SB 498 creates the New Hampshire Children's Behavioral Health Association to fund mental health services for children under 18. The association will collect mandatory assessments (fees) from insurance companies, stop-loss carriers, and third-party administrators covering children in the state, excluding Medicaid recipients. Funds gathered will be deposited into a dedicated fund managed by the insurance commissioner and used to pay care management entities providing specific services like intensive in-home therapy, structured outpatient programs, and care coordination. This directly affects insurers (who pay assessments), care management organizations (who receive payments), and children under 18 with covered health plans (who gain access to funded services).
HB 1798 requires New Hampshire's Department of Health and Human Services to apply for a federal waiver by November 1, 2026, to add diaper coverage under Medicaid for infants' first year of life. The bill directly affects Medicaid-eligible infants (approximately 4,000 annually) and their families, providing coverage for 100 diapers per month during the child's first 12 months. It appropriates $100,000 for the 2026-2027 fiscal year to fund the program, with federal matching funds expected to cover most costs. Implementation depends on federal CMS approval, with a target start date of May 1, 2027, if approved.
HB 1584 requires New Hampshire's Department of Health and Human Services to prominently display notices about medical and religious immunization exemptions on all vaccination-related materials, such as websites, brochures, or social media posts. It specifies that the notice must appear as visibly as main content - like a headline - and not just in footnotes. The bill also allows parents to use any written statement (not a specific form) to claim religious exemptions for their children's vaccinations. Additionally, the department must submit an annual report to the legislature detailing all promotional materials, compliance with the notice requirement, and any penalties assessed for noncompliance. This bill directly affects the Department of Health, schools, and healthcare providers distributing immunization information.
HB 1469 requires massage therapy businesses employing more than one therapist to obtain a state license and undergo regular inspections by the Office of Professional Licensure and Certification (OPLC). The bill establishes new health and safety standards for these businesses, including requirements for direct supervision by licensed therapists and procedures for license renewal and disciplinary actions. It also adds compensation for members of the massage therapists' advisory board and creates a new investigative paralegal position within the OPLC, with funding provided for this role. This legislation directly affects massage therapy businesses, the OPLC, and the advisory board by expanding regulatory oversight and operational requirements.
HB 1449 prohibits vaccination clinics from operating at public elementary or secondary schools during school hours and requires a parent or legal guardian to be present with their child during any vaccination administered at such a clinic. The bill directly affects students receiving school-based vaccines, parents/guardians, and school staff coordinating these clinics. Key provisions include banning school-hour clinics and mandating parental accompaniment for immunizations, while exempting school nurses' existing duties under RSA 200:38. This policy change modifies how school vaccination events are scheduled and administered, without altering vaccine requirements or eligibility.
HB 1022 standardizes the form parents or guardians must use to claim a religious exemption from childhood immunization requirements for schools or childcare. The form must include a specific statement: "I, [parent/guardian name], hereby attest that I sincerely hold religious beliefs that dictate the refusal to accept the required vaccination(s)," followed by their signature and date. This bill directly affects parents or guardians seeking to exempt their children from immunization mandates based on religious beliefs. It specifies the exact wording for the exemption form without changing the existing policy on religious exemptions.
HB 1719 removes Hepatitis B from the list of diseases for which childhood immunization is required in New Hampshire. This change directly affects children enrolled in schools or childcare programs, as parents will no longer be required to ensure their children receive the Hepatitis B vaccine for enrollment. The bill amends state law by deleting "Hepatitis B" from the mandated immunization list, which includes diseases like measles and polio. This policy shift is expected to reduce state vaccine purchase costs by approximately $20,000 in the first year and $82,000 annually thereafter, as the requirement is eliminated. The Hepatitis B vaccine would remain available on a voluntary basis for parents who choose to use it.
SB 134 requires New Hampshire's Department of Health and Human Services to resubmit a federal waiver application to CMS by July 1, 2025, seeking approval to enforce work requirements as a condition of Medicaid eligibility under the Granite Advantage program. The bill also mandates annual reports to the legislature starting November 1, 2025, detailing the waiver status and implementation progress. This bill does not change current Medicaid rules, as work requirements are not currently in effect; it only sets a process for the state to seek federal approval to potentially implement such requirements. The bill has no immediate cost but may lead to future expenses if the waiver is approved and implemented.
HB 1596 raises New Hampshire's cigarette and little cigar tax from $1.78 to $2.80 per pack of 20, increasing revenue for state funds. It appropriates $18 million annually to New Hampshire's university system to restore higher education funding to 2024 levels. The bill also stops collecting premiums for two health programs: the Children's Health Insurance Program and the NH Granite Advantage health care program. These changes take effect July 1, 2026, with tobacco tax revenue funding the university appropriation and education trust fund.
This bill requires schools to obtain written parental consent for each new medical service provided to students enrolled in the Medicaid to schools program. It defines "each new service" as any new Medicaid diagnostic code (ICD code), meaning consent must be renewed for each distinct health service. The bill directly affects students receiving school-based Medicaid health services and their parents or legal guardians. Schools must implement this consent process starting January 1, 2026, and the state must submit annual reports on program costs and participation to legislative committees.