This State Policy Snapshot explores how legislatures are responding to the recent discriminatory actions by pharmacy benefit managers and other payers by enacting 340B-related nondiscrimination legislation.

Illinois, New Hampshire, and Vermont state health departments scaled back COVID-19 testing and vaccine clinics this spring.

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.

Several states have reached or surpassed President Joe Biden's goal of vaccinating 70 percent of the U.S. adult population by July 4. However, other states lag behind; in 15 states, less than half the adult population has received at least one dose of a COVID-19 vaccine.

In response to COVID-19 surges, California issued an order to preserve resources and ensure hospitals can care for critically ill patients. Most states adopt Advisory Committee on Immunization Practices recommendations for prioritization of vaccines, but 14 states modified the guidelines.

Several states have created task forces to examine racial disparities related to COVID-19. A new tracker shows which states have stay-at-home orders or plans to resume elective procedures. States have authority to allocate CARES Act funding how they see fit, and several states have begun to do so.

With expected gridlock between our new divided Congress, states could be the ones to drive major health policy activity in 2019.