HB 1317 strengthens patient privacy protections in New Hampshire by prohibiting state agencies, contractors, vendors, and grant recipients from sharing personally identifiable medical, disability, or mental health data with the federal government or third parties - unless specific conditions apply. These exceptions include obtaining an individual’s written consent, complying with existing law or court orders, or disclosing data to provide necessary health care services. The bill also requires that any permitted disclosure share only the minimum necessary data and prioritize de-identified information when possible. It explicitly affirms that these state rules do not override federal privacy laws like HIPAA or the ADA, and violations could result in civil penalties enforced by the attorney general.
HB 1653 requires freestanding hospital emergency facilities (FHEFs) to allow patients receiving emergency care to choose their transfer destination hospital, rather than being limited to the parent hospital that owns or operates the FHEF. The bill mandates that FHEFs provide this choice when a transfer is medically necessary and the selected hospital can treat the patient's condition, while prohibiting practices like conditioning treatment on transfers to affiliated hospitals or steering patients toward the parent facility. It also requires FHEFs to document the patient's transfer preference and forbids exclusive contracts with emergency medical services that restrict transfer options. These provisions aim to protect patient autonomy, prevent anti-competitive behavior, and ensure continuity of care during emergency transfers.
HB 1446 ensures that individuals registered in New Hampshire's therapeutic cannabis program cannot be denied the right to buy, own, or possess firearms solely due to their lawful cannabis use. The bill amends state law to explicitly state that qualifying patients' participation in the medical cannabis program does not disqualify them from exercising Second Amendment rights under New Hampshire law. Key provisions prevent state agencies from cooperating with federal enforcement actions targeting patients for firearm possession while legally using cannabis, and require the attorney general to defend such patients in federal court. This directly affects registered medical cannabis users in New Hampshire by removing a specific barrier to firearm rights created by federal law. The bill takes effect 60 days after passage.
HB 1798 requires New Hampshire's Department of Health and Human Services to apply for a federal waiver by November 1, 2026, to add diaper coverage under Medicaid for infants' first year of life. The bill directly affects Medicaid-eligible infants (approximately 4,000 annually) and their families, providing coverage for 100 diapers per month during the child's first 12 months. It appropriates $100,000 for the 2026-2027 fiscal year to fund the program, with federal matching funds expected to cover most costs. Implementation depends on federal CMS approval, with a target start date of May 1, 2027, if approved.
HB 1640 requires New Hampshire school districts to obtain a yearly written consent form from parents or legal guardians before accessing a child's Medicaid or expanded Medicaid benefits for school-related services. This applies specifically to students with Individualized Education Programs (IEPs) or Section 504 plans, covering all allowable Medicaid billing for the child's education services. The bill mandates a single annual signature (in paper or digital format) that suffices for all relevant billing, eliminating the need for repeated consents for different services. Schools must also obtain new consent when a student transfers to a new district.
HB 1396 amends New Hampshire law to prohibit filling vacancies in the state House of Representatives. Specifically, it revises RSA 661:10 to state that "if a vacancy occurs in the office of state representative... the vacancy shall not be filled." This policy change directly affects constituents in the affected district, as the seat remains vacant until the next general election. The bill does not apply to other offices like state senators or executive councilors, which retain existing vacancy procedures under different constitutional provisions. The change takes effect 60 days after enactment.
SB 520 allows physicians to perform breast surgery on minors for non-medical reasons, expanding existing exceptions. It adds a new provision permitting the procedure "at the election of the minor in consultation with her primary care physician," removing prior restrictions that limited surgery to medical conditions like gynecomastia or congenital deformities. The bill directly affects minors seeking breast reduction or reconstruction surgery who do not qualify under existing medical necessity exceptions. It requires the minor’s consent and physician consultation but does not mandate parental consent. The change modifies New Hampshire law to include this patient-choice option for breast surgeries.
HB 1402 establishes new certification requirements for school superintendents in New Hampshire. It mandates that candidates must have at least 3 years of K-12 administrative experience, complete a graduate-level education administration program, and demonstrate specific leadership competencies related to student success, instructional programs, and district management. The bill requires applicants to submit work records, education documentation, and references to the Bureau of Credentialing for review. This directly affects individuals seeking their first superintendent certification in New Hampshire schools.
HB 1578 adds specific definitions (like "program administrator," "applicant," and "vendor") and mandates quarterly reporting for New Hampshire's Education Freedom Account (EFA) program. It requires program administrators to submit detailed reports to state education officials, including data on applications, approvals, student demographics (race, grade level, prior school type), vendor distributions, and expense categories. These reports, due within 30 days of each quarter-end, must be publicly posted on the state education department's website. The bill directly affects program administrators managing EFAs, parents/guardians applying for accounts, and vendors receiving funds, aiming to increase transparency and accountability in the EFA program.
SB 501 authorizes physicians, physician associates, and advanced practice registered nurses (APRNs) to order seclusion or restraint during a personal safety emergency at New Hampshire hospitals and designated facilities. It modifies state law (RSA 135-C:57) to explicitly allow these healthcare providers to implement such measures without patient consent when a safety emergency occurs. The bill specifically applies to situations where immediate action is needed to protect a patient or others from harm. This change clarifies existing procedures for emergency interventions in healthcare settings.
HB 1409 changes how video lottery terminal (VLT) revenue is distributed after covering administrative costs. It shifts the allocation from the current 75% to the General Fund and 25% to the Education Trust Fund (ETF) to 100% to the ETF. This directly affects public schools by increasing funding through the Education Trust Fund, which supports public school aid. The bill modifies RSA 287-J:6 to require all remaining VLT revenue (after costs) to flow entirely to the ETF, eliminating General Fund deposits. The fiscal note confirms this would decrease General Fund revenue (e.g., ~$45M in FY2026) while increasing ETF revenue.
HB 1422 extends the deadline for filing a petition for a new trial beyond the standard three years in specific criminal cases. It applies to individuals convicted of a felony or class A misdemeanor who are incarcerated, subject to sentence terms, or facing collateral consequences, provided they allege newly discovered evidence and innocence. The petition must detail the new evidence, including results from new forensic testing or scientific analysis not available at trial. Courts must first verify the petition meets these conditions before granting a hearing, and the state must reactivate victim services during the case review.
