The Arizona House of Representatives introduced legislation that directs the Department of Health to enter intro partnerships to produce or distribute generic drugs with the purpose to increase competition, lower drug prices, and address shortages for public and private purchasers. The bill also requires that the production must include at least one form of insulin.

The Washington Senate introduced legislation that requires an enrollee's coinsurance or deductible payment for prescription drugs be calculated at the point of sale based on a price that is reduced by an amount equal to 100 percent of all rebates received, or to be received, in connection with the dispensing or administration of the prescription drug. Oklahoma and Illinois introduced similar legislation that would require 100 percent of rebates to be passed through, while New York introduced legislation that would require insurers to certify that at the least the majority of rebates were provided to patients at the point of sale.

Maryland House of Representatives introduced legislation that would require its Prescription Drug Affordability Board (PDAB) to draft a plan of action for implementing a process to establish upper payment limits (UPLs) for drugs that pose an affordability challenge. The Washington House of Representatives introduced legislation that would amend its existing PDAB to review drugs with a wholesale acquisition cost of at least $25,000 instead of $60,000 and would prohibit the PDAB from establishing UPLs until 2027.

The Connecticut Senate introduced legislation that would require the Comptroller and the Office of Health Strategy to conduct a study evaluating public option health care plans in other states, as well as submit a report to the legislature that includes a recommendation for a public option health care plan in the state. Public option plans or similar plans have been enacted in Washington, Colorado, and Nevada.

The New Hampshire House of Representatives introduced a bill that would establish an interstate compact for universal healthcare to provide payment for providing healthcare for the citizens of New Hampshire and other member states. Meanwhile, Connecticut and Maryland introduced bill that would require a cost-benefit analysis of a universal health care system and a commission universal health care, respectively.