Ten states and the District of Columbia no longer report their COVID-19 data on a daily basis.

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.

An analysis finds just 17 governors discussed COVID-19 in their state-of-the-state addresses, with key themes including opposition to vaccine mandates, workforce shortages, and access to COVID-19 vaccines. Active public health emergencies remain in 22 states.

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.

At least 29 bills in 17 states involve health services for patients who are transgender, and many of these efforts specifically focus on youth populations. Several states proposed restricting access to transgender health care, by prohibiting or criminalizing gender-affirming care.

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.