H.B. 259’s health spending should be taken with a mixture of optimism and caution. Optimism, because the legislature has shown they can be convinced to make bipartisan decisions in the interest of the state, such as Medicaid expansion. Caution, because it took the state losing $5 billion federal dollars a year plus an extra signing bonus to reach that point. Optimism, as the bill makes historic investments in mental health and rural health infrastructure and workforce incentives. Caution, since these investments were made with one-time funding with no clear path to renewal in the context of aggressive tax cuts limiting future revenues.