HB 1317 strengthens patient privacy protections in New Hampshire by prohibiting state agencies, contractors, vendors, and grant recipients from sharing personally identifiable medical, disability, or mental health data with the federal government or third parties - unless specific conditions apply. These exceptions include obtaining an individual’s written consent, complying with existing law or court orders, or disclosing data to provide necessary health care services. The bill also requires that any permitted disclosure share only the minimum necessary data and prioritize de-identified information when possible. It explicitly affirms that these state rules do not override federal privacy laws like HIPAA or the ADA, and violations could result in civil penalties enforced by the attorney general.
SB 520 allows physicians to perform breast surgery on minors for non-medical reasons, expanding existing exceptions. It adds a new provision permitting the procedure "at the election of the minor in consultation with her primary care physician," removing prior restrictions that limited surgery to medical conditions like gynecomastia or congenital deformities. The bill directly affects minors seeking breast reduction or reconstruction surgery who do not qualify under existing medical necessity exceptions. It requires the minor’s consent and physician consultation but does not mandate parental consent. The change modifies New Hampshire law to include this patient-choice option for breast surgeries.
HB 155 reduces New Hampshire's business enterprise tax (BET) rate from 0.55% to 0.50% for tax years ending on or after December 31, 2026. This directly affects businesses that pay the BET, calculated on their taxable enterprise value. The rate change takes effect July 1, 2025, applying permanently to all future tax periods meeting the end-date requirement. The bill does not alter other tax provisions but will decrease state revenue from this tax, with estimated impacts of $4.3 million in fiscal year 2026.
HB 1323 defines "parental alienation" as a pattern of behavior damaging a child's relationship with a parent - such as disparaging remarks, manipulation, or unjustified interference with parenting time - while excluding protective actions taken in good faith for safety concerns. The bill requires New Hampshire courts to consider parental alienation as a factor in custody, visitation, and parental rights decisions, including joint decision-making and modifications to parenting plans. It establishes a "family access motion" for parents to seek enforcement of parenting plans when alienation occurs and allows courts to order remedies like adjusted schedules. The law also mandates courts to evaluate parental alienation in grandparent visitation cases and requires attorney fee awards in contempt cases involving failure to comply with court orders related to parental alienation.
SB 545 removes the asset limit (resource test) for New Hampshire's Medicare Savings Program, allowing seniors previously denied due to savings or assets to qualify. It also seeks federal approval to extend the low-income Medicare Part D subsidy, helping residents cover prescription drug costs. The bill directly affects approximately 2,033 additional seniors who were previously ineligible under the asset rule. This change would make program eligibility solely based on income, not savings or assets, with estimated annual state costs of $2.3 million from general funds.
SB 543 establishes provisional eligibility for Medicaid nursing facility services in New Hampshire, directly affecting long-term care applicants and nursing facilities. The bill requires the Department of Health and Human Services to grant temporary coverage within 90 days of application submission if a facility agrees to comply with program terms, without waiting for full application completion. This provisional status lasts up to 18 months or until a final eligibility decision, with facilities receiving payments during this period and required to reimburse funds if final approval is denied. The bill appropriates $1 for the 2026-2027 biennium to fund this program and creates two new positions within the department to manage it (per RSA 167:8).
HB 1635 modifies New Hampshire school suicide prevention training requirements by requiring all school faculty, staff, and contracted personnel to complete suicide awareness training within 30 days of hire and every two years thereafter (replacing the prior annual requirement). The training must cover youth suicide risk factors, warning signs, response procedures, referrals, and community resources, and may use existing professional development programs or self-training materials. School districts determine how to administer the training, including whether it applies to volunteers per district policy. The bill takes effect September 1, 2026.
HB 349 authorizes licensed optometrists who meet specific board-certification criteria to perform three eye laser procedures: laser capsulotomy, laser trabeculoplasty, and laser peripheral iridotomy. It directly affects optometrists seeking to expand their scope of practice, requiring them to complete approved education, training, and experience before performing these procedures. The bill mandates the Board of Registration in Optometry to establish rules for certification, including minimum training standards, proctoring requirements, and outcome reporting for these procedures. The law takes effect 60 days after passage, with no new state funding provided.
