Rep. Mark Pearson

Maddy summarySB 467 increases penalties for fentanyl distribution by establishing mandatory minimum prison sentences: 3.5 years for 20 grams or more and 7 years for 50 grams or more (including mixtures). It also mandates a life sentence or long prison term for distributing non-fentanyl controlled drugs that cause death. Courts may reduce these sentences if defendants meet specific conditions, such as having no recent violent felony convictions, not using violence, and completing drug treatment or education. If reduced, defendants must serve at least 3 years of probation with drug testing, treatment, community service, and a suspended prison sentence.

Maddy summarySB 410 authorizes New Hampshire law enforcement agencies to possess portions of human remains (such as tissue or bone) for training cadaver detection dogs, directly affecting law enforcement, funeral homes, and mortuaries. The bill requires written consent from next of kin or the deceased’s prior donation authorization, specifies the exact portions to be used, and mandates documentation retention. After training, all remains must be returned to a New Hampshire institution of higher education or a licensed medical waste disposal company. Agencies must also develop written policies covering consent, handling, storage, and final disposition, all to be submitted to the police standards council. 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 1067 establishes a state grant program to fund new mental health courts in New Hampshire, requiring counties, districts, or non-profits to apply through a standardized process managed by the judicial branch's Office of the Statewide Treatment Courts. The bill revises mental health court procedures to allow judges to dismiss charges or withhold prosecution upon successful completion of treatment programs, while mandating risk and clinical assessments for participants. It requires the judicial branch to develop application standards, track outcomes like recidivism, and provide training to ensure program effectiveness. The goal is to reduce incarceration costs and improve treatment access for individuals with mental illness through structured court interventions.

Maddy summaryHB 1798 requires New Hampshire's Department of Health and Human Services to apply for a federal waiver by November 1, 2026, to add diaper coverage under Medicaid for infants' first year of life. The bill directly affects Medicaid-eligible infants (approximately 4,000 annually) and their families, providing coverage for 100 diapers per month during the child's first 12 months. It appropriates $100,000 for the 2026-2027 fiscal year to fund the program, with federal matching funds expected to cover most costs. Implementation depends on federal CMS approval, with a target start date of May 1, 2027, if approved.

Maddy summaryHB 1406 prohibits health insurance companies (health carriers) from using artificial intelligence to override doctors' clinical decisions. Specifically, it bans AI from auditing or adjusting provider codes based on AI recommendations that would change a physician's professional judgment about patient care. Health carriers must document all AI use in claims processing and provide these records to regulators. Violations are considered unfair insurance practices, potentially resulting in fines or restitution for denied care. The law directly affects healthcare providers and insurers, taking effect January 1, 2027.

Maddy summarySB 402 eliminates geographic non-compete restrictions in contracts for physician associates in New Hampshire. It makes any agreement preventing a physician associate from practicing in specific areas after employment ends void and unenforceable for new contracts or renewals signed on or after the law's effective date. This directly affects physician associates (healthcare providers working under physician supervision) and their employers by removing barriers to where they can practice following job changes. The law does not impact other contract terms, only the geographic restriction provision, and applies only to agreements entered after the bill takes effect.

Maddy summarySB 663 creates a working group within New Hampshire's Department of Health and Human Services to study Medicaid reimbursement rates for nursing homes. The group, including state officials and healthcare associations, will examine issues like access to care, staffing needs, infrastructure costs, and fair rate adjustments during ownership changes. It also allocates $5 million for a one-time payment to licensed nursing facilities serving Medicaid patients that saw their daily reimbursement rates drop below 95% of 2025 rates as of January 1, 2026. The working group must submit recommendations by December 2026, with the department having sole discretion over distributing the funds.

Maddy summarySB 544 prevents health insurance companies from removing drugs from their coverage lists mid-year. It requires insurers to continue covering any prescription drug that was approved under a policy until the enrollee's next plan renewal date, even if the drug is later removed from the formulary. This directly affects individuals enrolled in health benefit plans who rely on specific medications. Changes to drug coverage can only occur at renewal dates and must apply uniformly to all similar plans.

Maddy summarySB 617 requires the New Hampshire State Police to use a rotating list of qualified tow companies for removing abandoned, stolen, disabled, or illegally parked vehicles. The bill mandates that the State Police maintain this list by geographic area (e.g., troop or county) and vehicle type (such as heavy or light-duty tow trucks) to ensure appropriate service for each removal. The list can be adjusted to manage workload and travel distances, and it will specify which tow companies are equipped for specific vehicle classes. This change applies to all vehicle removals conducted under state law, including those obstructing roads, abandoned on private property, or involved in accidents.