed
Introduction Date: 2024-11-12
Last Action Date: Co-author authorized. 2025-02-19
Location: US-TX
Title: Relating To Prescriptive Authority For Clinical Psychologists.
Current Status: In Senate
Introduction Date: 2025-01-17
Last Action Date: Referred to HHS/CPN, WAM/JDC.. 2025-01-23
Description: Authorizes and appropriates moneys for the Board of Psychology to grant prescriptive authority to clinical psychologists who meet specific education, training, and registration requirements. Requires the Board of Psychology to accept applications for prescriptive authority privilege beginning 7/1/2026. Requires the Board of Psychology to report to the Legislature.
Location: US-HI
Title: Relates to collaborative prescriptive authority for psychologists
Current Status: In Senate
Introduction Date: 2025-01-08
Last Action Date: REFERRED TO HIGHER EDUCATION. 2025-01-08
Description: Allows a licensed psychologist to apply to the department of education for conditional prescribing certification if the psychologist meets certain requirements; allows the department of education to waive certain requirements for an applying psychologist; provides that a conditional prescribing certification shall be valid for a period of two years.
Location: US-NY
Title: 9-8-8 Task Force
Current Status: Failed
Introduction Date: 2023-02-06
Last Action Date: Session Sine Die. 2025-01-07
Description: Creates the 9-8-8 Suicide and Crisis Lifeline Task Force Act. Provides that the 9-8-8 Suicide and Crisis Lifeline Task Force shall be composed of 12 appointed members and the State's Chief Behavioral Health Officer, or the Officer's representative. Provides that the 2 Task Force co-chairs shall appoint experts to contribute and participate in the Task Force as nonvoting members. Provides for meetings of the Task Force and responsibilities relating to examination of the first year of implementation and use of the 9-8-8 Suicide and Crisis Lifeline in Illinois. Requires the development of an action plan with specified recommendations to be filed with the Governor and General Assembly by December 31, 2023. Includes legislative findings. Repeals the Act on January 1, 2025. Effective immediately.
Location: US-IL
Title: Health Care For All
Current Status: Failed
Introduction Date: 2023-01-04
Last Action Date: Session Sine Die. 2025-01-07
Description: Creates the Health Care for All Illinois Act. Provides that all individuals residing in this State are covered under the Illinois Health Services Program for health insurance. Sets forth requirements and qualifications of participating health care providers. Sets forth the specific standards for provider reimbursement. Provides that it is unlawful for private health insurers to sell health insurance coverage that duplicates the coverage of the program. Requires the State to establish the Illinois Health Services Trust to provide financing for the program. Sets forth the specific requirements for claims billed under the program. Provides that the program shall include funding for long-term care services and mental health services. Creates the Pharmaceutical and Durable Medical Goods Committee to negotiate the prices of pharmaceuticals and durable medical goods with suppliers or manufacturers on an open bid competitive basis. Provides that patients in the program shall have the same rights and privacy as they are entitled to under current State and federal law. Provides that the Commissioner, the Chief Medical Officer, the public State board members, and employees of the program shall be compensated in accordance with the current pay scale for State employees and as deemed professionally appropriate by the General Assembly. Effective July 1, 2023.
Location: US-IL
Title: Medicare For All Health Care
Current Status: Failed
Introduction Date: 2023-02-17
Last Action Date: Session Sine Die. 2025-01-07
Description: Creates the Illinois Medicare for All Health Care Act. Provides that all individuals residing in the State are covered under the Illinois Health Services Program for health insurance. Sets forth the health coverage benefits that participants are entitled to under the Program. Sets forth the qualification requirements for participating health providers. Sets forth standards for provider reimbursement. Provides that it is unlawful for private health insurers to sell health insurance coverage that duplicates the coverage of the Program. Provides that investor-ownership of health delivery facilities is unlawful. Provides that the State shall establish the Illinois Health Services Trust to provide financing for the Program. Sets forth the requirements for claims billing under the Program. Provides that the Program shall include funding for long-term care services and mental health services. Provides that the Program shall establish a single prescription drug formulary and list of approved durable medical goods and supplies. Creates the Pharmaceutical and Durable Medical Goods Committee to negotiate the prices of pharmaceuticals and durable medical goods with suppliers or manufacturers on an open bid competitive basis. Sets forth provisions concerning patients' rights. Provides that the employees of the Program shall be compensated in accordance with the current pay scale for State employees and as deemed professionally appropriate by the General Assembly. Effective January 1, 2024.
Location: US-IL
Title: relative to the uncompensated care and Medicaid fund.
Current Status: Passed House
Introduction Date: 2025-01-23
Last Action Date: Ought to Pass with Amendment 2025-2465h: MA VV 06/05/2025 HJ 16. 2025-06-05
Summary: This bill establishes changes to the Uncompensated Care and Medicaid Fund in New Hampshire, focusing on hospital payments and Medicaid services. It redefines the term "hospitals" to exclude government and rehabilitation hospitals, and provides for the creation of a new fund managed by the Department of Health and Human Services (DHHS). This fund will consist of money collected under RSA 84-A and will be used for hospital and provider payments, supporting Medicaid services, and ensuring that Medicaid payments to hospitals do not fall below 80% of the prior year's collected funds. The DHHS will decide on payment methods, aiming to minimize reimbursement reductions while maximizing federal matching funds. Payments will be subject to approval by the Centers for Medicare and Medicaid Services (CMS) and must follow specific federal regulations. The remainder of the funds will support Medicaid services, prioritizing community health providers, including mental health centers and substance use disorder providers. A portion of the Medicaid payments will be reserved for administrative costs. The bill also ensures that hospitals meeting the updated definition will receive reimbursements. The bill will take effect in stages, with some sections starting in July 2025 and others in 2032.
Location: US-NH
Title: Revises provisions relating to Medicaid. (BDR 38-809)
Current Status: Sine Die - Failed
Introduction Date: 2025-03-24
Last Action Date: (No further action taken.). 2025-06-03
Description: AN ACT relating to Medicaid; requiring the State Plan for Medicaid to provide coverage for certain services relating to family planning and language translation; and providing other matters properly relating thereto.
Location: US-NV
Title: Makes revisions relating to Medicaid. (BDR 38-40)
Current Status: Sine Die - Failed
Introduction Date: 2025-02-25
Last Action Date: (No further action taken.). 2025-06-03
Summary: This bill mandates limited Medicaid coverage for individuals otherwise ineligible due to immigration status, covering emergency medical transportation, emergency room care, and certain inpatient services for emergency conditions. It allows limited coverage for renal disease and cancer treatment with prior approval based on medical necessity and permits coverage for continuing care if it prevents an emergency condition from worsening. The bill excludes elective surgeries, preventive care, and non-emergency services. The Department of Health and Human Services must seek federal waivers for funding and establish prior approval procedures. The bill takes effect immediately for regulatory preparations, with full implementation on January 1, 2026, and has a state budget impact but no effect on local government finances.
Description: AN ACT relating to Medicaid; requiring Medicaid to provide certain limited coverage to certain persons who would otherwise be ineligible for Medicaid because of their immigration status; prescribing the scope and limitations of such coverage; requiring the Department of Health and Human Services to seek an increase to rates of reimbursement under Medicaid for services relating to certain childhood diseases; and providing other matters properly relating thereto.
Location: US-NV
Title: AN ACT CONCERNING MEDICAID RATE INCREASES, PLANNING AND SUSTAINABILITY.
Current Status: Sine Die - Failed
Introduction Date: 2025-03-06
Last Action Date: Senate Calendar Number 590. 2025-06-03
Summary: This bill addresses Medicaid rate increases, planning, and sustainability, with a focus on improving reimbursement rates for Medicaid providers. Starting on July 1, 2025, the Commissioner of Social Services will phase in increases to Medicaid provider rates based on a rate study, aiming for rates that are at least 75% of the most recent Medicare rates by June 30, 2028. The bill also mandates the annual adjustment of Medicaid rates according to Medicare rates or a benchmark derived from five other states. Amendments include a requirement for the Department of Social Services to rebase encounter rates for federally qualified health centers (FQHCs) based on their costs during fiscal year 2024, effective December 31, 2025. Additionally, the bill introduces the annual increase of Medicaid reimbursement rates for FQHCs based on the Medicare Economic Index, starting January 1, 2026. Lastly, it establishes a council to review Medicaid provider reimbursement rates and ensure they sustain a sufficient provider pool for high-quality care, with recommendations due by January 15, 2026.
Description: To phase in increased rates of reimbursement to Medicaid providers over three years in accordance with a rate study commissioned by the Department of Social Services.
Location: US-CT
Title: Stabilization Payments for Safety Net Providers
Current Status: Enacted
Introduction Date: 2025-04-14
Last Action Date: Governor Signed. 2025-05-28
Summary: This Colorado bill establishes a Provider Stabilization Fund within the state’s Healthcare Affordability and Sustainability Enterprise to distribute payments to safety net providers serving low-income, uninsured individuals on a sliding-fee or no-fee basis. Payments would be allocated based on each provider’s share of the total low-income, uninsured population served. The fund will receive interest earnings from the Unclaimed Property Trust Fund—$25 million in FY 2025–26, $20 million in FY 2026–27, and $15 million annually thereafter—along with other appropriations, donations, or transfers. The enterprise is directed to pursue federal matching funds, and a newly created Provider Stabilization Fund Enterprise Support Board will aid implementation. An annual report on the fund’s activities must be submitted to relevant legislative committees, the governor, and the Medical Services Board.
Description: The act creates the provider stabilization fund for use by Colorado department of health care policy and financing (department) to distribute provider stabilization payments to safety net providers who provide services to low-income, uninsured individuals on a sliding-fee schedule or at no cost. Provider stabilization payments will be distributed to eligible safety net providers based on the proportion of low-income, uninsured individuals that an individual provider serves in comparison to the total number of low-income, uninsured individuals served by all eligible safety net providers. The state treasurer is directed to make an interest-free loan of interest earnings on the principal in the unclaimed property trust fund (UPTF) and, if the interest earnings are insufficient, from the principal of the UPTF as well, to the provider stabilization fund as follows: $25 million for the 2025-26 state fiscal year; $20 million for the 2026-27 state fiscal year; and $15 million for each of the 2027-28, 2028-29, and 2029-30 state fiscal years. The act specifies that the loan from the UPTF to the provider stabilization fund is an interfund loan that is not classified as revenue, is booked as an interfund receivable or payable, is not state fiscal year spending or state revenues, and does not count against the state fiscal year spending limit or the excess state revenues cap. The department is directed to repay the loan by January 1, 2045, but in any year in which state revenues do not exceed the limit on state fiscal year spending, the department must present to the joint budget committee a proposal to repay all or a portion of the loan at an earlier time, and to the extent possible, the general assembly must prioritize repaying the loan starting in the 2030-31 state fiscal year or sooner if funds are available. The provider stabilization fund also consists of any money the general assembly appropriates, transfers, or credits to the fund and any gifts, grants, or donations the department may receive for the fund. The act directs the department to leverage money in the provider stabilization fund to obtain federal matching money. The act establishes a provider stabilization fund advisory board (advisory board) to assist the department in implementing and administering the provider stabilization fund. The department, with assistance from the advisory board, is required to submit an annual report on the provider stabilization fund to specified committees, the governor, and the medical services board in the department. The advisory board is scheduled for repeal on September 1, 2031, and is subject to a sunset review by the department of regulatory agencies before the repeal. The act appropriates $25,000,000 from the provider stabilization fund to the department to implement the act, allocated as follows: $138,505 for personal services to administer the act, including 2.0 FTE; $15,900 for operating expenses; and $24,845,595 for provider stabilization payments to eligible safety net providers.(Note: This summary applies to this bill as enacted.)
Location: US-CO
Title: A bill increasing medicaid reimbursement rates
Current Status: Failed
Introduction Date: 2024-12-11
Last Action Date: (LC) Draft Died in Process. 2025-05-27
Location: US-MT
Title: Provide for increasing medicaid reimbursement rates
Current Status: Failed
Introduction Date: 2024-12-11
Last Action Date: (LC) Draft Died in Process. 2025-05-27
Location: US-MT
Title: An Act to Provide Full Reimbursement for Emergency Ambulance Services Provided to MaineCare Members
Current Status: Failed
Introduction Date: 2025-04-03
Last Action Date: Pursuant to Joint Rule 310.3 Placed in Legislative Files (DEAD). 2025-05-27
Summary: This bill mandates full reimbursement for emergency ambulance services provided to MaineCare (Medicaid) members, ensuring payments at the usual, customary, and reasonable rate as determined by the Department of Health and Human Services. It applies to municipal, quasi-municipal, private ambulance services, and fire department emergency medical services. The department must allocate sufficient state and federal funds, prioritize federal matching funds, and submit an annual report to the Legislature on reimbursement data and policy recommendations. The bill includes a rulemaking requirement.
Location: US-ME
Title: Revise definition of medically necessary for Medicaid
Current Status: Failed
Introduction Date: 2024-11-19
Last Action Date: (LC) Draft Died in Process. 2025-05-26
Location: US-MT
Title: Revise medicaid expansion laws
Current Status: Failed
Introduction Date: 2024-11-12
Last Action Date: (LC) Draft Died in Process. 2025-05-25
Location: US-MT
Title: Revise the Medicaid expansion program
Current Status: Failed
Introduction Date: 2025-01-22
Last Action Date: (S) Died in Process. 2025-05-23
Location: US-MT
Title: Generally revise medicaid laws to reduce or eliminate waiting lists
Current Status: Failed
Introduction Date: 2025-02-26
Last Action Date: (S) Died in Process. 2025-05-23
Summary: This bill generally revises medication laws to reduce or eliminate waiting lists for covered services, requiring the department to implement incentives, prioritize the reduction or elimination of waiting lists for certain services, establish reporting requirements, and provide a definition.
Location: US-MT
Title: Revise reimbursement for medicaid services
Current Status: Failed
Introduction Date: 2025-02-26
Last Action Date: (S) Died in Process. 2025-05-23
Summary: This bill revises Medicare reimbursement, requiring contracts with non-physician providers to include an annual cost of living adjustment provision. The fee of a covered service must be adjusted by the same percentage increase as the consumer price index for similar services for the previous year, applied every 12 months for the contract's term.
Location: US-MT
Title: AN ACT PROHIBITING DISCRIMINATION IN SERVICES FUNDED UNDER MEDICAID.
Current Status: Sine Die - Failed
Introduction Date: 2025-03-06
Last Action Date: House Calendar Number 629. 2025-05-22
Description: To require a provider who is reimbursed for services under Medicaid to agree, in writing, not to discriminate against persons whose rights are protected under state law as a condition of receiving Medicaid reimbursement.
Location: US-CT
Title: Provide for annual increase of Medicaid provider reimbursement rates
Current Status: Failed
Introduction Date: 2025-02-25
Last Action Date: (H) Died in Process. 2025-05-20
Summary: This bill mandates an annual minimum 2% increase in Medicaid reimbursement rates for providers of covered services in Montana, except as specified in existing law (53-6-125). It aims to ensure consistent rate adjustments for Medicaid-funded services.
Location: US-MT
Title: Ensuring access to primary care, behavioral health, and affordable hospital services.
Current Status: Enacted
Introduction Date: 2024-12-19
Last Action Date: Effective date 7/27/2025.. 2025-05-20
Location: US-WA
Title: Relating to the form of a claim payment to a health care provider by a health maintenance organization, preferred provider benefit plan, or managed care organization.
