SB 663-FN-A - AS AMENDED BY THE SENATE
03/05/2026 0803s
2026 SESSION
26-3271
07/05
SENATE BILL 663-FN-A
AN ACT creating a Medicaid methodology working group within the department of health and human services.
SPONSORS: Sen. Rosenwald, Dist 13; Sen. McGough, Dist 11; Sen. Lang, Dist 2; Sen. Watters, Dist 4; Sen. Long, Dist 20; Sen. Perkins Kwoka, Dist 21; Sen. Prentiss, Dist 5; Sen. Fenton, Dist 10; Sen. Altschiller, Dist 24; Sen. Reardon, Dist 15; Sen. Ricciardi, Dist 9; Sen. Rochefort, Dist 1; Rep. Wallner, Merr. 19; Rep. Telerski, Hills. 11; Rep. Stringham, Graf. 3; Rep. Nagel, Belk. 6; Rep. M. Pearson, Rock. 34
COMMITTEE: Finance
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AMENDED ANALYSIS
This bill creates a Medicaid methodology working group within the department of health and human services.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
03/05/2026 0803s 26-3271
07/05
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty-Six
AN ACT creating a Medicaid methodology working group within the department of health and human services.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Department of Health and Human Services; Medicaid Methodology Working Group Established.
I. The department of health and human services shall convene a working group for the study of nursing home rate Medicaid methodology consisting of the following:
(a) A member of the house of representatives, appointed by the speaker of the house of representatives;
(b) A member of the senate, appointed by the president of the senate;
(c) The commissioner of the department of health and human services, or designee;
(d) A member of the New Hampshire Association of Counties, appointed by that organization;
(e) A member of the New Hampshire Health Care Association, appointed by that organization;
(f) A member of the New Hampshire Hospital Association, appointed by that organization; and
(g) A certified public accountant specializing in nursing home cost reporting, appointed by the governor.
II. The working group shall be convened by the commissioner of department of health and human services, or their designee, and shall be subject to RSA 91-A. The working group shall make recommendations concerning the nursing home reimbursement methodology, with a focus on the following considerations:
(a) Access to nursing home care and the existence of waiting lists;
(b) Barriers to hospital discharge to nursing homes;
(c) Whether the acuity or direct care needs of nursing home residents are properly captured by reimbursement;
(d) Capital reimbursement in light of aging nursing home infrastructure;
(e) The relationship between workforce needs of nursing homes and reimbursement;
(f) The overall solvency of the nursing home sector; and
(g) The fairest means of addressing changes of ownership within reimbursement in a manner that protects Medicaid program integrity.
III. No later than December 31, 2026, the commissioner of the department of health and human services, or their designee, shall submit to the speaker of the house of representatives, the president of the senate, the house clerk, the senate clerk, the governor, the state library, and the county-state finance commission any proposed changes to state law or regulations the department, in consultation with the working group, believes is necessary if the department intends to modify the nursing home Medicaid rate methodology.
2 Effective Date. This act shall take effect upon its passage.
26-3271
03/23/2026
SB 663-FN-A- FISCAL NOTE
AS AMENDED BY THE SENATE (AMENDMENT #2026-0803s)
AN ACT creating a Medicaid methodology working group within the department of health and human services.
FISCAL IMPACT:
The Office of Legislative Budget Assistant states this bill has no fiscal impact on state, county
and local expenditures or revenue.
AGENCIES CONTACTED:
None
| Date | Amendment |
|---|---|
| Feb. 18, 2026 | 2026-0803s |
| Date | Body | Type |
|---|---|---|
| Feb. 10, 2026 | Senate | Hearing |
| Senate | Floor Vote | |
| April 13, 2026 | House | Hearing |
| April 27, 2026 | House | Exec Session |
April 14, 2026: Executive Session: 04/27/2026 01:00 pm GP 230
April 7, 2026: Public Hearing: 04/13/2026 10:45 am GP 230
March 16, 2026: Introduced (in recess of) 03/12/2026 and referred to Finance HJ 8
Feb. 24, 2026: Ought to Pass with Amendment #2026-0803s, MA, VV; OT3rdg; 03/05/2026; SJ 5
Feb. 24, 2026: Committee Amendment # 2026-0803s, AA, VV; 03/05/2026; SJ 5
Feb. 19, 2026: Committee Report: Ought to Pass with Amendment # 2026-0803s, 03/05/2026; Vote 8-0; CC; SC 8
Feb. 5, 2026: Hearing: 02/10/2026, Room 103, SH, 02:15 pm; SC 5
Feb. 4, 2026: Introduced 01/29/2026 and Referred to Finance; SJ 3