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New HampshireHB11602025-2026 Regular SessionHouseWALLET

relative to the county-state finance commission.

Sponsored By: Kenneth L Weyler (Republican)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 2 benefits, 1 costs, 1 mixed.

New county-state finance commission launched

The law reconstitutes the County-State Finance Commission. Members include the DHHS commissioner (or designee), the long-term supports director, three DHHS appointees, one Governor-and-Council appointee, six county reps appointed by the Association of Counties, and three lawmakers. Two House members (one from House Finance) and one Senator appointed by the Senate President serve. Most appointees serve two-year terms; some first terms are one year to stagger seats. All changes take effect 60 days after passage.

More oversight of Medicaid long-term care

The commission reviews Medicaid long-term care plans that affect county costs before the state sends them to the federal agency. It reviews DHHS rate changes for long-term care, including rates tied to elderly, adult, and some youth services, before decisions are made. The commission also oversees state long-term care spending and county reimbursements under RSA 167:18-a.

Commission stops reviewing some youth services

The commission no longer reviews state responsibility for some court-ordered services for minors. Those items under RSA 169-B:40, 169-C:27, and 169-D:29 are removed from its duties.

New rules for county payments to state

The commission reviews county billing systems for payments to the state and recommends fixes. It looks for funding options for shared county–state programs. It creates a process to manage each county’s payment limit under RSA 167:18-a. This process cannot lower or change the total county obligation.

Sponsors & Cosponsors

Sponsor

  • Kenneth L Weyler

    Republican • House

Cosponsors

  • David John Preece

    Democratic • House

  • James P. Gray

    Republican • Senate

  • Keith Erf

    Republican • House

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Signed by Governor Ayotte 04/22/2026; Chapter 30; eff. 06/21/2026

    4/22/2026House

  2. Enrolled (in recess of) 03/26/2026 HJ 9

    4/8/2026House

  3. Enrolled Adopted, VV, (In recess 03/26/2026); SJ 8

    4/8/2026Senate

  4. Ought to Pass: MA, VV; OT3rdg; 03/12/2026; SJ 6

    3/6/2026Senate

  5. Committee Report: Ought to Pass, 03/12/2026; Vote 4-0; CC; SC 9

    3/5/2026Senate

  6. Hearing: 03/04/2026, Room 103, SH, 09:40 am; SC 7

    2/19/2026Senate

  7. Introduced 02/05/2026 and Referred to Executive Departments and Administration; SJ 4

    2/9/2026Senate

  8. Ought to Pass: MA VV 02/05/2026 HJ 3 P. 63

    2/5/2026House

  9. Inexpedient to Legislate: MF DV 142-188 02/05/2026 HJ 3 P. 63

    2/5/2026House

  10. Removed from Consent (Reps. Weyler, D. McGuire, Mooney, C. McGuire, Seaworth, Rung, Preece, Nalevanko, Harrington, Bernardy) 02/03/2026 HJ 3 P. 7

    2/3/2026House

  11. Committee Report: Inexpedient to Legislate 01/13/2026 (Vote 14-0; CC) HC 5 P. 10

    1/27/2026House

  12. Executive Session: 01/13/2026 11:00 am GP 154

    1/16/2026House

  13. Public Hearing: 01/13/2026 11:00 am GP 154

    1/8/2026House

  14. Introduced 01/07/2026 and referred to Municipal and County Government HJ 1 P. 8

    12/1/2025House

Bill Text

  • Enrolled

    4/8/2026

    HTML

  • Introduced

    12/1/2025

    PDF

  • CHAPTERED FINAL VERSION

    PDF

  • Version adopted by both bodies

    PDF

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