Current Status: Sine Die - Failed
Introduction Date: 2025-03-05
Last Action Date: Referred to Health & Human Services. 2025-05-16
Summary: This bill amends several provisions related to claims payments by Medicaid managed care organizations, health maintenance organizations (HMOs), and preferred provider benefit plans in Texas. Key changes include the requirement for Medicaid managed care organizations to pay healthcare providers within specified timeframes (e.g., 10 days for nursing facilities, 30 days for other services, and 45 days for general claims) after receiving claims. Additionally, the bill mandates the establishment of a system for tracking and resolving provider payment appeals. Amendments prohibit requiring providers to accept payment via methods that involve fees, such as virtual credit cards. The bill also establishes penalties for delayed claims payments, with amounts based on the underpaid charges or a $200,000 cap. For Medicaid/Medicare reimbursement, the bill ensures timely payment and disputes resolution for services covered under Medicaid managed care plans.
Location: US-TX
Title: Health matters.
Current Status: Enacted
Introduction Date: 2025-01-21
Last Action Date: Signed by the Governor. 2025-05-06
Summary: This bill expands the Medicaid fraud control unit's (MFCU) scope to investigate provider fraud, insurer fraud, and duplicate billing, allowing the attorney general to enter data-sharing agreements with state agencies and designate MFCU investigators as law enforcement officers. It mandates the Indiana Department of Health to develop standards for medical record interoperability and data security, enforce compliance, and impose penalties for violations. The bill enhances transparency in long-term care risk-based managed care programs, improves good faith estimate timelines for healthcare services, and sets billing transparency requirements for providers. It prohibits out-of-network practitioners from exceeding specific reimbursement rates at in-network facilities, bans rescinding prior authorizations, and ensures denials are made by appropriately credentialed providers. The legislation also requires provisional credentialing for newly relocated or employed physicians and calls for a study to improve access to and interoperability of electronic health records, with recommendations due to the general assembly.
Description: Specifies that the Medicaid fraud control unit's (MFCU) investigation of Medicaid fraud may include the investigation of provider fraud, insurer fraud, duplicate billing, and other instances of fraud. Permits the attorney general to enter into a data sharing agreement with specified state agencies and authorizes the MFCU to analyze this data to carry out its investigative duties. Provides that all complaints made to the MFCU are confidential until an action is filed concerning the complaint. Requires the office of the secretary of family and social services to establish: (1) metrics to assess the quality of care and patient outcomes; and (2) transparency and accountability safeguards; for a specified long term care risk based managed care program. Requires, not later than July 31, 2026, a clinical laboratory and diagnostic imaging facility to post certain pricing information for services determined by the department of insurance. Allows: (1) a manufacturer to provide; and (2) a patient to receive; individualized investigational treatment if certain conditions are met. Requires an Indiana nonprofit hospital system to report a list of facilities that may submit a bill on an institutional provider form and report the facility code for each facility. Adds provisions concerning payments by insurers, health maintenance organizations, employers, and other responsible persons to qualified providers that are providing services in an office setting. Requires good faith estimates for health care services to be provided at least two business days (rather than five business days) before the health care services are scheduled to be provided. Removes language concerning the disclosure of a trade secret from provisions that allow for a health plan sponsor to access and audit claims data. Provides that when a health carrier is in the process of negotiating a health provider contract with a health provider facility or provider, the health carrier must provide certain information to the health provider facility or provider. Prohibits certain provisions from being included in a health provider contract. Allows the department of insurance to: (1) enter into partnerships and joint ventures to encourage best practices in the appropriate and effective use of prior authorization in health care; and (2) receive information regarding prior authorization disputes. Requires the department of insurance to prepare a report with findings and recommendations related to the prior authorization dispute information. Requires, not later than September 1, 2025, the department of insurance to issue a request for information concerning ways to better enable medical consumers to compare and shop for medical and health care services. Provides that an insurer or a health maintenance organization may not deny a claim for reimbursement on the sole basis that the referring provider is an out of network provider. Requires, if a fully credentialed physician becomes employed with another employer or establishes or relocates a medical practice in Indiana, an insurer and health maintenance organization to provisionally credential the physician for 60 days or until the physician is fully credentialed, whichever is earlier. Requires the Indiana department of health, in consultation with the office of technology, to study the feasibility of developing certain standards regarding medical records and data.
Location: US-IN
Title: Medicaid Work Requirements.
Current Status: In House
Introduction Date: 2025-03-24
Last Action Date: Ref To Com On Rules, Calendar, and Operations of the House. 2025-05-05
Summary: This bill mandates the North Carolina Department of Health and Human Services, Division of Health Benefits (DHB), to engage in negotiations with the Centers for Medicare and Medicaid Services (CMS) if there is any indication that Medicaid work requirements may be authorized. DHB must notify the Joint Legislative Oversight Committee on Medicaid (JLOC) and the Fiscal Research Division (FRD) within 30 days of initiating negotiations. If CMS approves a plan for Medicaid work requirements, DHB must report full details, including the implementation timeline and funding needs, within 30 days. Upon approval, DHB is required to implement the work requirements. The act takes effect upon becoming law.
Location: US-NC
Title: HB1004 - TO REQUIRE MEDICAID COVERAGE FOR POSTPARTUM MOTHERS FOR ONE YEAR AFTER GIVING BIRTH.
Current Status: Failed
Introduction Date: 2024-11-20
Last Action Date: Died in Senate Committee at Sine Die adjournment.. 2025-05-05
Location: US-AR
Title: HB1588 - TO REQUIRE APPROVAL OF THE GENERAL ASSEMBLY BEFORE THE DEPARTMENT OF HUMAN SERVICES SEEKS OR IMPLEMENTS AN EXPANSION OF COVERAGE FOR THE ARKANSAS MEDICAID PROGRAM.
Current Status: Failed
Introduction Date: 2025-02-25
Last Action Date: Died in House Committee at Sine Die adjournment.. 2025-05-05
Summary: This bill requires the Arkansas Department of Human Services to obtain legislative approval before seeking or implementing any Medicaid program expansion or cost increase that would create a financial obligation for the state. Specifically, it mandates a two-thirds vote from the Legislative Council or Joint Budget Committee before applying for Medicaid waivers or amendments that expand coverage to new populations or increase state costs. Existing Medicaid waivers and state plan amendments in place at the time of enactment would not be affected.
Location: US-AR
Title: A resolution urging the President and Congress to fully fund Medicaid and oppose harmful cuts to this crucial and much-needed program
Current Status: In Senate
Introduction Date: 2025-05-05
Last Action Date: Referred to Health and Human Services. 2025-05-05
Location: US-MN
Title: A resolution urging the President and Congress to fully fund Medicaid and oppose harmful cuts to this crucial and much-needed program.
Current Status: In House
Introduction Date: 2025-05-05
Last Action Date: Introduction and first reading, referred to Health Finance and Policy. 2025-05-05
Summary: This bill urges the President and Congress to fully fund Medicaid and oppose any harmful cuts. It highlights Medicaid's essential role in providing health care to 1.2 million Minnesotans, including children, seniors, people with disabilities, and rural residents, and its impact on key services like long-term care and maternal health. The resolution emphasizes the negative consequences of proposed federal funding reductions, including threats to care access, rural economies, and the state's ability to maintain efficient, innovative health programs.
Location: US-MN
Title: Medicaid Oversight
Current Status: In House
Introduction Date: 2025-02-24
Last Action Date: Indefinitely postponed and withdrawn from consideration. 2025-05-03
Summary: This bill establishes the Joint Legislative Committee on Medicaid Oversight within the Office of the Auditor General. The committee will have specified purposes, including oversight duties, and will consist of members with the ability to form subcommittees and hold meetings. The bill mandates that the Auditor General and the Agency for Health Care Administration enter into a data-sharing agreement by a specified date. The committee will have access to certain records and documents and can compel testimony and evidence. The bill grants additional powers to the committee and requires that joint rules of the Legislature apply to its proceedings. The Agency for Health Care Administration must notify the committee of certain changes, provide specified reports, and submit copies of certain reports to the committee. The bill also provides an effective date for implementation.
Description: Establishing the Joint Legislative Committee on Medicaid Oversight for specified purposes; requiring the Auditor General and the Agency for Health Care Administration to enter into a data sharing agreement by a specified date; providing that the committee must be given access to certain records, papers, and documents, etc.
Location: US-FL
Title: Relating to conducting an ex parte renewal of a recipient's Medicaid eligibility.
Current Status: Sine Die - Failed
Introduction Date: 2025-02-14
Last Action Date: Committee report sent to Calendars. 2025-05-01
Summary: This bill seeks to prohibit the practice of conducting an ex parte renewal of Medicaid eligibility, ensuring that redeterminations of eligibility are not made automatically using only electronic data sources or information available to the commission unless specifically required by federal law. An ex parte renewal refers to a renewal process that does not require the recipient to provide updated information. The bill mandates that, no later than 180 days after its passage, the Health and Human Services Commission seek any necessary federal waivers or authorizations to implement this prohibition. If such approval is required, the HHSC may delay enforcement until granted. The bill is set to take effect immediately upon receiving a two-thirds majority vote from both legislative chambers or otherwise will take effect on September 1, 2025.
Location: US-TX
Title: Resolve, to Study a Medicaid Forward Plan for Maine
Current Status: Failed
Introduction Date: 2025-03-14
Last Action Date: Pursuant to Joint Rule 310.3 Placed in Legislative Files (DEAD). 2025-04-29
Summary: This Medicaid Forward Study Resolve directs the Office of Affordable Health Care to evaluate the feasibility and impact of implementing a Medicaid Forward plan in Maine. The study will focus on expanding MaineCare eligibility to residents under 65 years old with household incomes above 138% of the federal poverty level who lack other health coverage. The office must develop a proposed program design and submit a report with findings and recommendations to the Joint Standing Committee on Health Coverage, Insurance and Financial Services by January 1, 2026.
Location: US-ME
Title: TennCare - As introduced, enacts the "Tennessee Medicaid Modernization and Access Act of 2025," which aligns TennCare's current Medicaid reimbursement rates for obstetrics/gynecology, primary care, outpatient mental health, and substance use disorder treatment with the Medicare fee schedule or average commercial rates, whichever is higher. - Amends TCA Title 63; Title 68 and Title 71.
Current Status: In Senate
Introduction Date: 2025-01-27
Last Action Date: Action deferred in Senate Finance, Ways, and Means Committee to 1/13/2026. 2025-04-21
Summary: This bill enacts the "Tennessee Medicaid Modernization and Access Act of 2025," which aligns TennCare's current Medicaid reimbursement rates for obstetrics/gynecology, primary care, outpatient mental health, and substance use disorder treatment with the Medicare fee schedule or average commercial rates, whichever is higher.
Description: This bill enacts the "Tennessee Medicaid Modernization and Access Act of 2025," which requires TennCare reimbursements for key services in calendar year 2025 and subsequent years to be updated to match the medicare fee schedule or the average commercial rate, whichever is higher. Such updates may be implemented through phasing in for specific key services, if necessary. As used in this bill, "key services" means obstetrics-gynecology (OB/GYN), primary care, outpatient mental health, and substance use disorder (SUD) services. This bill requires the department of health, in consultation with the bureau of TennCare, to conduct an annual review to ensure TennCare reimbursement rates align with changes in the medicare fee schedule and average commercial rates and with the CMS 2024 final rule. A healthcare provider of key services that is entitled to receive TennCare reimbursement who alleges a delay in payment or receives an erroneous level of reimbursement pursuant to this bill, may, in accordance with rules promulgated by the commissioner of health, submit a written request for an administrative hearing, and the decision made after the hearing is final. This bill authorizes healthcare providers receiving increases under this bill to receive additional incentive payments based on metrics for quality of care and improved patient access, particularly in rural and underserved areas. The department of health must consult with the bureau of TennCare to establish and enforce these quality and access metrics. The bureau of TennCare must submit a request to CMS to modify the state medicaid plan, as necessary, to implement this bill. This bill requires the department of health and bureau of TennCare to actively seek and apply for federal, private, or other available funds, and actively direct available state funds, to support reimbursement adjustments under this bill, with particular attention to key services. It is the legislative intent that funds be annually appropriated in the general appropriations act to cover administrative costs to implement this bill. ANNUAL REPORT Beginning February 1, 2026, and no later than February 1 of each subsequent year, this bill requires the department of health and the bureau of TennCare to submit an annual joint report to legislative committees having jurisdiction over insurance, that details fiscal impacts, provider participation rates, access improvements, and outcome metrics for key services impacted by this bill. RULEMAKING This bill authorizes the bureau of TennCare and the department of health, as necessary, to promulgate rules to effectuate this bill. APPLICABILITY This bill applies to all TennCare reimbursements for key services occurring on or after January 1, 2025.
Location: US-TN
Title: Revises provisions relating to Medicaid. (BDR S-641)
Current Status: Sine Die - Failed
Introduction Date: 2025-02-26
Last Action Date: (Pursuant to Joint Standing Rule No. 14.3.1, no further action allowed.). 2025-04-12
Summary: This bill requires the Department to determine which Medicaid-covered services are primarily provided to children with cancer or serious diseases that predominantly affect children and to submit a request to the United States Secretary of Health and Human Services to increase the Medicaid reimbursement rate for those services by at least 10 percent. The Department must also identify which of these services are provided by specialist health care providers facing a shortage in the state, and request an additional 10 percent increase in the reimbursement rate for those services.
Description: AN ACT relating to Medicaid; requiring the Department of Health and Human Services to seek an increase to certain reimbursement rates under Medicaid; and providing other matters properly relating thereto.
Location: US-NV
Title: Medicaid Work Requirements.
Current Status: In House
Introduction Date: 2025-03-24
Last Action Date: Re-ref Com On Rules, Calendar, and Operations of the House. 2025-04-01
Summary: This bill directs the North Carolina Department of Health and Human Services, Division of Health Benefits (DHB), to pursue Medicaid work requirements if the Centers for Medicare and Medicaid Services (CMS) indicates they may be authorized. DHB must enter negotiations with CMS to develop and seek approval for a work requirement plan and notify the Joint Legislative Oversight Committee on Medicaid (JLOC) and the Fiscal Research Division (FRD) within 30 days of starting negotiations. If CMS approves the plan, DHB must report details, including the implementation timeline and funding needs, within 30 days. The bill mandates that DHB implement any CMS-approved work requirements.
Location: US-NC
Title: Medicaid; make various amendments to the provisions of the program.
Current Status: Vetoed
Introduction Date: 2025-01-20
Last Action Date: Veto Referred To Medicaid. 2025-03-28
Summary: This bill amends several sections of the Mississippi Code to modify Medicaid eligibility, services, and reimbursement policies, aligning with federal law and expanding coverage for vulnerable populations. Notably, it extends Medicaid eligibility for children in foster care up to their 26th birthday and removes the requirement for the Division of Medicaid to apply for federal waivers for services related to end-stage renal disease, cancer treatment, and organ transplant recipients. It also updates the reimbursement structure for services such as eyeglasses, pediatric primary care, family planning, and certain treatments like neuromuscular stimulators and autism services. The bill introduces quality-based components for nursing facility payments and mandates that Medicaid reimbursements for pediatric primary care be at 100% of Medicare rates. It also ensures coverage for postpartum depression screening and treatment, while prohibiting step therapy protocols for FDA-approved drugs used in treating postpartum depression. Furthermore, the bill revises the Medicaid payment system for hospitals and establishes new licensing and reimbursement rules for Adult Day Care facilities. Other provisions include expanding educational requirements for maternal mental health awareness and ensuring that health care providers screen for postpartum depression and make appropriate referrals. Lastly, it removes certain technical provisions related to hospital assessments and provides for increased funding flexibility for hospitals under the Medicaid program.
