PRIA Logo™
New HampshireSB2492025-2026 Regular SessionSenateWALLET

SB249

Sponsored By: Regina Birdsell (Republican)

Became Law

Your PRIA Score

Score Hidden

Personalized for You

How does this bill affect your finances?

Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.

Free to start

Bill Overview

Analyzed Economic Effects

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

Hospital payment authority ends July 1, 2032

On July 1, 2032, the law repeals the hospital Medicaid payment section. This ends the legal authority for those hospital payments unless a future law replaces it.

Medicaid hospital pay tied to prior collections

Beginning in state fiscal year 2026, DHHS pays hospitals 80% of the prior year’s RSA 84‑A collections. The commissioner chooses the mix of payment methods to maximize federal match and avoid overall cuts. All payments need CMS approval and federal funds; the state does not pay beyond available federal money. Hospitals are not owed amounts they fail to earn under CMS‑approved directed payments. One percent of hospital‑payment funds is set aside for DHHS administration. Before changing methods, DHHS sends details to the fiscal committee for information. Most provisions take effect July 1, 2025.

New fund and 20% for Medicaid services

On July 1, 2025, the state creates the Uncompensated Care and Medicaid Fund. It holds RSA 84‑A money, does not lapse, and earns interest. DHHS uses it with federal match for provider payments and Medicaid services. At least 20% of prior‑year RSA 84‑A collections must support Medicaid services and programs. Priority goes to community mental health centers, FQHCs, and substance use disorder providers.

New DSH fund and tighter eligibility

On July 1, 2025, the state creates a separate DSH fund inside DHHS. All DSH revenue goes into it and is redistributed to meet federal reviews. DSH payments go only to hospitals that meet federal DSH rules. Uncompensated care includes charity care and unreimbursed Medicaid costs that meet federal tests.

Only general acute hospitals get payments

The law defines a hospital as a general acute care hospital licensed under RSA 151. Government hospitals and rehab‑only hospitals are excluded. A facility must meet this definition to get payments under this section. This takes effect July 1, 2025.

Sponsors & Cosponsors

Sponsor

  • Regina Birdsell

    Republican • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Signed by the Governor on 07/15/2025; Chapter 0250; Effective 07/01/2025

    7/22/2025Senate

  2. Enrolled Adopted, VV, (In recess 06/26/2025); SJ 18

    7/8/2025Senate

  3. Enrolled (in recess of) 06/26/2025 HJ 18 P. 60

    7/8/2025House

  4. Sen. Rochefort Moved to Concur with the House Amendment, MA, VV; 06/12/2025; SJ 16

    6/12/2025Senate

  5. Ought to Pass with Amendment 2025-2465h: MA VV 06/05/2025 HJ 16 P. 103

    6/5/2025House

  6. Special Order to next order of business (Rep. Osborne): MA VV 06/05/2025 HJ 16 P. 102

    6/5/2025House

  7. Amendment # 2025-2465h: AA VV 06/05/2025 HJ 16 P. 103

    6/5/2025House

  8. Removed from Consent (Reps. Notter, Tim Mannion, Granger, Sabourin, Slottje, Spillane, Osborne, Cordelli, DeVito, Polozov) 05/30/2025 HJ 16 P. 2

    5/30/2025House

  9. Committee Report: Ought to Pass with Amendment # 2025-2465h 05/27/2025 (Vote 18-0; CC) HC 27 P. 12

    5/28/2025House

  10. Executive Session: 05/27/2025 10:00 am LOB 202-204

    5/21/2025House

  11. ==RECESSED== Full Committee Work Session: 05/06/2025 10:00 am LOBO 202-204

    4/30/2025House

  12. Public Hearing: 04/29/2025 10:20 am LOB 202-204

    4/23/2025House

  13. Introduced (in recess of) 03/27/2025 and referred to Ways and Means HJ 11 P. 113

    3/28/2025House

  14. Ought to Pass: MA, VV; OT3rdg; 03/27/2025; SJ 9

    3/27/2025Senate

  15. Committee Report: Ought to Pass, 03/27/2025, Vote 4-1; SC 14

    3/19/2025Senate

  16. Ought to Pass with Amendment #2025-0915s, MA, VV; Refer to Finance Rule 4-5; 03/13/2025; SJ 7

    3/13/2025Senate

  17. Sen. Birdsell Floor Amendment # 2025-0915s, AA, VV; 03/13/2025; SJ 7

    3/13/2025Senate

  18. Committee Report: Ought to Pass, 03/13/2025, Vote 3-2; SC 12

    3/7/2025Senate

  19. Hearing: 02/19/2025, Room 100, SH, 10:30 am; SC 10

    2/12/2025Senate

  20. Introduced 01/09/2025 and Referred to Health and Human Services; SJ 3

    1/23/2025Senate

Bill Text

  • Enrolled

    7/8/2025

    HTML

  • Introduced

    1/23/2025

    PDF

  • CHAPTERED FINAL VERSION

    PDF

  • Version adopted by both bodies

    PDF

Related Bills

Back to State Legislation