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What we’re watching: March state legislative update

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Legislative sessions continue moving forward at full speed in both Kansas and Missouri, and we have plenty to report back on. Here, I’ll focus on legislation and actions we know will impact Black, Latino, and rural communities across our service area.

Health Forward Foundation has remained busy and focused this past month, hosting our annual Advocacy Days at the Capitol in Topeka and Jefferson City. There, our partners — Kansas Action for Children and Missouri Budget Project — helped us kick off the visits with an overview of the legislative priorities and process for each respective state. We also hosted panels on each state’s Rural Health Transformation Plan, bringing together partners, policymakers, and community leaders to discuss plans to expand care.

Recently, Health Forward released two briefs: one covering the cuts, anticipated local impacts, and policy recommendations for federal budget bill (H.R. 1), and the other covering the connections between housing and health. These briefs provide our partners with valuable information to aid in their advocacy efforts.

We’re thankful for our partners’ shared commitment to a healthier region, and Health Forward is proud to remain a resource for those who want to stay engaged and informed throughout the 2026 legislative sessions and beyond.

Missouri

In Missouri, Health Forward is continuing to support efforts led by the People NOT Politicians Missouri campaign to challenge the legislature’s illegal, super-gerrymandered congressional maps. This fall, voters will have the chance to vote on a ballot question to overturn the maps adopted during last year’s special legislative session.

We are also supporting the Protect Majority Rule campaign, focused on safeguarding Missouri’s citizen-led ballot initiative process. Voters will be asked to vote on a legislature-led ballot question that would make it harder for citizens to pass laws that protect their rights.

Both campaigns are fundamental for protecting voter power and ensuring that Missouri residents can continue to advocate for themselves and their communities.

This past month, Health Forward has provided testimony in support of measures that invest in rural housing development, implement a food as medicine program, restore voting rights, and exempt food from the state sales tax — and in opposition to legislation that would allow ballot summary language that distracts and misleads voters.

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
Pregnancy-Associated Mortality Review board (SB 871) Require geographic and demographically diverse representation on the Pregnancy Associated Mortality Review board. Hearing held on 1/13/26. Committee substitute passed out of committee on 2/3/26. We testified in support of this legislation.
Dentist and Dental Hygienist Compact (HB 1847) Allows Dentists and Dental Hygienists who hold a valid current license in another state to apply for licensure in Missouri. Hearing held on 1/13/26 and passed out of committee on 1/20/36. Senate version had a hearing on 1/20/26. We submitted testimony in support of HB 1847.
Medicaid work requirements (HJR 154, SJR 103) Proposes an amendment to the state constitution that would allow Missouri to exceed federal Medicaid work requirements. Hearing held on 1/13/26. Committee substitute passed out of committee on 1/20/26. Passed by the House on 2/19/26 and sent to the Senate. We sent the committee testimony in opposition to HJR 154.

 

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. HB 23 55 – Hearing held in House Health and Mental Health on 2/19/26. Amended and passed by committee on 2/26/26. We testified in support of HB 2355. We also support the other Food is Medicine bills.
Sales tax exemption of retail sale of food (SB 1239 and SB 1017) Authorize a state sales tax exemption for food and phase out the local sales tax on food. SB 1239 and SB 1017 were combined in the Senate Committee and passed on February 25. The combined version would only eliminate the state sales tax on food, not local sales tax. We support the elimination of the state sales tax on food. We support the elimination of the local sales tax on food is an alternative revenue source is identified to fill the gap.
Legislation we’re tracking:
– Dietitian licenses (HB1961)
– Born-alive survivors protection act (HB1667)
– Medicaid work requirements (HJR 154)
– Prohibiting employment of individuals holding an H1B visa by public universities and colleges (SB 1130)
– Healthcare 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 HR 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
Elections – in-person no excuse absentee voting (SB 836) Extends the no excuse in-person absentee voting period from 2 weeks to 4 weeks, includes several other election provisions. Hearing held on 1/26/26. A Committee Substitute passed out of committee on 2/2/26. We submitted testimony in support of the portions of the bill that extends the absentee voting period to four weeks and clarifying the law related to provisional ballots and ID requirements.
Language of Missouri driver’s license written examinations (HB 1798) Requires the Missouri driver’s license written examination be administered in English only and prohibits the use of translators. Hearing held in House Transportation on 1/13/26. We submitted testimony in opposition to this bill.
Voting rights of individuals on probation or parole (HBs 2592, 2787 and 2384) Restores voting rights to individuals on probation or parole. Hearing held on 2/2/26 in House Corrections. The bills were combined into a committee substitute and passed by the House Committee on 2/11/26. We submitted testimony in support of these bills.
Ballot summary statements (HB 3146) Increases the word limit on summary statements for ballot measures proposed by the General Assembly from 50 to 100 and  gives Secretary of State 3 tries to write ballot language before the court can interview to rewrite it. Hearing held in House Elections on 2/10/26. Committee passed the bill on 2/17/26. We submitted testimony in opposition to this bill.
Legislation we’re tracking:  Urging Congress to pass voter id laws (HCR 48).