Description: An Act To Amend Section 43-13-115, Mississippi Code Of 1972, To Make Certain Technical Amendments To The Provisions That Provide For Medicaid Eligibility And To Modify Age And Income And Eligibility Criteria To Reflect The Current Criteria; To Require The Division Of Medicaid To Submit A Waiver By July 1, 2025, To The Center For Medicare And Medicaid Services (Cms) To Authorize The Division To Conduct Less Frequent Medical Redeterminations For Eligible Children Who Have Certain Long-Term Or Chronic Conditions That Do Not Need To Be Reidentified Every Year; To Provide That Men Of Reproductive Age Are Eligible Under The Family Planning Program; To Conform With Federal Law To Allow Children In Foster Care To Be Eligible Until Their 26Th Birthday; To Eliminate The Requirement That The Division Must Apply To Cms For Waivers To Provide Services For Certain Individuals Who Are End Stage Renal Disease Patients On Dialysis, Cancer Patients On Chemotherapy Or Organ Transplant Recipients On Antirejection Drugs; To Amend Section 43-13-117, Mississippi Code Of 1972, To Make Certain Technical Amendments To The Provisions That Provide For Medicaid Services To Comply With Federal Law; To Eliminate The Option For Certain Rural Hospitals To Elect Against Reimbursement For Outpatient Hospital Services Using The Ambulatory Payment Classification (Apc) Methodology; To Require The Division To Update The Case-Mix Payment System And Fair Rental Reimbursement System As Necessary To Maintain Compliance With Federal Law; To Authorize The Division To Implement A Quality Or Value-Based Component To The Nursing Facility Payment System; To Require The Division To Reimburse Pediatricians For Certain Primary Care Services As Defined By The Division At 100% Of The Rate Established Under Medicare; To Require The Division To Reimburse For One Pair Of Eyeglasses Every Two Years Instead Of Every Five Years For Certain Beneficiaries; To Authorize Oral Contraceptives To Be Prescribed And Dispensed In Twelve-Month Supply Increments Under Family Planning Services; To Authorize The Division To Reimburse Ambulatory Surgical Care (Asc) Based On 90% Of The Medicare Asc Payment System Rate In Effect July 1 Of Each Year As Set By Cms; To Authorize The Division To Provide Reimbursement For Devices Used For The Reduction Of Snoring And Obstructive Sleep Apnea; To Direct The Division To Allow Physicians At Any Hospital To Participate In Any Medicare Upper Payment Limits Program (Upl), Allowable Delivery System Or Provider Payment Initiative Established By The Division, Subject To Federal Limitations On Collection Of Provider Taxes; To Provide That The Division May, In Consultation With The Mississippi Hospital Association, Develop Alternative Models For Distribution Of Medical Claims And Supplemental Payments For Inpatient And Outpatient Hospital Services; To Update And Clarify Language About The Division'S Transition From The Medicare Upper Payment Limits Program (Upl) To The Mississippi Hospital Access Program (Mhap); To Provide That The Division Shall Maximize Total Federal Funding For Mhap, Upl And Other Supplemental Payment Programs In Effect For State Fiscal Year 2025 And Shall Not Change The Methodologies, Formulas, Models Or Preprints Used To Calculate The Distribution Of Supplemental Payments To Hospitals From Those Methodologies, Formulas, Models Or Preprints In Effect And As Approved By The Centers For Medicare And Medicaid Services For State Fiscal Year 2025; To Authorize The Division To Contract With The State Department Of Health To Provide For A Perinatal High Risk Management/Infant Services System For Any Eligible Beneficiary That Cannot Receive Such Services Under A Different Program; To Authorize The Division To Reimburse For Services At Certified Community Behavioral Health Centers; To Extend To July 1, 2027, The Date Of The Repealer On The Provision Of Law That Provides That The Division Shall Reimburse For Outpatient Hospital Services Provided To Eligible Medicaid Beneficiaries Under The Age Of Twenty-One Years By Border City University-Affiliated Pediatric Teaching Hospitals, Which Was Repealed By Operation Of Law In 2024; To Limit The Payment For Providing Services To Mississippi Medicaid Beneficiaries Under The Age Of Twenty-One Years Who Are Treated By A Border City University-Affiliated Pediatric Teaching Hospital; To Require The Division To Develop And Implement A Method For Reimbursement Of Autism Spectrum Disorder Services Based On A Continuum Of Care For Best Practices In Medically Necessary Early Intervention Treatment; To Require The Division To Reimburse For Preparticipation Physical Evaluations; To Require The Division To Reimburse For United States Food And Drug Administration Approved Medications For Chronic Weight Management Or For Additional Conditions In The Discretion Of The Medical Provider; To Require The Division To Provide Coverage And Reimbursement For Any Nonstatin Medication Approved By The United States Food And Drug Administration That Has A Unique Indication To Reduce The Risk Of A Major Cardiovascular Event In Primary Prevention And Secondary Prevention Patients; To Require The Division To Provide Coverage And Reimbursement For Any Nonopioid Medication Approved By The United States Food And Drug Administration For The Treatment Or Management Of Pain; To Reduce The Length Of Notice The Division Must Provide The Medicaid Committee Chairmen For Proposed Rate Changes And To Provide That Such Legislative Notice May Be Expedited; To Require The Division To Reimburse Ambulance Transportation Service Providers That Provide An Assessment, Triage Or Treatment For Eligible Medicaid Beneficiaries; To Set Certain Reimbursement Levels For Such Providers; To Extend To July 1, 2029, The Date Of The Repealer On Such Section; To Amend Section 43-13-121, Mississippi Code Of 1972, To Authorize The Division To Extend Its Medicaid Enterprise System And Fiscal Agent Services, Including All Related Components And Services, Contracts In Effect On June 30, 2025, For Additional Five-Year Periods If The System Continues To Meet The Needs Of The State, The Annual Cost Continues To Be A Fair Market Value, And The Rate Of Increase Is No More Than Five Percent Or The Current Consumer Price Index, Whichever Is Less; To Authorize The Division To Enter Into A Two-Year Contract With A Vendor To Provide Support Of The Division'S Eligibility System; To Reduce The Length Of Notice The Division Must Provide The Medicaid Committee Chairmen For A Proposed State Plan Amendment And To Provide That Such Legislative Notice May Be Expedited; To Amend Section 43-13-305, Mississippi Code Of 1972, To Provide That When A Third Party Payor Requires Prior Authorization For An Item Or Service Furnished To A Medicaid Recipient, The Payor Shall Accept Authorization Provided By The Division Of Medicaid That The Item Or Service Is Covered Under The State Plan As If Such Authorization Were The Prior Authorization Made By The Third Party Payor For Such Item Or Service; To Amend Section 43-13-117.7, Mississippi Code Of 1972, To Provide That The Division Shall Not Reimburse Or Provide Coverage For Gender Transition Procedures For Any Person; To Amend Section 43-13-145, Mississippi Code Of 1972, To Provide That A Quarterly Hospital Assessment May Exceed The Assessment In The Prior Quarter By More Than $3,750,000.00 If Such Increase Is To Maximize Federal Funds That Are Available To Reimburse Hospitals For Services Provided Under New Programs For Hospitals, For Increased Supplemental Payment Programs For Hospitals Or To Assist With State Matching Funds As Authorized By The Legislature; To Authorize The Division To Reduce Or Eliminate The Portion Of The Hospital Assessment Applicable To Long-Term Acute Care Hospitals And Rehabilitation Hospitals If Cms Waives Certain Requirements; To Amend Section 43-13-115.1, Mississippi Code Of 1972, To Remove The Requirement That A Pregnant Woman Must Provide Proof Of Her Pregnancy And Documentation Of Her Monthly Family Income When Seeking A Determination Of Presumptive Eligibility; To Create New Section 41-140-1, Mississippi Code Of 1972, To Define Terms; To Create New Section 41-140-3, Mississippi Code Of 1972, To Require The State Department Of Health To Develop And Promulgate Written Educational Materials And Information For Health Care Professionals And Patients About Maternal Mental Health Conditions; To Require Hospitals Providing Birth Services To Provide Such Educational Materials To New Parents And, As Appropriate, Other Family Members; To Require That Such Materials Be Provided To Any Woman Who Presents With Signs Of A Maternal Mental Health Disorder; To Create New Section 41-140-5, Mississippi Code Of 1972, To Require Any Health Care Provider Or Nurse Midwife Who Renders Postnatal Care Or Pediatric Infant Care To Ensure That The Postnatal Care Patient Or Birthing Mother Of The Pediatric Infant Care Patient, As Applicable, Is Offered Screening For Postpartum Depression And To Provide Appropriate Referrals If Such Patient Or Mother Is Deemed Likely To Be Suffering From Postpartum Depression; To Amend Section 43-13-107, Mississippi Code Of 1972, To Establish A Medicaid Advisory Committee And Beneficiary Advisory Committee As Required Pursuant To Federal Regulations; To Provide That All Members Of The Medical Care Advisory Committee Serving On January 1, 2025, Shall Be Selected To Serve On The Medicaid Advisory Committee, And Such Members Shall Serve Until July 1, 2028; And For Related Purposes.
Location: US-MS
Title: Requires Medicare and Medicaid managed care providers to provide coverage for certain out-of-network health care
Current Status: In Assembly
Introduction Date: 2025-03-21
Last Action Date: REFERRED TO HEALTH. 2025-03-21
Summary: This bill requires Medicare and Medicaid managed care providers to provide coverage for certain out-of-network health care when the patient has a long term relationship with a medical professional who is not a recurring provider under the managed care provider's network.
Description: Requires Medicare and Medicaid managed care providers to provide coverage for certain out-of-network health care when the patient has a long term relationship with a medical professional who is not a recurring provider under the managed care provider's network.
Location: US-NY
Title: Relating to the expansion of eligibility for Medicaid to certain working parents for whom federal matching money is available.
Current Status: Sine Die - Failed
Introduction Date: 2025-02-24
Last Action Date: Referred to Appropriations. 2025-03-20
Summary: This bill expands Medicaid eligibility in Texas to working parents of dependent children if federal matching funds are available. The Health and Human Services Commission must implement this expansion, and the executive commissioner is required to adopt the necessary rules. Eligibility determinations and recertifications will apply from the date of implementation. The commission must take all necessary actions to notify federal agencies and secure approvals. If a federal waiver is required, implementation may be delayed until approval is granted. The act takes effect on September 1, 2025.
Location: US-TX
Title: Reimbursement rate increases; appropriations
Current Status: Sine Die - Failed
Introduction Date: 2025-01-30
Last Action Date: House Second Reading. 2025-03-20
Location: US-AZ
Title: TennCare - As introduced, authorizes the governor to expand medicaid eligibility solely for the purpose of providing treatment for a patient with a diagnosis of sickle cell disease in accordance with the federal Patient Protection and Affordable Care Act and to negotiate with the centers for medicare and medicaid services with respect to the terms of such expansion. - Amends TCA Title 4 and Title 71, Chapter 5.
Current Status: In House
Introduction Date: 2024-11-19
Last Action Date: Action def. in Insurance Committee to 1/1/2026. 2025-03-19
Summary: This bill proposes to amend Tennessee Code Annotated, Title 4 and Title 71, Chapter 5 to expand Medicaid specifically for providing treatment to patients diagnosed with sickle cell disease. The authorization allows the governor to negotiate the terms of Medicaid expansion with the federal Centers for Medicare and Medicaid Services for this purpose. The act comes into effect upon becoming law, with a focus on public welfare.
Description: Abstract summarizes the bill.
Location: US-TN
Title: MinnesotaCare eligibility expansion
Current Status: In Senate
Introduction Date: 2025-03-10
Last Action Date: Withdrawn and re-referred to Health and Human Services. 2025-03-17
Summary: This bill expands eligibility for MinnesotaCare, a state health insurance program, by extending coverage to individuals and families with incomes up to 275% of the federal poverty guidelines, effective January 1, 2029, or upon federal approval. It requires the commissioner of commerce to seek a federal section 1332 waiver to implement these changes and secure the necessary funding. The bill introduces a premium scale for expansion enrollees, who will be required to pay premiums based on household income and will not be exempt from cost-sharing requirements, with an actuarial value set at 94%. It also mandates managed care plan vendors to reimburse healthcare providers at rates equal to or greater than Medicare payment rates. The bill specifies that MNsure will handle applications and eligibility determinations, with provisions for appeals and eligibility clarity. It further ensures that individuals with income above 200% of the federal poverty guidelines may still access coverage through the expansion.
Location: US-MN
Title: Codifies Medicaid coverage for eligible pregnant women for 365-day period beginning on last day of pregnancy.
Current Status: In Assembly
Introduction Date: 2025-02-13
Last Action Date: Reported and Referred to Assembly Children, Families and Food Security Committee. 2025-03-17
Summary: This bill codifies Medicaid coverage for eligible pregnant women for a 365-day period beginning on the last day of a woman's pregnancy. This bill also clarifies that the State's existing coverage of Medicaid services for pregnant individuals is extended to those individuals whose income does not exceed the highest income eligibility level established for pregnant women under the State Medicaid plan.
Location: US-NJ
Title: Community Health, Department of; submit a Section 1115 waiver request to the United States Department of Health and Human Services for Medicare and Medicaid Services; authorize
Current Status: In House
Introduction Date: 2025-03-10
Last Action Date: House Second Readers. 2025-03-13
Summary: This bill authorizes the Georgia Department of Community Health to submit a Section 1115 waiver request to CMS, allowing for potential Medicaid program modifications. It also expands qualifying activities under the waiver, provides new definitions, and includes provisions for the implementation and repeal of conflicting laws. The bill establishes an effective date upon passage.
Description: A BILL to be entitled an Act to amend Article 7 of Chapter 4 of Title 49 of the Official Code of Georgia Annotated, relating to medical assistance generally, so as to authorize the Department of Community Health to submit a Section 1115 waiver request to the United States Department of Health and Human Services Centers for Medicare and Medicaid Services; to authorize additional qualifying activity types; to provide for definitions; to provide for related matters; to provide for an effective date; to repeal conflicting laws; and for other purposes.
Location: US-GA
Title: Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.
Current Status: Sine Die - Failed
Introduction Date: 2024-11-20
Last Action Date: Referred to Appropriations. 2025-03-11
Location: US-TX
Title: Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.
Current Status: Sine Die - Failed
Introduction Date: 2024-11-15
Last Action Date: Referred to Appropriations. 2025-03-11
Location: US-TX
Title: An Act Relating To State Affairs And Government -- Rhode Island Individual Market Affordability Act Of 2025 (Creates The Rhode Island Individual Market Affordability Act Of 2024 To Help Reduce Out-Of-Pocket Costs For Low- And Moderate-Income Consumers Enrolled In The Health Insurance Coverage Through The Rhode Island Health Benefits Exchange.)
Current Status: In Senate
Introduction Date: 2025-03-07
Last Action Date: Committee recommended measure be held for further study. 2025-03-11
Summary: The Rhode Island Individual Market Affordability Act of 2025 reduces out-of-pocket costs for low- and moderate-income individuals purchasing health insurance through the Rhode Island Health Benefits Exchange. It establishes a state affordability program to provide financial assistance by making direct payments to health insurance carriers, lowering costs, and improving the actuarial value of plans. A dedicated fund, the "health insurance individual market affordability account," will be created to support the program, receiving contributions from insurers. The bill also mandates annual reporting on the program's effectiveness. An "individual market affordability board" will advise the director of the exchange on program specifics, including stakeholders from health insurance, healthcare providers, and consumer advocates. Funding for the program will begin on July 1, 2025, with minimum funding specified for the first year. The bill includes income-based eligibility criteria for state premium tax credits and cost-sharing reductions, aiming to assist those in financial need.
Location: US-RI
Title: A bill for an act relating to annual automatic increases in Medicaid provider reimbursement rates.
