The Trump administration is tightening financial oversight of Medicaid waivers that states use to design pilot programs, requiring federal actuaries to certify that projects won't increase federal spending.

Three Democrats and one Republican are competing for Colorado's 1st Congressional District seat, with incumbent Diana DeGette facing primary challengers over affordability and progressive policy disagreements.

New Mexico's Legislative Finance Committee found that Governor Michelle Lujan Grisham spent $554 million through emergency orders between 2023 and 2026 without legislative approval, often months after disasters ended.

Oregon education officials propose repealing existing attendance laws and replacing them with rules that track attendance as a growth measure rather than compliance requirement.

A new Oklahoma law bars state Medicaid and public funds from covering gender-affirming care, cutting off treatment for patients like a 25-year-old who started hormone therapy just months earlier.

University of Iowa researchers found that wildfires across the nation are reversing years of ozone pollution progress and causing hundreds of premature deaths annually in the Midwest.

Iowa regulators fined a Des Moines massage parlor $1,000 after discovering its owner was operating with a license that should never have been issued in the first place.

Arizona Governor Katie Hobbs signed 72 bills and vetoed 88 others after the Republican-controlled legislature sent her more than 150 measures in the final week of the session.

The National Science Foundation reversed course and will keep hundreds of ocean monitoring instruments in place after Senate lawmakers and coastal stakeholders opposed their removal.

A state attorney tells Alaska lawmakers that the lieutenant governor likely violated the U.S. Constitution by disqualifying a Petersburg man from the Senate race.