HB 1245 establishes a voluntary framework for independent contractors in New Hampshire to access portable benefits like health insurance, retirement plans, or disability coverage through designated providers. Hiring parties (businesses or platforms) can voluntarily contribute to these plans or withhold a portion of payment from the contractor, with the contractor’s written consent. Crucially, participation in these plans cannot be used to reclassify a worker as an employee under state law, preserving current independent contractor status. The bill requires clear opt-in agreements and has no estimated state or local cost impact.
SB 408 requires health insurance policies in New Hampshire to cover prosthetic devices for adults over 19, expanding existing coverage that previously applied only to children under 19. The bill mandates coverage for activity-specific prosthetics (like those for sports) but limits this to one device every five years. It also requires insurers to cover necessary materials, instruction, and repairs for medically needed prosthetics, without annual limits. The law takes effect January 1, 2027, and applies to most group health insurance plans, excluding Small Business Health Options Program (SHOP) plans.
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.
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.
SB 504 allows licensed healthcare providers to dispense up to a 30-day supply of certain cancer medications directly to patients under a doctor's supervision, requiring clinics to maintain a full-time pharmacist available for consultation. It removes the requirement for pharmacists' names on controlled drug labels and permits advanced pharmacy technicians to perform remote medication processing. The bill updates the definition of "practice of pharmacy" to include modern services like medication therapy management and collaborative care. These changes streamline access to cancer medications while maintaining safety protocols for pharmacy operations.
HB 1378 would require healthcare providers to give parents or legal guardians full access to their minor child's electronic medical records (including online patient portals), except in three specific cases: 1) when the minor can legally consent to treatment without parents (e.g., certain reproductive or mental health services), 2) when a protective order or court ruling prohibits access, or 3) when a provider documents in writing that disclosure could cause abuse or neglect. This bill directly affects parents, guardians, and healthcare providers by changing how medical records are shared. It aims to support parental involvement in children’s healthcare decisions while preserving existing legal protections for minors in sensitive situations. The bill takes effect 60 days after enactment.
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 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.
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.
