Healthcare (Insurance)

in committee · New Hampshire · Senate Mar 6, 2026

SB 666: relative to consumer protection, transparency, and oversight of certain health care transactions and establishing a study committee to analyze health insurance providers, their practices, policies, premiums, management, and the impact to consumers.

SB 666 requires 60 days' advance notice for major health care ownership changes (like hospital sales or private equity acquisitions), with detailed disclosure of ownership, debt, and financial plans. The state department reviews these transactions to prevent harm to competition, costs, or care access, and can block deals that threaten consumers. It also prohibits private equity owners from interfering with doctors' clinical decisions. Additionally, a new committee will study how health insurance practices affect costs and care for the public.

Topics ✓ HealthcareSupports HealthcareRequires transparency in healthcare ownership changes, blocks deals harming competition/access, prohibits private equity interference in clinical decisions, and studies insurance practices to protect consumers.95% confidence

Sub-Topics Hospitals Insurance

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passed · New Hampshire · Senate Mar 5, 2026

SB 654: creating tax credits for businesses that have on-site child care services and for businesses that provide health care coverage for certain employees.

SB 654 creates two new tax credits for businesses in New Hampshire. First, it offers a 20% credit on costs for on-site or nearby childcare services, up to $100,000 per year, for businesses housing childcare in their main building, shared facility, or adjacent buildings in the same park. Second, it provides a 20% credit on health insurance costs up to $10,000 per year per employee for workers with dependents whose work hours fall entirely between 9 a.m. and 3 p.m. on weekdays. Businesses must maintain childcare facilities for three years to keep the credit, with repayment required if they close the facility early, and credits can roll over for up to four years. The bill takes effect July 1, 2027.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates tax credits (20% on childcare/healthcare costs) to reduce business expenses, aligning with tax relief for middle-income support through employer benefits.90% confidence ✓ HealthcareSupports HealthcareBill provides 20% tax credit for businesses offering health insurance coverage to employees with dependents, directly expanding access to healthcare benefits.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentTax credits incentivize childcare access and health coverage for employees with dependents, expanding workplace benefits and supporting work-life balance for caregivers.90% confidence

Sub-Topics Tax Credits Insurance

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signed · New Hampshire · House Mar 19, 2026

HB 705: relative to health care cost transparency.

HB 705 requires health insurance carriers in New Hampshire to publish specific cost data online in digital files, directly affecting insurers and making it easier for consumers to compare prices. The bill mandates three types of publicly accessible files: in-network provider rates (including negotiated prices), out-of-network allowed amounts, and prescription drug pricing (both current negotiated rates and historical average costs). All data must be updated monthly, include plain-language descriptions, and be free to access without login requirements. The law takes effect for plan years beginning January 1, 2026.

Topics ✓ HealthcareSupports HealthcareMandates insurance cost transparency for consumer price comparison, improving access and informed decision-making in healthcare.95% confidence

Sub-Topics Insurance Prescription Drugs

passed · New Hampshire · Senate Aug 21, 2026

SB 247: prohibiting network exclusion for pharmacies that refuse to dispense a prescription of the PBM reimbursement that is below the pharmacy's acquisition cost.

SB 247 allows community pharmacies to decline filling prescriptions when a pharmacy benefits manager (PBM) offers reimbursement below the pharmacy’s actual drug cost, without facing network exclusion. Pharmacies must inform patients to contact their insurer for alternative pharmacy options. The bill also requires pharmacy administrative organizations (PSAOs) to share PBM contracts and payment details with pharmacies within 3 days and prohibits PSAOs from forcing pharmacies to buy drugs from specific suppliers. This applies to independent pharmacies and takes effect January 1, 2026.

Topics ✓ HealthcareSupports HealthcareBill prevents pharmacy closures by ensuring fair reimbursement, maintaining patient access to prescriptions through protected pharmacy networks.95% confidence

Sub-Topics Insurance Prescription Drugs

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in committee · New Hampshire · House Aug 21, 2026

HB 706: relative to prohibiting insurance companies from conducting an audit of providers services after services have been delivered but before payment has been made to such provider.

HB 706 prohibits insurance companies from auditing healthcare providers' services after care is delivered but before payment is issued. This directly affects healthcare providers (like doctors or clinics) and insurers who serve patients in New Hampshire's individual health insurance market. The bill requires insurers to immediately pay providers for audited services, cover 15% annual interest on delayed payments, waive patient copays/coinsurance, and reimburse providers for enforcement costs if they violate the rule. Insurers who conduct prohibited audits also lose their right to later review those specific services. The law takes effect 60 days after enactment.

