HB 241 New Hampshire House · 2026 Regular Session

relative to health insurance coverage of pain management services for the management of chronic pain.

This bill requires New Hampshire health insurance companies to cover specific non-opioid pain management services as alternatives to opioids, including behavioral therapies (like CBT and mindfulness), manual treatments (chiropractic and massage), movement therapies (yoga and tai chi), and acupuncture. It mandates at least 12 visits per service category, prohibits more restrictive utilization controls for non-opioid therapies than opioids, and requires insurers to create and post detailed pain management plans. The bill applies to both individual and group health insurance policies, aiming to increase access to evidence-based non-opioid pain management options. It takes effect July 1, 2025, though it does not provide funding for these new requirements.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
May 2026
House Passage
Mar 2026
Senate Passage
May 2026
Signed into Law
Jul 2026
Introduced Jan 7, 2025 Signed Jul 16, 2026
Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions
29
Key actions
13
Committee
13
Amendments
4
Jul 16, 2026
Signed into law
Signed by Governor Ayotte 07/10/2026; Chapter 282; eff. I. Sec 2+3 eff as prov sec 4 II. Rem eff 1/1/2027
lower
Jun 17, 2026
Introduced
Enrolled Bill Amendment # 2026-2164e: AA VV (in recess of) 06/04/2026 HJ 15
lower
Jun 17, 2026
Upper · Passed
Enrolled Bill Amendment # 2026-2164e Adopted, VV, (In recess of 06/04/2026); SJ 14
upper
May 21, 2026
Introduced
House Concurs with Senate Amendment 2026-1622s (Rep. Hunt): MA VV 05/21/2026 HJ 14 P. 2
lower
May 5, 2026
Upper · Passed
Ought to Pass with Amendment # 2026-1622s, MA, VV; OT3rdg; 05/07/2026; SJ 11
upper
May 5, 2026
Upper · Passed
Committee Amendment # 2026-1622s, AA, VV; 05/07/2026; SJ 11
upper
Apr 22, 2026
Upper · Passed
Committee Report: Ought to Pass with Amendment # 2026-1622s, 05/07/2026; Vote 4-0; CC; SC 17
upper
Mar 30, 2026
Introduced
Introduced 03/26/2026 and Referred to Health and Human Services; SJ 7
upper
Mar 26, 2026
Lower · Passed
Ought to Pass: MA VV 03/26/2026 HJ 9 P. 2
lower
Mar 19, 2026
Lower · Passed
Committee Report: Ought to Pass 03/17/2026 (Vote 25-0; CC)
lower
Jan 7, 2026
Committee
Referred to Finance 01/07/2026 HJ 1 P. 44
lower
Jan 7, 2026
Lower · Passed
Ought to Pass with Amendment 2025-2990h: MA VV 01/07/2026 HJ 1 P. 43
lower
Jan 7, 2026
Introduced
Amendment # 2025-2990h: AA VV 01/07/2026 HJ 1 P. 43
lower
Nov 10, 2025
Lower · Passed
Committee Report: Ought to Pass with Amendment # 2025-2990h (NT) 10/28/2025 (Vote 17-0; CC) HC 51 P. 3
lower
Sep 22, 2025
Lower · Passed
Full Committee Work Session: 10/08/2025 10:00 am GP 229
lower
Aug 27, 2025
Lower · Passed
Full Committee Work Session: 09/10/2025 10:00 am GP 229
lower
Mar 5, 2025
Lower · Passed
Retained in Committee
lower
Feb 20, 2025
Lower · Passed
Subcommittee Work Session: 03/04/2025 10:00 am LOB 104
lower
Jan 9, 2025
Committee
Vacated and Referred to Commerce and Consumer Affairs (Rep. W. MacDonald): MA VV (in recess of) 01/09/2025 HJ 3 P. 7
lower
Jan 7, 2025
Introduced
Introduced 01/08/2025 and referred to Health, Human Services and Elderly Affairs HJ 2 P. 12
lower
0 primary · 0 co-sponsors

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