Rep. Julie Miles

Maddy summarySB 477 requires hospitals and other 340B-covered entities in New Hampshire to submit annual public reports to the Department of Health and Human Services by April 1. These reports must detail patient usage of 340B drugs (by insurance type), financial data including acquisition costs and reimbursements for drugs and other services, net revenue, and charity care costs. The bill mandates separate reporting for hospitals, their practice locations, and contracted pharmacies, along with CEO/CFO attestations confirming accuracy. It aims to increase transparency by making 340B program financial data publicly available and preventing duplicate discounts.

Maddy summarySB 635 establishes a tax credit program for New Hampshire employers that use health reimbursement arrangements (HRAs) instead of traditional group health insurance. Employers with more than one employee (classified as "qualified taxpayers") can claim a credit of up to $400 per covered employee in the first year (reducing to $200 in the second year), with annual limits of $20,000 per employer in year one and $10,000 in year two. The credit is applied against state tax liability, with a total annual cap of $10 million across all claims, and unused credits may be carried forward for up to three years. This policy directly affects employers transitioning to HRAs and aims to offset costs for covering employee health expenses through tax incentives.

Maddy summaryHB 1585 requires New Hampshire's state and local public retirement systems to prioritize only financial factors when making investment decisions, excluding environmental, social, or political considerations. The bill directly affects retirement systems managing state pension funds, mandating that fiduciaries (like investment managers) act solely in the financial interest of participants and beneficiaries. Key provisions prohibit considering factors such as climate policies (e.g., restricting fossil fuel investments), diversity criteria, abortion access, or firearm industry engagement when managing assets. The law explicitly states that investment decisions must not be influenced by "environmental, social, political, or ideological interests," even if tied to corporate practices. This shifts focus entirely to financial returns and risk, eliminating ESG (Environmental, Social, Governance) criteria from retirement fund strategies.

Maddy summaryHB 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.

Maddy summaryHB 1543 updates the process for transferring state-owned highway, federal, or turnpike-funded property to local municipalities. It requires the state to first offer such property to the local town, city, or county government where it’s located, with municipalities having 90 days to respond or be deemed to have approved. For active road segments (class I/II highways), disposal needs either municipal approval or a rehab agreement before the state can transfer it. Proceeds from sales must go back to the original funding source (highway, federal, or turnpike fund), and the state must provide a "turnback condition report" verifying highway infrastructure is repaired before transfer.

Maddy summarySB 256 establishes rules for "clinician-administered drugs" - outpatient prescriptions (like IV cancer treatments) that patients cannot self-administer and are typically given in clinics or hospitals. It prohibits health insurers and pharmacy benefit managers from mandating "white bagging" (pharmacy delivers drugs to providers) or "brown bagging" (patients transport drugs) without written agreements and consent from both the patient and provider. The bill ensures patients can choose their pharmacy for these drugs, prevents insurers from charging extra fees for non-network pharmacy use, and stops insurers from reducing payments to providers who obtain these drugs outside their network. The law takes effect January 1, 2027.

Maddy summaryHB 309 requires landlords to allow tenants to pay rent via paper check or other non-electronic methods if they prefer, making electronic rent payments optional. It directly affects renters who wish to avoid digital payment systems and landlords who must accommodate this choice. The bill amends security deposit regulations to clarify that violations of this payment option rule (e.g., forcing electronic payments) are not covered under standard security deposit protections. The law takes effect January 1, 2026, after being signed by the governor.

Maddy summaryThis bill amends its own title to clarify it concerns record requests by health care providers and sets an effective date of September 13, 2025. It does not establish new requirements or alter how health care providers handle records; it only modifies the bill's title and timing. The bill is procedural in nature, with no substantive policy changes described in the provided text. It passed both chambers and was signed by the governor on July 15, 2025.

Maddy summarySB 133 designates emergency medical services provided by ambulance service providers as essential services under state law. This change directly affects ambulance providers and their employees, ensuring these services are recognized as critical during emergencies or labor disputes. The bill establishes that ambulance services must continue operating during strikes or emergencies to maintain public safety. It became law on June 10, 2025, and takes effect on August 9, 2025.

Maddy summarySB 130 establishes a commission to study emergency medical services (EMS) delivery models across New Hampshire. The commission, composed of legislative members, fire chiefs, ambulance associations, hospital representatives, and local government officials, will review current EMS systems, identify barriers in rural areas and for advanced care, and examine potential regional models. It must report findings and recommendations to state leaders by November 1, 2025, including options for sustainable EMS systems. The bill does not create new services or funding but directs a formal study of existing delivery challenges. This is a procedural study commission, not a policy change.