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Database Health Costs, Coverage and Delivery State Legislation

Updated September 27, 2024
Related Topic: Health

Click on the icon above to access the interactive PowerBI database. Users can filter legislation by year, state, topic or keyword. New legislation is added biweekly by NCSL staff. This database only includes enacted legislation.

States continue to evaluate strategies that address health care costs, enhance access and improve health system efficiencies. Through this interactive database, NCSL provides up-to-date information on enacted state legislation related to health costs, coverage and delivery. Topics in the database include but are not limited to:

  • Alternative payment models
  • Health insurance marketplaces
  • Health system consolidation and competition
  • Medicaid reforms
  • Price transparency
  • Surprise billing
  • Telehealth

Database Notes

Click on the graphic below to access the interactive PowerBI database. Users can filter legislation by year, state, topic or keyword. New legislation is added biweekly by NCSL staff. This database only includes enacted legislation.

This database is primarily supported by The Commonwealth Fund, a national, private foundation based in New York City that supports independent research on health care issues and makes grants to improve health care practice and policy. The database is also supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $875,000 with 100% funded by HRSA/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by The Commonwealth Fund, HRSA, HHS, or the U.S. Government.

Topic Explanations

  • Market: Consolidation and Competition

    State legislation related to health system consolidation and oversight, provider-insurer contract provisions, Certificate of Need, Certificate of Public Advantage and other competition-focused topic areas.

  • Market: Federal Health Reforms

    State legislation related to the Affordable Care Act consumer protections, essential health benefits and other federal health reform efforts.

  • Market: Free Market and Alternatives

    State legislation related to association health plans, short-term limited duration health insurance, health care sharing ministries, direct primary care and other alternative coverage options.

  • Market: Health Insurance Marketplaces

    State legislation related to state public options, Section 1332 waivers, reinsurance, premium and cost-sharing subsidies, state-based marketplaces, marketplace outreach and enrollment, and other health insurance marketplace topics.

  • Market: Health Insurance Coverage / Networks

    State legislation related to network adequacy, health insurance mandates and mental health parity requirements.

  • Market: Payment and Delivery Reform

    State legislation related to value-based payment arrangements, global budgeting, reference pricing, accountable care organizations, purchasing alliances, rural emergency hospital licensure and other payment and delivery reforms.

  • Market: Price Transparency / Cost Containment

    State legislation related to all-payer claims databases (APCDs), price comparison tools, right-to-shop programs, provider/insurer transparency requirements (e.g., cost estimates to patients), cost growth benchmarks, cost containment task forces or offices, and other cost containment initiatives.

  • Market: Surprise Billing and Medical Debt

    State legislation related to state surprise billing protections, the No Surprises Act, medical debt collection practices, hospital financial assistance policies and other related topics.

  • Market: Other

    State legislation broadly related to health care costs, coverage and delivery not captured in other tags.

  • Medicaid: Eligibility and Benefits

    State legislation related to Medicaid eligibility expansion or modifications, benefit expansion or modifications, newly eligible groups and newly covered Medicaid benefits.

  • Medicaid: Payment and Delivery Reforms

    State legislation related to Medicaid value-based payment arrangements, alternative payment models, managed care models, provider taxes and fees, and other Medicaid payment and delivery reforms.

  • Medicaid: Providers

    State legislation related to newly authorized provider types, scope of practice changes and other Medicaid provider topics.

  • Medicaid: Other

    State legislation broadly related to other Medicaid topics not captured in other tags.

  • State: Run Programs

    State legislation related to state employee health plans and medical assistance for undocumented individuals.

  • Telehealth: Medicaid

    State legislation related to Medicaid coverage for telehealth, including eligible services, eligible providers, Medicaid payment parity and other Medicaid actions.

  • Telehealth: Private Insurance

    State legislation related to private insurance coverage for telehealth, including payment parity, coverage parity and other telehealth private insurance actions.

  • Telehealth: Providers

    State legislation related to interstate licensure compacts, telehealth-specific licenses, patient-provider relationship requirements, teleprescribing, authorized providers, originating and distant site requirements and other related telehealth actions.

  • Telehealth: Other

    State legislation related to telehealth not captured in other tags (e.g., broadband).

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