relative to immunization requirements in foster family homes and relative to financial eligibility for the Medicare savings program.
HB 1219 prevents foster family homes from imposing immunization requirements on children or foster parents that are stricter than those in RSA 141-C:20-a. Specifically, it prohibits requirements exceeding the standard for vaccine type, number of doses, or exemption policies already established for the general population. This bill directly affects foster children and foster parents by aligning their immunization standards with statewide requirements. The law amends RSA 170-E:27-b to ensure foster homes cannot mandate additional or more stringent vaccinations than what is required for children in public schools or the general community.
Bill status
passed both
4 of 5 stages cleared
Introduction
Dec 2025
Committee Review
May 2026
House Passage
Mar 2026
Senate Passage
May 2026
Governor
Introduced Dec 1, 2025
Last action Jul 10, 2026
Maddy AI version diff · 4 comparisons
What changed between versions
Version adopted by both bodies
→
CHAPTERED FINAL VERSION
·
2 edits
MINOR
No substantive policy changes were made between the adopted version and the final chaptered version. The only meaningful changes are the renumbering of sections from generic numbers to chapter-specific numbers (279:1 through 279:4) and the addition of enactment metadata including the approval date (July 7, 2026), effective date (September 5, 2026), and a note that the bill became law without the governor's signature.
TECHNICAL
Section numbers changed from generic (1, 2, 3, 4) to chapter-specific (279:1, 279:2, 279:3, 279:4), which is standard when a bill is assigned a chapter number upon enactment.
TIMELINE
Enactment metadata was added at the end: approved July 7, 2026; effective date September 5, 2026; and a note that it was enacted without the governor's signature per Article 44, Part II of the N.H. Constitution.
Floor votes · House Mar 11, 2026
How they voted
94–91
Passed · 37 other
Total votes 222
Mar 11, 2026
D
Democratic107
83% Nay
I
Independent2
50% Yea
R
Republican113
81% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
17
Key actions
6
Committee
5
Amendments
2
May 21, 2026
Introduced
House Concurs with Senate Amendment 2026-1943s (Rep. W. MacDonald): MA VV 05/21/2026 HJ 14 P. 11
lower
May 14, 2026
Upper · Passed
Ought to Pass with Amendment # 2026-1943s, MA, VV; OT3rdg; 05/14/2026; SJ 12
upper
May 14, 2026
Introduced
Sen. Rosenwald Floor Amendment # 2026-1943s, AA, VV; 05/14/2026; SJ 12
upper
May 6, 2026
Upper · Passed
Committee Report: Ought to Pass, 05/14/2026, Vote 3-2; SC 18
upper
Mar 17, 2026
Introduced
Introduced 03/12/2026 and Referred to Health and Human Services; SJ 7
upper
Mar 11, 2026
House · Passed
House Vote: pass (94-91-37)
house
Mar 11, 2026
Lower · Passed
Ought to Pass with Amendment 2026-1094h: MA RC 180-145 03/11/2026 HJ 7 P. 184
lower
Feb 25, 2026
Lower · Passed
Minority Committee Report: Inexpedient to Legislate
lower
Feb 25, 2026
Lower · Passed
Majority Committee Report: Ought to Pass 02/18/2026 (Vote 10-8; RC) HC 10 P. 49
lower
Dec 1, 2025
Introduced
Introduced 01/07/2026 and referred to Health, Human Services and Elderly Affairs HJ 1 P. 11
lower
1 primary · 11 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Melissa Litchfield
RRepublican
Co
Bill Gannon
RRepublican
Co
Erica Layon
RRepublican
Co
Keith Murphy
RRepublican
Co
Linda McGrath
RRepublican
Co
Matt Drew
RRepublican
Co
Michael Granger
RRepublican
Co
Robert Wherry
RRepublican
Co
Sayra DeVito
RRepublican
Co
Susan DeRoy
RRepublican
Co
Tim Lang
RRepublican
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