Healthcare (Primary Care)

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.

SB 646 requires New Hampshire insurance companies to provide equal coverage for 9 specific biologically-based mental illnesses (like schizophrenia, bipolar disorder, and major depression) as they do for physical health conditions. It mandates that coverage terms and reimbursement rates for these mental health services must align with New Hampshire Medicaid's scope and rates, not just federal parity standards. The bill also requires insurers to publicly report comparative analyses of mental health vs. medical provider reimbursements and ensures reimbursement rates for mental health providers are at least as favorable as those for primary care physicians. This applies to all health insurers, nonprofit health service corporations, and health maintenance organizations operating in New Hampshire, with enforcement by the state insurance commissioner. The bill does not provide new state funding for implementation.

HB 1347 prevents health care facilities (like hospitals and clinics) from blocking referrals from outside primary care doctors when both the facility and specialist accept the patient's insurance. It directly affects patients seeking specialist care and health care facilities that previously restricted such referrals. The bill requires facilities to accept these referrals if insurance is accepted, and violations can result in $100,000 fines per incident or loss of nonprofit status. Enforcement is handled by the attorney general, with the law taking effect 60 days after passage.

HCR 12 is a New Hampshire legislative resolution urging the state's federal congressional delegation to support Medicare for All. It requests federal lawmakers pursue legislation establishing universal health coverage through Medicare, including comprehensive benefits like dental, vision, and prescription drugs without deductibles, and transitioning current Medicaid recipients into the program. The resolution outlines six key provisions for such a system, emphasizing preventive care, provider choice, cost controls, and quality oversight. As a non-binding resolution, it does not change federal law but expresses the legislature's position on health care policy.