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.
This bill requires outpatient substance use disorder treatment facilities in New Hampshire to obtain certification from the Department of Health and Human Services. It establishes a certification process for facilities providing outpatient services like intensive outpatient, partial hospitalization, and medically managed outpatient treatment, while exempting nonclinical recovery support services and certain other providers. Facilities will pay certification fees to a new "substance use treatment certification fund" that will cover the costs of the certification program. The bill also requires the Department to maintain a public online list of certified facilities and to create a dedicated behavioral health specialist position within the Ombudsman's office to investigate complaints about treatment facilities.
SB 651 would legalize cannabis use for adults 21 and older in New Hampshire, requiring businesses to obtain licenses and follow regulations similar to alcohol, including age verification for purchases, product testing, and labeling. It establishes a new cannabis tax fund, with revenue from sales allocated to support substance abuse prevention, treatment, and education programs through a dedicated fund managed by the Department of Health and Human Services. These programs would cover evidence-based initiatives, mental health services for dual-diagnosis cases, and public education campaigns about cannabis risks for both youth and adults. The bill mandates annual reporting on fund usage and ensures tax revenue directly supports state efforts to address substance misuse.
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.
This bill requires New Hampshire's Insurance Department to reimburse pregnant Medicaid recipients for mental health screenings each trimester and to pay healthcare providers for advising patients about perinatal mental health resources. It also directs the Department of Health and Human Services to create outreach programs for providers and incentive programs for certified perinatal mental health therapists, requiring two years of employment for reimbursement eligibility. The bill mandates higher Medicaid reimbursement rates for certified providers but does not allocate new state funding for implementation. It directly affects pregnant Medicaid patients and healthcare providers specializing in perinatal mental health.
SB 640 prohibits using artificial intelligence to provide services requiring a professional license (such as psychology, mental health, or substance abuse counseling) unless those services are delivered by a licensed professional. The bill specifically bans AI from replacing human professionals in direct client interactions, though it allows AI for administrative tasks like scheduling or billing. It also authorizes the Office of Professional Licensure to collect fees to cover enforcement costs for violations. This applies to all licensed professions in New Hampshire, with additional specific rules for psychologists and mental health practitioners.
SB 423 reestablishes a commission to study post-traumatic stress disorder (PTSD) in first responders and whether PTSD should be covered under workers' compensation. The bill adds a New Hampshire comfort dog community representative to the commission and specifies its 17-member composition, including officials from labor, safety, and insurance departments, plus representatives from fire, police, medical, and mental health organizations. The commission must study succession planning, standardized peer support programs, and other relevant matters, with an interim report due by November 1, 2026, and a final report by November 1, 2027. This bill directly affects first responders by initiating a formal study of PTSD incidence and potential policy changes, without altering current workers' compensation rules.
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 456 establishes a commission to study children's health and safety issues in New Hampshire, including mental health services, school safety, and childhood diagnoses. The commission, composed of legislative members and 17 appointed experts (such as healthcare professionals, teachers, and parents), will examine specific topics like school mental health programs, youth homelessness, and exposure to harmful content. It must submit annual reports by November 1 to state leaders, including the governor and legislative leaders, with findings and recommendations. This bill creates a study body but does not enact new laws or allocate funding.
HB 1638 creates a process for healthcare providers to bypass step therapy protocols when a patient's condition requires it, directly affecting patients and providers in insurance plans that use step therapy. Step therapy typically forces patients to try less expensive medications first before coverage is provided for more expensive alternatives. The bill requires step therapy protocols to be based on updated clinical guidelines developed by expert panels and mandates that insurers must grant an override request when providers demonstrate medical necessity, including conditions like advanced cancer or serious mental illness. This establishes a clear, evidence-based pathway to avoid unnecessary treatment delays without altering existing insurance coverage rules.