State Legislation
Stay up-to-date on state legislation being tracked by ASCO!
2026 State Legislative Session – Key Dates
Maine
Session Start:
January 7, 2026
Session End:
April 15, 2026
New Hampshire
Session Start:
January 7, 2026
Session End:
June 30, 2026
Vermont
Session Start:
January 6, 2026
Session End:
May 29, 2026
Maine
LD-107 – Insurance coverage for biomarker testing
>>Failed April 2026 – NNECOS signed on in support. See the Maine Biomarker Coalition for future efforts
LD-178 – Coverage for step therapy for advanced metastatic cancer
>>Signed into law; effective September 2025. Enforced for new insurance policies from January 2026.
>>View the ASCO/NNECOS joint letter of support
LD-1496 – Prior authorization requirements for chronic conditions and long-term care
>>Passed both chambers but died on adjournment April 29, 2026 — held on appropriations table unfunded.
>>View the ASCO/NNECOS joint letter of support
HR1 – Public Law No. 119-21 — federal Medicaid/coverage changes (enacted federally)
>>View the ASCO/NNECOS joint comments
New Hampshire
HB1554 – Peer-to-peer review at any stage of prior authorization; disclosure of reviewer credentials
>>View the ASCO/NNECOS joint letter of support
SB17-FN – Insurance cost-sharing calculations
>>View the ASCO/NNECOS joint letter of support
SB256-FN – Safety and care requirements for clinician-administered drugs
>>View the ASCO/NNECOS joint letter of support (April 2026)
SB134-FN – Work requirements under the state Medicaid program
>>View the ASCO/NNECOS joint letter of support (January 2026) & contact your representatives
SB607 – Short-term, limited duration health insurance policies
>>View the ASCO/NNECOS joint letter expressing concerns (April 2026)
HR1 – Public Law No. 119-21 — federal Medicaid/coverage changes (enacted federally)
>>View the ASCO/NNECOS joint comments
VERMONT
H302 – Health insurance and Medicaid coverage for fertility care and preservation
>>Referred to House Health Care Committee February 2025; no committee meetings or votes recorded since — effectively stalled.
>>View the ASCO/NNECOS joint letter of support
HR1 – Public Law No. 119-21 — federal Medicaid/coverage changes (enacted federally)
>>View the ASCO/NNECOS joint comments