Health Reform and State Health Legislative Initiatives



NCSL LegisBrief

As the number of people injecting opioids rises, so too does the risk of transmitting bloodborne viruses by those who share needles. States are responding with policies to prevent drug use, intervene early, increase access to treatment, reduce stigma and protect people who inject drugs.



Check out NCSL’s new database that brings you up-to-date, real-time information about bills related to and responding to COVID-19 that have been introduced in the 50 states and the District of Columbia.


sexual harassment

As health care costs continue to pressure state budgets, lawmakers are looking at social determinants that may be contributing to costly preventable chronic diseases and conditions. One potential solution involves improving access to stable and affordable housing for Medicaid beneficiaries.


pregnant women

Hospital closures, shrinking budgets, a diminishing workforce and poorer health outcomes in rural areas are prompting policymakers to look for ways to boost maternal health care in the nation’s less-populated communities.


Health costs account for about one-third of state budgets, ranging from financing Medicaid, to paying for state employees and other populations, such as prisoners. State legislatures make thousands of health policy decisions each year, including improving access to appropriate care, determining who should be immunized, licensing health professionals and facilities, and supporting or rejecting initiatives to keep people healthy. NCSL’s web site provides health reports and updates listed by 40+ topics.