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.
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 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.
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 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.
SB 504 allows licensed healthcare providers to dispense up to a 30-day supply of certain cancer medications directly to patients under a doctor's supervision, requiring clinics to maintain a full-time pharmacist available for consultation. It removes the requirement for pharmacists' names on controlled drug labels and permits advanced pharmacy technicians to perform remote medication processing. The bill updates the definition of "practice of pharmacy" to include modern services like medication therapy management and collaborative care. These changes streamline access to cancer medications while maintaining safety protocols for pharmacy operations.
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.
HCR 12 is a New Hampshire legislative resolution urging the state's federal congressional delegation to support Medicare for All. It requests federal lawmakers pursue legislation establishing universal health coverage through Medicare, including comprehensive benefits like dental, vision, and prescription drugs without deductibles, and transitioning current Medicaid recipients into the program. The resolution outlines six key provisions for such a system, emphasizing preventive care, provider choice, cost controls, and quality oversight. As a non-binding resolution, it does not change federal law but expresses the legislature's position on health care policy.
