Revision: Nov. 21, 2025, 5:35 p.m.
SB 484-FN - AS INTRODUCED
2026 SESSION
26-2047
05/09
SENATE BILL 484-FN
AN ACT prohibiting Medicaid premiums and limiting Medicaid expansion cost sharing.
SPONSORS: Sen. Rosenwald, Dist 13; Sen. Watters, Dist 4; Sen. Perkins Kwoka, Dist 21; Sen. Fenton, Dist 10; Sen. Long, Dist 20; Sen. Prentiss, Dist 5; Sen. Altschiller, Dist 24; Rep. Wallner, Merr. 19; Rep. Weber, Ches. 5; Rep. Simpson, Rock. 33; Rep. Telerski, Hills. 11; Rep. Hakken-Phillips, Graf. 12
COMMITTEE: Finance
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ANALYSIS
This bill repeals premium requirements under the New Hampshire granite advantage health care program and the children's health insurance program. The bill authorizes the department of health and human services to establish cost sharing under expanded Medicaid not to exceed $5 per service.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
26-2047
05/09
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty-Six
AN ACT prohibiting Medicaid premiums and limiting Medicaid expansion cost sharing.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Short Title. This act shall be known as "The Lowering the Cost of Health Care Act of 2026".
2 New Section; New Hampshire Granite Advantage; Cost Sharing. Amend RSA 126-AA by inserting after section 2-a the following new section:
126-AA:2-b Cost Sharing; Maximum. Beginning October 1, 2028, subject to federal limitations, any cost sharing requirement established under the granite advantage health care program, with respect to care or an item or service furnished to a specified individual, shall not exceed $5.
3 Appropriation; Department of Health and Human Services; State Medicaid Program. The sum necessary to compensate the department of health and human services for the reduction in funding for the state Medicaid program resulting from repeal of the premium requirements pursuant to section 4 of this act is hereby appropriated to the department of health and human services for the biennium ending June 30, 2027. The governor is authorized to draw a warrant for said sum out of any money in the treasury not otherwise appropriated.
4 Repeal. The following are repealed:
I. RSA 126-AA:2-a, relative to premiums under the New Hampshire granite advantage health care program.
II. RSA 126-A:3, IX, relative to premiums under the children's health insurance program.
5 Effective Date. This act shall take effect July 1, 2026.
26-2047
11/18/25
SB 484-FN- FISCAL NOTE
AS INTRODUCED
AN ACT prohibiting Medicaid premiums and limiting Medicaid expansion cost sharing.
FISCAL IMPACT:
The Office of Legislative Budget Assistant is unable to complete a fiscal note for this bill as it is awaiting information from the Department of Health and Human Services. The Department was contacted on 10/29/25 and again on 11/14/25 for a fiscal note worksheet. When completed, the fiscal note will be forwarded to the Senate Clerk's Office.
AGENCIES CONTACTED:
Department of Health and Human Services