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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.

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So far, 26 states and Washington, D.C., publicly report varying data on race and ethnicity for individuals who have received the vaccination. States also have taken different approaches to addressing disparities in vaccine administration and vaccine hesitancy.

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state-action

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.

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As the country works to expand COVID-19 through testing, every state has submitted a testing strategy to the federal government. Most state plans prioritize vulnerable populations and offer testing for uninsured individuals.

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Many states — including North Carolina, Oregon, Pennsylvania, and South Carolina — are designating CARES Act funds to assist hospitals. The National Governor's Association outlines best practices for distributing potential COVID-19 vaccines.

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Illinois is the first state to extend Medicaid coverage to low-income residents ages 65 and older, regardless of immigration status, due to the COVID-19 public health crisis. Meanwhile, Pennsylvania heightened security measures to protect staff and providers against the spread of COVID-19.

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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.

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state-action

Many states are beginning to lift restrictions put in place to reduce the spread of COVID-19, including resuming elective surgeries in hospitals. Meanwhile, the National Association of Medicaid Directors urges the administration work with Medicaid directors to distribute needed funds to providers.

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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.

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Some states are using their own means to assist hospitals on the front lines of this public health emergency. Massachusetts' state Medicaid agency will infuse $800 million in stabilization funding, while Pennsylvania launched a loan program to help hospitals adversely affected by the pandemic.

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