Rep. Julie Miles

Maddy summaryHB 1813 requires health insurance carriers to provide participating healthcare providers and facilities with 60 days' notice before making changes to their contracts, limiting such changes to four times per year on January 1, April 1, July 1, and October 1. The bill mandates that carriers include redlined copies showing changes (with additions underlined/bolded and deletions struck through) and, for changes affecting over $500,000 in total annual reimbursement, provide a financial impact estimate to both providers and the Insurance Department. This directly affects health carriers and their contracted providers by increasing transparency and giving providers more time to review significant contract modifications. Exceptions include mutual agreements between carriers and providers, changes required by government rules, or updates to standard medical coding. The law takes effect 60 days after passage.

Maddy summaryHB 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.

Maddy summaryHB 1336 allows landlords to charge a security deposit of up to two months' rent for rental applicants who don't meet standard approval criteria (like low credit scores under 650, insufficient income below 3x rent, eviction history, unpaid judgments, or no rental history). It directly affects landlords setting rental terms and tenants who may be denied standard housing due to these factors. Key provisions require landlords to disclose unmet criteria upfront, provide written notice of the higher deposit reason, and allow tenants to request a re-screening at their expense once every six months to potentially remove the extra deposit. The bill clarifies that landlords aren't forced to accept higher deposits or approve applicants who still don't meet standards, and it has no estimated state or local cost impact.

Maddy summaryHB 1554 requires health insurance companies to offer peer-to-peer reviews at any stage of the prior authorization process, allowing doctors to discuss medical necessity directly with a qualified medical expert. Insurers must disclose the reviewer’s full name, license details, issuing state, and National Provider Identifier (NPI) to the doctor before the review begins. The bill mandates that reviews be scheduled within 2 business days for initial requests or 5 business days after a denial, with written decisions provided promptly. This applies to all health insurance plans and aims to increase transparency and timely decision-making for doctors and patients seeking coverage.

Maddy summaryHB 1774 requires New Hampshire to participate in a federal tax credit for donations to scholarship organizations and creates a state list of qualifying groups. It prohibits state financial aid for college programs that don't meet federal earnings standards, defined by outcomes like job placement and wages above 150% of the federal poverty level. This affects public colleges, universities, and students enrolled in programs deemed "low-earning outcome" under federal criteria. The law aims to redirect state funding toward academic programs with stronger job prospects for graduates.

Maddy summarySB 524 allows restaurants with liquor licenses to deliver alcohol to customers only when the customer has ordered a meal for home delivery. It requires restaurants to obtain a $250 annual "restaurant delivery license" and mandates that all alcohol deliveries must include food ordered by the customer, be made during business hours by employees over 21, and use sealed containers labeled with the restaurant's name. Deliveries cannot occur at schools, parks, or libraries, and must include a signed receipt from the customer. This bill directly affects restaurants seeking to expand delivery services while adding specific safety and operational requirements.

Maddy summarySB 607 aligns New Hampshire's rules with federal limits for short-term health insurance policies. It prohibits insurers from offering these policies for more than the maximum duration permitted under federal law, removing previous state-specific limits (like the 6-month cap and 540-day total coverage restriction). This directly affects consumers seeking temporary health coverage and insurance companies selling these policies in New Hampshire. The bill ensures state regulations do not allow longer coverage periods than federal guidelines permit. It becomes effective January 1, 2027.

Maddy summarySB 548 requires health insurance companies in New Hampshire to hold a public hearing with the insurance commissioner within 15 business days if they terminate a contract with a healthcare provider that would affect 1,000 or more patients. It also mandates that all health insurance provider contracts include a 60-day provision ensuring patients maintain access to their provider after termination (except for unprofessional conduct), and requires insurers and providers to jointly notify affected patients about this access and the hearing. The bill directly affects health insurers, healthcare providers, and patients covered by these contracts. These provisions aim to ensure transparency and continuity of care during contract terminations that impact large groups of patients.

Maddy summaryThis bill establishes consumer protections for digital kiosks that allow people to buy, sell, or transfer digital assets (like cryptocurrency) using cash. It requires kiosks to hold first-time transactions for 48 hours (with a cancellation option), limit daily spending to $5,000 for new users and $15,000 for existing users, and display clear warnings about scams (e.g., "no government agency will ever demand payment by crypto"). Operators must verify identities, block transactions to known scam addresses, disclose all fees and reference prices, and provide detailed receipts. These rules directly affect kiosk operators and consumers, particularly older adults targeted by scammers.

Maddy summaryHB 1318 renews a state committee studying non-drug treatment options for chronic pain patients, extending its work through 2027. The bill requires the committee to submit annual interim reports to legislative leaders and the governor by November 1 each year, with a final report due by November 1, 2027. It focuses on developing payment models to support patient-centered, integrated care for chronic pain management. The committee’s prior work established a foundation for a pilot program, and this renewal aims to explore practical implementation strategies.