Current Status: In House
Introduction Date: 2025-03-06
Last Action Date: Introduced, referred to Health and Human Services.. 2025-03-06
Summary: This bill requires the Iowa Department of Health and Human Services to automatically increase Medicaid provider reimbursement rates by 2.5% annually on July 1, regardless of existing laws related to inflation factors or rate indexing. The increase applies to each provider’s current reimbursement rate and is in addition to any other rate adjustments specified for a given fiscal year.
Location: US-IA
Title: Relating to the development and implementation of the Live Well Texas program and the expansion of Medicaid eligibility to provide health benefit coverage to certain individuals; imposing penalties.
Current Status: Sine Die - Failed
Introduction Date: 2024-11-12
Last Action Date: Co-author authorized. 2025-03-04
Location: US-TX
Title: AN ACT relating to Medicaid eligibility.
Current Status: Sine Die - Failed
Introduction Date: 2025-02-14
Last Action Date: to Health Services (H). 2025-02-25
Summary: This bill amends KRS 205.592 to expand Medicaid eligibility for pregnant women, new parents (up to 24 months postpartum), and children up to age one, raising the income eligibility threshold from 185% to a higher percentage of the federal poverty guidelines, as allowed by federal law and available funding. The expansion ensures that individuals meeting the income criteria and other program requirements are eligible for participation in the Kentucky Medical Assistance Program. The adjustment will allow for a broader range of low-income families to access Medicaid, provided federal regulations and funding support this increase.
Description: Amend KRS 205.592 to extend Medicaid eligibility for new parents from 12 months to 24 months postpartum.
Location: US-KY
Title: Ensures that temporary protected status beneficiaries continue to receive Medicaid benefits
Current Status: In Assembly
Introduction Date: 2025-02-12
Last Action Date: REFERRED TO HEALTH. 2025-02-12
Summary: This bill introduces amendments to ensure continued access to medical assistance benefits for individuals affected by federal immigration status changes. Specifically, it prohibits the cancellation, suspension, or rescission of medical assistance for Temporary Protected Status (TPS) beneficiaries if the federal government ends the designation for their country of origin. The bill also extends eligibility for medical assistance to individuals previously granted TPS, provided they meet all requirements except immigration status. Similarly, it ensures that individuals enrolled in the Deferred Action for Childhood Arrivals (DACA) program will not lose their medical assistance if the federal government ends the program. The bill extends medical assistance eligibility to former DACA recipients who meet all other requirements except immigration status.
Description: Ensures that temporary protected status beneficiaries continue to receive Medicaid benefits if the federal government ends the program.
Location: US-NY
Title: Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.
Current Status: Sine Die - Failed
Introduction Date: 2024-12-18
Last Action Date: Referred to Health & Human Services. 2025-02-03
Summary: This bill expands eligibility for Medicaid in Texas under the federal Patient Protection and Affordable Care Act (ACA). It requires the Texas Health and Human Services Commission to provide medical assistance to all eligible individuals, as long as federal matching funds are available. The executive commissioner will adopt rules to implement this expansion, and an annual report will be provided to the governor and legislative leaders. The report will cover the impact of the expansion on health coverage, state and local healthcare costs, and charity or uncompensated care expenses for hospitals.
Location: US-TX
Title: Relating to the expansion of eligibility for Medicaid to certain individuals under the federal Patient Protection and Affordable Care Act.
Current Status: Sine Die - Failed
Introduction Date: 2024-12-18
Last Action Date: Referred to Health & Human Services. 2025-02-03
Location: US-TX
Title: Relating to the expansion of eligibility for Medicaid to all individuals for whom federal matching money is available.
Current Status: Sine Die - Failed
Introduction Date: 2024-12-18
Last Action Date: Referred to Health & Human Services. 2025-02-03
Location: US-TX
Title: Relating To Medicaid.
Current Status: In Senate
Introduction Date: 2025-01-17
Last Action Date: Referred to HHS, WAM.. 2025-01-23
Summary: This bill directs the Department of Human Services (DHS) to adopt rules to expand Medicaid eligibility in Hawaii to all children from birth to age five, regardless of household income. It appropriates $317,000,000 for fiscal years 2025-2026 and 2026-2027 to support this expansion.
Description: Directs the Department of Human Services to adopt rules to expand Medicaid eligibility to all children in the State from birth to age 5 years without regard to household income. Appropriates moneys.
Location: US-HI
Title: Medicaid work requirements.
Current Status: Failed
Introduction Date: 2025-01-08
Last Action Date: The bill has been marked as inactive on the legislature website and no further activity is expected. The date chosen for this action is system generated by FN and is set to 1 day after the most recent action.. 2025-01-10
Description: Sets forth work requirements for certain individuals in order to be eligible for Medicaid. Provides exceptions. Requires the office of the secretary of family and social services to apply for any state plan amendment or Medicaid waiver necessary and to continue to apply for the plan amendment or waiver if the plan amendment or waiver is denied by the United States Department of Health and Human Services.
Location: US-IN
Title: Medicaid buy-in.
Current Status: Failed
Introduction Date: 2025-01-08
Last Action Date: The bill has been marked as inactive on the legislature website and no further activity is expected. The date chosen for this action is system generated by FN and is set to 1 day after the most recent action.. 2025-01-09
Description: Amends the definition of "countable resources" for purposes of the Medicaid buy-in program (program). Removes consideration of income in determining an individual's eligibility for participation in the program. Requires the office of the secretary of family and social services (office of the secretary) to apply for a state plan amendment or waiver to implement this provision. Increases the maximum age to be eligible for participation in the program from 64 years of age to 67 years of age. Allows a recipient's participation in an employment network recognized by the federal Social Security Administration to qualify as participating with an approved provider of employment services. Changes the monthly maximum premium that a recipient must pay. Requires that the premium scale be promulgated by administrative rule. Allows the office of the secretary to annually review the premium amount that a recipient must pay in the program. (Current law requires annual review of the premium amount.) Specifies changes in circumstances that must result in an adjustment of the premium. Specifies that a recipient in the program is eligible for the same services as offered in the Medicaid program. States that an individual's participation in the program does not preclude the individual from participating in a Medicaid waiver program. Specifies that a recipient of the program may simultaneously participate in a Medicaid waiver program and requires the office of the secretary to individually determine eligibility for both programs based on the individual's medical need requirements.
Location: US-IN
Title: Register Entry
Type: Proposed
Citations: Enhanced Reimbursement—medication Assisted Treatment For Opioid Use Disorder; Physician-related Services Definitions
Agency: Health Care Authority
Publication Date: Feb 19, 2025
Summary: The Washington Health Care Authority (HCA) is proposing amendments to WAC 182-531-0050 and WAC 182-531-2040 to clarify and update definitions related to physician services and enhanced reimbursements for Medication for Opioid Use Disorder (MOUD). The proposed rule changes the term from Medication Assisted Treatment (MAT) to MOUD and revises the requirements for enhanced reimbursement under Medicaid for this treatment. The aim is to simplify the reimbursement process and ensure consistency across definitions and procedures. The amendments reflect changes in provider reimbursement related to Medicaid, specifically enhancing support for MOUD services, and are set to be adopted following a public hearing on March 11, 2025.
Description: Enhanced Reimbursement—medication Assisted Treatment For Opioid Use Disorder
Location: US-WA
Title: Prohibiting vaccines allowed under an emergency use authorization or undergoing safety trials to be required
Current Status: Enacted
Introduction Date: 2025-02-26
Last Action Date: (H) Signed by Governor. 2025-05-13
Location: US-MT
Title: TennCare - As introduced, prohibits a healthcare provider who participates in the TennCare or CoverKids programs from refusing to provide healthcare services to an enrollee based solely upon the enrollee’s refusal to obtain a vaccine or immunization; prohibits the bureau from reimbursing a healthcare provider in violation of such prohibition; requires the director to adopt rules. - Amends TCA Title 33; Title 56; Title 63; Title 68 and Title 71.
Current Status: In House
Introduction Date: 2025-02-03
Last Action Date: Sponsor(s) Added.. 2025-04-21
Summary: This bill amends Tennessee Code Annotated to prohibit healthcare providers participating in medical assistance health benefit plans from refusing to provide services to enrollees based solely on their refusal or failure to receive a vaccine for a specific infectious disease. The Bureau of TennCare will not reimburse providers who violate this provision unless the provider complies. It excludes oncology and organ transplant specialists from this requirement. The Director of TennCare is tasked with adopting necessary rules, including procedures for administrative and judicial review of alleged violations. This act takes effect on July 1, 2025.
Description: This bill prohibits a healthcare provider who participates in a medical assistance health benefit plan, including a provider participating in the provider network of a managed care organization that contracts with the bureau of TennCare to provide services under a medical assistance health benefit plan, from refusing to provide healthcare services to an enrollee based solely on the enrollee's refusal or failure to obtain a vaccine or immunization for a particular infectious or communicable disease. This bill prohibits the bureau from providing reimbursement for a medical assistance health benefit plan to a provider who violates this bill unless and until the bureau finds that the provider is in compliance with this bill. However, this prohibition only applies with respect to an individual healthcare provider. The bureau must not refuse to provide reimbursement to a provider who did not violate this bill based on that provider's membership in a provider group or medical organization with an individual physician who violated this bill. EXEMPTIONS This bill does not apply to a provider who is a specialist in oncology or organ transplant services. RULEMAKING This bill requires the director of TennCare to adopt rules necessary to implement this bill, including rules establishing the right of a provider who is alleged to have violated this bill to seek administrative and judicial review of the alleged violation. FEDERAL WAIVER This bill authorizes the director to seek such federal waiver that the director deems necessary to effectuate this bill. ON APRIL 16, 2025, THE SENATE ADOPTED AMENDMENTS #1 AND #2 AND PASSED SENATE BILL 1389, AS AMENDED. AMENDMENT #1 changes this bill's prohibition against refusing services for an enrollee based solely on the enrollee's refusal to obtain a vaccine or immunization. This amendment instead prohibits a healthcare provider who participates in a medical assistance health benefit plan, including a provider participating in the provider network of a managed care organization that contracts with the bureau of TennCare to provide services under a medical assistance health benefit plan, from refusing to provide healthcare services to an enrollee based on the enrollee's refusal or failure to obtain a vaccine or immunization if the enrollee, or if the enrollee is a minor, the enrollee's parent or legal guardian, has a religious or moral objection to the vaccine or immunization. This amendment adds the following to the subjects for which this bill requires the director of TennCare to promulgate rules: (1) A process by which an enrollee, the parent or legal guardian of an enrollee who is a minor, or another person may report an alleged violation of this bill to the bureau; (2) An opportunity for the individual who reported the alleged violation to attend and provide testimony at a hearing, if any, conducted as part of the administrative and judicial review process established pursuant to the introduced bill; and (3) A process by which the individual who reported the alleged violation may appeal a final decision rendered as part of the administrative and judicial review process. AMENDMENT #2 deletes the provisions of this bill that exempt oncologists and organ transplant specialists and authorize the director of TennCare to seek a federal waiver to effectuate this bill. ON APRIL 21, 2025, THE HOUSE SUBSTITUTED SENATE BILL 1389 FOR HOUSE BILL 638, ADOPTED AMENDMENT #1, AND PASSED SENATE BILL 1389, AS AMENDED. AMENDMENT #1 replaces this bill's rulemaking provisions, restores the exemptions for oncologists and specialists in organ transplant services, and adds an exemption for specialists who treating patients who are immunocompromised, including patients who are immunocompromised because of a disease or as a result of treatment for a disease. This amendment purports to amend provisions of this bill that were deleted by Senate Amendment #2.
Location: US-TN
Title: A bill for an act relating to liability for injuries caused by vaccines.
Current Status: In House
Introduction Date: 2025-03-03
Last Action Date: Subcommittee recommends passage.. 2025-03-06
Location: US-IA
Title: AN ACT relating to vaccines.
Current Status: Sine Die - Failed
Introduction Date: 2025-02-14
Last Action Date: to Health Services (S). 2025-02-19
Description: Create a new section of KRS Chapter 214 to prohibit a requirement for any individual to receive a COVID-19 vaccine, modified ribonucleic acid (modRNA) vaccine, or messenger ribonucleic acid (mRNA) vaccine for the purposes of student enrollment, employment, or medical treatment in the Commonwealth; prohibit any COVID-19 vaccine, modified ribonucleic acid (modRNA) vaccine, or messenger ribonucleic acid (mRNA) vaccine to be administered in the Commonwealth to a minor child under the age of 18 years; sunset the provisions that relate to a minor child on July 1, 2035, unless extended by the General Assembly:
Location: US-KY
Title: Update licensing requirements for facilities licensed by the department of public health and human services
Current Status: Enacted
Introduction Date: 2025-02-26
Last Action Date: Chapter Number Assigned. 2025-05-08
Summary: This bill revises laws related to facilities licensed by the Montana Department of Public Health and Human Services, including updates to licensure requirements for various health care facilities. It includes amendments to regulations governing community homes for individuals with severe disabilities and developmental disabilities. The bill also modifies definitions related to health care facilities, including abortion clinics, which may impact reproductive health services. - A hospital has an organized medical staff that is on call and available within 20 minutes, 24 hours a day, 7 days a week, and provides 24-hour nursing care by licensed registered nurses. Rural hospitals are excluded from this
Location: US-MT
Title: MEDICAID – Amends, repeals, and adds to existing law to provide that legislative approval is required for certain state plan amendments and waivers and to provide legislative approval for certain state plan amendments and waivers.
Current Status: Sine Die - Failed
Introduction Date: 2025-02-25
Last Action Date: Reported Printed and Referred to Health & Welfare. 2025-02-26
Summary: This bill establishes legislative oversight over Medicaid state plan amendments and waivers in Idaho, requiring legislative approval for any modifications that expand coverage or increase costs. It mandates legislative approval for amendments regarding rural emergency hospital designation, Medicaid cost-sharing, comprehensive managed care, Medicaid expansion limits, practice authority protection, and site-neutral payments. The bill also directs the Department of Health and Welfare to develop a Medicaid-managed care plan focused on high-cost populations, including dual eligibles and high-risk pregnancies, incorporating medical homes and case management strategies. It modifies Medicaid provider payment rates, capping primary care reimbursements at 100% of Medicare rates and other procedures at 90%. Additionally, it nullifies several administrative rules related to Medicaid coordination and reimbursement. The bill takes immediate effect upon passage.
Location: US-ID
Title: Ems-Rural Staffing-Part-Time
Current Status: In House
Introduction Date: 2025-01-16
Last Action Date: Referred to Rules Committee. 2025-01-28
Description: Amends the Emergency Medical Services (EMS) Systems Act. Provides that the Department of Public Health shall allow for an alternative rural staffing model for vehicle service providers that serve a rural or semi-rural population of 10,000 or fewer inhabitants and exclusively use volunteers, paid-on-call, or part-time employees, or a combination thereof (now, the use of part-time employees is not an option). Effective immediately.
Location: US-IL
Title: An Act regulating surgical assistants
Current Status: In House
Introduction Date: 2025-02-27
Last Action Date: Hearing scheduled for 06/11/2025 from 09:00 AM-01:00 PM in A-1. 2025-06-06
Description: By Representative Blais of Deerfield, a petition (accompanied by bill, House, No. 327) of Natalie M. Blais relative to regulating surgical assistants. Consumer Protection and Professional Licensure.
Location: US-MA
Title: Relating to the regulation of certain health professionals; providing an administrative penalty.
Current Status: Sine Die - Failed
Introduction Date: 2025-02-26
Last Action Date: Committee report sent to Calendars. 2025-04-25
Location: US-TX
Title: Anesthesiologist assistants licensing.
