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Oregon HB4040 Healthcare Bill Signed by Governor

Oregon Governor signed HB4040 into law on April 7, 2026, making sweeping changes to healthcare delivery, provider licensing, insurance coverage mandates, and pharmacy regulations. The bill modifies requirements for hospital financial assistance screening, home health agency Medicare compliance, residential care facility administrator licensing, Medicaid coverage including prior authorization for complex rehabilitation technology repairs under $1,500, and dental practice supervision. It also mandates insurance coverage for medically necessary anesthesia services regardless of duration, establishes rules for dental insurer claims handling, and modifies the Prescription Drug Affordability Board's insulin affordability determination process.

Priority review Rule Healthcare
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Oregon HB4121 Emergency Management Bill Signed into Law

Oregon Governor signed HB4121 on April 7, 2026. The bill creates statewide emergency preparedness offices and authorities to coordinate emergency management, and requires state agencies to designate liaisons for emergency management. The Act also modifies definitions and grant requirements for Resilience Hubs and Resilience Networks, establishes grant programs for emergencies, and authorizes bonding for public safety projects.

Priority review Rule Public Health
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HB4145 Modifies Oregon Firearms Law and Ballot Measure 114

Oregon Governor signed HB4145 on April 7, 2026, amending Ballot Measure 114 (2022) to modify Oregon firearms permit and transfer requirements. The Act extends permit processing time from 30 to 60 days, increases maximum permit fees, establishes alternatives to firearms training courses, and delays permit requirements for firearm transfers until January 1, 2028. It also provides a 180-day grace period for gun dealers and manufacturers regarding large-capacity magazine provisions following any court reversal.

Priority review Rule Criminal Justice
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HB4130 Oregon Farm Property Tax Special Assessment Extension

Oregon HB4130 was signed by Governor Tina Kotek on April 7, 2026, extending property tax special assessment provisions to land underlying agricultural processing facilities. The bill clarifies the statutory definition of "preparing" farm products or by-products for purposes of the farm use property tax exemption, allowing qualifying farm operations to receive property tax benefits for processing infrastructure located on their farm units.

Priority review Rule Agriculture
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Massachusetts FY2026 Appropriations Act

Massachusetts Governor signed H5348 into law on April 6, 2026, enacting the fiscal year 2026 appropriations act to supplement existing state budget allocations and fund various state activities and projects. The bill was passed by both chambers under emergency preamble procedures before receiving gubernatorial approval.

Priority review Rule Government Contracting
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Iowa Food Sale and Distribution Bill HF2444

Iowa House Bill HF2444 passed subcommittee recommendation on April 7, 2026. The bill concerns the sale and distribution of certain foods and includes penalty provisions. It was referred to the Ways and Means Committee after previously passing the Agriculture Committee with a 17-6 vote.

Priority review Consultation Consumer Protection
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Iowa Nuclear Electric Generation Tax Exemptions

Iowa Governor signed HSB767 (renumbered as HF 2757) into law, creating sales and use tax exemptions for entities commencing or restarting nuclear electric generation facilities. The bill passed the House Ways and Means Committee with a 24-1 vote and includes retroactive applicability provisions. Energy companies and investors in nuclear power infrastructure in Iowa may benefit from these tax exemptions.

Priority review Rule Energy
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Iowa HF2595 mining regulation bill passes subcommittee

Iowa House Bill HF2595, a bill providing for the regulation of mining operations, passed out of subcommittee on April 7, 2026, with a recommendation for passage. The bill was introduced on February 19, 2026, and referred to the House Ways and Means Committee. The legislation, formerly HSB 731, represents an effort to establish regulatory requirements for mining activities within Iowa.

Routine Consultation Environmental Protection
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Open Enrollment and Athletic Eligibility Requirements

Iowa House File 2591 passed both chambers unanimously (House 90-0, Senate 46-0) on March 2 and April 1, 2026, respectively. The bill modifies open enrollment procedures for Iowa students and establishes new interscholastic athletic eligibility requirements for transferring students. The legislation was sponsored by the Education committee and amended multiple times before final passage.

Priority review Rule Education
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Iowa HSB769 Gold Star Driver's Licenses

Iowa House Bill 769 passed the House Ways and Means Committee, proposing to require gold star markings on driver's licenses and non-operator identification cards to indicate compliance with federal REAL ID Act standards. The bill was introduced and referred to the Ways and Means Committee, with a subcommittee meeting scheduled. If enacted, the Iowa Department of Transportation would be required to implement the gold star designation on credentials meeting federal security standards.

Priority review Consultation Government Administration

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