SB 548 New Hampshire Senate · 2026 Regular Session

relative to health carrier provider contract standards.

SB 548 requires health insurance companies in New Hampshire to hold a public hearing with the insurance commissioner within 15 business days if they terminate a contract with a healthcare provider that would affect 1,000 or more patients. It also mandates that all health insurance provider contracts include a 60-day provision ensuring patients maintain access to their provider after termination (except for unprofessional conduct), and requires insurers and providers to jointly notify affected patients about this access and the hearing. The bill directly affects health insurers, healthcare providers, and patients covered by these contracts. These provisions aim to ensure transparency and continuity of care during contract terminations that impact large groups of patients.
Bill status signed all 5 stages cleared
Introduction
Nov 2025
Committee Review
Apr 2026
Senate Passage
Mar 2026
House Passage
Apr 2026
Signed into Law
Jun 2026
Introduced Nov 24, 2025 Signed Jun 24, 2026
Maddy AI version diff · 4 comparisons

What changed between versions

Introduced As Amended by the Senate · 5 edits
MODERATE
The Senate amendment significantly weakened the public hearing requirement from mandatory to discretionary, explicitly limited the commissioner's authority so hearings cannot be used to influence contract outcomes, and added a new standardized patient notification process with department review. The fiscal impact was also revised from an estimated $96,000-$139,000 annual cost to no fiscal impact.
ENFORCEMENT

The public hearing requirement changed from mandatory ('shall hold') to discretionary ('may, in the commissioner's discretion, hold'). The commissioner is no longer required to hold a hearing when a contract termination affects 1,000 or more covered persons.

SCOPE

A new provision explicitly states that nothing in the section authorizes the commissioner to require continuation, modification, or renegotiation of a provider contract, and that hearings are informational only and do not constitute approval or disapproval of the termination.

REQUIREMENT

The obligation to provide written notice to affected patients was changed from a joint requirement (health carrier AND provider) to a health carrier-only obligation. The notice must now state whether the commissioner has elected to hold a public hearing rather than confirming one will be scheduled.

A new standardized notice process was created: the commissioner must develop a standard notice form by bulletin, carriers may elect to use it, and those that do not must submit their own proposed notice to the department for review within 14 business days. The department has 7 business days to approve or deny based on specific content criteria (clarity of termination date, patient rights, no influence on negotiations). If denied twice, the carrier must use the standardized form.

FISCAL

The fiscal note changed from estimating $96,000 in FY2027, $132,000 in FY2028, and $139,000 in FY2029 for a new staff position to stating the bill has no fiscal impact on state, county, or local expenditures or revenue.

Floor votes

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Full legislative history

Actions timeline

Total actions
17
Key actions
8
Committee
7
Amendments
2
Jun 24, 2026
Signed into law
Signed by the Governor on 06/19/2026; Chapter 195; Effective 08/18/2026
upper
May 7, 2026
Introduced
Sen. Rochefort Moved to Concur with the House Amendment, MA, VV; 05/07/2026; SJ 11
upper
Apr 23, 2026
Lower · Passed
Ought to Pass with Amendment 2026-1484h: MA VV 04/23/2026 HJ 11 P. 4
lower
Apr 23, 2026
Introduced
Amendment # 2026-1484h: AA VV 04/23/2026 HJ 11 P. 3
lower
Apr 16, 2026
Lower · Passed
Committee Report: Ought to Pass with Amendment # 2026-1484h 04/15/2026 (Vote 18-0; CC)
lower
Apr 8, 2026
Lower · Passed
Subcommittee Work Session: 04/14/2026 10:00 am GP 229
lower
Apr 1, 2026
Lower · Passed
Subcommittee Work Session: 04/08/2026 10:00 am GP 229
lower
Mar 16, 2026
Introduced
Introduced (in recess of) 03/12/2026 and referred to Commerce and Consumer Affairs HJ 8 P. 114
lower
Mar 5, 2026
Upper · Passed
Ought to Pass with Amendment #2026-0837s, MA, VV; OT3rdg; 03/05/2026; SJ 5
upper
Feb 24, 2026
Upper · Passed
Committee Amendment # 2026-0837s, AA, VV; 03/05/2026; SJ 5
upper
Feb 20, 2026
Upper · Passed
Committee Report: Ought to Pass with Amendment # 2026-0837s, 03/05/2026; Vote 5-0; CC; SC 8
upper
Nov 24, 2025
Introduced
Introduced 01/07/2026 and Referred to Health and Human Services; SJ 1
upper
1 primary · 8 co-sponsors

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