Rep. Diane Pauer

Maddy summaryThis bill requires pharmacy benefit managers and health insurers in New Hampshire to report detailed information about pharmaceutical rebates they receive and how those funds are used. The legislation mandates that these entities submit annual reports breaking down the total value of rebates collected, the amounts distributed to insurers, and the specific reductions applied to patient costs such as deductibles and copayments. Additionally, insurers must provide actuarial certifications explaining how rebates are remitted to policyholders and detail the methods used to estimate rebate amounts for plan design purposes. These reporting requirements apply to private health plans but explicitly exclude Medicaid, the Ryan White HIV/AIDS Program, and self-funded plans like the state employee health benefit plan. The law takes effect on June 30, 2024, and repeals a previous provision that had sought to remove these rebate reporting rules.

Maddy summaryThis bill updates New Hampshire state park admission rules to allow retired military members and their spouses to enter day-use areas for free. To qualify, these individuals must show a valid military ID and provide proof that they live in New Hampshire. The law also clarifies that while general admission is waived, fees for specific enterprise activities like boat rentals or campsite reservations still apply. Changes to the statute take effect 60 days after it is signed into law.

Maddy summaryThis bill establishes a legal framework allowing terminally ill patients to access investigational drugs, biological products, or medical devices that have not yet received FDA approval. To qualify, a patient must have a life-limiting condition with no known curative options and must obtain written informed consent from their physician, which includes a waiver of legal liability for any adverse outcomes. The law also protects doctors from license revocation or other penalties if they prescribe these unapproved treatments in good faith. These changes take effect on January 1, 2025, providing a structured pathway for patients to try experimental therapies while defining the specific medical and legal requirements for participation.

Maddy summaryThis bill updates the rules for New Hampshire's solid waste management districts to allow them to contract third-party services for public entities and school districts located within their boundaries. It also clarifies the treasurer's authority to pay approved district debts and permits the treasurer to receive compensation for these duties. Additionally, the legislation creates a process for districts to make emergency expenditures that exceed their budget when faced with unexpected circumstances, provided specific conditions regarding revenue sources are met. These changes aim to streamline operations and provide financial flexibility for waste management districts while ensuring member communities retain control over funding sources.

Maddy summaryThis bill authorizes the issuance of special number plates for surviving spouses of veterans who have passed away, allowing them to keep the license plates indefinitely until they remarry. The legislation amends existing laws to ensure that these plates, originally designated for veterans, can be transferred to a spouse without requiring a new application or fee upon the veteran's death. Additionally, the bill extends similar permanent rights to the surviving spouses of retired National Guard members and active-duty service members who qualify as veterans. These changes aim to provide a seamless transition for families while maintaining the requirement that the plates are non-transferable to anyone other than the eligible spouse.

Maddy summaryThis bill updates the rules for a specific local tax cap in New Hampshire towns and districts that have already chosen to use it. It clarifies that the estimated tax amount for the upcoming year must include both the operating budget and all other approved spending, ensuring the total does not rise by more than the previously set cap unless adjusted for specific factors. The law applies automatically to existing tax cap programs without requiring towns to pass new local amendments to adopt it. It became effective on September 1, 2024, after being signed into law by the Governor.

Maddy summaryThis bill amends the state building code to require that all new buildings and dwelling units be tested for air leakage. The law mandates that these tests measure air exchange rates and ensures the results do not exceed 5.0 air changes per hour or 0.28 cubic feet per minute per square foot. Testing must follow specific industry standards and be conducted at a pressure of 0.2 inch water gauge. This change directly impacts construction projects by setting a stricter limit on how much air can escape through the building's enclosure.

Maddy summaryThis bill strengthens privacy protections for student data by requiring schools to obtain written parental consent before sharing personally identifiable information with third parties. It mandates that parents be notified at least 14 days in advance whenever their child's data is released, specifying who received the data, what information was shared, and the educational purpose for its use. The law explicitly excludes internal transfers between state departments and local schools from these notification requirements while ensuring that third parties cannot further share the data without additional parental permission.

Maddy summaryHB 1298 creates a new pathway for part-time educators to receive adjunct authorization in specific shortage subject areas. To qualify, individuals must work less than 20 hours per week, hold a relevant bachelor's degree, pass required exams, and provide proof of five years of related work experience. The bill also mandates criminal background checks for these hires and clarifies that this temporary authorization does not lead to a standard teaching certificate unless the educator completes a formal preparation program. Additionally, the law updates the professional code of ethics to explicitly include part-time teachers and excludes anyone with a revoked teaching license from eligibility.

Maddy summaryThis bill establishes new standards for informed consent and outlines specific patient rights within the state's medical practice laws. It requires physicians to clearly explain diagnoses, treatment options, risks, and benefits while documenting these discussions, and it grants patients the right to refuse care, request second opinions, and maintain privacy. Additionally, the legislation ensures that doctors will not abruptly stop medically necessary treatment without providing adequate notice and assistance for finding new care. These changes apply to all patient-physician interactions and take effect 60 days after the bill is passed.