SB 468 allows alternative treatment centers (ATCs) that provide medical cannabis to apply for permission to operate greenhouse cultivation facilities, which typically use less energy than indoor growing. ATCs must submit a detailed plan showing how greenhouse cultivation will lower energy costs and reduce prices for registered qualifying patients. The state department must create rules for greenhouse operations - including security, location, and compliance with local zoning - and seek input from patients, caregivers, and community residents before approving new sites. ATCs will also report annually on greenhouse impacts to energy costs and product prices as part of their required state filings.
HB 1735 expands New Hampshire's Right to Try Act to allow patients with "qualifying severe illness" (defined as chronic and debilitating conditions meeting federal standards) to access investigational treatments, in addition to those with terminal illnesses. The bill amends definitions to include this new category, requiring patients to have exhausted standard FDA-approved treatments and be unable to join clinical trials. It maintains existing requirements like physician oversight, patient consent, and no direct manufacturer compensation for providers. This change directly affects patients with severe chronic conditions who currently lack access to investigational therapies under state law. The bill does not alter cost-sharing or data collection requirements for manufacturers.
This bill requires outpatient substance use disorder treatment facilities in New Hampshire to obtain certification from the Department of Health and Human Services. It establishes a certification process for facilities providing outpatient services like intensive outpatient, partial hospitalization, and medically managed outpatient treatment, while exempting nonclinical recovery support services and certain other providers. Facilities will pay certification fees to a new "substance use treatment certification fund" that will cover the costs of the certification program. The bill also requires the Department to maintain a public online list of certified facilities and to create a dedicated behavioral health specialist position within the Ombudsman's office to investigate complaints about treatment facilities.
HB 191 prohibits transporting, recruiting, or harboring a pregnant minor under 18 (unemancipated) within New Hampshire to obtain an abortion without parental permission, imposing criminal penalties. It classifies first offenses as class A misdemeanors and repeat offenses (two prior violations) as class B felonies. Exemptions include parents/guardians, those with written parental consent, common carriers, and emergency medical personnel. The bill also allows civil lawsuits for wrongful death if a violation leads to an abortion, with damages covering economic, noneconomic, and punitive costs. This directly affects individuals assisting minors in accessing abortion services without parental involvement.
SB 441 requires any New Hampshire municipality planning to transport homeless individuals or those needing substance use disorder treatment to another municipality to first establish a written agreement (Memorandum of Understanding, or MOU) with the receiving municipality. The MOU must detail services provided, financial responsibilities (including potential payments for treatment), transfer limits, and reporting requirements. This applies to non-emergency transports for housing, shelter, or treatment, but excludes emergency medical transfers, court-ordered moves, or voluntary relocations. Violations carry a $5,000 fine payable to the Department of Health and Human Services. The bill aims to ensure coordinated care and financial clarity between municipalities handling vulnerable residents.
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.
SB 476 requires hospitals to follow federal price transparency rules and provides a "good faith estimate" safe harbor, protecting them from penalties if cost estimates differ due to clinical changes or outside factors. It mandates health insurers to give personalized, pre-service cost estimates for scheduled services through their existing federal tools (Transparency in Coverage APIs), accessible via the state's HealthCost portal. The bill expands the state's health data system (CHIS/APCD) to power consumer cost comparisons for uninsured and out-of-network care without building new IT infrastructure. These changes directly affect hospitals, insurers, and consumers by making upfront health care costs clearer before treatment.
SB 551 establishes that every individual in New Hampshire has a fundamental right to reproductive health care services permitted under state law, including abortion, contraception, and pregnancy-related care. The bill prohibits state officials from cooperating with out-of-state investigations into such care, protects health care providers from professional discipline for legally provided services, and bans malpractice insurers from considering protected care when setting premiums. It also blocks enforcement of foreign court judgments related to reproductive health care and prevents extradition for legally protected activities. This law directly affects all residents of New Hampshire, health care providers, licensing boards, and state agencies handling reproductive health services.
This bill eliminates existing premiums for New Hampshire's Medicaid programs (Granite Advantage for adults and CHIP for children) and limits any cost-sharing fees under expanded Medicaid to $5 per service. It repeals current premium requirements that generated approximately $16 million annually in state revenue, requiring a $16 million appropriation in FY2027 to offset this loss. The changes take effect July 1, 2026, with the $5 cost-sharing cap applying starting October 1, 2028. The bill directly affects current Medicaid recipients by removing premium payments and modifies state budgeting for the Medicaid program.
SB 651 would legalize cannabis use for adults 21 and older in New Hampshire, requiring businesses to obtain licenses and follow regulations similar to alcohol, including age verification for purchases, product testing, and labeling. It establishes a new cannabis tax fund, with revenue from sales allocated to support substance abuse prevention, treatment, and education programs through a dedicated fund managed by the Department of Health and Human Services. These programs would cover evidence-based initiatives, mental health services for dual-diagnosis cases, and public education campaigns about cannabis risks for both youth and adults. The bill mandates annual reporting on fund usage and ensures tax revenue directly supports state efforts to address substance misuse.
