It is mid-February 2026, and most state legislative sessions are officially in full swing.  This year’s docket is a mix of carryover issues and intriguing new bills that could reshape the healthcare landscape.  But in policy work, “enacted” isn’t the only measure of success—influential ideas often spark trends across states or take several sessions of persistent reintroduction before they finally cross the finish line. Snapshot of 2026 Sessions For 2026, only 46 states will have regular legislative sessions, with Montana, Nevada, North Dakota, and Texas not holding regular sessions in […]

Several states passed legislation on key healthcare issues in the 2025 legislative session, including new laws addressing noncompete clauses, prior authorization, and price and ownership transparency. This article highlights five states that have passed significant legislation on healthcare pricing and competition in 2025. Indiana, Washington, Oregon, Montana, and Arkansas have all had ambitious sessions this year regarding healthcare reform; below, we highlight some of the key bills recently passed by these states. Indiana Indiana had an ambitious year in 2025, enacting several significant pieces of healthcare legislation. Having new laws […]

The Federal Push for Transparency Since the Affordable Care Act (ACA) was enacted in 2010, there has been a push for comprehensive healthcare reform, including early efforts to create price transparency. The ACA requires health plans to provide a summary of benefits and coverage, along with a list of definitions to facilitate consumer comprehension. In 2019, President Trump issued Executive Order (EO) 13877, which directed federal agencies to give patients access to real prices rather than estimates and to make pricing information comparable across health plans. Following that Executive Order, […]

In 2025, the Oregon Health Authority (“OHA”) invited the public to weigh in on its Health Care Market Oversight (“HCMO”) Program.  The Oregon Health Policy Board is seeking comments on the program’s guiding principles and framework.  This move follows growing criticism and scrutiny of the program, as well as a lawsuit in which a federal appeals court upheld the program’s authority.  These public comment opportunities offer a rare chance for residents, providers, and stakeholders to directly influence how healthcare mergers, acquisitions, and affiliations are reviewed, or potentially restricted, by the […]

State policy makers have worked to address the complexities of noncompete clauses, especially for healthcare workers, for some time. These state efforts have become even more critical in light of federal efforts stalling. Background on Noncompete Clauses Noncompete clauses are terms in contracts between employees and employers that prevent workers, once their employment is over, from competing with that employer (typically by working for a competing employer or starting a competing business). Noncompete provisions are often limited to a specific duration and/or a particular distance from the original employer. These […]

On June 12th, 2025, Vermont Governor Phil Scott signed S0126 into law, in which the state aims to improve quality of care and healthcare access by stabilizing healthcare costs through Medicare-based price regulation, creating global hospital budgets, and establishing a more stable and high-quality state healthcare network.  The new law intends to do so through controlling costs for commercial insurance, managing hospital costs by using price caps, and overseeing and assessing administrative processes.  The law tasks the Green Mountain Care Board (GMCB) with accomplishing these objectives. Vermont’s current system for […]

This is part of a series of summaries that highlight notable legislation and initiatives in health policy and reform of all 50 states. Check back on The Source as we roll out additional states each week. See North Carolina page. North Carolina is a state that is active in antitrust enforcement in the healthcare market. In addition to prohibiting most-favored nation clauses in provider contracts, the state is also the site of a major enforcement case that alleged anticompetitive contract practice in a lawsuit against Atrium Health (formerly Carolinas Healthcare […]

This is part of a series of summaries that highlight notable legislation and initiatives in health policy and reform of all 50 states. Check back on The Source as we roll out additional states each week. See Nebraska page. Nebraska has advanced several healthcare price transparency initiatives in the state. To protect patients from surprise billing, the legislature enacted the Out-of-Network Emergency Medical Care Act that prohibits providers from billing patients for medical care received from out-of-network providers or facilities in emergency situations. In addition, Nebraska patients have the ability […]

This is part of a series of summaries that highlight notable legislation and initiatives in health policy and reform of all 50 states. Check back on The Source as we roll out additional states each week. See Montana page. Montana promotes the use of telemedicine by providing coverage and cost-sharing parity between telemedicine and in-person services. Coverage for telemedicine services must be equivalent to the coverage for in-person services. To make telemedicine services more affordable to patients, cost-sharing requirements that are not generally applicable to in-person services may not be […]

This is part of a series of summaries that highlight notable legislation and initiatives in health policy and reform of all 50 states. Check back on The Source as we roll out additional states each week. See New Mexico page. New Mexico has made strides in healthcare price transparency and cost control. After a legislative mandate was enacted to establish an all-payer claims database, the state began its implementation with budget allotted in the 2019-2020 fiscal year. In recent terms, New Mexico also passed the Surprise Billing Protection Act, which […]