Current Status: Failed
Introduction Date: 2025-01-14
Last Action Date: H:Died in Committee Returned Bill Pursuant to HR 5-4. 2025-03-03
Description: AN ACT relating to professions and occupations; providing for the licensing of anesthesiologist assistants and specifying scope of practice; creating and amending definitions; providing for temporary licenses as specified; providing for the imposition of fees; providing for the suspension, restriction, revocation or nonrenewal of licenses as specified; providing for license reinstatement and reactivation; creating a criminal penalty; providing for a hearing; amending the composition of the board of medicine; requiring rulemaking; and providing for an effective date.
Location: US-WY
Title: Relating To Midwives.
Current Status: In Senate
Introduction Date: 2025-01-15
Last Action Date: Re-Referred to HHS/CPN, WAM/JDC.. 2025-01-27
Summary: This bill establishes a licensing scheme for licensed certified midwives and licensed certified professional midwives, to be overseen by the Department of Commerce and Consumer Affairs. It reestablishes the home birth task force to provide recommendations on issues related to home births.
Description: Establishes a licensing scheme for licensed certified midwives and licensed certified professional midwives, to be overseen by the Department of Commerce and Consumer Affairs. Reestablishes the home birth task force to provide recommendations on issues related to home births. Dissolves the task force on 6/30/2026. Requires reports to the Legislature.
Location: US-HI
Title: Relating To Midwives.
Current Status: In House
Introduction Date: 2025-01-17
Last Action Date: Referred to HLT/CPC, FIN, referral sheet 1. 2025-01-21
Description: Establishes a licensing scheme for licensed certified midwives and licensed certified professional midwives, to be overseen by the Department of Commerce and Consumer Affairs. Re-establishes the home birth task force to provide recommendations on issues related to home births. Dissolves the task force on 6/30/2026. Requires reports to the Legislature.
Location: US-HI
Title: Relates to licensure of anesthesiologist assistants
Current Status: In Assembly
Introduction Date: 2025-01-08
Last Action Date: REFERRED TO HIGHER EDUCATION. 2025-01-08
Description: Relates to licensure of anesthesiologist assistants; establishes requirements for such licensure; establishes a state committee for anesthesiologist assistants; allows for limited permits lasting one year.
Location: US-NY
Title: Modifies provisions relating to health care
Current Status: Sine Die - Failed
Introduction Date: 2025-01-08
Last Action Date: Referred H Legislative Review. 2025-05-12
Summary: This bill modifies provisions to state that healthcare providers can choose any electronic platform for telehealth or telemedicine services, as long as they comply with the Health Insurance Portability and Accountability Act of 1996, and are not restricted in their choice.
Location: US-MO
Title: Relating to eligibility for mediation of certain out-of-network health benefit claims.
Current Status: Passed House
Introduction Date: 2025-03-13
Last Action Date: Sent to the Governor. 2025-05-28
Summary: This bill amends Section 1467.054(a) of the Insurance Code to modify the eligibility for mandatory mediation of certain out-of-network health benefit claims. It specifies that within 90 days of an out-of-network provider receiving an initial payment for health care or medical services, either the out-of-network provider or the health benefit plan issuer (or administrator) may request mediation under the relevant subchapter. This change provides clarity on who can initiate mediation regarding disputes over out-of-network claims.
Location: US-TX
Title: AN ACT TO AMEND TITLE 18 OF THE DELAWARE CODE RELATING TO THE DELAWARE PRE-AUTHORIZATION ACT OF 2025.
Current Status: In Senate
Introduction Date: 2025-04-10
Last Action Date: Stricken in Senate. 2025-05-15
Summary: The Delaware Pre-Authorization Reform Act of 2025 establishes new requirements for pre-authorization procedures in both individual and group health insurance plans regulated under Chapters 33 and 35 of Title 18. The Act mandates that changes to utilization review terms, such as clinical criteria, apply only upon re-authorization and require at least six months’ advance notice to covered individuals, with limited exceptions. It sets qualifications for decision-makers, timelines for determinations and appeals, and standards for utilization review entities. The bill accelerates deadlines for notifying providers of pre-authorization decisions: within 5 business days for non-urgent requests submitted manually, 3 business days if submitted electronically, and within 24 hours for urgent requests submitted electronically. By January 1, 2027, all parties must process electronic requests via the same platform used to submit them. The Act extends pre-authorizations' validity from 60 to 90 days and ensures that only one authorization is needed per episode of care, including bundled services. It also applies the same reforms to group health insurance, requires compliance by state employee health plans and Medicaid carriers, and applies to insurance policies issued, modified, or renewed after December 31, 2026.
Description: This Legislation is the Delaware Pre-Authorization Reform Act of 2025. Section 1 of the Act applies to health Insurance Contracts regulated under Chapter 33 of Title 18. Section 1 provides that changes in utilization review terms for a health-care service, such as the clinical criteria used to conduct utilization reviews for a health-care service, will apply only upon re-authorization of the health-care service. Covered persons must be notified at least 6 months before any changes to utilization review terms, except in certain circumstances such as changes in clinical guideline status In addition, Section 1 sets qualifications for who may make determinations with regard to requests for pre- authorization of health-care services and appeals of adverse determinations; a timeline and required contents for the notification of an outcome of appeal of an adverse determination or a notification that additional information is necessary to make the determination of appeal; and requirements for any utilization review entity used to perform utilization review by an insurer, health-benefit plan, or health-service corporation. Section 1 also shortens the timelines for the determination of pre-authorization requests and notification to the health-care provider of the determination. For requests for pre-authorization of non-urgent health-care services not submitted electronically, the utilization review entity must notify the health-care provider within 5 business days of receipt of the request; for requests submitted electronically, notification must be given within 3 business days of receipt. For requests for pre-authorization for urgent health-care services submitted electronically, notification must be given within 24 hours of receipt. By January 1, 2027, insurers, health-benefit plans, health-service corporations, and utilization review entities must accept and respond to electronic pre-authorization requests through the same platform as the electronic request was submitted. In addition, Section 1 extends the time period that a pre-authorization is valid for from 60 days to 90 days. Finally, Section 1 provides that no more than 1 pre-authorization may be required for a single episode of care, and that if pre-authorization is granted as to a health-care service that is part of a group of services for which a bundled payment is charged, pre-authorization for the other health-care services included in the group is deemed to be approved as well. Section 2 of the Act applies to Group and Blanket Health Insurance under Chapter 35 of Title 18 and makes the same changes to pre-authorization standards and procedures that Section 1 of the Act makes to Health Insurance Contracts regulated under Chapter 33 of Title 18. Section 3 of the Act provides that the State Employee Benefits Committee established under § 9602 of the Title 29 of the Delaware Code must ensure that carriers administering plans for group health insurance comply with the requirements and provisions for pre-authorization set forth in Chapter 33, Subchapter II and Chapter 35, Subchapter V of Title 18. Section 4 of the Act provides that the Act will apply to health insurance policies, contracts, or certificates issued, modified, or renewed after December 31, 2026. Section 5 of the Act provides that the Department of Health and Social Services must, to the extent feasible, assure that contracts awarded to carriers providing health insurance relating to Medicaid assistance comply with the requirements and provisions for pre-authorization set forth in Chapter 33, Subchapter II and Chapter 35, Subchapter V of Title 18. Section 6 provides that this Act is known as the "Delaware Pre-Authorization Reform Act of 2025."
Location: US-DE
Title: Relating to eligibility for mediation of certain out-of-network health benefit claims.
Current Status: Sine Die - Failed
Introduction Date: 2025-03-12
Last Action Date: Laid on the table subject to call. 2025-05-08
Summary: This bill amends the Insurance Code to require that an out-of-network provider, health benefit plan issuer, or administrator request mandatory mediation within 90 days of receiving an initial payment for a healthcare service or supply.
Location: US-TX
Title: AN ACT LIMITING OUT-OF-NETWORK HEALTH CARE COSTS.
Current Status: Sine Die - Failed
Introduction Date: 2025-02-06
Last Action Date: Tabled for the Calendar, House. 2025-05-06
Summary: This bill limits out-of-network health care costs by capping charges for inpatient and outpatient hospital services at 240% of the Medicare reimbursement rate for the same service in the same geographic area. It prohibits health care providers from billing patients beyond allowed cost-sharing amounts and requires health carriers to pass savings from reduced provider payments to consumers. The Office of Health Strategy will monitor compliance, collect pricing data, and issue biannual reports on cost trends. Violations may result in penalties, cease-and-desist orders, and audits, with civil penalties for noncompliance. The act takes effect on January 1, 2026.
Description: To implement the Governor's budget recommendations.
Location: US-CT
Title: Relating to arbitration of certain out-of-network health benefit claims.
Current Status: Sine Die - Failed
Introduction Date: 2025-03-14
Last Action Date: Co-author authorized. 2025-05-05
Summary: This bill amends the definition of "out-of-network provider" in the Insurance Code to include diagnostic imaging providers, emergency care providers, facility-based providers, and laboratory service providers not participating in a health benefit plan. It also establishes that the losing party in arbitration of out-of-network health benefit claims must pay the arbitrator's fees and expenses within 30 days of receiving the written decision.
Location: US-TX
Title: Out-of-network Providers
Current Status: Passed Senate
Introduction Date: 2025-02-25
Last Action Date: Indefinitely postponed and withdrawn from consideration. 2025-05-03
Summary: This bill requires health care practitioners to notify patients in writing when referring them to nonparticipating providers for nonemergency services, informing them that such services may incur additional costs. This notification must be documented in the patient's medical record, and failure to comply may result in disciplinary action against the practitioner. Additionally, the bill mandates that health insurers apply payments for services provided by nonpreferred providers toward the insured's deductibles and out-of-pocket maximums, provided certain conditions are met, including the insured's request and that the charges are comparable to those of preferred providers. The bill is set to take effect on July 1, 2025.
Description: Requires health care practitioner to notify patient in writing upon referring patient to certain providers; provides requirements for such notice; requires certain health insurers to apply payments for services provided by nonpreferred providers toward insureds' deductibles & out-of-pocket maximums if specified conditions are met.
Location: US-FL
Title: Relating to arbitration of certain out-of-network health benefit claims.
Current Status: Sine Die - Failed
Introduction Date: 2025-03-13
Last Action Date: Referred to Insurance. 2025-04-03
Summary: This bill amends the definition of "out-of-network provider" in the Insurance Code to include diagnostic imaging providers, emergency care providers, facility-based providers, and laboratory service providers not participating in a health benefit plan. It also establishes that the losing party in arbitration of out-of-network health benefit claims must pay the arbitrator's fees and expenses within 30 days of receiving the written decision.
Location: US-TX
Title: Lower Healthcare Costs.
Current Status: In House
Introduction Date: 2025-03-17
Last Action Date: Ref To Com On Rules, Calendar, and Operations of the House. 2025-04-01
Summary: This bill seeks to lower healthcare costs and enhance price transparency by mandating that healthcare providers and insurers disclose actual prices for services, including in-network and out-of-network costs. The bill argues that high healthcare costs contribute to inflation, financial hardship, and barriers to care, ranking North Carolina last in affordability. It asserts that price transparency will enable consumers and employers to compare costs, foster competition, and drive down prices while improving healthcare quality and efficiency.
Location: US-NC
Title: Relating to an enrollee's cost-sharing liability for emergency care under a health benefit plan.
Current Status: Sine Die - Failed
Introduction Date: 2025-03-07
Last Action Date: Referred to Insurance. 2025-03-27
Summary: This bill establishes regulations on cost-sharing liability for emergency care under health benefit plans in Texas. It defines cost-sharing liability as the amount an enrollee must pay for covered services, including deductibles, coinsurance, and copayments, but excluding premiums and out-of-network balance billing. The law applies to various health insurance providers, including HMOs and nonprofit health corporations, but excludes Medicaid. Under these regulations, health plans must pay providers the full amount due, including the enrollee’s cost-sharing liability, and insurers, not providers, are responsible for collecting these payments. Insurers are prohibited from withholding payments to providers, requiring additional discounts, canceling coverage due to unpaid cost-sharing amounts, or increasing premiums based on compliance costs. Violations are classified as unfair insurance practices and are subject to enforcement. Additionally, amendments to the Texas Insurance Code require insurers to provide clear cost-sharing details in explanation of benefits (EOBs) and prohibit enrollees from being billed more than their cost-sharing amount for emergency or post-emergency stabilization care. The bill, effective September 1, 2025, aims to protect consumers from unexpected medical billing and ensure that cost-sharing responsibilities are handled directly by insurers.
Location: US-TX
Title: Includes ambulance services to the emergency room as part of emergency services for the purposes of surprise bills
Current Status: In Assembly
Introduction Date: 2025-03-25
Last Action Date: REFERRED TO INSURANCE. 2025-03-25
Description: Includes ambulance services to the emergency room as part of emergency services for the purposes of surprise bills.
Location: US-NY
Title: Health insurance; requiring reimbursement for certain health care services. Effective date.
Current Status: In Senate
Introduction Date: 2025-02-03
Last Action Date: Coauthored by Senator Hamilton. 2025-03-24
Location: US-OK
Title: Requires insurance companies to issue joint checks for payment to an insured and a health care provider in certain circumstances
Current Status: In Assembly
Introduction Date: 2025-03-21
Last Action Date: REFERRED TO INSURANCE. 2025-03-21
Summary: This bill requires insurance companies to issue joint checks to both the insured and the healthcare provider for payment of out-of-network services. The check must include the insured’s full name followed by “and” along with the provider’s name.
Description: Requires insurance companies to issue joint checks for payment to an insured and a health care provider in certain circumstances.
Location: US-NY
Title: HEALTH CARE PROVIDER REIMBURSEMENTS
Current Status: Sine Die - Failed
Introduction Date: 2025-02-20
Last Action Date: STBTC: Reported by committee with Do Pass recommendation. 2025-03-20
Summary: The bill amends the Surprise Billing Protection Act in New Mexico to change how reimbursement rates for out-of-network providers are calculated. Instead of using 2017 claims data, reimbursement will be based on data from two years prior to the service year. The rate will be set at the 60th percentile of commercial reimbursement rates for similar providers in the same area, as determined by a benchmarking database specified by the superintendent. Additionally, the reimbursement rate cannot be lower than 150% of the Medicare rate from the prior calendar year.
Location: US-NM
Title: Data on fully denied claims requirement to be submitted to the all-payer claims database
Current Status: In Senate
Introduction Date: 2025-03-03
Last Action Date: Referred to Health and Human Services. 2025-03-03
Summary: This bill requires health plan companies, dental organizations, and third-party administrators to submit data on fully denied claims to the all-payer claims database. The bill includes a requirement for data on the reason for denial, claim line status, and subsequent actions on the claims. Additionally, it establishes a fee schedule for expanded access to this data and appropriates funds for the collection of fully denied claims data. The bill amends Minnesota Statutes section 62U.04, with a focus on increasing transparency and providing providers access to data for verifying claims outcomes. Amendments include provisions for establishing a research advisory group to oversee data use, setting data access fees, and allowing partial fee waivers in certain cases.
Location: US-MN
Title: Relates to utilization review determinations
Current Status: In Senate
Introduction Date: 2025-02-20
Last Action Date: REFERRED TO INSURANCE. 2025-02-20
Summary: This bill prohibits health plans from using retrospective reviews or audits to reverse prior determinations of medical necessity, except in cases of fraud. It also prevents claim reviews from altering coding if it would change a prior medical necessity determination. The bill defines "mental health and substance use disorders" based on established diagnostic classifications and ensures future updates do not affect coverage. It expands the sources considered for determining medical value to include peer-reviewed practice guidelines. Additionally, it defines "medical necessity" to require services be based on medical evidence, clinically appropriate, and not driven by financial or convenience factors.
