Health portal


Electronic cigarettes are making headlines across the country, and e-cigarette sales are estimated to top $2 billion in 2014. State legislative efforts pertaining to the sale and use of e-cigarettes have increased as the products have become more popular and more widely advertised.




health reform2014 ACA Database Expands: NCSL has just updated latest state legislative actions related to the Affordable Care Act. The online database now provides one-click access to 1,120 bills and resolutions in 45 states and D.C. Legislation can be sorted by state and by topics, including Exchanges, Medicaid, Outreach, Insurance Reforms, Funding or Opt-outs & Alternatives. As of August 11, at least 190 measures have been signed as law or adopted. 




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 initiatives to keep people healthy. NCSL's web site provides health reports and updates listed by 50+ topics, on the right-hand column.

The Affordable Care Act of 2010 (ACA) brings substantial changes to the health care system. The Health Insurance Exchanges or Marketplaces opened for enrollment in all 50 states on October 1, 2013 and coverage began on Jan. 1, 2014.  Half of the states opted to expand Medicaid for adults with incomes up to 138 percent of the federal poverty level, so far.  In addition, the law put in place new health insurance regulations that affect premium rates, enrollee assistance and appeals and coverage for people with preexisting conditions and young adults added to family policies, among other things. State legislatures considered more than 2,500 bills that relate to the ACA since its passage, leading to 500+ signed into law as of Dec. 2013. For 2014 there are more state decisions and another 1,100 bills under consideration.


dr and patientThe Protecting Access to Medicare Act extends the authorization for physician reimbursement under Medicare and extends expiring program authorizations and/or appropriations effecting Medicaid programs. A summary of key provisions signed into law April 1, 2014. Continue

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