HB 1660-FN - AS INTRODUCED
2024 SESSION
24-2634
05/10
HOUSE BILL 1660-FN
AN ACT relative to coverage of certain procedures for minor children under the state’s Medicaid program.
SPONSORS: Rep. Kofalt, Hills. 32; Rep. Sirois, Hills. 32; Rep. See, Merr. 26; Rep. Osborne, Rock. 2; Sen. Avard, Dist 12; Sen. Innis, Dist 7
COMMITTEE: Health, Human Services and Elderly Affairs
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ANALYSIS
This bill provides that the state Medicaid plan shall not include gender reassignment treatment for minors.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
24-2634
05/10
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Four
AN ACT relative to coverage of certain procedures for minor children under the state’s Medicaid program.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Section; Coverage of Gender Reassignment Procedures for Minors Excluded Under State Medicaid Program. Amend RSA 167 by inserting after section 3-m the following new section:
167:3-n State Medicaid Plan; Sex Reassignment Excluded. Medical assistance provided under the state Medicaid plan shall not include any form of gender reassignment surgery for a person under 18 years of age.
2 Effective Date. This act shall take effect 60 days after its passage.
24-2634
Revised 1/30/24
HB 1660-FN- FISCAL NOTE
AS INTRODUCED
AN ACT relative to coverage of certain procedures for minor children under the state’s Medicaid program.
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
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Estimated State Impact - Increase / (Decrease) | ||||||
| FY 2024 | FY 2025 | FY 2026 | FY 2027 | ||
Revenue | $0 | $0 | $0 | $0 | ||
Revenue Fund(s) |
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Expenditures | $0 | Indeterminable | Indeterminable | Indeterminable | ||
Funding Source(s) | General Fund Federal matching funds | |||||
Appropriations | $0 | $0 | $0 | $0 | ||
Funding Source(s) | None
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• Does this bill provide sufficient funding to cover estimated expenditures? [X] See Below • Does this bill authorize new positions to implement this bill? [X] N/A | ||||||
METHODOLOGY:
This bill provides that the state Medicaid plan shall not include coverage of gender reassignment treatment for minors. The Department of Health and Human Services states that gender reassignment surgery is estimated to cost $10,000 per procedure in total funds. (In most cases, the procedures would be funded with 50 percent federal funds and 50 percent state general funds.) The Department notes that gender reassignment for minors is a rare occurrence, and that lack of coverage for the procedure may result in other Medicaid expenditures due to a substitution of demand for different services. The net impact of the change is indeterminable, but the Department assumes it will range from a $50,000 annual savings to a $50,000 annual increase in general fund expenditures.
AGENCIES CONTACTED:
Department of Health and Human Services
| Date | Body | Type |
|---|---|---|
| Jan. 31, 2024 | House | Hearing |
| Feb. 14, 2024 | House | Exec Session |
| Feb. 15, 2024 | House | Floor Vote |
| April 17, 2024 | Senate | Hearing |
| May 16, 2024 | Senate | Floor Vote |
| May 15, 2024 | Senate | Floor Vote |
| May 15, 2024 | Senate | Floor Vote |
| May 16, 2024 | Senate | Floor Vote |
| May 23, 2024 | Senate | Floor Vote |
Oct. 24, 2024: Inexpedient to Legislate, Senate Rule 3-23, Adjournment 10/10/2024; SJ 18
May 22, 2024: Pending Motion Ought to Pass; 05/22/2024; SJ 14
May 22, 2024: Sen. Birdsell Moved Laid on Table, MA, VV; 05/22/2024; SJ 14
May 16, 2024: Committee Report: Ought to Pass, 05/22/2024, Vote 3-2;
May 16, 2024: Special Order to the beginning of the regular calendar next session, Without Objection, MA; 05/16/2024; SJ 13
May 16, 2024: Special Order to 05/16/2024, Without Objection, MA; 05/15/2024 SJ 12
May 15, 2024: Special Order to End of the Calendar on 05/16/2024, Without Objection, MA; 05/15/2024; SJ 12
May 1, 2024: Committee Report: Ought to Pass, 05/16/2024, Vote 3-2; SC 19
April 10, 2024: Hearing: 04/17/2024, Room 100, SH, 10:00 am; SC 15
March 13, 2024: Introduced 03/07/2024 and Referred to Health and Human Services; SJ 7
March 7, 2024: Reconsider HB1660 (Rep. Sweeney): MF DV 171-192 03/07/2024 HJ 7 P. 70
March 7, 2024: Ought to Pass: MA RC 193-169 03/07/2024 HJ 7 P. 68
March 7, 2024: Lay HB1660 on Table (Rep. A. Murray): MF RC 174-188 03/07/2024 HJ 7 P. 66
Feb. 21, 2024: Committee Report: Without Recommendation 02/15/2024 (Vote 10-10; RC) HC 9 P. 23
Feb. 7, 2024: Executive Session: 02/14/2024 09:30 am LOB 210-211
Jan. 19, 2024: Public Hearing: 01/31/2024 10:00 am SH Reps Hall
Dec. 15, 2023: Introduced 01/03/2024 and referred to Health, Human Services and Elderly Affairs HJ 1 P. 28