SB 498 creates the New Hampshire Children's Behavioral Health Association to fund mental health services for children under 18. The association will collect mandatory assessments (fees) from insurance companies, stop-loss carriers, and third-party administrators covering children in the state, excluding Medicaid recipients. Funds gathered will be deposited into a dedicated fund managed by the insurance commissioner and used to pay care management entities providing specific services like intensive in-home therapy, structured outpatient programs, and care coordination. This directly affects insurers (who pay assessments), care management organizations (who receive payments), and children under 18 with covered health plans (who gain access to funded services).
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 232 protects New Hampshire healthcare providers' right to refuse participation in abortions, sterilizations, or artificial contraception based on religious, moral, or ethical beliefs. It requires health care institutions to prominently post notices about these rights and prohibits discrimination against providers who conscientiously object. Violations by institutions carry civil fines ($1,000-$10,000 per occurrence), while providers denied employment or other benefits due to objections may seek triple damages plus attorney fees. The law applies to all medical professionals in New Hampshire, including physicians, nurses, pharmacists, and students, and takes effect January 1, 2026.
HB 1584 requires New Hampshire's Department of Health and Human Services to prominently display notices about medical and religious immunization exemptions on all vaccination-related materials, such as websites, brochures, or social media posts. It specifies that the notice must appear as visibly as main content - like a headline - and not just in footnotes. The bill also allows parents to use any written statement (not a specific form) to claim religious exemptions for their children's vaccinations. Additionally, the department must submit an annual report to the legislature detailing all promotional materials, compliance with the notice requirement, and any penalties assessed for noncompliance. This bill directly affects the Department of Health, schools, and healthcare providers distributing immunization information.
SB 408 requires health insurance policies in New Hampshire to cover prosthetic devices for adults over 19, expanding existing coverage that previously applied only to children under 19. The bill mandates coverage for activity-specific prosthetics (like those for sports) but limits this to one device every five years. It also requires insurers to cover necessary materials, instruction, and repairs for medically needed prosthetics, without annual limits. The law takes effect January 1, 2027, and applies to most group health insurance plans, excluding Small Business Health Options Program (SHOP) plans.
HB 360 prohibits public schools in New Hampshire from performing diagnostic tests, surgical procedures, or prescribing pharmaceutical drugs. It directly affects school nurses and school physicians by removing their authority to conduct these medical activities within school settings. The bill amends RSA 200:27 to explicitly state that school health services may not include these medical functions. This policy change takes effect 60 days after enactment, limiting school-based medical interventions to non-invasive care.
HB 1449 prohibits vaccination clinics from operating at public elementary or secondary schools during school hours and requires a parent or legal guardian to be present with their child during any vaccination administered at such a clinic. The bill directly affects students receiving school-based vaccines, parents/guardians, and school staff coordinating these clinics. Key provisions include banning school-hour clinics and mandating parental accompaniment for immunizations, while exempting school nurses' existing duties under RSA 200:38. This policy change modifies how school vaccination events are scheduled and administered, without altering vaccine requirements or eligibility.
HB 1022 standardizes the form parents or guardians must use to claim a religious exemption from childhood immunization requirements for schools or childcare. The form must include a specific statement: "I, [parent/guardian name], hereby attest that I sincerely hold religious beliefs that dictate the refusal to accept the required vaccination(s)," followed by their signature and date. This bill directly affects parents or guardians seeking to exempt their children from immunization mandates based on religious beliefs. It specifies the exact wording for the exemption form without changing the existing policy on religious exemptions.
SB 134 requires New Hampshire's Department of Health and Human Services to resubmit a federal waiver application to CMS by July 1, 2025, seeking approval to enforce work requirements as a condition of Medicaid eligibility under the Granite Advantage program. The bill also mandates annual reports to the legislature starting November 1, 2025, detailing the waiver status and implementation progress. This bill does not change current Medicaid rules, as work requirements are not currently in effect; it only sets a process for the state to seek federal approval to potentially implement such requirements. The bill has no immediate cost but may lead to future expenses if the waiver is approved and implemented.
HB 392 directs the dissolution of three specific state entities: the Department of Health and Human Services' Office of Health Equity, the Department of Environmental Services' environmental justice programs, and the Governor's Council on Diversity and Inclusion. The bill prohibits these agencies from re-establishing these offices or using any allocated funds for projects labeled "health equity" or "civil rights and environmental justice." It also removes the Office of Health Equity director position from state statute and repeals related membership requirements. This bill affects state agencies' program structures and funding allocations, with no new funding provided or positions authorized.