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What we’re watching: April state legislative update

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At Health Forward, we are keeping the pulse on state policy developments that will impact the well-being of our communities.

In the last month, there has been substantial movement on bills that could affect the lives of Missourians and Kansans. The purpose of this update is to inform our advocacy partners about the important developments in Jefferson City and Topeka, and the work we are doing to build inclusive, powerful, and healthy communities.

Thank you for your commitment to a healthier region.

Missouri

Missouri lawmakers are back from spring break, and facing a May 15 adjournment deadline with several major bills already approved by the legislature and sent to the governor’s desk.

The House passed a $50 billion state operating budget that use the state’s remaining surplus to address an estimated $2 billion deficit. The House restored $80 million to self-directed services for Missourians with disabilities, but included a controversial overhaul of higher education funding that could drastically cut funding for some state universities, including Missouri’s only historically Black colleges and universities.

We’re monitoring House Joint Resolution 173, which paves the road for the elimination of state income tax. This bill was approved by the House last month and remains a major point of contention. Swapping out the income tax for a greatly expanded sales tax is a lose-lose proposal for Missourians. Increasing costs for average Missourians by taxing the products and services they use every day will make it more difficult for Missouri families to get ahead.

We are keeping an eye on both the legislative and judicial branches, monitoring actions that will impact how Missourians engage civically and shape policies that affect our health and well-being. Also on our radar is the omnibus health bill, covering telemedicine, doula services, and “food as medicine” programs, broadband grant programs, property tax assessments, and more.

Objetivo de la política de personas: la gente puede acceder fácilmente a una atención integral segura, de calidad y asequible.

Cuestiones políticas y legislación pertinente Para qué sirve Estado Nuestra postura
Food is Medicine (HB 2355, SB 1075, SB 1499) Establish the Food is Medicine Act and require the Department of Social Services to apply for a Section 1115 demonstration waiver to implement a Food is Medicine program through MO HealthNet After the hearing was canceled, SB 1499 was re-referred to Senate Families, Seniors and Health Committee on March 9. We support this legislation because integrating nutrition into health care delivery helps Missourians better manage chronic disease, improves quality of life for MO HealthNet participants, and advances health equity statewide by providing clinically appropriate and culturally responsive nutrition interventions.

 

Legislation we’re tracking:

  • Sales tax exemption of retail sale of food (SB 1239 and SB 1017)
  • Dentist and Dental Hygienist Compact (HB 1847)
  • Pregnancy-Associated Mortality Review board (SB 871)
  • Dietitian licenses (HB1961)
  • Born-Alive Survivors Protection Act (HB1667)
  • Medicaid work requirements (HJR 154, SJR 103)
  • Prohibiting employment of individuals holding an H-1B visa by public universities and colleges (SB 1130)
  • Health care omnibus: telehealth, doulas, community paramedicine, etc. (HB 2372 and SB 841)
  • Physician assistant and nursing licensure and scope of practice (several bills)
  • Eligibility for public assistance benefits for individuals who are not US citizens or nationals (HB 2468, HB 2481)
  • Appropriations for H.R. 1 implementation (HB 2014, HB 2011)

Objetivo de política de poder: la participación en nuestra democracia y en el proceso de elaboración de políticas mejora los resultados sanitarios.

Cuestiones políticas y legislación pertinente Para qué sirve Estado Nuestra postura
Initiative Petition and Referendums Modification (HB 2124) The bill would require petition circulators to be Missouri residents or individuals who have been physically present in Missouri for at least 30 consecutive days prior to collecting signatures. Additionally, HB 2124 would prohibit circulators from being paid on a per-signature basis Hearing held on March 10 We oppose this bill because it would impose unnecessary and burdensome requirements on the signature-gathering process for citizen-led initiative and referendum petitions.
Elections – Proof of Citizenship (SB 986) Requires an individual to provide documentary proof of citizenship to register to vote Senate hearing conducted in Local Government, Elections and Pensions Committee on March 2. Motion to veto bill “do pass” failed on March 9. We submitted testimony in opposition to this bill because adding documentary proof requirements would increase barriers to voting through additional cost and administrative burdens for both voters and election officials

 

Legislation we’re tracking:

  • Urging Congress to pass voter ID laws (HCR 48)
  • Elections — in-person no excuse absentee voting (SB 836)
  • Language of Missouri driver’s license written examinations (HB 1798)
  • Voting rights of individuals on probation or parole (HBs 2592, 2787 and 2384)
  • Ballot summary statements (HB 3146)

Place policy goal: Our communities are healthy places where people fully participate in the digital economy and build wealth through safe, quality, and affordable housing and homeownership.

Cuestiones políticas y legislación pertinente Para qué sirve Estado Nuestra postura
Broadband Grant Program (SB 2886) Strengthens the impact of the existing Broadband Grant Program by increasing the maximum broadband speeds in the definitions of “underserved” and “unserved” areas to upload and download speeds of 750 megabits-per-second and 500 megabits-per-second respectively Public hearing held in House elections on March 10. We testified in support of access to high-speed internet and the devices needed to use it because it is essential for connecting people to fundamental components of health and well-being.

