HB 1160 - AS INTRODUCED
2026 SESSION
26-2427
09/05
HOUSE BILL 1160
AN ACT relative to the county-state finance commission.
SPONSORS: Rep. Weyler, Rock. 14; Rep. Erf, Hills. 28; Rep. Preece, Hills. 17; Sen. Gray, Dist 6
COMMITTEE: Municipal and County Government
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ANALYSIS
This bill amends the membership and the duties of the county-state finance commission.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
26-2427
09/05
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty-Six
AN ACT relative to the county-state finance commission.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 County-State Finance Commission; Commission Established. Amend RSA 28-B:1 to read as follows:
28-B:1 Commission Established.
There is hereby established the county-state finance commission which shall consist of the following members:
I. The commissioner of the department of health and human services or designee.
II. The director of the division of long term supports and services [elderly and adult services] in the department of health and human services.
III. Three members appointed by the commissioner of the department of health and human services, and one member appointed by the governor and council, who shall serve [2-year terms, provided that the initial terms of 2 such members shall be for one year] for a term of 2 years and shall continue to serve until their successors are appointed.
IV. Six members representing county government, all appointed by the New Hampshire Association of Counties, who shall serve [2-year terms, provided that the initial terms of 3 such members shall be for one year] for a term of 2 years and shall continue to serve until their successors are appointed.
V. Three members of the legislature, 2 of whom shall be members of the house of representatives, one of whom shall be a member of the house finance committee and one [of whom shall be a member of the standing committee responsible for municipal and county government] other member of the house of representatives, appointed by the speaker of the house of representatives, and one of whom shall be a member of the senate, appointed by the president of the senate, whose terms shall be coterminous with their terms in office.
2 County-State Finance Commission; Duties of the Commission. Amend RSA 28-B:3 to read as follows:
28-B:3 Duties of the Commission.
The county-state finance commission shall oversee the financial relationship and the development of policy associated with programs for which the county and state governments share funding obligations. The commission shall have the following responsibilities:
I. Review and provide recommendations about the state's long-term care medicaid plan under RSA 151-E and related provisions which address programs for which counties have financial obligation prior to submission of such plans to the federal medicaid agency.
II. Review and provide recommendations regarding department of health and human services rate setting and adjustments including, but not limited to, those for long-term care services for elderly and adult clients by the division of [elderly and adult services, court-ordered and volunteer services by the division for children, youth, and families, and the division of juvenile justice services] long term supports and services, prior to any rate setting or adjustments.
III. Review and provide recommendations for refinement of county billing systems for all payments from the counties to the state.
IV. Pursue and evaluate funding options.
V. Develop a process for managing individual county payment limits under RSA 167:18-a. In no event shall the individual county payment limit reduce or alter the total county obligation under RSA 167:18-a.
VI. Oversee[:
(a)] funds expended by the state for long-term care, including county reimbursement of said funds under RSA 167:18-a.
[(b) State responsibility for court-ordered expenses for services or treatment provided to minors under RSA 169-B:40, RSA 169-C:27, and RSA 169-D:29.]
3 Effective Date. This act shall take effect 60 days after its passage.
| Date | Body | Type |
|---|---|---|
| Jan. 13, 2026 | House | Hearing |
Jan. 8, 2026: Public Hearing: 01/13/2026 11:00 am GP 154
Dec. 1, 2025: Introduced 01/07/2026 and referred to Municipal and County Government