establishing safety and care requirements for clinician-administered drugs.
SB 256 requires health maintenance organizations (HMOs) to cover clinician-administered drugs (CADs) - outpatient medications that patients cannot safely self-administer and are typically given by healthcare professionals in clinics or hospitals - without requiring prior authorization. It prohibits HMOs from mandating that pharmacies dispense CADs directly to patients for them to transport to a healthcare setting for administration. The bill mandates HMOs to use the lowest-cost reimbursement method for covered CADs and ensures coverage aligns with medical standards of care. This directly affects patients needing CADs (like IV therapies) and HMOs operating in New Hampshire, effective January 1, 2026.
Bill status
passed
3 of 5 stages cleared
Introduction
Jan 2025
Committee Review
Aug 2026
Senate Passage
Jan 2026
House Passage
Governor
Introduced Jan 23, 2025
Last action Aug 21, 2026
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
16
Key actions
7
Committee
10
Aug 21, 2026
Lower · Passed
Subcommittee Work Session: 09/09/2026 10:00 am GP 229
lower
May 1, 2026
Lower · Passed
Committee Report: Refer for Interim Study 04/29/2026 (Vote 15-0; CC) HC 19 P. 6
lower
Apr 16, 2026
Lower · Passed
Subcommittee Work Session: 04/22/2026 10:00 am GP 229
lower
Apr 1, 2026
Lower · Passed
Subcommittee Work Session: 04/08/2026 10:00 am GP 229
lower
Mar 2, 2026
Committee
Vacated and Referred to Commerce and Consumer Affairs (Rep. Kofalt): MA VV (in recess of) 02/19/2026 HJ 5 P. 127
lower
Feb 26, 2026
Introduced
Introduced (in recess of) 02/19/2026 and referred to Health, Human Services and Elderly Affairs HJ 5 P. 124
lower
Jan 7, 2026
Upper · Passed
Ought to Pass with Amendment #2025-3029s, MA, VV; OT3rdg; 01/07/2026; SJ 1
upper
Jan 7, 2026
Upper · Passed
Committee Amendment # 2025-3029s, AA, VV; 01/07/2026; SJ 1
upper
Oct 22, 2025
Upper · Passed
Committee Report: Ought to Pass with Amendment # 2025-3029s, 01/07/2026; Vote 5-0; CC; SC 46
upper
Mar 6, 2025
Committee
Rereferred to Committee, MA, VV; 03/06/2025; SJ 6
upper
Feb 21, 2025
Committee
Committee Report: Rereferred to Committee, 03/06/2025; Vote 5-0; CC; SC 11
upper
Jan 23, 2025
Introduced
Introduced 01/09/2025 and Referred to Health and Human Services; SJ 3
upper
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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