50-State Coverage of MAHA-Aligned Legislation
The federal MAHA agenda is half the story. State legislatures own categories the federal government can’t touch directly: school-entry vaccine exemptions, raw milk legality, municipal water fluoridation, school-meal additive bans, parental rights in healthcare, and more. This tracker covers all 50 states + DC with a state-selectable view of MAHA-aligned bills — status, last-action date, sponsors, and a link to the bill text on each state’s own legislature website.
Click any state — live tracker
Each tile opens a state-specific card with the legislature’s official website, current session status, fetch-tier classification, and any enacted MAHA-aligned laws on record. Precedent states (Texas, West Virginia, Utah, Florida) carry a star.
Scroll to zoom · click and drag to pan · click any state for details.
Why State Legislation Matters
HHS at the federal level owns Medicaid policy, FDA additive rulemaking, ACIP recommendations, and the Dietary Guidelines. State legislatures own the categories that actually shape what reaches families day to day.
Three examples make the case. Water fluoridation is a municipal decision — Sec. Kennedy can stop the CDC recommending it (April 2025), but only state legislatures and city councils can ban the practice. Utah did so first in HB 81 (March 2025); Florida followed; 16+ state legislatures have since introduced similar bills. School-meal additive bans work the same way — the FDA controls federal additive registration, but it’s state legislatures (West Virginia HB 2354, Utah HB 402, California AB 418 in earlier sessions) that decide what shows up in cafeterias. Vaccine policy — even more squarely state — controls religious and personal-belief exemptions, school-entry requirements, and minor-consent thresholds. ACIP changes the recommendation; a state legislature changes the law.
MAHA-aligned legislation in 2025 spanned 140+ bills across 38 states (MultiState, January 2026). The 2026 sessions are tracking even larger. A federal-only tracker misses the policy frontier.
Precedent State Laws
Four state-level enactments have set the template for the rest of the country. Every other state currently considering MAHA legislation cites at least one of these.
Texas SB 25 — Make Texas Healthy Again Act, 2025
The flagship state-level MAHA law. Mandates warning labels on 44 specified additives, K–12 nutrition mandates, and establishes the Texas Nutrition Advisory Committee. The food industry filed suit in December 2025; litigation pending.
- First state with formal MAHA warning labels on packaged foods
- K–12 nutrition curriculum requirements
- Texas Nutrition Advisory Committee — ongoing rulemaking
- Industry litigation pending in district court
West Virginia HB 2354 — March 2025
The first U.S. state law banning seven petroleum-based food dyes from both school meals (effective Aug 2025) and retail (phased rollout). Sec. Kennedy joined Gov. Morrisey for a follow-on signing event in March 2026.
- First dual school-and-retail dye ban
- Seven dyes: Red 40, Yellow 5, Yellow 6, Blue 1, Blue 2, Green 3, Red 3
- School effective date: August 1, 2025
- Retail rollout phased through 2026–2027
Utah HB 81 + HB 402 — Health Freedom Utah Style
HB 81 (signed March 2025, effective May 2025) made Utah the first U.S. state to ban adding fluoride to public water. Companion bill HB 402 banned artificial dyes in school food (effective 2026). Set the template for the wave of fluoride legislation now in 16+ states.
- HB 81 — first state fluoridation ban (effective May 2025)
- HB 402 — artificial-dye ban in school food (effective 2026)
- Anchored Kennedy/Zeldin Utah event April 7, 2026
- Template for FL, OH, ID, KY, AR, NH, GA, AZ pending bills
Florida fluoride ban — mid-2025
Second U.S. state to ban water fluoridation, signed within 90 days of Utah HB 81. Florida’s population scale (22M) made the second-state ban the proof point that drove similar bills in 16+ other state legislatures during 2025–2026.
- Second state fluoridation ban (mid-2025)
- Largest population to date under a fluoridation ban
- Catalyst for the OH, ID, KY, AR, NH, GA, AZ legislative wave
- Coordinated with HHS task force formed April 2025
The 10 Topic Lanes
Bills are classified into 10 topic lanes that parallel the federal MAHA digest. The keyword filter set is calibrated against actual state-bill titles to reduce false positives and capture state-specific drafting conventions (e.g., “naturally grown” for raw-milk bills in some states).
Vaccines & Exemptions
School-entry requirements, religious / personal-belief exemptions, minor-consent thresholds, ACIP-equivalent state advisory bodies, vaccine-injury compensation funds.
Food Additives & Dyes
Petroleum-dye bans, BHA/BHT, brominated vegetable oil, potassium bromate, propylparaben, titanium dioxide. School-only vs retail. Warning-label legislation.
Raw Milk & Whole Foods
Raw-milk retail-sale legality, herd-share laws, on-farm sales, cottage-food laws, direct-from-farm exemptions. Currently legal in some form in 30+ states.
Water Fluoridation
Municipal opt-out frameworks, statewide bans (Utah HB 81 template), mandatory disclosure, fluoride-content reporting requirements.
School Nutrition
Cafeteria additive bans, breakfast/lunch program reform, beverage restrictions, nutrition-curriculum mandates, USDA-waiver alignment.
Pesticides & Environmental
Glyphosate restrictions on school grounds, atrazine drinking-water standards, neonicotinoid bans, PFAS reporting in food packaging.
Regenerative Agriculture
State farm-to-school programs, regenerative-grazing tax credits, soil-health certifications, local-procurement preferences in school meals.
Parental Rights & Healthcare
Parental notification, minor-consent thresholds for procedures and prescriptions, informed-consent expansion, medical-records access.
Mental-Health Prescribing
SSRI / antipsychotic / stimulant prescribing oversight in pediatric populations, controlled-substance schedule changes, prior-authorization expansion.
