On April 1, CMS began decreasing the temporary federal medical assistance percentage increase, and five states began disenrolling Medicaid beneficiaries.

Currently, at least 24 bills in nine states focus on transgender patients, and four states in 2023 have legalized restrictions on gender-affirming care.

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.

Due to increasing COVID-19 hospitalizations, Alaska and Idaho this month enacted statewide crisis standards of care. These standards are used when health care systems are unable to operate normally due to an extreme public health event.

States are exploring a variety of COVID-19 recovery plans to meet their local economic and health care needs. While some states opt to follow guidance from the Trump administration and national groups, others are taking individualized approaches focused on testing and social distancing.

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.

Federal guidance details how states can request ventilators; states regulate distribution of chloroquine and hydoxychloroquine and take steps to ensure housing stability.