Since 2007, CLINIC has provided policy, engagement and research support to advocates who are working on immigration legislation proposed and introduced at the state and local level. As efforts for immigration reform at the federal level continue to be delayed, state and local communities have been increasingly active on immigration-related matters.

Lawmakers in forty-six states and the District of Columbia convened for legislative sessions 2022. Montana, Nevada, North Dakota and Texas meet in odd-numbered years so were not in session. It was a historic year for health care for immigrants. Many bills were passed, and even more were proposed. Additionally, bills supporting professional licensing for immigrants with degrees and/or out-of-country experience continues to be popular, giving states more economic resources and allowing immigrants to put their experience to use in the United States.