 

Legislation we’re tracking:

  • Property tax and assessment of property tax (HB 2780 and many more)
  • Land banks (SB 843, HB 2898)
  • Workforce housing investment fund (HB 1716, SB 1105)

Objetivo político de la plataforma: La salud de la comunidad se ve influida por sistemas, políticas e historias que promueven la equidad racial y la inclusión económica.

Legislation we’re tracking:

  • Safeguarding students’ political and ideological expression at public schools (SB 909, HB 2682)
  • Cronkite Journalistic Standards and New Voices Act (HB 2918)
  • Protections against discrimination and antisemitism in public schools and public postsecondary educational institutions (HB 2061)
  • Elimination of Income Tax (HJR 173, HJR 174)

Kansas

The Kansas Legislature reached its first adjournment on March 27, marking the end of the regular session. Before adjourning, the legislature passed a $27 billion budget for fiscal year 2026. Beyond the budget, a number of bills related to our policy agenda and purpose strategies were introduced and advanced.

Health Forward supported the work of our partners by submitting testimony on many of the bills that would impact our Black, brown, and rural prioritized communities of focus. While we did not submit testimony on all legislation affecting our communities, you can find updates on many other bills on our legislative tracker.

The Kansas Legislature is now in veto session, and we are monitoring updates. One piece of legislation we are watching is House Bill 2731. If passed, the bill could reduce participation in the Supplemental Nutrition Assistance Program (SNAP), whether intentionally or unintentionally, and negatively affect the health of Kansans.

 

Objetivo de la política de personas: la gente puede acceder fácilmente a una atención integral segura, de calidad y asequible.

Cuestiones políticas y legislación pertinente Para qué sirve Estado Nuestra postura
Fraud in public assistance programs (House Bill 2731) Establish a fraud detection unit to detect, investigate and prosecute fraud in food assistance programs. The substitute would require the Department for Children and Families and the Office of Inspector General to exchange information and documents relating to public assistance programs. The Senate Committee Report recommended the bill be passed by Committee on Government
Efficiency on March 10. House and Senate Conference Committee Reports adopted on March 27.
Efforts to reduce participation in SNAP, whether intentionally or unintentionally, negatively impact the health of Kansans.
Freedom of Speech Training in Higher Ed (SB 496) Requiring postsecondary educational institutions to provide annual training on freedom of speech, association and exercise of religion to certain individuals based on materials, programs and procedures developed by the state board of regents, in consultation with the attorney general, requiring the state board of regents to confirm that each such institution has complied with training requirements and authorizing the attorney general to bring an action to enforce compliance. Senate Hearing held on March 13. Senate Committee Report recommending bill be passed as amended by Committee on Education on March 16. We oppose this legislation because it may actually have chilling effects on the educational environments essential to building a culturally competent health care workforce in Kansas.
Medical Freedom Act (SB 522) Enacts the Kansas medical freedom act to prohibit the denial of an individual’s access to certain services based on such individual’s medical choices. Senate Committee on Public Health was held on March 13. On March 17 the Senate Committee Report recommended the bill be passed as amended. We submitted written testimony to oppose this legislation, because when personal exemptions are expanded, the number of unvaccinated children rises, community immunity is eroded, and economic costs increase.

 

Legislation we’re tracking:

  • Updating income eligibility requirements for the state children’s health insurance plan (SB 271)
  • Prohibiting people who are undocumented from receiving any state or local public benefits (SB 254)
  • Requiring the state to comply with written data-sharing requests from federal agencies (SB 428)
  • Legislative oversight of rural health transformation program (HB 2555)
  • Woman’s right-to-know act (HB 2727 and HB 2729)
  • Prohibiting the use of fluoride (SB 333)
  • Prohibiting undocumented individuals from receiving any state or local public assistance (SB 254)

Objetivo de política de poder: la participación en nuestra democracia y en el proceso de elaboración de políticas mejora los resultados sanitarios.

Legislation we’re tracking:

  • Third-party website voter registration restrictions (HB 2438)
  • Advanced voting signature requirements, trigger for repeal (SB 394)
  • Constitutional voter id requirements (HCR 5021)
  • Citizenship status on Driver’s licenses (HB 2448)
  • Campaign finance reporting requirements of small donors (SB 395)
  • Campaign finance reporting requirements for sub vendors (SB 451)

Place policy goal: Our communities are healthy places where people fully participate in the digital economy and build wealth through safe, quality, and affordable housing and homeownership.

Legislation we’re tracking:

  • Property tax and property tax assessments (HB 2080 — homestead, HCR 5024)
  • Landlord and tenants (HB 2357 – eviction expungement, SB485 — source-of-income protections)
  • Pre-emption of local laws prohibiting source-of-income discrimination (HB 2504, SB 391)
  • Sales tax exemption for sales of manufactured homes mobile homes and modular homes and materials and services (HB 2619)
  • Fiber broadband (HB 2647)
  • Rental payments (HB 2768)
  • Property tax exemptions to promote affordable housing (HB 2621)
  • Rental fee disclosure (SB 369)

Objetivo político de la plataforma: La salud de la comunidad se ve influida por sistemas, políticas e historias que promueven la equidad racial y la inclusión económica.

Legislation we’re tracking:

  • Prohibits undocumented students from getting in-state tuition rates at Kansas public colleges and universities (SB 254)
  • Personal expression in schools (SB 419 and SB 421)
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