Topics ✓ HealthcareSupports HealthcareProhibits insurer audits before payment, mandates timely payment with interest, waives patient copays, and covers enforcement costs - directly protecting providers and improving patient access to care.95% confidence

Sub-Topics Insurance

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in committee · New Hampshire · House Aug 21, 2026

HB 648: relative to insurance coverage for glucose monitoring.

This bill requires health insurance providers in New Hampshire to cover glucose monitoring devices and supplies for individuals with Type 2 diabetes or gestational diabetes. It mandates coverage for both traditional blood glucose monitors and continuous glucose monitoring systems (CGMS) without requiring prior authorization, endocrinology referrals, or deductibles. Insurers must cover these devices as part of diabetes treatment, with follow-up care required at least once every 6 months for the first 18 months and then once annually. The bill also caps insulin copayments at $30 for a 30-day supply, applying to both new prescriptions and refills. This affects all health insurance plans providing medical or hospital expense coverage in the state.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for glucose monitors and CGMS without prior authorization, expanding access to essential diabetes care and protecting patient rights.95% confidence

Sub-Topics Hospitals Insurance Prescription Drugs

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signed · New Hampshire · House Jul 16, 2026

HB 241: relative to health insurance coverage of pain management services for the management of chronic pain.

This bill requires New Hampshire health insurance companies to cover specific non-opioid pain management services as alternatives to opioids, including behavioral therapies (like CBT and mindfulness), manual treatments (chiropractic and massage), movement therapies (yoga and tai chi), and acupuncture. It mandates at least 12 visits per service category, prohibits more restrictive utilization controls for non-opioid therapies than opioids, and requires insurers to create and post detailed pain management plans. The bill applies to both individual and group health insurance policies, aiming to increase access to evidence-based non-opioid pain management options. It takes effect July 1, 2025, though it does not provide funding for these new requirements.

Topics ✓ HealthcareSupports HealthcareMandates insurer coverage of non-opioid pain management services, expanding patient access to alternatives to opioids while prohibiting restrictive controls for these therapies.95% confidence

Sub-Topics Insurance Substance Abuse

failed · New Hampshire · House Jan 7, 2026

HB 725: relative to ground ambulance services.

HB 725 prohibits ambulance providers from charging patients extra fees (balance billing) after insurance pays for services. It requires health insurance companies to pay nonparticipating ambulance providers the lesser of three amounts: the local government's set rate, 325% of Medicare's rate for the same service, or the provider's billed charges. This payment is considered full payment, meaning providers cannot bill patients for additional costs beyond standard copayments, coinsurance, or deductibles. The bill applies to ground ambulance services and takes effect January 1, 2026.

Topics ✓ HealthcareSupports HealthcareProhibits balance billing for ambulance services, ensuring insurance covers full payment per set rates and protecting patients from unexpected costs, aligning with patient rights and access indicators.95% confidence

Sub-Topics Insurance Medicare

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signed · New Hampshire · Senate Jun 24, 2026

SB 548: relative to health carrier provider contract standards.

SB 548 requires health insurance companies in New Hampshire to hold a public hearing with the insurance commissioner within 15 business days if they terminate a contract with a healthcare provider that would affect 1,000 or more patients. It also mandates that all health insurance provider contracts include a 60-day provision ensuring patients maintain access to their provider after termination (except for unprofessional conduct), and requires insurers and providers to jointly notify affected patients about this access and the hearing. The bill directly affects health insurers, healthcare providers, and patients covered by these contracts. These provisions aim to ensure transparency and continuity of care during contract terminations that impact large groups of patients.

Topics ✓ HealthcareSupports HealthcareMandates 60-day patient access continuity during insurer-provider contract terminations and requires joint notifications, directly protecting patient access to care and insurer accountability.95% confidence

Sub-Topics Insurance

in committee · New Hampshire · House Aug 21, 2026

HB 1638: creating a bypass mechanism for health insurer step therapy protocols when medically necessary.

HB 1638 creates a process for healthcare providers to bypass step therapy protocols when a patient's condition requires it, directly affecting patients and providers in insurance plans that use step therapy. Step therapy typically forces patients to try less expensive medications first before coverage is provided for more expensive alternatives. The bill requires step therapy protocols to be based on updated clinical guidelines developed by expert panels and mandates that insurers must grant an override request when providers demonstrate medical necessity, including conditions like advanced cancer or serious mental illness. This establishes a clear, evidence-based pathway to avoid unnecessary treatment delays without altering existing insurance coverage rules.

Topics ✓ HealthcareSupports HealthcareBill mandates insurers to bypass step therapy protocols when medically necessary, improving patient access to required treatments and directly addressing a barrier in healthcare coverage.95% confidence

Sub-Topics Insurance Mental Health Prescription Drugs

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