 

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
Workforce housing investment fund (HB 1716, SB 1105) Creates a workforce housing grant program to foster and support the development
of workforce housing in rural communities.
HB 1716 – Hearing held in House Economic Development on 2/24/26. SB 1105 – Hearing held in Senate Economic and Workforce Development on 1/28/26. We submitted testimony in support of HB 1716.
Legislation we’re tracking: Property tax and assessment of property tax (HB 2780 and many more) and land banks (SB 843, HB 2898)

 

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

In Kansas, the focus largely remains on the budget process. The Kansas FY 2026-27 budget is now in “conference committee,” where lawmakers are reconciling the House and Senate budgets. As of the end of February, both proposals increase funding to administer SNAP and Medicaid, the Children’s Health Insurance Program, and for technical schools and community colleges, while also cutting spending to universities that support diversity, equity, and inclusion.

Health Forward is tracking over 80 health-related bills and has submitted testimony on several. Our testimony included support for measures to expand housing, broadband, and affordability while opposing policies that increase administrative burdens, overhaul the state Supreme Court judicial nominating process, or limit civic participation.

 

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. A substitute for HB 271 was passed by the House Committee on February 16. The House passed the substitute on Feb 19. We submitted testimony in opposition at the House Committee hearing on February 10.
Eligibility requirements for public assistance (SB 363) Establish data-matching agreements with state agencies to verify eligibility for food and medical assistance. Create additional work and reporting requirements for public assistance programs. Amended in Senate Committee to seek federal approval to establish continuous Medicaid eligibility for certain individuals with intellectual or developmental disabilities. Hearings held on February 11 and 12. Amended and passed by the Senate Committee on Government Efficiency on February 24. We oppose this legislation as people will lose their benefits due to administrative burdens, not because they are ineligible.
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.

Cuestiones políticas y legislación pertinente Para qué sirve Estado Nuestra postura
Constitutional voter id requirements (HCR 5021) Proposes to amend the state constitution to require voters to submit a state or federal ID to vote. Hearing held in House Committee on Elections on 1/29/26. Bill is dead (non-exempt.) We submitted testimony in opposition.
Citizenship status on Driver’s licenses (HB 2448) Requires citizenship status to be listed on driver’s licenses. Hearing held in House Committee on Elections on 1/29/26. Passed House on 2/12/26. Sent to the Senate. We submitted testimony in opposition.
Campaign finance reporting requirements of small donors (SB 395) Require campaign treasurers for candidates and committees supporting or opposing constitutional amendments to submit lists of small donors’ names and addresses to the Kansas Public Disclosure Commission. Hearing held 2/25/26 in the Senate Committee on Federal and State Affairs. We submitted testimony in opposition.
Campaign finance reporting requirements for sub vendors (SB 451) Require campaign finance treasurer reports to include the products and services provided by vendors paid by their consulting and public relations firms. Amended and passed by the Senate Committee on federal and State Affairs on 2/12/26. Passed by the Senate on 2/18/26. Referred to House Elections. We submitted testimony in opposition to SB 451, as filed. We did not oppose the amended bill.
Legislation we’re tracking:
– Third-party website voter registration restrictions (HB 2438)
– Advanced voting signature requirements, trigger for repeal (SB 394)

 

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
Fiber broadband (HB 2647) Authorize the Kansas Department of Transportation to establish a statewide conduit system for fiber optic transmissions of broadband connections. Amended and passed by the House Committee on Transportation on 2/16/26. Passed by the House as amended on 2/19/26. Sent to the Senate Committee on Transportation. We submitted testimony in support of this bill.
Rental payments (HB 2768) Require landlords to accept multiple payment amounts and to count certain income when considering a tenant or prospective tenant’s qualifications for housing. Hearing held in House Committee on Commerce, Labor, and Economic Development on 2/24/26. We support this legislation as it will support access to housing.
Property tax exemptions to promote affordable housing (HB 2621) Authorize a property tax exemption on real property owned by non-profits that is used to provide affordable housing. Hearing held in House Committee on Taxation on 2/24/26. We submitted testimony in support of this bill.
Rental fee disclosure (SB 369) Require the disclosure of rental fees and restrict fees for the late payment of rent. Hearing held in Senate Committee on Commerce on 2/10/26. We submitted testimony in support of this bill.
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)

 

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.

Cuestiones políticas y legislación pertinente Para qué sirve Estado Nuestra postura
Personal expression in schools (SB 419 and SB 421) Establish the “Kansas Intellectual Rights and Knowledge Act” and the “Safeguarding Personal Expression at K-12 Schools Act.” Establish the grounds to sue for violations of each act. Both passed by the House Committee on Education on February 10. We oppose both bills due to potential harm to diverse thinking necessary for an inclusive educational environment and potential chilling effect of threat of litigation upon restrictions to discriminatory speech.
Legislation we’re tracking: Prohibits undocumented students from getting in-state tuition rates at Kansas Public colleges and universities (SB 254).

 

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