Rep. Bill Palmer

Maddy summaryHB 241 addresses opioid treatment alternatives, focusing on expanding access to non-opioid pain management options. The bill aims to directly affect patients with chronic pain and healthcare providers by establishing new guidelines for treatment referrals. Key provisions include requiring health insurers to cover FDA-approved non-opioid alternatives and creating a state-funded pilot program for community health centers to implement these alternatives. The committee report (10/28/2025, 17-0) recommended passage with an amendment, but the bill's specific mechanisms beyond these general requirements are not detailed in the provided context.

Maddy summaryHB 63 permits children with severe, life-threatening allergies to possess and self-administer epinephrine auto-injectors at recreation camps and schools under specific conditions. It requires written approval from a healthcare provider and parent/guardian, along with staff training on recognizing allergic reactions and administering epinephrine. Schools and camps must maintain accessible epinephrine doses and ensure staff follow-up care after use. The bill also provides liability protection for camps and schools that comply with these requirements, shielding them from lawsuits unless negligence is proven. This directly affects students and campers with allergies, as well as camp/school staff and healthcare providers.

Maddy summarySB 29 updates the structure and responsibilities of the Health Care Workplace Safety Commission and modifies reporting requirements for healthcare facilities under their workplace violence prevention program. The bill changes commission membership rules and clarifies its jurisdiction, while simplifying the reporting process healthcare facilities must follow to document workplace violence incidents. It directly affects hospitals, clinics, and other healthcare facilities required to submit these reports, as well as the commission managing the program. The law, signed by the governor on June 10, 2025, becomes effective August 9, 2025.

Maddy summaryThis bill would allow members of the New Hampshire General Court to join the state employee assistance program run by the Department of Health and Human Services. The costs for this participation would be covered by funds from the legislative branch rather than the individual legislators. The legislation specifies that the program's per-person fees are to be paid directly to the department by the legislative branch. Although the bill was introduced, it was ultimately laid on the table and did not become law during the 2024 session.

Maddy summaryThis law requires the state to raise Medicaid payment rates for prosthetic and orthotic devices so they are at least 90% of the rates paid by Medicare, starting July 1, 2024. To achieve this, the state will use $620,000 in funding to adjust payments and must report its progress to a health oversight committee by November 1, 2024. An annual review will also be conducted to ensure these rates remain adequate compared to typical market costs and to close any remaining gaps between Medicaid and Medicare payments. The changes directly affect patients who need braces, hearing aids, or other medical devices and the providers who supply them.

Maddy summaryThis bill establishes a Commission on the Interdisciplinary Primary Care Workforce to study and report on strategies for improving healthcare access in New Hampshire. The commission will examine the state's loan repayment program and health professions survey, submitting an interim report in 2026 and a final report with recommendations in 2029. It also expands the commission's membership to include a representative from Direct Primary Care Frontier and requires the Office of Professional Licensure and Certification to share data with the State Office of Rural Health to support primary care initiatives. These changes aim to gather information and propose future legislation to address workforce needs in the state's healthcare system.

Maddy summaryThis bill establishes new penalties for drivers who exceed posted weight, height, or size limits on covered wooden bridges in New Hampshire. It creates a two-tier fine system where drivers face a $500 penalty for violating size limits without causing damage, and a $1,000 fine if their vehicle damages the bridge, with higher fines up to $2,000 if the violation blocks traffic. Additionally, vehicle owners must pay the full cost of any repairs to the bridge, plus a $100 civil penalty if they fail to pay within 30 days. The law also clarifies that towing a trailer on a bridge marked "nothing in tow" counts as a violation of dimensional limits. These provisions take effect on January 1, 2025, and all fines collected go to the municipality or agency responsible for maintaining the bridge.

Maddy summaryThis bill requires health insurance companies to cover prosthetic devices, including specialized ones for specific activities, for children under 19 living in the state. The law ensures that these devices come with necessary materials, training, and repairs without annual dollar limits, though it allows insurers to cap the number of activity-specific devices covered per year. Coverage applies to most group and individual health plans but excludes those offered through the Small Business Health Options Program. The changes are scheduled to take effect on January 1, 2025.