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).
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 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 1469 requires massage therapy businesses employing more than one therapist to obtain a state license and undergo regular inspections by the Office of Professional Licensure and Certification (OPLC). The bill establishes new health and safety standards for these businesses, including requirements for direct supervision by licensed therapists and procedures for license renewal and disciplinary actions. It also adds compensation for members of the massage therapists' advisory board and creates a new investigative paralegal position within the OPLC, with funding provided for this role. This legislation directly affects massage therapy businesses, the OPLC, and the advisory board by expanding regulatory oversight and operational requirements.
HB 1705 establishes a First Responders Support Fund to cover enrollment costs for small town and volunteer first responders into the state’s existing Employee Assistance Program (EAP). It directly affects first responders in communities with no more than 5 full-time paid staff, including volunteer departments. The fund, administered by the Department of Health and Human Services, uses state appropriations (initially $1 for FY 2026-2027) and accepts gifts, grants, or donations to cover EAP enrollment fees. The EAP provides mental health support, including services for PTSD, with the department required to report annually on fund usage and program outcomes. This bill does not create new services but expands access to an existing state EAP for eligible small-community responders.
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.
HB 1719 removes Hepatitis B from the list of diseases for which childhood immunization is required in New Hampshire. This change directly affects children enrolled in schools or childcare programs, as parents will no longer be required to ensure their children receive the Hepatitis B vaccine for enrollment. The bill amends state law by deleting "Hepatitis B" from the mandated immunization list, which includes diseases like measles and polio. This policy shift is expected to reduce state vaccine purchase costs by approximately $20,000 in the first year and $82,000 annually thereafter, as the requirement is eliminated. The Hepatitis B vaccine would remain available on a voluntary basis for parents who choose to use it.
HB 1635 modifies New Hampshire school suicide prevention training requirements by requiring all school faculty, staff, and contracted personnel to complete suicide awareness training within 30 days of hire and every two years thereafter (replacing the prior annual requirement). The training must cover youth suicide risk factors, warning signs, response procedures, referrals, and community resources, and may use existing professional development programs or self-training materials. School districts determine how to administer the training, including whether it applies to volunteers per district policy. The bill takes effect September 1, 2026.
HB 1760 repeals a requirement that the New Hampshire Department of Health and Human Services seek a waiver to impose pharmacy copayments and premiums on Medicaid beneficiaries, including those in the New Hampshire Advantage Health Care Program and the Children's Health Insurance Program. It removes specific law sections (2025, 141:65; RSA 126-AA:2-a; and RSA 126-A:3, IX) that would have mandated these cost-sharing measures. The bill appropriates funds to the Department of Health and Human Services to cover the resulting revenue shortfall for the 2026-2027 biennium. This change directly eliminates new costs for Medicaid participants while maintaining program funding stability.
HB 1811 repeals all state-mandated vaccination requirements for children in New Hampshire, removing legal obligations for schools and childcare agencies to require immunizations or maintain related records. The bill eliminates provisions for religious and medical exemptions, attendance rules during outbreaks, and reporting requirements to health authorities. It replaces mandatory vaccination with advisory recommendations from health officials, stating schools and agencies cannot deny enrollment based on vaccination status. This directly affects parents, schools, childcare providers, and public health officials by ending the state’s enforcement of childhood immunization rules. The bill takes effect 60 days after passage.