Description: Provides that certain utilization review determinations shall be made consistent with medical and scientific evidence; includes services for mental health and substance use disorders as part of emergency services.
Location: US-NY
Title: Concerning provider contract compensation.
Current Status: In House
Introduction Date: 2025-01-28
Last Action Date: First reading, referred to Health Care & Wellness.. 2025-01-28
Summary: This bill aims to address rising healthcare costs and market consolidation by requiring health carriers to annually adjust compensation for healthcare providers not employed by hospitals or their affiliates. Effective for health benefit plans issued or renewed after January 1, 2026, these compensation adjustments must reflect increases in the consumer price index for urban consumers from the previous year. The bill ensures that provider contracts cannot waive these adjustments, nor can health carriers discriminate against providers to avoid complying with the new compensation requirements. Additionally, the Insurance Commissioner will adopt rules to implement the act, reflecting standards from the federal No Surprises Act.
Location: US-WA
Title: Ins-Nonparticipating Providers
Current Status: Failed
Introduction Date: 2023-02-15
Last Action Date: Session Sine Die. 2025-01-07
Description: Amends the Illinois Insurance Code. Provides that for any bill submitted to arbitration, the health insurance issuer shall pay the provider or facility at least the current Medicare reimbursement rate pending the resolution of the arbitration.
Location: US-IL
Title: Insurance-Billing
Current Status: Failed
Introduction Date: 2023-02-09
Last Action Date: Session Sine Die. 2025-01-07
Description: Amends the Illinois Insurance Code. In provisions concerning required disclosures on contracts and evidences of coverage of accident and health insurance, provides that insurers must notify beneficiaries that nonparticipating providers may bill members for any amount up to the billed charge after the plan has paid its portion of the bill, except for specified services, including items or services provided to a Medicare beneficiary, insured, or enrollee. Provides that a health care provider shall not charge or collect from a Medicare beneficiary, insured, or enrollee any amount in excess of the Medicare-approved amount for any Medicare-covered item or service provided, and provides that the Department of Insurance has the authority to enforce that requirement. Defines terms. Makes a conforming change in the Health Maintenance Organization Act. Effective immediately.
Location: US-IL
Title: Ins-Nonparticipating Providers
Current Status: Failed
Introduction Date: 2023-02-10
Last Action Date: Session Sine Die. 2025-01-07
Description: Amends the Illinois Insurance Code. In provisions concerning billing for services provided by nonparticipating providers or facilities, provides that if attempts to negotiate reimbursement for services provided by a nonparticipating provider do not result in a resolution of the payment dispute within 30 days after receipt of written explanation of benefits by the health insurance issuer, then the health insurance issuer, nonparticipating provider, or the facility may initiate binding arbitration to determine payment for services provided on a per-bill or a batched-bill basis (instead of only a per-bill basis) in accordance with specified law.
Location: US-IL
Title: Relating to provider networks; amending ORS 743A.058 and 743B.505.
Current Status: In Senate
Introduction Date: 2025-01-13
Last Action Date: Work Session held.. 2025-06-06
Summary: The bill article expands network rules for some health benefit plans and mandates the Department of Consumer and Business Services (DCBS) to adopt specific rules. It permits some health and dental plans to use remote providers to meet network rules and modifies requirements for large employer health benefit plans. The plan also permits telemedicine healthcare providers for dental-only plans.
Description: Digest: Expands network rules for some health benefit plans. Makes DCBS adopt certain rules. Allows some health and dental plans to use remote providers to meet network rules. (Flesch Readability Score: 72.3). Expands network adequacy requirements to health benefit plans offered to large employers and modifies requirements. Requires the Department of Consumer and Business Services to adopt specified standards for network adequacy. Permits a health benefit plan and a dental-only plan to use telemedicine health care providers to meet network adequacy standards only as permitted by rule adopted by the department.
Location: US-OR
Title: Relating to health benefit plan preauthorization requirements for certain health care services and the direction of utilization review by physicians.
Current Status: Passed Senate
Introduction Date: 2025-03-05
Last Action Date: Sent to the Governor. 2025-05-30
Summary: This bill amends the Insurance Code to establish procedures for the Texas Medical Board to inquire into the appropriateness of utilization reviews conducted by physicians. If the Board believes a physician directed a review arbitrarily or without medical basis, it may request the department to assess whether the health service under review is covered by the insurance plan. If so, the Board can compel the physician to provide relevant documents and may restrict or suspend their license if found in violation. Additionally, health maintenance organizations and insurers are required to submit annual reports detailing exemptions and independent reviews of utilization determinations, with these reports becoming public information.
Location: US-TX
Title: Provide for pricing transparency requirements for hospitals
Current Status: Failed
Introduction Date: 2025-02-24
Last Action Date: (H) Died in Process. 2025-05-20
Location: US-MT
Title: Revise laws related to prior authorization
Current Status: Enacted
Introduction Date: 2025-02-25
Last Action Date: Chapter Number Assigned. 2025-05-16
Summary: This bill prohibits health insurance issuers from requiring prior authorization for specific categories of prescription drugs. These include controlled substances listed in 21 CFR 1308.15, medications for substance use disorders within FDA dosage limits, and certain inhaled medications (corticosteroids, short-acting beta-agonists, and combination inhalers) as well as short-acting and long-acting insulin for diabetes. However, if an individual has multiple prescriptions for the same type of drug, prior authorization may be required for all but one prescription. If a prior authorization request is denied, the issuer must provide a written notice explaining the decision and list alternative therapeutic options covered by the insurer's formulary.
Location: US-MT
Title: "An Act relating to insurance; establishing standards for health insurance provider networks; and providing for an effective date."
Current Status: In Senate
Introduction Date: 2025-03-05
Last Action Date: (S) . 2025-05-14
Summary: This bill establishes minimum standards for health insurance provider networks in Alaska. It requires health care insurers to include all licensed hospitals, skilled nursing facilities, and mental health or substance abuse facilities, as well as all licensed physicians, physician assistants, and advanced practice registered nurses employed by these facilities, in their provider networks. Additionally, the bill mandates that insurers maintain a sufficient number of providers in each contracting region to meet specific percentage thresholds based on the total actively practising providers in various specialities.
Location: US-AK
Title: "An Act relating to settlement of health insurance claims; relating to allowable charges for health care services or supplies; and providing for an effective date."
Current Status: In Senate
Introduction Date: 2025-03-05
Last Action Date: (S) Heard & Held. 2025-05-14
Summary: This bill requires the establishment of standards for the settlement of health insurance claims in Alaska. In the absence of a contract between health care insurers and providers, the director will set regulations for allowable charges for health care services and supplies. These charges must be based on a statistically credible methodology using the most current data reflecting amounts charged by providers over a 12-month period, ensuring uniformity across the state. The allowable charge cannot be less than the 75th percentile of charges for similar services, with specific provisions for primary care providers, who will receive a minimum of 450 percent of the federal Medicare fee schedule.
Location: US-AK
Title: Relating to health insurance contract negotiations.
Current Status: In House
Introduction Date: 2025-04-16
Last Action Date: Referred to Behavioral Health and Health Care.. 2025-04-22
Description: Digest: This Act makes a process for some health insurers and some health providers to choose to mediate and arbitrate when they are not able to agree on a new contract. Tells the Governor to make the final decision and permits penalties. (Flesch Readability Score: 60.1). Establishes a voluntary mediation and arbitration process that certain health insurers and providers may participate in if the insurer and provider are unable to reach an agreement during a contract renewal negotiation. Establishes that the Governor, or a designee, shall issue a final determination in the arbitration process and may impose penalties for failure to comply.
Location: US-OR
Title: Relates to prohibited hospital interference with patient care and requires examination and emergency treatment of patients; repealer
Current Status: In Senate
Introduction Date: 2025-01-15
Last Action Date: PRINT NUMBER 2165A. 2025-03-24
Description: Prohibits hospital interference with patient care where the practitioner is acting in good faith and within the scope of their practice; defines emergency medical conditions; requires appropriate medical screening and stabilizing treatment of persons in an emergency department, including pregnant persons, or appropriate transfer.
Location: US-NY
Title: Ins-Provider Nondiscrimination
Current Status: Failed
Introduction Date: 2023-01-31
Last Action Date: Session Sine Die. 2025-01-07
Description: Amends the Illinois Insurance Code. Provides that a group health plan or an accident and health insurer offering group or individual health insurance coverage shall not discriminate with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider's license or certification under applicable State law. Provides that nothing in the provisions shall be construed as preventing a group health plan, an accident and health insurer, or the Director of Insurance from establishing varying reimbursement rates based on quality or performance measures.
Location: US-IL
Title: Ins-Billing/Network Adequacy
Current Status: Failed
Introduction Date: 2023-01-31
Last Action Date: Session Sine Die. 2025-01-07
Description: Amends the Illinois Insurance Code. Makes a change in provisions concerning disclosure of nonparticipating provider limited benefits. Adds reproductive health care to the definition of "ancillary services". Amends the Network Adequacy and Transparency Act. Provides that an insurer providing a network plan shall file a description with the Director of Insurance of written policies and procedures on how the network plan will provide 24-hour, 7-day per week access to reproductive health care. Provides that the Department of Insurance shall consider establishing ratios for reproductive health care physicians or other providers. Effective July 1, 2024, except that certain changes take effect January 1, 2025.
Location: US-IL
Title: Access to firearms by children
Current Status: In House
Introduction Date: 2024-12-12
Last Action Date: Referred to Committee on Judiciary (House Journal-page 259). 2025-01-14
Description: A Bill To Amend The South Carolina Code Of Laws By Enacting "The Kingston Act" By Adding Article 6 To Chapter 23, Title 16 So As To Title The Article "Access To Firearms By Children," Define Necessary Terms, And To Create The Offenses Of Unsecured Firearm And Unsupervised Child Firearm Use And Provide Graduated Penalties For Violations.
Location: US-SC
Title: Health facilities.
Current Status: In Assembly
Introduction Date: 2025-02-12
Last Action Date: Referred to Coms. on B. & P. and JUD.. 2025-06-05
Description: SB 351, as introduced, Cabaldon. Health facilities. Existing law generally regulates the licensing and operation of health facilities and other facilities providing health care in this state. Existing law, the Medical Practice Act, creates the Medical Board of California to license and regulate physicians and surgeons. Under existing law, the Dental Practice Act, the Dental Board of California licenses and regulates dentists.Existing law, the Nonprofit Public Benefit Corporation Law, generally requires a nonprofit public benefit corporation to give written notice to the Attorney General before it sells, leases, conveys, exchanges, transfers, or disposes of its assets, except as specified. Existing law provides specific procedures for health facilities and additionally requires these facilities to obtain the consent of the Attorney General prior to entering into a specified agreement or transaction.This bill would prohibit a private equity group or hedge fund, as defined, involved in any manner with a physician or dental practice doing business in this state from interfering with the professional judgment of physicians or dentists in making health care decisions and exercising power over specified actions, including, among other things, making decisions regarding coding and billing procedures for patient care services. The bill would prohibit a private equity group or hedge fund from entering into an agreement or arrangement with a physician or dental practice if the agreement or arrangement would enable the person or entity to engage in the prohibited actions described above. The bill would render void and unenforceable specified types of contracts between a physician or dental practice and a private equity group or hedge fund that explicitly or implicitly include any clause barring any provider in that practice from competing with that practice in the event of a termination or resignation, or from disparaging, opining, or commenting on that practice in any manner as to any issues involving quality of care, utilization of care, ethical or professional challenges in the practice of medicine or dentistry, or revenue-increasing strategies employed by the private equity group or hedge fund, as specified. This bill would entitle the Attorney General to injunctive relief and attorney’s fees and costs for the enforcement of these provisions, as specified.
Location: US-CA
Title: Behavioral Health Treatment Stigma for Providers
Current Status: Enacted
Introduction Date: 2025-02-10
Last Action Date: Governor Signed. 2025-05-31
Description: The act requires the following regarding the application for a license to practice medicine in Colorado (application) and the questionnaire accompanying the form for a license renewal (questionnaire): The Colorado medical board (board) must consider the recommendations of the Federation of State Medical Boards and the requirements of the federal "Americans with Disabilities Act of 1990" when developing the application questions; The application and questionnaire must not require the disclosure of personal medical or health information that is not relevant to the applicant's ability to provide safe, competent, and ethical patient care at the time of application; The application and questionnaire must not include questions seeking information about past health-related conditions that do not impact an applicant's ability to practice safe, competent, and ethical patient care at the time of application; and The board shall include information in the application about the board's peer health assistance program, the applicant's ability to self-refer to the peer health assistance program at any time, and the applicant's ability to self-refer in lieu of disclosure to the board. The act clarifies that an individual subject to the licensing requirements of the "Colorado Medical Practice Act" is not required to disclose a physical illness, physical condition, behavioral health disorder, mental health disorder, or substance use disorder that no longer impacts the individual's ability to practice the applicable health-care profession or occupation with reasonable skill and safety to patients or clients. Current law requires that if a health-care professional has a physical illness, physical condition, or behavioral or mental health disorder that renders the person unable to practice the applicable health-care profession or occupation with reasonable skill and safety to patients or clients, the licensee, registrant, or certificate holder shall notify the regulator that regulates the person's profession or occupation of the physical illness, physical condition, or behavioral or mental health disorder. The act requires that a health-care professional must additionally provide notice of a substance use disorder and specifies that the health-care professional is required only to provide notice of a current physical illness, physical condition, behavioral health disorder, mental health disorder, or substance use disorder. (Note: This summary applies to this bill as enacted.)
Location: US-CO
Title: Relating to health benefit plan preauthorization requirements for certain health care services and the direction of utilization review by physicians.
Current Status: Passed Senate
Introduction Date: 2025-03-05
Last Action Date: Sent to the Governor. 2025-05-30
Summary: This bill amends the Insurance Code to establish procedures for the Texas Medical Board to inquire into the appropriateness of utilization reviews conducted by physicians. If the Board believes a physician directed a review arbitrarily or without medical basis, it may request the department to assess whether the health service under review is covered by the insurance plan. If so, the Board can compel the physician to provide relevant documents and may restrict or suspend their license if found in violation. Additionally, health maintenance organizations and insurers are required to submit annual reports detailing exemptions and independent reviews of utilization determinations, with these reports becoming public information.
Location: US-TX
Title: Public safety omnibus.
Current Status: In Assembly
Introduction Date: 2025-03-12
Last Action Date: Referred to Com. on PUB. S.. 2025-05-29
Summary: This bill proposes several changes to existing laws in California related to the Board of State and Community Corrections, the renaming of the Prison Industry Authority, clarifications regarding the jurisdiction of juvenile courts over minors, adjustments to revenue collection programs criteria, revisions of references to "deescalation" techniques to "de-escalation," and various technical changes. Notably, the bill would increase the quorum requirement for the Board of State and Community Corrections and rename various entities related to the correctional system. Additionally, the bill aims to clarify and update procedures related to juvenile court jurisdiction and probation supervision.
