Healthcare (Medicaid)

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.

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.

SB 506 directs New Hampshire's Department of Health and Human Services to implement federal work and community engagement requirements for Medicaid eligibility under the "One Big Beautiful Bill Act of 2025." It requires the state to submit a plan to CMS (Centers for Medicare & Medicaid Services) by December 2026, after legislative review, and mandates quarterly reports to lawmakers on implementation progress. The bill suspends existing state law provisions related to these requirements while federal rules are in effect, with automatic reinstatement if federal rules end. It does not provide new state funding or create positions, aligning state Medicaid operations with federal guidelines.