Democratic state legislators across the country made enormous progress on health care reform in 2009, and that trend is set to continue in 2010. Here are some of the state-level reform bills that made headlines this week:

• Idaho: The Idaho House and Senate -- with unanimous support from both Democratic caucuses -- have both passed HB432, a new plan to provide universal access to vaccinations for all Idaho children. Funded entirely by insurance companies and administered by a board of experts, the plan will allow vaccines to be purchased more cheaply and reduce the “free-rider” problem that creates an economic disincentive for insurance companies to cover childhood vaccinations.
  
  
• New Mexico: Democratic-sponsored HB12, which mandates that insurance companies spend at least 85% of their budgets on direct medical care, has been approved overwhelmingly and now awaits the governor’s signature.
  
  
• Ohio: The Ohio legislature has unanimously approved a three-month extension of COBRA health insurance for workers who’ve lost their jobs. The extension will allow Ohioans to take advantage of a 65% CORBA subsidy provided by the federal government for the full 15 months approved by Congress.
  
  
• Wisconsin: The Democratically-controlled Wisconsin Senate has narrowly approved the creation of a limited, state-run insurance program to provide basic coverage for uninsured adults on the waiting list for a more extensive, Medicaid-funded program. BadgerCare Plus Basic would be paid for through individual premiums of $130 per month and would not be supported by tax dollars. The bill, SB484, now moves to the Assembly.