HB600 (2021) Detail

Relative to funding for newborn screening.










AN ACT relative to funding for newborn screening.


SPONSORS: Rep. Marsh, Carr. 8; Rep. Salloway, Straf. 5; Rep. Woods, Merr. 23; Rep. Nelson, Carr. 5; Sen. Bradley, Dist 3


COMMITTEE: Health, Human Services and Elderly Affairs






This bill instructs the commissioner of the department of health and human services on the setting of fees for newborn screening tests.


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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.






In the Year of Our Lord Two Thousand Twenty One


AN ACT relative to funding for newborn screening.


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


1  Newborn Health Screening; Funding.  Amend RSA 132:10-a, II to read as follows:

II. Notwithstanding any provision of law to the contrary, the commissioner of the department of health and human services shall establish fees, pursuant to RSA 541-A, to be paid directly by hospitals in their entirety, acknowledging that fees may be offset by  commercial insurance or Medicaid paid to hospitals, for the tests required under paragraph I. To the extent possible, the commissioner shall structure these fees to be reimbursable without out of pocket cost pursuant to 45 C.F.R. 147.130. All such fees shall be paid into the newborn screening fund, hereby established in the state treasury. Moneys from the newborn screening fund established under this section shall be nonlapsing and shall be continually appropriated for use by the department to cover laboratory analysis and related newborn screening program costs.

2  Effective Date.  This act shall take effect 60 days after its passage.









AN ACT relative to funding for newborn screening.


FISCAL IMPACT:      [ X ] State              [    ] County               [    ] Local              [    ] None




Estimated Increase / (Decrease)


FY 2021

FY 2022

FY 2023

FY 2024













Indeterminable Increase



Funding Source:

  [ X ] General            [    ] Education            [    ] Highway           [ X ] Other - Federal Medicaid Funds







This bill amends RSA 132:10-a, II by making clear that fees charged to hospitals for newborn screening may be offset by commercial insurance and Medicaid paid to hospitals.  With respect to Medicaid reimbursements to hospitals, the Department of Health and Human Services estimates that approximately 12,000 newborn screens are done annually and approximately one-fourth (3,000) of the births are covered by Medicaid.  The Department assumes that Medicaid would reimburse hospitals up to $75 for the cost of each test, resulting in an annual cost to the Medicaid program of $225,000, of which half ($112,500) would be paid for with state funds and half with federal funds.  In addition, the Department anticipates a one-time system cost to the Medicaid program, but notes that such cost is indeterminable.  The Department further notes that the bill does not change the process by which hospitals pay fees to the Department to support the newborn screening program.  Instead, the bill provides a mechanism for hospitals to receive compensation to offset the cost for purchasing filter papers and administration in support of the program.  The Departments assumes that, if enacted, there would be no direct fiscal impact to the newborn screening program itself, only to the Medicaid program in the form of reimbursements to hospitals.


With respect to private insurance reimbursements, the Insurance Department assumes that any and all revenues a hospital realizes are available to be used to offset any costs or fees that the hospital may be liable for.  Hence, unless the legislation results in an increase in billed services, the Department assumes that the bill has no impact on claim costs, premium rates or the State’s premium tax revenue.   


It is assumed any fiscal impact from this bill will begin in FY 2022.



Department of Health and Human Services and Insurance Department



HB600 at GenCourtMobile
HB600 Discussion

Action Dates

Date Body Type
Feb. 1, 2021 House Hearing
House Floor Vote

Bill Text Revisions

HB600 Revision: 31952 Date: Jan. 13, 2021, 4:09 p.m.


Feb. 24, 2021: Referred to Finance 02/24/2021

Feb. 24, 2021: Ought to Pass: MA VV 02/24/2021

: Committee Report: Ought to Pass (Vote 21-0; CC) HC 12 P. 8

Feb. 1, 2021: Public Hearing: 02/01/2021 09:15 am Members of the public may attend using the following link: To join the webinar: https://www.zoom.us/j/96551569054 / Executive session on pending legislation may be held throughout the day (time permitting) from the time the committee is initially convened.

Jan. 6, 2021: Introduced (in recess of) 01/06/2021 and referred to Health, Human Services and Elderly Affairs HJ 2 P. 56