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.
SB 608 requires New Hampshire's Department of Health and Human Services to seek federal approval to add family caregiver support services - including counseling, training, and peer support - to the Acquired Brain Disorder (ABD) and Choices for Independence (CFI) home-care programs. It also eliminates all co-payments for child care scholarships when children are in the care of relatives (like grandparents or other legal guardians), removing financial barriers for kinship caregivers. The bill directly affects family caregivers enrolled in ABD/CFI waiver programs and kinship caregivers receiving child care assistance through state programs. These changes aim to reduce financial burdens for caregivers supporting children at home.
HB 1527 requires all New Hampshire state departments to annually send full-time employees a clear summary of available benefits, including retirement plans, health insurance, mental health services, and other support programs. Departments must use a standardized template created by the Department of Administrative Services to ensure consistent communication. Municipalities and counties may choose to adopt this same practice using the template. The bill does not provide new funding but directs existing agency funds to cover printing and mailing costs.
HB 1352 modifies how workers' compensation insurance carriers and self-insurers pay medical bills and resolve disputes. It extends the time carriers have to pay uncontested medical claims, creates an optional mediation process for contested claims, and changes the standard for resolving disputes from "reasonable effort" to "good faith." The bill also increases civil penalties for failing to make good faith efforts to pay claims, raising fines from $2,500 to $5,000 per violation. This directly affects medical providers (like doctors and hospitals) who bill for workers' compensation care and the insurance companies that pay those bills.
SB 549 prohibits state and local governments from using public funds to support organizations that distribute drug paraphernalia, including needles and syringes through syringe service programs (SSPs). It specifically blocks state funds - such as those from opioid settlement money - from being used for SSPs that provide such paraphernalia, except during disease outbreak responses under existing law. The bill affects funding for public health programs by restricting how state and local resources can be allocated to organizations distributing drug-related items. The fiscal note indicates this would reduce annual funding for SSPs by approximately $1.7 million, though it clarifies this does not represent net savings but potential cost shifts to other healthcare services.
HB 1250 requires employees in New Hampshire to give employers at least 15 days' notice before taking unpaid leave for childbirth, postpartum care, or pediatric medical appointments for their child. It limits this leave to 25 hours total within the first year of the child’s birth or adoption and allows employers to deny job reinstatement if returning would cause major operational disruption. The bill applies to employers with 20 or more employees and permits employees to substitute accrued paid leave for the unpaid time. Employers may request documentation to verify the leave’s purpose. This changes existing rules by clarifying notice requirements and reinstatement conditions.
HB 1754 repeals the statewide requirement for New Hampshire schools to use the multi-tiered system of supports for behavioral health and wellness (MTSS-B), a tiered approach to student mental health support. The bill directly affects public schools across New Hampshire by removing this mandated framework from state law. It eliminates the legal obligation under RSA 135-F:3, III(l) for schools to implement MTSS-B as part of their mental health care systems for students. The change takes effect 60 days after enactment, shifting oversight of student mental health support to local school districts.
HB 1744 requires health insurance companies operating in New Hampshire to submit annual reports by March 1st starting in 2026, detailing their mental health and substance use disorder coverage practices. These reports must include data on claims denial rates, average wait times for appointments, provider network availability, and compliance with federal parity laws. The insurance commissioner will review these reports and make de-identified data publicly available, while the state Medicaid program must also report annually starting in 2027 on similar metrics. This bill establishes new transparency requirements without authorizing new funding or positions.
HB 1784 amends New Hampshire's health care consumer protection trust fund rules, which holds settlement money from health care acquisition cases. The bill removes executive council approval for fund spending (retaining only advisory commission and governor approval), prohibits grants to state agencies (including subgrants), and requires all funded projects to have measurable patient outcome goals with milestone-based payments and clawbacks for unmet targets. It also bans funding for academic research while allowing limited evaluation to verify outcomes. This directly affects how the Attorney General, advisory commission, and governor administer the fund, ensuring money flows only to non-state entities like municipalities or non-governmental organizations for direct consumer benefits.
HB 1753 establishes the New Hampshire First for Veterans Program and Authority to support veterans, service members, and their families across the state. The program will provide funding to address key priorities like ending veteran homelessness, matching veterans with veteran-friendly jobs, improving access to mental and physical healthcare (including suicide prevention and substance use treatment), and supporting military skills transfer and education opportunities. The New Hampshire First for Veterans Authority, governed by a 22-member board appointed by state leaders, will coordinate these efforts through public-private partnerships. This program directly affects veterans and their families by creating structured support systems for housing, employment, healthcare, and career transition.
