Health Care & Wellness, State Government Affairs
State Health Policy Organizations Shaping Healthcare Model Legislation in 2026
March 9, 2026 | Lisa Kimbrough, Brock Ingmire
State health policy organizations like NAMD, NASHP, NCOIL, NAIC, and FARB serve as platforms where policymakers collaborate and share ideas, often shaping healthcare trends before they spread across states. NCOIL prior authorization reform gained traction in 2025 with the adoption of the Prior Authorization Reform Model Act, while CSG also included Alaska SB 133 in its Shared State Legislation database to establish clear timelines and transparency standards. NASHP site neutral payment models and facility fee frameworks emerged as a focus area in 2025, with multiple organizations including NCOIL and ALEC adopting similar healthcare model legislation to address rising costs. The state Medicaid directors association (NAMD) provides toolkits and comments on CMS rulemaking while facilitating best practice sharing across all 56 Medicaid programs in states and territories. In 2025, stakeholder groups adopted models on 340B transparency and accountability, reflecting growing state interest in oversight of the federal program, with NCOIL expected to consider similar legislation in 2026.
