HB 94-FN - AS INTRODUCED
2025 SESSION
25-0127
05/06
HOUSE BILL 94-FN
AN ACT relative to coverage of circumcision under the state Medicaid plan.
SPONSORS: Rep. Soti, Rock. 35; Rep. Popovici-Muller, Rock. 17; Rep. Read, Rock. 10; Rep. Osborne, Rock. 2; Rep. Potenza, Straf. 19; Rep. Sabourin, Rock. 30; Rep. McFarlane, Graf. 18; Sen. Murphy, Dist 16
COMMITTEE: Health, Human Services and Elderly Affairs
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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.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
25-0127
05/06
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Five
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.
(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, 2026.
25-0127
12/5/24
HB 94-FN- FISCAL NOTE
AS INTRODUCED
AN ACT relative to coverage of circumcision under the state Medicaid plan.
FISCAL IMPACT: This bill does not provide funding, nor does it authorize new positions.
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Estimated State Impact | ||||||
| FY 2025 | FY 2026 | FY 2027 | FY 2028 | ||
Revenue | $0 | $0 | $0 | $0 | ||
Revenue Fund(s) | None | |||||
Expenditures* | $0 | $100,000 decrease to $100,000 increase | $100,000 decrease to $100,000 increase | $100,000 decrease to $100,000 increase | ||
Funding Source(s) | General Fund, Federal Funds | |||||
Appropriations* | $0 | $0 | $0 | $0 | ||
Funding Source(s) | None | |||||
*Expenditure = Cost of bill *Appropriation = Authorized funding to cover cost of bill | ||||||
METHODOLOGY:
This bill prevents the state Medicaid program from covering circumcision unless a child has a specific diagnosis for which the procedure is deemed medically necessary. The Department of Health and Human Services states that in FY24, the Medicaid program had total expenditures (50 percent general and 50 percent federal funds) of $211,433 on circumcision-related services. Of that amount, $82,553 was expended on encounters with a diagnosis code for elective circumcision. The Department cautions that it is unable to determine with precision the dollar amounts attributable to circumcisions that would or would not be covered under this bill. The Department assumes that any cost savings may be offset by new administrative requirements relative to prior authorizations that are not currently performed. Nonetheless, it is assumed for the purposes of this fiscal note that the bill's fiscal impact will range from a $100,000 annual reduction to a $100,000 annual increase in state expenditures, of which half will be general funds and half will be federal funds.
AGENCIES CONTACTED:
Department of Health and Human Services
| Date | Amendment |
|---|---|
| March 5, 2025 | 2025-0786h |
| Date | Body | Type |
|---|---|---|
| Jan. 29, 2025 | House | Hearing |
| Jan. 29, 2025 | House | Exec Session |
| Feb. 19, 2025 | House | Floor Vote |
March 11, 2025: Introduced 03/06/2025 and Referred to Health and Human Services; SJ 7
March 6, 2025: Referral Waived by Committee Chair per House Rule 47(f) 03/06/2025 HJ 7
March 6, 2025: Referred to Finance 03/06/2025 HJ 7
March 6, 2025: Ought to Pass: MA RC 184-183 03/06/2025 HJ 7
March 6, 2025: FLAM # 2025-0786h (Rep. Read): AF VV 03/06/2025 HJ 7
Feb. 26, 2025: Minority Committee Report: Inexpedient to Legislate
Feb. 26, 2025: Majority Committee Report: Ought to Pass 02/19/2025 (Vote 10-8; RC) HC 14 P. 22
Feb. 26, 2025: Executive Session: 01/29/2025 01:00 pm LOB 210-211
Jan. 22, 2025: Public Hearing: 01/29/2025 01:00 pm LOB 210-211
Dec. 23, 2024: Introduced 01/08/2025 and referred to Health, Human Services and Elderly Affairs HJ 2 P. 5