Telehealth & PBM
State PBM transparency laws, scope-of-practice expansion, cross-state telehealth licensing, “Any Willing Pharmacy” state-level analogs.
50-State Coverage Map
Every state classified by fetch tier and 2026 session status. Precedent states are highlighted. Six biennial off-year states are deferred until January 2027.
| State | USPS | Tier | 2026 Session | Notes |
|---|---|---|---|---|
| Alabama | AL | B | In session | Standard scrape-friendly HTML |
| Alaska | AK | A | In session | Clean RSS feed |
| Arizona | AZ | B | In session | 2026 fluoride bill pending |
| Arkansas | AR | B | Deferred (fiscal-only) | Activity resumes Jan 2027 |
| California | CA | A | In session | Strong API; AB 418 precedent |
| Colorado | CO | A | In session | Open data portal |
| Connecticut | CT | B | In session | — |
| Delaware | DE | B | In session | — |
| Florida | FL | A | Interim | Precedent: fluoride ban (2025) |
| Georgia | GA | B | In session | 2026 fluoride bill pending |
| Hawaii | HI | B | In session | — |
| Idaho | ID | B | In session | 2026 fluoride bill pending |
| Illinois | IL | A | In session | Strong API; UPF bills tracked |
| Indiana | IN | B-C | In session | SPA + JSON API |
| Iowa | IA | B | In session | — |
| Kansas | KS | B | In session | URL fix: .gov migration captured |
| Kentucky | KY | B | In session | SCR 61 task force; fluoride pending |
| Louisiana | LA | B | Deferred (fiscal-only) | Activity resumes Jan 2027 |
| Maine | ME | A | In session | Bills prefixed LD (not HB/SB) |
| Maryland | MD | A | In session | — |
| Massachusetts | MA | A | In session | Continuous session |
| Michigan | MI | A | In session | — |
| Minnesota | MN | B | In session | HF/SF prefixes; multi-domain split |
| Mississippi | MS | B | In session | Multi-domain split |
| Missouri | MO | B | In session | Multi-domain split |
| Montana | MT | B-C | Deferred (biennial off-year) | SPA + JSON API; resumes 2027 |
| Nebraska | NE | A | In session | LB-only (unicameral) |
| Nevada | NV | B | Deferred (biennial off-year) | Activity resumes Jan 2027 |
| New Hampshire | NH | B | In session | Multi-domain split; fluoride pending |
| New Jersey | NJ | B | In session | A/S prefixes; multi-domain split |
| New Mexico | NM | B | In session | — |
| New York | NY | A | In session | Open Legislation API |
| North Carolina | NC | B | In session | — |
| North Dakota | ND | B | Deferred (biennial off-year) | URL fix: ndlegis.gov |
| Ohio | OH | A | In session | 2026 fluoride bill pending |
| Oklahoma | OK | B | In session | — |
| Oregon | OR | A | In session | — |
| Pennsylvania | PA | B | In session | URL fix: palegis.us canonical |
| Rhode Island | RI | A | In session | — |
| South Carolina | SC | B | In session | — |
| South Dakota | SD | B | In session | — |
| Tennessee | TN | B | In session | — |
| Texas | TX | A | Deferred (biennial off-year) | Precedent: SB 25 (2025) |
| Utah | UT | B | In session | Precedent: HB 81, HB 402 (2025) |
| Vermont | VT | B | In session | H./S. dotted prefixes |
| Virginia | VA | B-C | In session | Mid-migration legacy → React LIS |
| Washington | WA | A | In session | wslwebservices SOAP/JSON |
| West Virginia | WV | B | In session | Precedent: HB 2354 (2025) |
| Wisconsin | WI | B | In session | Two-domain split |
| Wyoming | WY | A | In session | SF prefix (not SB) |
Frequently Asked
When does the data pipeline launch?
Phase-0 audits closed in late April 2026. The MVP pipeline (Open States API key, per-state weekly digest, MAHA-keyword filter) is being engineered now. The first state-level digest publishes alongside maha-news.html once internal validation is complete.
Why is Texas listed as a precedent state but also deferred?
Texas SB 25 was enacted in the 2025 session and is the flagship state-level MAHA law. The Texas legislature, however, meets biennially — 2026 is an off-year, so we’ll see no new bill activity from TX until January 2027. The SB 25 implementation rulemaking is tracked through the Texas Nutrition Advisory Committee separately from new-bill activity.
Will the tracker publish state-by-state weekly digests?
Yes — the eventual UI is a state-selectable dropdown on this page that loads the most recent weekly roll-up for the selected state, with bills grouped by topic lane and status. A national roll-up of the 50 per-state JSONs is also published weekly.
What if Open States lags or misses a bill?
The pipeline falls through to Tier 2 (LegiScan) for richer text, then to Tier 3 (direct scrape) for states where aggregator coverage is documented to lag >7 days. The audit identified zero states requiring a headless browser, so direct-scrape never escalates to Playwright.
How are MAHA-relevant bills filtered out of the firehose?
Each bill’s title and short description run through a calibrated keyword set across the 10 topic lanes (vaccines, food additives, raw milk, fluoride, school nutrition, pesticides, regen ag, parental rights, mental Rx, telehealth/PBM). False positives are validated against actual state-bill titles to tune for state-specific drafting conventions; the deny-list is updated weekly.
Where do I read the full 50-state Phase-0 audit?
The master roll-up table is at D:/openclaw/MAHA_State_Legislation/01_State_Audit/state_audit_results.md in the project archive. Per-state audits are at 02_States/<slug>/audit.md. A read-only public mirror will be linked here once the data pipeline is live.
Track Federal MAHA in the Meantime
The federal MAHA digest publishes weekly with full source attribution. State-level coverage joins it once the 50-state pipeline ships.