At least 20 states are pursuing legislation to limit access to gender-affirming care for transgender youth, while some states have proposed legislation to prohibit discrimination based on sexual orientation and gender identity.

New York is the first state to implement no-cost, voluntary "vaccine passports" — credentials to show proof of inoculation. Hawaii is testing similar technology. Other states have expressed privacy concerns related to vaccine passports, with the governors of Florida and Texas barring such policies.

The Federal Emergency Management Agency is supporting vaccination sites in 19 states and U.S. territories. States vary in their approaches to distribute COVID-19 vaccines to children; some are prioritizing subpopulations of children while others are involving child health stakeholders in planning.

The CDC data tracker shows COVID-19 vaccine rollout has varied significantly across the country. While Connecticut, New Hampshire, and South Dakota have administered at least 60 percent for their available vaccine doses, Arizona and Georgia have not yet administered 20 percent of their vaccines.

HHS has left it up to the states' discretion on how to distribute the investigational antiviral drug. Several states — including Georgia, Illinois, Pennsylvania, and Texas — are beginning to release plans on the distribution of the drug.

In addition to efforts targeting surprise medical bills, governors are asking the administration to allow Medicaid retainer payments during the COVID-19 pandemic. Meanwhile, the administration has approved Section 1135 waivers for 47 states, the District of Columbia, and the U.S. Virgin Islands.