Description: SB 857, as amended, Committee on Public Safety. Public safety omnibus. Existing(1) Existing law establishes the Board of State and Community Corrections to provide statewide leadership, coordination, and technical assistance to promote effective state and local efforts and partnerships in California’s adult and juvenile criminal justice system. The duties of the board, among others, include establishing standards for local correctional facilities and correctional officers. Under existing law, the board is composed of 15 members, as specified, and 7 members constitutes a quorum.This bill would instead require 8 members to constitute a quorum.(2) Existing law creates within the Department of Corrections and Rehabilitation the Prison Industry Authority.This bill would rename the Prison Industry Authority as the California Correctional Training and Rehabilitation Authority, would rename the Prison Industry Board as the California Correctional Training and Rehabilitation Board, would rename the Prison Industries Revolving Fund as the California Correctional Training and Rehabilitation Revolving Fund, and would require that any reference to the Prison Industry Authority be deemed a reference to the California Correctional Training and Rehabilitation Authority. (3) Existing law establishes the jurisdiction of the juvenile court over minors who are between 12 and 17 years of age, who have violated a federal, state, or local law or ordinance, as specified, and over minors under 12 years of age who have been alleged to have committed specified crimes. Existing law authorizes a juvenile court to adjudge a person under these circumstances to be a ward of the court. Existing law authorizes the juvenile court to permit a person adjudged a ward of the juvenile court, or placed on probation by the juvenile court, to reside in a county other than their county of legal residence. Existing law authorizes a ward who is permitted to reside in a county other than their county of legal residence to be supervised by the probation officer of the county of actual residence, with the consent of that probation officer.This bill would clarify that these provisions apply to wards discharged to probation supervision after having been confined in a secure youth treatment facility, or after having been transferred to a less restrictive program from a secure youth treatment facility.(4) Existing law authorizes any county or court to implement a “comprehensive collection program” as a separate revenue collection activity, and requires the program to meet certain criteria, one of which is that the program engages in specified activities in collecting fines or penalties, including, among other things, initiating a driver’s license suspension or hold, as specified.This bill would delete initiating suspensions or holds for driver’s licenses from the list of activities in which the program may engage. (5) Various provisions of the Health and Safety Code, Penal Code, and Welfare and Institutions Code, among others, refer to training and other requirements related to “deescalation techniques.” This bill would revise all references to “deescalation” to “de-escalation.”(6) The bill would also make other technical changes, both conforming and nonsubstantive.
Location: US-CA
Title: California Health Care Quality and Affordability Act.
Current Status: In Senate
Introduction Date: 2025-02-21
Last Action Date: Referred to Com. on HEALTH.. 2025-05-28
Summary: This bill amends the California Health Care Quality and Affordability Act by expanding definitions related to health care entities. It includes management services organizations as health care entities and broadens the definition of providers to encompass public and private health care providers, health systems, and entities that own or control providers, even if they are not currently operating. The bill also introduces definitions for health systems and hedge funds. Additionally, it requires private equity groups, hedge funds, and newly created business entities to notify the Office of Health Care Affordability about transactions involving health care entities, similar to the existing requirements for health care entities themselves.
Description: AB 1415, as amended, Bonta. California Health Care Quality and Affordability Act. Existing law, the California Health Care Quality and Affordability Act, establishes within the Department of Health Care Access and Information the Office of Health Care Affordability to analyze the health care market for cost trends and drivers of spending, develop data-informed policies for lowering health care costs for consumers and purchasers, set and enforce cost targets, and create a state strategy for controlling the cost of health care and ensuring affordability for consumers and purchasers. Existing law requires the office to conduct ongoing research and evaluation on payers, fully integrated delivery systems, and providers to determine whether the definitions or other provisions of the act include those entities that significantly affect health care cost, quality, equity, and workforce stability. Existing law defines multiple terms relating to these provisions, including a health care entity to mean a payer, provider, or a fully integrated delivery system and a provider to mean specified entities delivering or furnishing health care services.This bill would update the definitions applying to these provisions, including defining a provider to mean specified private or public health care providers and would include a health system, as defined, in the existing definition. The bill would include additional definitions, including, but not limited to, a health system to mean specified entities under common ownership or control and a hedge fund to mean a pool of funds managed by investors for the purpose of earning a return on those funds, regardless of strategies used to manage the funds, subject to certain exceptions. The bill would require the office to conduct ongoing research and evaluation on management services organizations, as specified, and to establish requirements for management services organizations to submit data as necessary to carry out the functions of the office.Existing law requires a health care entity to provide the Office of Health Care Affordability with written notice of agreements or transactions that do specified actions, including sell or transfer, among other things, a material amount of its assets to one or more entities.The bill would similarly require a noticing entity, as defined, to provide the office written notice of agreements or transactions between the noticing entity and a health care entity, or an entity that owns, or controls the health care entity, that perform the same specified actions described above.
Location: US-CA
Title: Relating to vision care benefits, including participation of optometrists and therapeutic optometrists in vision care or managed care plans.
Current Status: Passed Senate
Introduction Date: 2025-02-24
Last Action Date: Sent to the Governor. 2025-05-22
Summary: This bill requires managed care and vision care plans to allow optometrists and therapeutic optometrists to participate if they meet credentialing and contractual requirements. It mandates the use of standardized procedure codes (HCPCS) to describe reimbursable vision services and requires reimbursement via electronic funds transfer. Vision care plans must provide an accessible online application process and adhere to specific timelines for reviewing applications, issuing contracts, and adding approved providers. The bill ensures that credentialing standards and participation opportunities are applied equally to all optometrists, prohibits exclusion based on panel size or geographic considerations, and requires contracts to include detailed fee schedules using standardized codes.
Location: US-TX
Title: Death certificates.
Current Status: In Senate
Introduction Date: 2025-02-12
Last Action Date: Referred to Com. on HEALTH.. 2025-05-21
Description: AB 583, as amended, Pellerin. Death certificates. Existing law requires that each death be registered with the local registrar of births and deaths in the district in which the death was officially pronounced or the body was found. Existing law establishes the required contents of the death certificate, including, but not limited to, the decedent’s name, sex, race, and other relevant identifying and medical information. Existing law requires that the medical and health section data and the time of death be completed and attested to by the physician and surgeon last in attendance or, in the case of a patient in a skilled nursing or intermediate care facility, by the physician and surgeon last in attendance or by a licensed physician assistant meeting certain qualifications. Existing law also requires the individuals responsible for completing a death certificate to specify certain information on the certificate, including the time they last saw the deceased person alive. Existing law requires a physician and surgeon, physician assistant, or other specified individuals to immediately notify the coroner when they have knowledge of a death occurring under specified circumstances, including where suicide is suspected. Certain violations of these requirements are a crime.This bill would additionally authorize the medical and health section data and the time of death on a death certificate to be completed and attested to by a licensed nurse practitioner last in attendance. The bill would make additional conforming changes. The bill would also include a licensed nurse practitioner to the group of individuals required to notify the coroner when they have knowledge of a death under certain specified circumstances. Because this bill would expand the application of an existing crime to licensed nurse practitioners, this bill would impose a state-mandated local program.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for a specified reason.
Location: US-CA
Title: Provide laws related to healthcare provider burnout
Current Status: Enacted
Introduction Date: 2025-02-26
Last Action Date: Chapter Number Assigned. 2025-05-16
Location: US-MT
Title: Relating to an annual report on the financial impact on hospitals for providing certain uncompensated care.
Current Status: Sine Die - Failed
Introduction Date: 2025-02-07
Last Action Date: Returned to committee. 2025-05-13
Location: US-TX
Title: Relating to requiring certain health care entities to submit notice of material change transactions to the attorney general and the attorney general's authority to conduct certain related studies; imposing civil and administrative penalties.
Current Status: Sine Die - Failed
Introduction Date: 2025-02-12
Last Action Date: Committee report sent to Calendars. 2025-05-10
Location: US-TX
Title: Human services finance bill.
Current Status: Passed Senate
Introduction Date: 2025-03-17
Last Action Date: Senate conferees Hoffman, Fateh, Maye Quade, Mohamed, Abeler. 2025-05-09
Summary: Regarding nursing homes. This bill establishes an annual reimbursement cap for health insurance costs at $14,703, effective January 1, 2026. Allowable costs must not exceed this cap, adjusted by the number of nursing facility employees, excluding non-nursing staff, shared employees beyond their proportional share, or individuals on COBRA coverage. Beginning in 2026, the cap will be adjusted annually for inflation based on the Consumer Price Index for All Urban Consumers (CPI-U) as forecasted by the Department of Human Services. Inflation adjustments will reflect the change over a specific 12-month period tied to cost report years.
Location: US-MN
Title: (New Title) relative to the regulation of recreational therapists and respiratory care practitioners and relative to delaying the effective dates of various new procedures for criminal history records checks.
Current Status: Passed Senate
Introduction Date: 2025-01-07
Last Action Date: House Concurs with Senate Amendment 2025-1794s (Rep. C. McGuire): MA VV 05/08/2025 HJ 14. 2025-05-08
Location: US-NH
Title: AN ACT STRENGTHENING THE REVIEW OF HEALTH CARE ENTITY TRANSACTIONS.
Current Status: Sine Die - Failed
Introduction Date: 2025-02-06
Last Action Date: Tabled for the Calendar, House. 2025-05-06
Summary: This bill strengthens oversight of health care entity transactions by requiring entities involved in mergers, acquisitions, or material changes to notify the Attorney General at least 60 days in advance. It expands reporting obligations to include ownership details, management structures, and market impact analyses. The Attorney General will assess transactions for antitrust compliance and, in consultation with the Office of Health Strategy, evaluate their effects on access, quality, and affordability of care. The bill defines "private equity entity" and "material change transaction" to clarify its scope, covering mergers, governance shifts, and joint ventures affecting at least 20% of a health care entity’s assets or operations. The Attorney General may impose conditions on transactions or require a certificate of need. Noncompliance or false reporting may result in fines of up to $1,000 per day, with enforcement through civil penalties and injunctive relief. The bill does not limit the authority of other state agencies to review health care transactions.
Description: To implement the Governor's budget recommendations.
Location: US-CT
Title: HB1251 - TO ESTABLISH THE ARKANSAS ANESTHESIOLOGIST ASSISTANT ACT; AND TO PROVIDE FOR LICENSURE OF ANESTHESIOLOGIST ASSISTANTS.
Current Status: Failed
Introduction Date: 2025-01-27
Last Action Date: Died in Senate Committee at Sine Die adjournment.. 2025-05-05
Location: US-AR
Title: Health Care Practitioner Specialty Titles and Designations
Current Status: In House
Introduction Date: 2025-02-24
Last Action Date: Indefinitely postponed and withdrawn from consideration. 2025-05-03
Description: Providing circumstances under which the Department of Health may issue a notice to cease and desist and pursue other remedies upon finding probable cause; prohibiting the use of specified titles and designations by health care practitioners not licensed as physicians or osteopathic physicians, as applicable, with an exception; providing that the use of such titles and designations constitutes the unlicensed practice of medicine or osteopathic medicine, as applicable; authorizing the department to pursue specified remedies for such violations, etc.
Location: US-FL
Title: Optometry
Current Status: In Senate
Introduction Date: 2025-02-06
Last Action Date: Indefinitely postponed and withdrawn from consideration. 2025-05-03
Description: Revises membership requirements for Board of Optometry; revises & provides rules to be implemented by board; revises requirements for administration & prescription of ocular pharmaceutical agents & provisions related to topical & oral ocular pharmaceutical agent formularies established by board; authorizes optometrist certified in ophthalmic procedures to perform certain procedures; requires board to determine required content, grading criteria, & passing score for such examination; authorizes certain procedures certified optometrist may perform; prohibits commercial or mercantile establishment from having any control over manner in which licensee practices optometry; removes provision prohibiting surgery of any kind; authorizes specified titles & abbreviations for certified optometrists; provides requirements for demonstration of financial responsibility as condition of licensure.
Location: US-FL
Title: Health Care Practitioner Identification
Current Status: In House
Introduction Date: 2025-02-27
Last Action Date: Indefinitely postponed and withdrawn from consideration. 2025-05-03
Description: Prohibits use of specified titles & designations by health care practitioners not licensed as physicians or osteopathic physicians, as applicable, with exception; provides that use of such titles & designations constitutes unlicensed practice of medicine or osteopathic medicine, as applicable; authorizes department to pursue specified remedies for such violations; authorizes health care practitioners to use names & titles, & their corresponding designations & initials, authorized by their respective practice acts; specifies manner in which health care practitioners may represent their specialty practice areas; specifies titles & abbreviations certain health care practitioners may use; provides construction; specifies specialist titles & designations that physicians & osteopathic physicians, respectively, are prohibited from using unless they have received formal recognition by appropriate recognizing agency for such specialty certifications; revises written notification requirements for adverse determinations made by health maintenance organization.
Location: US-FL
Title: Relating generally to practice of optometry
Current Status: Enacted
Introduction Date: 2025-02-21
Last Action Date: Became law 5/1/2025. 2025-05-01
Location: US-WV
Title: relative to the use of general anesthesia, deep sedation, and moderate sedation in dental treatment.
Current Status: In Senate
Introduction Date: 2025-01-13
Last Action Date: Rereferred to Committee, MA, VV; 05/01/2025; SJ 11. 2025-05-01
Location: US-NH
Title: Medicaid
Current Status: In House
Introduction Date: 2025-04-30
Last Action Date: Referred to Committee on Ways and Means (House Journal-page 106). 2025-04-30
Summary: This bill establishes minimum compensation requirements for direct care workers who provide personal care services through Medicaid Home and Community-Based Services (HCBS) in South Carolina. Beginning January 1, 2026, HCBS provider agencies receiving Medicaid reimbursement must allocate at least 70% of those funds toward worker compensation, a rate that will increase to 75% by 2028 and 80% by 2030. The South Carolina Department of Health and Human Services is tasked with verifying compliance through required documentation. Costs for training, travel, and PPE are excluded from the compensation calculation. These provisions directly impact Medicaid reimbursement policy by tying funding to wage distribution requirements.
Description: A Bill To Amend The South Carolina Code Of Laws By Adding Section 44-6-230 So As To Establish Minimum Compensation Requirements For Direct Care Workers Providing Personal Care Services Through Medicaid Home And Community-Based Service Providers, To Provide For Phased In Upward Adjustments To The Compensation Paid, And For Other Purposes.
Location: US-SC
Title: An Act relative to physical therapy
Current Status: In Senate
Introduction Date: 2025-02-27
Last Action Date: House concurred. 2025-04-29
Description: By Mr. Cronin, a petition (accompanied by bill, Senate, No. 215) of John J. Cronin for legislation updating the definition of physical therapy. Consumer Protection and Professional Licensure.
Location: US-MA
Title: Relating to required reporting of information on the ownership and control of certain health care entities; providing a civil penalty; authorizing a fee.
Current Status: Sine Die - Failed
Introduction Date: 2025-03-11
Last Action Date: Left pending in committee. 2025-04-21
Location: US-TX
Title: Revising the practice of optometry to include certain laser procedures and in-office surgical procedures
Current Status: Enacted
Introduction Date: 2025-01-16
Last Action Date: Chapter Number Assigned. 2025-04-17
Location: US-MT
Title: SB118 - TO AMEND THE DEFINITION OF "AUDIOLOGY" RELATING TO THE PRACTICE OF AUDIOLOGISTS.
Current Status: Enacted
Introduction Date: 2025-01-27
Last Action Date: Notification that SB118 is now Act 517. 2025-04-10
Location: US-AR
Title: AN ACT PROHIBITING PRIVATE EQUITY OWNERSHIP AND CONTROL OF HOSPITALS AND HEALTH SYSTEMS AND THE CONTROLLING OF OR INTERFERENCE WITH THE PROFESSIONAL JUDGMENT AND CLINICAL DECISIONS OF CERTAIN HEALTH CARE PROVIDERS AND REQUIRING AN EVALUATION OF THE APPOINTMENT OF A RECEIVER TO MANAGE HOSPITALS IN FINANCIAL DISTRESS.
Current Status: Sine Die - Failed
Introduction Date: 2025-03-12
Last Action Date: File Number 614 (LCO). 2025-04-09
Description: To prohibit private equity ownership and control of certain health care institutions and the controlling of or interference with the professional judgment and clinical decisions of certain health care providers.
Location: US-CT
Title: Health benefit plans; process further specified for making coverage determinations with enforcement and oversight given to the Department of Insurance.
