Rep. David Lundgren

Maddy summaryHB 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.

Maddy summarySB 550 requires group health insurance policies issued in New Hampshire to cover services provided by licensed naturopathy providers when the same type of service would be covered if performed by another healthcare provider. This applies directly to insurers offering group health plans and patients seeking naturopathy care. The bill mandates that insurers cannot apply higher copays, deductibles, or coinsurance for these services compared to other covered treatments. It takes effect 60 days after passage and does not require insurers to cover new services, only those already covered under equivalent provider types. The fiscal note indicates potential small premium increases but no determinable state or local cost impact.

Maddy summaryHB 1318 renews a state committee studying non-drug treatment options for chronic pain patients, extending its work through 2027. The bill requires the committee to submit annual interim reports to legislative leaders and the governor by November 1 each year, with a final report due by November 1, 2027. It focuses on developing payment models to support patient-centered, integrated care for chronic pain management. The committee’s prior work established a foundation for a pilot program, and this renewal aims to explore practical implementation strategies.

Maddy summarySB 631 directs the New Hampshire Department of Transportation to install a 1,845-foot sound barrier along the west side of Interstate 93 southbound, between Pillsbury Road in Londonderry and Exit 4 (Route 102 ramp). The barrier will border the Woodmont Development property and aims to reduce noise for nearby residents. The project has an estimated cost of $8.07 million, funded through existing Highway Fund and potential federal funds (if eligible), with no new state funding provided. This is a physical infrastructure project affecting properties adjacent to the specified I-93 corridor.

Maddy summaryHB 1517 requires business entities (like corporations or LLCs) that own residential properties (such as single-family homes, duplexes, triplexes, or quadruplexes) to disclose that a purchase involves an interest in the entity, not the property itself. It bans these entities from restricting the transfer of ownership interests (allowing owners to sell without approval), charging fees for transfers, or discriminating against qualified buyers. The bill also prohibits agreements from mandating disputes be resolved outside state or federal courts. This directly affects entities managing residential properties through ownership arrangements and the owners who purchase interests in them.

Maddy summarySB 609 requires hospitals, ambulatory surgical centers, and emergency medical care centers to develop evidence-based screening and treatment plans for venous thromboembolism (VTE), including annual training for nonphysician staff. It mandates these facilities to report specific patient data - such as age, race, zip code, diagnosis method, and treatment - to a statewide VTE registry starting July 2027. The Department of Health must contract with a qualified nonprofit entity to maintain the registry, using nationally recognized data collection standards. The registry will track VTE incidence, outcomes, and treatment patterns to improve care systems and ensure compliance with national guidelines. This bill directly affects healthcare facilities and patients treated for blood clots, focusing on standardized screening and data-driven care improvements.

Maddy summaryThis bill reestablishes a committee to study non-drug treatment options for patients suffering from chronic pain. The committee will be composed of seven state legislators and tasked with designing a pilot program that encourages patient-centered care while keeping costs low and using existing medical networks. Its specific duties include researching payment models for state health programs, investigating funding opportunities, and creating educational resources for doctors to better integrate these treatments. The group must submit an interim report by November 2024 and a final report by November 2025, which may include recommendations for new laws based on their findings.

Maddy summaryThis bill allows existing school administrative units to merge their administrative offices to reduce costs, provided the combined unit has only one superintendent. To support these mergers, the state will offer a grant of $200 per student annually for two years, with funding coming from the education trust fund and requiring the merger to be completed by July 1, 2030. The planning committee will evaluate merger proposals using the same process used for reorganizations, and the grant amount will be calculated based on the number of students residing in the district as of October 1st. This law takes effect on July 1, 2024, and applies to all school districts served by the newly merged administrative unit.

Maddy summaryThis bill expands the duties of the Opioid Abatement Advisory Commission to better support individuals with pain and substance use disorders. Specifically, it directs the commission to fund programs for students and families affected by opioid use, support harm reduction initiatives, and assist patients who have been forced to undergo non-consensual dose reductions or detoxification. The legislation also mandates that the commission help increase access to comprehensive integrative pain management, which combines various medical and non-medical approaches to address a patient's overall well-being. These changes aim to provide more resources for both acute and chronic pain patients, including those in hospice or palliative care, while ensuring services are person-centered.