relative to health insurance coverage for prosthetics.

Both the children's provision (Section I) and the adult provision (Section II) were narrowed from applying to 'group or blanket accident or health insurance' policies to only 'group health insurance' policies, removing blanket accident policies from coverage requirements.

The adult provision (Section II) now explicitly states that coverage is subject to 'any applicable cost sharing,' making clear that copays, deductibles, and similar cost-sharing mechanisms are permitted for adult prosthetic coverage.

For adults over 19, insurers are now explicitly permitted to apply utilization management to activity-specific prosthetic devices, including limiting or excluding coverage if the covered person has already received an activity-specific device in the last 5 years.

The Senate expanded both Section I (children under 19) and Section II (adults over 19) to require 'group or blanket accident or health insurance' policies to cover prosthetic devices, whereas the House version only required 'group health insurance' for adults and struck 'or blanket accident or' from the children's provision. This means more types of insurance policies must now provide prosthetic coverage.

The Senate removed the sentence allowing insurers to 'apply utilization management, including limiting or excluding coverage if the covered person has received an activity-specific device in the last 5 years.' The House version had given insurers explicit permission to deny or limit coverage based on a prior activity-specific device; the Senate version removes that flexibility.

The Senate removed the phrase 'including any applicable cost sharing' from Section II, which had explicitly acknowledged that cost-sharing provisions could apply to prosthetic device coverage for adults over 19.

Both the children (under 19) and adults (over 19) provisions were narrowed from 'group or blanket accident or health insurance' to just 'group health insurance,' removing blanket accident policies from coverage requirements.

The adult provision (Section II) now explicitly applies to the state of New Hampshire's own employee health benefit plan under RSA 21-I, meaning state employees are covered by the same prosthetic device requirements.

For adults over 19, insurers are now explicitly allowed to apply utilization management, including limiting or excluding coverage if the person received an activity-specific device in the last 5 years.

Coverage for adults over 19 is now subject to 'any applicable cost sharing,' giving insurers more flexibility on out-of-pocket costs.

The effective date was delayed from January 1, 2027 to January 1, 2028, giving insurers an additional year to comply.