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SB663 • 2026

(New Title) creating a Medicaid methodology working group within the department of health and human services.

(New Title) creating a Medicaid methodology working group within the department of health and human services.

Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Cindy Rosenwald (D), Suzanne Prentiss (D), Mary Jane Wallner (D), Tim McGough (R), Donovan Fenton (D), Laura Telerski (D), Timothy Lang (R), Debra Altschiller (D), Jerry Stringham (D), David Watters (D), Tara Reardon (D), David Nagel (D), Pat Long (D), Denise Ricciardi (R), Mark Pearson (R), Rebecca Perkins Kwoka (D), David Rochefort (R)
Last action
2026-07-09
Official status
SIGNED BY GOVERNOR
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

(New Title) creating a Medicaid methodology working group within the department of health and human services.

(New Title) creating a Medicaid methodology working group within the department of health and human services.

What This Bill Does

  • (New Title) creating a Medicaid methodology working group within the department of health and human services.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

Amendment #2026-1528h : AA VV 05/07/2026 HJ 12

Plain English: Amendment #2026-1528h : AA VV 05/07/2026 HJ 12 1

  • The official amendment file could not be read automatically during the last sync, so only the official amendment metadata is shown right now.

Bill History

  1. 2026-07-09 S

    Signed by the Governor on 07/02/2026; Chapter 276; Effective 07/02/2026

  2. 2026-06-17 H

    Enrolled (in recess of) 06/04/2026 HJ 15

  3. 2026-06-17 S

    Enrolled Adopted, VV, (In recess 06/04/2026); SJ 14

  4. 2026-05-14 S

    Sen. Gray Moved to Concur with the House Amendment, MA, VV; 05/14/2026; SJ 12

  5. 2026-05-07 H

    Amendment #2026-1528h : AA VV 05/07/2026 HJ 12

  6. 2026-05-07 H

    Ought to Pass with Amendment 2026-1528h: MA VV 05/07/2026 HJ 12

  7. 2026-04-28 H

    Committee Report: Ought to Pass with Amendment #2026-1528h 04/27/2026 (Vote 24-0; CC) HC 18 P. 8

  8. 2026-04-14 H

    Executive Session: 04/27/2026 01:00 pm GP 230

  9. 2026-04-07 H

    Public Hearing: 04/13/2026 10:45 am GP 230

  10. 2026-03-16 H

    Introduced (in recess of) 03/12/2026 and referred to Finance HJ 8 P. 114

  11. 2026-02-24 S

    Committee Amendment #2026-0803s , AA, VV; 03/05/2026; SJ 5

  12. 2026-02-24 S

    Ought to Pass with Amendment #2026-0803s , MA, VV; OT3rdg; 03/05/2026; SJ 5

  13. 2026-02-19 S

    Committee Report: Ought to Pass with Amendment #2026-0803s , 03/05/2026; Vote 8-0; CC; SC 8

  14. 2026-02-05 S

    Hearing: 02/10/2026, Room 103, SH, 02:15 pm; SC 5

  15. 2026-02-04 S

    Introduced 01/29/2026 and Referred to Finance; SJ 3

Official Summary Text

(New Title) creating a Medicaid methodology working group within the department of health and human services.

Current Bill Text

Read the full stored bill text 
CHAPTER 276
SB 663-FN-A - FINAL VERSION

03/05/2026 0803s
7May2026... 1528h
2026 SESSION
26-3271
07/05

SENATE BILL
663-FN-A

AN ACT
creating a Medicaid methodology working group within the department of health and human services.

SPONSORS: Sen. Rosenwald, Dist 13; Sen. McGough, Dist 11; Sen. Lang, Dist 2; Sen. Watters, Dist 4; Sen. Long, Dist 20; Sen. Perkins Kwoka, Dist 21; Sen. Prentiss, Dist 5; Sen. Fenton, Dist 10; Sen. Altschiller, Dist 24; Sen. Reardon, Dist 15; Sen. Ricciardi, Dist 9; Sen. Rochefort, Dist 1; Rep. Wallner, Merr. 19; Rep. Telerski, Hills. 11; Rep. Stringham, Graf. 3; Rep. Nagel, Belk. 6; Rep. M. Pearson, Rock. 34

COMMITTEE: Finance

─────────────────────────────────────────────────────────────────

AMENDED ANALYSIS

This bill creates a Medicaid methodology working group within the department of health and human services.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Explanation: Matter added to current law appears in
bold italics.
Matter removed from current law appears [
in brackets and struckthrough.
]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
03/05/2026 0803s
7May2026... 1528h 26-3271
07/05

STATE OF NEW HAMPSHIRE

In the Year of Our Lord Two Thousand Twenty-Six

AN ACT
creating a Medicaid methodology working group within the department of health and human services.

Be it Enacted by the Senate and House of Representatives in General Court convened:

276:1 Department of Health and Human Services; Medicaid Methodology Working Group Established.
I. The department of health and human services shall convene a working group for the study of nursing home rate Medicaid methodology. The working group, which shall be exempt from RSA 14:49, shall consist of the following members:
(a) Three members of the house of representatives, 2 of whom shall be from the majority party and one of whom shall be from the minority party, appointed by the speaker of the house of representatives;
(b) A member of the senate, appointed by the president of the senate;
(c) The commissioner of the department of health and human services, or designee;
(d) A member of the New Hampshire Association of Counties, appointed by that organization;
(e) A member of the New Hampshire Health Care Association, appointed by that organization;
(f) A member of the New Hampshire Hospital Association, appointed by that organization;
(g) A certified public accountant specializing in nursing home cost reporting, appointed by the governor; and
(h) An administrator at a private or publicly funded nursing home, appointed by the governor.
II. The working group shall be convened by the commissioner of department of health and human services, or their designee, and shall be subject to RSA 91-A. The working group shall make recommendations concerning the nursing home reimbursement methodology, with a focus on the following considerations:
(a) Access to nursing home care and the existence of waiting lists;
(b) Barriers to hospital discharge to nursing homes;
(c) Whether the acuity or direct care needs of nursing home residents are properly captured by reimbursement;
(d) Capital reimbursement in light of aging nursing home infrastructure;
(e) The relationship between workforce needs of nursing homes and reimbursement;
(f) The overall solvency of the nursing home sector; and
(g) The fairest means of addressing changes of ownership within reimbursement in a manner that protects Medicaid program integrity.
III. No later than December 31, 2026, the commissioner of the department of health and human services, or their designee, shall submit to the speaker of the house of representatives, the president of the senate, the house clerk, the senate clerk, the governor, the state library, and the county-state finance commission any proposed changes to state law or regulations the department, in consultation with the working group, believes is necessary if the department intends to modify the nursing home Medicaid rate methodology.

276:2 Effective Date. This act shall take effect upon its passage

Approved: July 02, 2026
Effective Date: July 02, 2026