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What we’re watching: February state legislative update

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Legislative sessions are well underway in both Kansas and Missouri. Many proposals align closely with Health Forward’s core priorities across housing (Place), civic participation (Power), health access (People), and equity and civil rights (Platform).

As is common in election years, many bills were introduced solely to signal positions and values, with little chance of passage. We will continue to closely track legislation and focus our advocacy efforts on measures most likely to advance and most impactful for Black, brown, and rural communities across our service area.

Take a look at our policy agendas for Kansas and Missouri, to get a sense of how the action in Kansas and Missouri impacts the outcomes we seek to advance through Health Forward’s purpose plan.

It will be a busy year. We’re grateful for our partners and remain ready to lend our voice and support where it matters most.

Missouri

In Missouri, the legislative pace is brisk, with more than 2,500 bills filed. Major debates are emerging around eliminating the state income tax, redistricting challenges, Medicaid work requirements, voting access, maternal health, health care workforce, and English-only driver’s license testing. Health Forward has testified in support of measures that reduce voting barriers, improve maternal health outcomes, and expand dental care access — and in opposition to legislation that would restrict Medicaid access or increase barriers for non-English speakers.

People policy goal: People can easily access safe, quality, and affordable whole-person care.

Policy issue and relevant legislation What it does Status Our stance
Pregnancy-Associated Mortality Review board (SB 871) Require geographic and demographically diverse representation on the Pregnancy-Associated Mortality Review board. Hearing held on January 13. Committee substitute passed out of committee on February 3. 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 January 13 and passed out of committee on January 20. Senate version had a hearing on January 20. We submitted testimony in support of this legislation.
Medicaid work requirements (HJR 154) Proposes an amendment to the state constitution that would allow Missouri to exceed federal Medicaid work requirements. Hearing held on January 13. Committee substitute passed out of committee on January 20. We sent the committee testimony in opposition to this legislation.
Legislation being monitored:  Dietitian licenses (HB1961) and Born-Alive Survivors Protection Act (HB1667).

 

Power policy goal: Participation in our democracy and policymaking process improves health outcomes.

Policy issue and relevant legislation What it does Status Our stance
Elections: no-excuse, in-person absentee voting (SB 836) Extends the no-excuse, in-person absentee voting period from two weeks to four weeks, includes several other election provisions. Hearing held on January 26. A Committee Substitute passed out of committee on February 2. 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 January 13. We submitted testimony in opposition to this bill.

 

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 being monitored: Property tax and property tax assessments and rural workforce housing (SB 1105).

Platform policy goal: Community health is influenced by systems, policies, and stories that promote racial equity and economic inclusion.

Legislation being monitored: Safeguarding students’ political and ideological expression at public schools (SB 909, HB 2682) and protections against discrimination and antisemitism.

 

Kansas

Lawmakers have introduced bills addressing workforce housing, property taxes, tenants’ rights, DEI, immigration, voting access, health care, Medicaid work requirements, and more. Of note, Kansas was awarded $222 million through the federal Rural Health Transformation Program to advance primary prevention, local access to care, workforce sustainability, value-based payment models, and data-driven outcomes. Funding opportunities to implement the plan will soon be available through the Kansas Department of Health and Environment.

We saw movement on legislation that could create new barriers to voting and civic participation, including a proposed constitutional amendment requiring a government-issued photo ID to vote and a bill requiring citizenship status on driver’s licenses. Health Forward submitted testimony in opposition to both measures.

 

People policy goal: People can easily access safe, quality, and affordable whole-person care.

Legislation being monitored: Updating income eligibility requirements for the state children’s health insurance program (SB 271), prohibiting people who are undocumented from receiving any state or local public benefits (SB 254), and requiring the state to comply with written, data-sharing requests from federal agencies (SB 428).

 

Power policy goal: Participation in our democracy and policymaking process improves health outcomes.

Policy issue and relevant legislation What it does Status Our stance
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 January 29. 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 January 29. We submitted testimony in opposition.
Legislation being monitored: Mental health (HB 676), Restaurant Meals Program (SB 130).

 

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 being monitored: Disclosure of rental fees and restrictions on late payment fees under the Residential Landlord and Tenant Act (SB 369).

 

Platform policy goal: Community health is influenced by systems, policies, and stories that promote racial equity and economic inclusion.

Legislation being monitored: Prohibits undocumented students from getting in-state tuition rates at Kansas public colleges and universities, implements presumption of flight risk for undocumented individuals in the criminal justice system (SB 254), establishing a civil cause of action for violations of students rights to exercise political and ideological beliefs (SB 419), and DEI-related courses and content in postsecondary education institutions (HB 2426).

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