Revision: June 4, 2025, 3:45 p.m.
Sen. McGough, Dist 11
May 6, 2025
2025-1943s
05/09
Floor Amendment to HB 223
Amend the bill by replacing all after the enacting clause with the following:
1 Short Title. This act shall be known as the "Health Care Market Access Freedom Act".
2 Residential Care and Health Facility Licensing; License or Registration Required. Amend RSA 151:4-a, II(a) to read as follows:
II.(a) Any person or entity proposing to establish [an ambulatory surgical center, emergency medical care center,] a hospital[, birthing center, drop-in or walk-in care center, dialysis center, or special health care service] within a radius of 15 miles of the primary physical location of a New Hampshire hospital certified as a critical access hospital pursuant to 42 C.F.R 485.610(b) and (c), that is proposing to offer a service not currently available at an established hospital, and seeking to locate the facility in a New Hampshire county location with a population density of less than 125 resident persons per square mile according to the latest published United States Census Bureau data, shall give written notice of the intent to establish a health care facility within a 15 mile radius with a description of the facility [or special health care service] to the chief executive officer of the hospital by certified mail.
3 Effective Date. This act shall take effect 60 days after its passage.
2025-1943s
AMENDED ANALYSIS
This bill exempts ambulatory surgical centers, emergency medical care centers, birthing centers, drop-in or walk-in care centers, dialysis centers, and special health care services from the notice and consent requirements for establishment within 15 miles of a critical access hospital, and further requires such notice only when the proposed facility is seeking to offer a service not currently available and is to be located in county with limited population density.