Healthcare (Healthcare Workforce)

HB 349 authorizes licensed optometrists who meet specific board-certification criteria to perform three eye laser procedures: laser capsulotomy, laser trabeculoplasty, and laser peripheral iridotomy. It directly affects optometrists seeking to expand their scope of practice, requiring them to complete approved education, training, and experience before performing these procedures. The bill mandates the Board of Registration in Optometry to establish rules for certification, including minimum training standards, proctoring requirements, and outcome reporting for these procedures. The law takes effect 60 days after passage, with no new state funding provided.

SB 612 modifies eligibility rules for nursing facility and home and community-based care under New Hampshire Medicaid by adding "mobility" to the list of activities of daily living (ADLs) considered for qualification. This means applicants must now demonstrate a need for assistance with mobility (such as walking or using a wheelchair) to meet clinical eligibility requirements. The bill also requires the state Department of Health and Human Services to obtain a medical determination of long-term care needs from the applicant’s primary care provider, physician assistant, or advanced practice nurse, and to consider input from other health providers like physical therapists. These changes directly affect Medicaid applicants seeking nursing facility or home-based care services in New Hampshire.

HB 1782 establishes a rural maternal health care delivery pilot program to provide prenatal and postnatal care in New Hampshire areas with limited access to specialized pregnancy services. The bill directs the Department of Health and Human Services to develop this program, which would use mid-level practitioners (like certified nurse midwives) and collaborate with nearby hospitals, while also creating a Maternity Care Improvement Commission to study statewide maternal health strategies. It includes a Medicaid provider audit to ensure proper reimbursement for midwives and a loan reimbursement program for certified midwives who commit to working 32+ hours weekly in rural areas for at least two years. The pilot program and commission must report findings to state leaders by July 1, 2028. This bill directly affects rural pregnant people, midwives, and healthcare providers in underserved communities.

HB 1179 sets minimum staffing requirements for nursing homes in New Hampshire, directly affecting licensed facilities and their residents. The bill mandates 24-hour registered nurse (RN) coverage, a minimum of 0.75 RN hours per resident daily, 0.55 licensed practical nurse (LPN) hours per resident daily, and a total of 4.1 nursing hours per resident daily. These standards apply to all nursing homes licensed under RSA 151:9 and take effect 60 days after enactment. The law establishes concrete, measurable staffing targets without specifying enforcement mechanisms or penalties.