Current Status: Sine Die - Failed
Introduction Date: 2025-04-09
Last Action Date: Read for the first time and referred to the House Committee on Insurance. 2025-04-09
Summary: This bill shifts oversight of health insurance utilization review from the Department of Public Health to the Department of Insurance and strengthens patient protections. It mandates timely coverage decisions—within 72 hours for nonurgent and 24 hours for urgent requests—and requires these decisions to be made by a licensed healthcare professional. Health insurers must publicly share coverage criteria and report annual denial data. The bill also directs the Department to create an ombudsman for enrollee and provider complaints, grants enforcement powers, including civil penalties, and allows enrollees to pursue civil damages for improper denial of care.
Location: US-AL
Title: An Act Regarding the Reporting of Medical Debt on Consumer Reports
Current Status: Failed
Introduction Date: 2025-03-12
Last Action Date: Pursuant to Joint Rule 310.3 Placed in Legislative Files (DEAD). 2025-04-08
Summary: This bill prohibits a consumer reporting agency from reporting debt from medical expenses on a consumer's consumer report if the consumer was covered by a health plan at the time of the event giving rise to the medical expenses and the debt is for an outstanding balance owed for emergency medical treatment or treatment in a health care facility for an out-of-network benefit claim.
Location: US-ME
Title: Providing an exemption for women, infants, and children program staff to perform hematological screening tests.
Current Status: Enacted
Introduction Date: 2025-01-14
Last Action Date: Effective date 7/27/2025.. 2025-04-04
Location: US-WA
Title: An act relating to a pathway to licensure for internationally trained physicians and medical graduates
Current Status: In Senate
Introduction Date: 2025-04-03
Last Action Date: Read 1st time & referred to Committee on [Health and Welfare]. 2025-04-03
Summary: This bill establishes a pathway to licensure for internationally trained physicians and medical graduates, including the creation of a provisional license to practice medicine under supervision and a limited license to practice independently in specific settings.
Location: US-VT
Title: Prohibit denial of health insurance claim for certain factors
Current Status: In Senate
Introduction Date: 2025-04-01
Last Action Date: Referred to committee Financial Institutions, Insurance and Technology. 2025-04-02
Summary: This bill aims to amend regulations for health insurance corporations and sickness and accident insurers, particularly regarding emergency medical services coverage. The bill mandates that insurers must cover emergency services without requiring prior authorization and cannot deny claims based on diagnosis codes or the absence of an emergency medical condition if a prudent layperson would expect an emergency. It also requires insurers to provide clear information about emergency services coverage, including cost-sharing and procedures. The bill seeks to prevent claim denials based on specific codes or appointment durations deemed necessary by healthcare providers.
Description: To amend sections 1753.28 and 3923.65 and to enact sections 1753.29 and 3923.66 of the Revised Code to prohibit a health insuring corporation or sickness and accident insurer from reducing or denying a claim based on certain factors.
Location: US-OH
Title: Relating to the provision of health care services by a freestanding emergency medical care facility and the collection of fees for providing those services.
Current Status: Sine Die - Failed
Introduction Date: 2025-03-07
Last Action Date: Referred to Public Health. 2025-03-27
Summary: The bill aims to regulate freestanding emergency medical care facilities in Texas, ensuring they meet emergency care standards, including patient stabilization and transfer. It clarifies that such facilities can also provide non-emergency health services but cannot charge facility fees for those services. The bill mandates clear patient notices about fees, network status, and potential separate physician billing. It also requires facilities to disclose their median and range of facility and observation fees. Additionally, the bill emphasizes transparency in fee structures and patient billing practices, with the provisions taking effect on September 1, 2025.
Location: US-TX
Title: relative to background checks for licensed dietitians and adopting the dietitian licensure compact.
Current Status: In House
Introduction Date: 2025-01-06
Last Action Date: Lay HB145 on Table (Rep. Layon): MA RC 187-152 03/26/2025 HJ 10 P. 61. 2025-03-26
Location: US-NH
Title: Modifying certain provisions of the optometry law relating to scope of practice, definitions and credentialing requirements.
Current Status: In Senate
Introduction Date: 2025-02-03
Last Action Date: Hearing: Monday, March 24, 2025, 8:30 AM Room 142-S. 2025-03-24
Summary: This bill modifies the existing optometry law in Kansas by updating the scope of practice, definitions, and credentialing requirements for optometrists. It expands the practice of optometry to include a broader range of diagnostic and treatment procedures, such as the use of topical and oral pharmaceutical drugs, low vision rehabilitation services, and certain surgical procedures, while maintaining restrictions on more invasive surgeries. The bill also establishes a standard of care for optometrists treating adult open-angle glaucoma that aligns with medical standards. Additionally, the bill requires optometrists to complete a minimum of 24 hours of continuing education annually, with specific hours dedicated to ocular pharmacology. It mandates that applicants for licensure provide proof of professional liability insurance and undergo criminal history checks. The board of examiners in optometry is granted enhanced powers to enforce the law, including the ability to issue subpoenas and seek injunctive relief against violations.
Location: US-KS
Title: BOARD OF OPTOMETRY POWERS AND DUTIES
Current Status: Vetoed
Introduction Date: 2025-01-03
Last Action Date: Vetoed by Governor. 2025-03-22
Location: US-NM
Title: Patient-Centered Care program established, direct state payments to health care providers authorized, and money appropriated.
Current Status: In House
Introduction Date: 2025-02-10
Last Action Date: Authors added Hollins, Sencer-Mura, and Coulter. 2025-03-20
Summary: This bill directs the commissioner to provide grants to community health clinics and CBPs to hire healthcare workers for outreach and care coordination, including enrolling patients in medical assistance. It also funds initiatives to reduce hospital readmissions through discharge planning and transitional care. The bill requires the commissioner to maintain enrollee support services and ensure fair and timely provider reimbursement that meets CMS requirements, particularly addressing shortages in mental health and dental services. Additionally, it mandates collaboration with providers to enhance healthcare quality and cost efficiency.
Location: US-MN
Title: Medical Debt Protection Act; enact
Current Status: In House
Introduction Date: 2025-03-11
Last Action Date: House Second Readers. 2025-03-18
Description: A BILL to be entitled an Act to amend Part 2 of Article 15 of Chapter 1 of Title 10 of the Official Code of Georgia Annotated, the "Fair Business Practices Act of 1975," so as to provide for information on medical assistance; to provide for interest, fees, and payment plans; to provide for billing and collection rules; to provide for liability for medical debt; to provide for consumer reporting agencies; to prohibit collection of medical debt during health insurance appeals; to provide for accessibility; to provide for remedies; to provide for agreements; to provide for definitions; to provide for a short title; to provide for related matters; to repeal conflicting laws; and for other purposes.
Location: US-GA
Title: Concerning general supervision of diagnostic radiologic technologists, therapeutic radiologic technologists, and magnetic resonance imaging technologists by licensed physicians.
Current Status: Failed
Introduction Date: 2025-01-16
Last Action Date: Senate Rules "X" file.. 2025-03-17
Location: US-WA
Title: Health Occupations – Practice of Audiology – Definition
Current Status: Sine Die - Failed
Introduction Date: 2025-02-03
Last Action Date: Withdrawn by Sponsor. 2025-03-17
Description: Altering the definition of "practice audiology", including by clarifying that the ordering and performing of certain scanning and imaging are included as these procedures relate to auditory or vestibular conditions in the human ear.
Location: US-MD
Title: Relating to required reporting of information on the ownership and control of certain health care entities; providing a civil penalty; authorizing a fee.
Current Status: Sine Die - Failed
Introduction Date: 2025-02-24
Last Action Date: Referred to Health & Human Services. 2025-03-10
Location: US-TX
Title: A bill for an act relating to liability for injuries caused by vaccines.
Current Status: In House
Introduction Date: 2025-03-03
Last Action Date: Subcommittee recommends passage.. 2025-03-06
Location: US-IA
Title: An Act providing for medical debt collection protection; and imposing duties on the Attorney General and the Department of Health.
Current Status: In Senate
Introduction Date: 2025-03-06
Last Action Date: Referred to Health & Human Services. 2025-03-06
Summary: Debt collection relief legislation
Location: US-PA
Title: Emergency medicine career pathways program funding provided, reports required, and money appropriated.
Current Status: In House
Introduction Date: 2025-02-13
Last Action Date: Introduction and first reading, referred to Workforce, Labor, and Economic Development Finance and Policy. 2025-02-13
Summary: This bill appropriates $300,000 in fiscal year 2026 from the general fund to the Commissioner of Labor and Industry for a grant to Independent School District No. 294, Houston, to support the Minnesota Virtual Academy’s career pathways program in emergency medicine. The program aims to help students obtain emergency medical responder or emergency medical technician certification, with a focus on students from underserved communities, including students of color, Indigenous students, and low-income students. The grant will also fund support services to enhance participation and ensure student success. The program is required to report annually to legislative committees on its expenditures, participant demographics, and recommendations to improve statewide career pathway programs. While the bill does not directly address Medicare/Medicaid provider reimbursement, its focus on emergency medical training could indirectly impact the availability of qualified professionals for these programs.
Location: US-MN
Title: Physical therapy; durable medical equipment
Current Status: Sine Die - Failed
Introduction Date: 2025-01-21
Last Action Date: Reported Discussed and Held out of Health & Human Services Committee. 2025-02-13
Location: US-AZ
Title: relative to the practice of optometry and authorization to perform ophthalmic laser procedures.
Current Status: In House
Introduction Date: 2025-01-08
Last Action Date: Retained in Committee. 2025-02-11
Location: US-NH
Title: Health Care Consolidation
Current Status: In Senate
Introduction Date: 2025-02-06
Last Action Date: Referred to Assignments. 2025-02-06
Summary: The bill amends the Illinois Antitrust Act to require healthcare facilities and provider organizations engaging in mergers, acquisitions, or contracting affiliations to notify the Attorney General at least 30 days before closing, including out-of-state entities generating $10 million or more in Illinois patient revenue. It defines key terms, outlines notification methods, and grants the Attorney General authority to request additional information, delaying transactions until compliance.
Description: Amends the Illinois Antitrust Act. Requires the Attorney General to consent to covered transactions of health care facilities before a covered transaction may take effect.
Location: US-IL
Title: CHIROPRACTIC LICENSING CHANGES
Current Status: Sine Die - Failed
Introduction Date: 2025-01-29
Last Action Date: Sent to HHHC - Referrals: HHHC/HJC. 2025-01-29
Location: US-NM
Title: AN ACT relating to physical therapy.
Current Status: Sine Die - Failed
Introduction Date: 2025-01-08
Last Action Date: to Committee on Committees (H). 2025-01-08
Description: Amend various sections of KRS Chapter 327, relating to the practice and regulation of physical therapy, to state legislative findings; allow a physical therapist to refer a patient for tests or examination; require a practitioner or employer to report a physical therapist or physical therapist assistant who has been convicted of a misdemeanor; require potential board members to not have been under any disciplinary action in the past five years; permit the Board of Physical Therapy to purchase professional liability insurance; authorize the board to convene committees and task forces to review and advise the board on pertinent issues; authorize the board to promulgate administrative regulations to establish fee amounts, issue advisory opinions and declaratory rulings related to this chapter, and issue a license to a physical therapist assistant applicant; prohibit physical therapists and physical therapist assistants from engaging in sexual contact with any active patient of record or parent or legal guardian of the active patient of record; require the board to develop guidelines to follow upon receipt of an allegation of sexual misconduct by a physical therapist or physical therapist assistant; allow the board to receive periodic education on issues affecting the practice of physical therapy and public protection; allow the board to determine which disciplinary records may be expunged; authorize the board to establish the amounts, limits, or ranges for any fines imposed; repeal and reenact KRS 327.010 to define terms; repeal and reenact KRS 327.080 to deposit to the credit of a revolving fund for the use of the board; require all expenses of the board to be paid from the revolving fund.
Location: US-KY
Title: Safe Patient Limits
Current Status: Failed
Introduction Date: 2023-02-17
Last Action Date: Session Sine Die. 2025-01-07
Description: Creates the Safe Patient Limits Act. Provides the maximum number of patients that may be assigned to a registered nurse in specified situations. Provides that nothing shall preclude a facility from assigning fewer patients to a registered nurse than the limits provided in Act. Provides that nothing in the Act precludes the use of patient acuity systems consistent with the Nurse Staffing by Patient Acuity Act; however, the maximum patient assignments in the Act may not be exceeded, regardless of the use and application of any patient acuity system. Provides that the Department of Public Health shall adopt rules governing the implementation and operation of the Act. Provides that all facilities shall adopt written policies and procedures for training and orientation of nursing staff and that no registered nurse shall be assigned to a nursing unit or clinical area unless that nurse has, among other things, demonstrated competence in providing care in that area. Provides specified requirements for the Act's implementation by a facility. Establishes recordkeeping requirements. Provides that the written policies and procedures for the training and orientation of nursing staff shall require that all temporary personnel receive the same amount and type of training and orientation that is required for permanent staff. Provides specified nurse rights and protections. Provides that the Act's provisions are severable. Contains other provisions. Amends the Hospital Licensing Act. Provides that a hospital shall not mandate that a registered professional nurse delegate nursing interventions. Amends the Nurse Practice Act. Provides that the exercise of professional judgment by a direct care registered professional nurse in the performance of his or her scope of practice shall be provided in the exclusive interests of the patient.
Location: US-IL
Title: Register Entry
Type: Final
Citations: Illinois Veterans' Homes Code
Agency: Illinois Department of Public Health
Publication Date: May 09, 2025
Summary: The Illinois Department of Public Health has enacted substantial amendments to the Illinois Veterans' Homes Code, effective April 22, 2025, to enhance care standards in long-term care facilities for veterans. These changes align with the Nursing Home Care Act and involve amendments, new sections, and repeals to existing codes. The amendments focus on staffing, mandating a minimum of 2.5 hours of direct care per resident per day, with specific time allocations for licensed nurses. Facilities must implement infection control programs, provide staff training, and uphold resident rights, including autonomy and grievance mechanisms. Regulations also include consent and monitoring for psychotropic medication use and comprehensive medical care policies to ensure resident privacy and property rights. These changes underscore a commitment to improving care quality, safety, and compliance standards, with financial implications for facilities adapting to these new requirements.
Description: Illinois Veterans' Homes Code
Location: US-IL
Title: A bill for an act relating to protections for medical practitioners, health care institutions, and health care payors including those related to the exercise of conscience, whistleblower activities, and free speech, and providing penalties. (Formerly HSB 139.)
Current Status: In Senate
Introduction Date: 2025-02-24
Last Action Date: Explanation of vote.. 2025-04-22
Location: US-IA
Title: Concerning the corporate practice of medicine.
Current Status: Failed
Introduction Date: 2025-01-21
Last Action Date: Senate Rules "X" file.. 2025-03-17
Location: US-WA
Title: An Act to Address the Safety of Nurses and Improve Patient Care by Enacting the Maine Quality Care Act
Current Status: In Senate
Introduction Date: 2025-03-25
Last Action Date: Later today assigned. (Roll Call Ordered). 2025-04-15
Summary: This bill establishes the Maine Quality Care Act to ensure adequate direct care registered nurse staffing in hospitals, freestanding emergency departments, ambulatory surgical facilities, and critical access hospitals to promote safe and effective patient care. It sets minimum staffing requirements based on patient care unit and patient needs, outlines compliance calculations, and includes protections against retaliation for direct care nurses. The bill also mandates notice, record-keeping, and enforcement measures and directs the Department of Health and Human Services to create a flexibility request process for critical access hospitals regarding staffing requirements.
Location: US-ME