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17 | Page April 4 I ssueadjustments to plans and premiums by health insurance issuers who offer coverage on the marketplaces. If the proposed rule is finalized prior to Nov. 1, 2025, many of the proposed changes would be in effect for the open enrollment period for plan year 2026 and could reduce the number of people in Kansas and across the country who enroll and receive premium tax credits and cost-sharing reductions. Learn more in our latest edition of Hill to the Heartland: Federal Health Policy Briefing, which features products focused on federal health policy changes and impacts on Kansas.LEARN MORE LEGISLATIVE UPDATESAdministration and Congress act on 'noncitizen voting,' potentially affecting countiesImplementing changes included in the SAVE Act could require additional personnel and training for county election officials and poll workers as counties will need to readjust to an in-person voter registration requirement.Read moreHHS announces major restructuringThe Department of Health and Human Services announced a sweeping reorganization that will consolidate agencies, shift key programs under a new framework and eliminate thousands of positions.Read more