Healthcare

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.

HB 1596 raises New Hampshire's cigarette and little cigar tax from $1.78 to $2.80 per pack of 20, increasing revenue for state funds. It appropriates $18 million annually to New Hampshire's university system to restore higher education funding to 2024 levels. The bill also stops collecting premiums for two health programs: the Children's Health Insurance Program and the NH Granite Advantage health care program. These changes take effect July 1, 2026, with tobacco tax revenue funding the university appropriation and education trust fund.