New HampshireSB1342025-2026 Regular SessionSenate

relative to work requirements under the state Medicaid program.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 1 costs, 0 mixed.

State must renew Medicaid work-rule request

Effective upon passage, New Hampshire’s health department must resubmit a federal waiver request by July 1, 2025. The request seeks to make work and community engagement requirements a condition of Granite Advantage Medicaid coverage. Starting November 1, 2025, annual reports must cover the request’s status and implementation of those requirements. Reports go to the Senate president, House speaker, both chambers’ clerks, and governor. The law itself does not change household eligibility or benefits, provide funding, or authorize new positions. The fiscal note estimates potential costs above $2.5 million in each of fiscal years 2026 and 2027. Actual costs depend on federal rules and funding shares, computer systems, staffing, and program evaluation needs.

Sponsors & Cosponsors

Sponsor

Howard Pearl
r • Senate

Cosponsors

Bill M. Gannon
Republican • Senate
Daniel E. Innis
Republican • Senate
Jason M. Osborne
Republican • House
Jess Edwards
Republican • House
Keith R. Murphy
Republican • Senate
Michael I Moffett
Republican • House
Tim McGough
Republican • Senate
Timothy Lang
Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 568 • No: 164

Senate vote • 2/5/2026

Concur

Yes: 15 • No: 9

House vote • 1/8/2026

Adopt Amendment

Yes: 349 • No: 5

House vote • 1/8/2026

OTPA

Yes: 204 • No: 150

Actions Timeline

Signed by the Governor on 03/27/2026; Chapter 18; Effective 03/27/2026
3/30/2026Senate
Enrolled (in recess of) 03/12/2026 HJ 8 P. 115
3/23/2026House
Enrolled Adopted, VV, (In recess 03/12/2026); SJ 7
3/17/2026Senate
Special Order to the Present Time, Without Objection, MA; 02/05/2026; SJ 3
2/5/2026Senate
Sen. Rochefort Moved to Concur with the House Amendment, RC 15Y-9N, MA; 02/05/2026; SJ 3
2/5/2026Senate
Referral Waived by Committee Chair per House Rule 47(f) 01/08/2026 HJ 2 P. 43
1/8/2026House
Ought to Pass with Amendment 2025-3093h: MA RC 204-150 01/08/2026 HJ 2 P. 43
1/8/2026House
Amendment # 2025-3093h: AA RC 349-5 01/08/2026 HJ 2 P. 39
1/8/2026House
Minority Committee Report: Inexpedient to Legislate
11/18/2025House
Majority Committee Report: Ought to Pass with Amendment # 2025-3093h 11/12/2025 (Vote 11-6; RC) HC 51 P. 39
11/18/2025House
Executive Session: 11/12/2025 10:00 am GP 158
10/28/2025House
Subcommittee Work Session: 11/03/2025 01:00 pm GP 158
10/23/2025House
Subcommittee Work Session: 10/22/2025 01:00 pm GP 158
10/2/2025House
Subcommittee Work Session: 10/01/2025 01:00 pm GP 158
9/12/2025House
Retained in Committee
5/1/2025House
Executive Session: 04/30/2025 09:30 am LOB 205-207
4/23/2025House
Public Hearing: 04/16/2025 01:00 pm LOB 205-207
4/8/2025House
Introduced (in recess of) 03/27/2025 and referred to Health, Human Services and Elderly Affairs HJ 11 P. 111
3/28/2025House
Ought to Pass: RC 15Y-8N, MA; OT3rdg; 03/20/2025; SJ 8
3/20/2025Senate
Committee Report: Ought to Pass, 03/20/2025, Vote 4-2; SC 13
3/12/2025Senate
Ought to Pass with Amendment #2025-0401s, RC 16Y-8N, MA; Refer to Finance Rule 4-5; 03/06/2025; SJ 6
3/6/2025Senate
Committee Amendment # 2025-0401s, AA, VV; 03/06/2025; SJ 6
3/6/2025Senate
Committee Report: Ought to Pass with Amendment # 2025-0401s, 03/06/2025, Vote 3-2;
2/13/2025Senate
Hearing: 02/05/2025, Room 101, LOB, 01:00 pm; SC 8
1/29/2025Senate
Introduced 01/09/2025 and Referred to Health and Human Services; SJ 3
1/22/2025Senate

Bill Text

Enrolled
3/17/2026
HTML
Introduced
1/22/2025
PDF
CHAPTERED FINAL VERSION
PDF
Version adopted by both bodies
PDF

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