HB 1323 New Hampshire House · 2026 Regular Session

relative to parental alienation, limiting certain prior authorization requirements for physical therapy, occupational therapy, and similar rehabilitative services, relative to children's mental health services for persons 18 years of age and younger.

HB 1323 defines "parental alienation" as a pattern of behavior damaging a child's relationship with a parent - such as disparaging remarks, manipulation, or unjustified interference with parenting time - while excluding protective actions taken in good faith for safety concerns. The bill requires New Hampshire courts to consider parental alienation as a factor in custody, visitation, and parental rights decisions, including joint decision-making and modifications to parenting plans. It establishes a "family access motion" for parents to seek enforcement of parenting plans when alienation occurs and allows courts to order remedies like adjusted schedules. The law also mandates courts to evaluate parental alienation in grandparent visitation cases and requires attorney fee awards in contempt cases involving failure to comply with court orders related to parental alienation.
Bill status signed all 5 stages cleared
Introduction
Dec 2025
Committee Review
May 2026
House Passage
Feb 2026
Senate Passage
May 2026
Signed into Law
Jun 2026
Introduced Dec 1, 2025 Signed Jun 2, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

As Amended by the Senate As Amended by the Senate (2nd) · 3 edits
MINOR
HB 1323 was significantly expanded beyond its original parental alienation focus. Two entirely new policy areas were added: (1) limits on prior authorization requirements for physical and occupational therapy, and (2) a new children's behavioral health association that collects assessments from insurers to fund childhood mental health services. The parental alienation provisions appear unchanged in substance.
Scope change
The bill expanded from addressing only parental alienation in family law cases to also covering insurance prior authorization rules for physical/occupational therapy and creating a new assessment-funded mechanism for children's behavioral health services.
SCOPE

The bill now also covers limiting prior authorization for physical therapy, occupational therapy, and similar rehabilitative services, and children's mental health services for persons 18 and younger.

REQUIREMENT

Health carriers are prohibited from requiring prior authorization for the first physical or occupational therapy visit in any new episode of care. Insurers must approve at least 8 medically necessary treatments after the initial evaluation before conducting further review. Insurers retain the ability to deny claims they deem not medically necessary.

FISCAL

A new New Hampshire children's behavioral health association is established to collect assessments from insurance carriers, stop loss carriers, and third-party administrators for both fully insured and self-funded health plans. The assessment base includes covered lives in the state employee health plan and pooled risk management programs under RSA 5-b. Collected funds go into a dedicated fund administered by the insurance commissioner to pay care management entities for childhood behavioral health services.

Floor votes · House Feb 12, 2026

How they voted

10098
Passed · 25 other
Total votes 223
Feb 12, 2026
D Democratic107
96 Nay 11
89% Nay
I Independent2
1 Yea 1
50% Yea
R Republican114
99 Yea 2 Nay 13
86% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
30
Key actions
14
Committee
14
Amendments
3
Jun 2, 2026
Signed into law
Conference Committee Report; Not Signed Off; SJ 14
upper
May 26, 2026
Lower · Passed
Conference Committee Meeting: 05/26/2026 01:00 pm GP 232
lower
May 21, 2026
Upper · Passed
Sen. Abbas Accedes to House Request for Committee of Conference, MA, VV; 05/21/2026; SJ 13
upper
May 18, 2026
Introduced
House Non-Concurs with Senate Amendment 2026-1339s 2026-1849s 2026-1982s and 2026-1981s and Requests CofC (Rep. DeSimone): MA VV 05/14/2026 HJ 13 P. 148
lower
May 14, 2026
Upper · Passed
Ought to Pass with Amendments #2026-1849s and #2026-1982s and #2026-1981s, MA, VV; OT3rdg; 05/14/2026; SJ 12
upper
May 14, 2026
Introduced
Sen. Birdsell Floor Amendment # 2026-1981s, AA, VV; 05/14/2026; SJ 12
upper
May 14, 2026
Introduced
Sen. Prentiss Floor Amendment # 2026-1982s, AA, VV; 05/14/2026; SJ 12
upper
May 14, 2026
Upper · Passed
Committee Amendment # 2026-1849s, AA, VV; 05/14/2026; SJ 12
upper
May 6, 2026
Upper · Passed
Committee Report: Ought to Pass with Amendment # 2026-1849s, 05/14/2026; Vote 6-1; CC; SC 18
upper
Apr 23, 2026
Upper · Passed
Committee Amendment # 2026-1339s, AA, VV; 04/23/2026; SJ 10
upper
Apr 23, 2026
Upper · Passed
Ought to Pass with Amendment # 2026-1339s, MA, VV; Refer to Finance Rule 4-5; 04/23/2026; SJ 10
upper
Apr 16, 2026
Upper · Passed
Committee Report: Ought to Pass with Amendment # 2026-1339s, 04/23/2026, Vote 2-1; SC 15
upper
Apr 10, 2026
Upper · Passed
Committee Report: Ought to Pass with Amendment # 2026-1339s, 04/16/2026; Vote 2-1; CC; SC 14
upper
Mar 10, 2026
Committee
Referral Waived by Committee Chair per House Rule 47(f) 02/12/2026 HJ 4 P. 62
lower
Feb 13, 2026
Introduced
Introduced 02/05/2026 and Referred to Children and Family Law; SJ 4
upper
Feb 12, 2026
House · Passed
House Vote: pass (100-98-25)
house
Feb 12, 2026
Lower · Passed
Ought to Pass: MA RC 197-157 02/12/2026 HJ 4 P. 9
lower
Feb 12, 2026
Committee
Referred to Finance 02/12/2026 HJ 4 P. 12
lower
Feb 2, 2026
Lower · Passed
Minority Committee Report: Inexpedient to Legislate
lower
Feb 2, 2026
Lower · Passed
Majority Committee Report: Ought to Pass 01/27/2026 (Vote 9-6; RC) HC 6 P. 10
lower
Dec 1, 2025
Introduced
Introduced 01/07/2026 and referred to Children and Family Law HJ 1 P. 15
lower
0 primary · 10 co-sponsors

Sponsors

No sponsor information available.