SB 468 allows alternative treatment centers (ATCs) that provide medical cannabis to apply for permission to operate greenhouse cultivation facilities, which typically use less energy than indoor growing. ATCs must submit a detailed plan showing how greenhouse cultivation will lower energy costs and reduce prices for registered qualifying patients. The state department must create rules for greenhouse operations - including security, location, and compliance with local zoning - and seek input from patients, caregivers, and community residents before approving new sites. ATCs will also report annually on greenhouse impacts to energy costs and product prices as part of their required state filings.
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 155 reduces New Hampshire's business enterprise tax (BET) rate from 0.55% to 0.50% for tax years ending on or after December 31, 2026. This directly affects businesses that pay the BET, calculated on their taxable enterprise value. The rate change takes effect July 1, 2025, applying permanently to all future tax periods meeting the end-date requirement. The bill does not alter other tax provisions but will decrease state revenue from this tax, with estimated impacts of $4.3 million in fiscal year 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 1735 expands New Hampshire's Right to Try Act to allow patients with "qualifying severe illness" (defined as chronic and debilitating conditions meeting federal standards) to access investigational treatments, in addition to those with terminal illnesses. The bill amends definitions to include this new category, requiring patients to have exhausted standard FDA-approved treatments and be unable to join clinical trials. It maintains existing requirements like physician oversight, patient consent, and no direct manufacturer compensation for providers. This change directly affects patients with severe chronic conditions who currently lack access to investigational therapies under state law. The bill does not alter cost-sharing or data collection requirements for manufacturers.
HB 1219 prevents foster family homes from imposing immunization requirements on children or foster parents that are stricter than those in RSA 141-C:20-a. Specifically, it prohibits requirements exceeding the standard for vaccine type, number of doses, or exemption policies already established for the general population. This bill directly affects foster children and foster parents by aligning their immunization standards with statewide requirements. The law amends RSA 170-E:27-b to ensure foster homes cannot mandate additional or more stringent vaccinations than what is required for children in public schools or the general community.
HB 1245 establishes a voluntary framework for independent contractors in New Hampshire to access portable benefits like health insurance, retirement plans, or disability coverage through designated providers. Hiring parties (businesses or platforms) can voluntarily contribute to these plans or withhold a portion of payment from the contractor, with the contractor’s written consent. Crucially, participation in these plans cannot be used to reclassify a worker as an employee under state law, preserving current independent contractor status. The bill requires clear opt-in agreements and has no estimated state or local cost impact.
HB 1378 would require healthcare providers to give parents or legal guardians full access to their minor child's electronic medical records (including online patient portals), except in three specific cases: 1) when the minor can legally consent to treatment without parents (e.g., certain reproductive or mental health services), 2) when a protective order or court ruling prohibits access, or 3) when a provider documents in writing that disclosure could cause abuse or neglect. This bill directly affects parents, guardians, and healthcare providers by changing how medical records are shared. It aims to support parental involvement in children’s healthcare decisions while preserving existing legal protections for minors in sensitive situations. The bill takes effect 60 days after enactment.
SB 545 removes the asset limit (resource test) for New Hampshire's Medicare Savings Program, allowing seniors previously denied due to savings or assets to qualify. It also seeks federal approval to extend the low-income Medicare Part D subsidy, helping residents cover prescription drug costs. The bill directly affects approximately 2,033 additional seniors who were previously ineligible under the asset rule. This change would make program eligibility solely based on income, not savings or assets, with estimated annual state costs of $2.3 million from general funds.
SB 543 establishes provisional eligibility for Medicaid nursing facility services in New Hampshire, directly affecting long-term care applicants and nursing facilities. The bill requires the Department of Health and Human Services to grant temporary coverage within 90 days of application submission if a facility agrees to comply with program terms, without waiting for full application completion. This provisional status lasts up to 18 months or until a final eligibility decision, with facilities receiving payments during this period and required to reimburse funds if final approval is denied. The bill appropriates $1 for the 2026-2027 biennium to fund this program and creates two new positions within the department to manage it (per RSA 167:8).
