HB1683 (2024) Compare Changes


The Bill Text indicates a new section is being inserted. This situation is not handled right now, and the new text is displayed in both the changed and unchanged versions.

Unchanged Version

Text to be removed highlighted in red.

1 Title. This act shall be known as the "Children's Body Autonomy Act".

2 New Section; Circumcision under the State Medicaid Plan; Restrictions. Amend RSA 167 by inserting after section 3-m the following new section:

167:3-n State Medicaid Plan; Circumcision.

I. In this section:

(a) "Health care provider" means a hospital, health care facility, physician, resident physician, physician assistant, or registered nurse, practicing in the state of New Hampshire.

(b) "Newborn child" means a person under 1 year of age.

(c) "Child" or "minor" means a person who is under 18 years of age.

II. Medical assistance provided under the state Medicaid plan shall not include the circumcision of children unless the procedure is medically necessary pursuant to paragraphs III or IV.

III. Medically necessary circumcision for a newborn child shall be valid for the following diagnoses:

(a) Congenital obstructive urinary tract anomalies.

(b) Neurogenic bladder.

(c) Spina bifida.

(d) Recurrent urinary tract infections.

IV. Medically necessary circumcision for a minor shall be valid for the following diagnoses:

(a) A documented prior history of recurrent urinary tract infections.

(b) Documented vesicoureteral reflux of at least a Grade III.

(c) Paraphimosis unresponsive to medical therapy.

(d) Recurrent balanoposthitis.

(e) Recurrent balanitis or balanitis xerotica obliterans.

(f) Congenital chordee.

(g) Phimosis after puberty which has been unresponsive to medical therapy.

(h) Secondary or acquired phimosis causing urinary obstruction, hematuria or preputial pain unresponsive to medical therapy.

(i) Condyloma acuminatum.

(j) Malignant neoplasm of the prepuce.

(k) Or any diagnosed condition for which a circumcision is deemed medically necessary by a physician or other health care provider licensed in New Hampshire.

3 Effective Date. This act shall take effect January 1, 2025.

Changed Version

Text to be added highlighted in green.

1 Title. This act shall be known as the "Children's Body Autonomy Act".

2 New Section; Circumcision under the State Medicaid Plan; Restrictions. Amend RSA 167 by inserting after section 3-m the following new section:

167:3-n State Medicaid Plan; Circumcision.

I. In this section:

(a) "Health care provider" means a hospital, health care facility, physician, resident physician, physician assistant, or registered nurse, practicing in the state of New Hampshire.

(b) "Newborn child" means a person under 1 year of age.

(c) "Child" or "minor" means a person who is under 18 years of age.

II. Medical assistance provided under the state Medicaid plan shall not include the circumcision of children unless the procedure is medically necessary pursuant to paragraphs III or IV.

III. Medically necessary circumcision for a newborn child shall be valid for the following diagnoses:

(a) Congenital obstructive urinary tract anomalies.

(b) Neurogenic bladder.

(c) Spina bifida.

(d) Recurrent urinary tract infections.

IV. Medically necessary circumcision for a minor shall be valid for the following diagnoses:

(a) A documented prior history of recurrent urinary tract infections.

(b) Documented vesicoureteral reflux of at least a Grade III.

(c) Paraphimosis unresponsive to medical therapy.

(d) Recurrent balanoposthitis.

(e) Recurrent balanitis or balanitis xerotica obliterans.

(f) Congenital chordee.

(g) Phimosis after puberty which has been unresponsive to medical therapy.

(h) Secondary or acquired phimosis causing urinary obstruction, hematuria or preputial pain unresponsive to medical therapy.

(i) Condyloma acuminatum.

(j) Malignant neoplasm of the prepuce.

(k) Or any diagnosed condition for which a circumcision is deemed medically necessary by a physician or other health care provider licensed in New Hampshire.

3 Effective Date. This act shall take effect January 1, 2025.