Revision: Nov. 14, 2023, 10:36 a.m.
2024 SESSION
24-2113.1
05/08
HOUSE BILL [bill number]
AN ACT relative to coverage of circumcision under the state Medicaid plan.
SPONSORS: [sponsors]
COMMITTEE: [committee]
─────────────────────────────────────────────────────────────────
ANALYSIS
This bill provides that the state Medicaid plan shall not include circumcision unless the child has a specific diagnosis for which the procedure is determined to be medically necessary.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
24-2113.1
05/08
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Four
AN ACT relative to coverage of circumcision under the state Medicaid plan.
Be it Enacted by the Senate and House of Representatives in General Court convened:
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.
V. A health care provider shall obtain pre-authorization prior to performing a medically necessary circumcision pursuant to the provisions of this section.
3 Effective Date. This act shall take effect January 1, 2025.