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SB 430 (2022)

Omnibus bill about care covered under Medicaid, childcare regulations, and more


Makes many changes related to the Department of Health and Human Services (DHHS). According to the bill analysis, this legislation:

  • Establishes a special fund for administration of opioid treatment program
  • Establishes a pilot program for individuals with developmental disabilities
  • Revises the department’s authority to recover unauthorized payments by the state
  • Repeals certain reporting requirements
  • Allows for alternative service of process under the Child Protection Act when a child’s parent cannot be located
  • Creates a separate category of foster care license for kinship care homes
  • Removes the requirement that the department charge premiums for medical assistance provided under MEAD and MOAD
  • Allows the department to address the court in guardianship and spousal support cases involving Medicaid recipients or suspected victims of abuse or exploitation
  • Directs the department to submit a Medicaid state plan amendment to allow certain family caregivers or legally responsible persons of Medicaid recipients to serve as personal care attendants and makes an appropriation for this purpose
  • Modifies the blood test requirement for purposes of lead paint poisoning prevention and control
  • Clarifies the food service licensure exemption for recreational camps
  • Revises certain DHHS employee position titles
  • Provides shift differential payments to clinical staff at New Hampshire hospital and the Glencliff home
  • Establishes new positions for inpatient treatment of children’s behavioral health
  • Permits salary adjustments for recruitment or retention of classified clinical positions at New Hampshire hospital and the Glencliff home
  • Removes references to the Anna Philbrook center, Laconia state school, and Laconia developmental services
  • Permits a physician licensed in another state to provide consultation services or follow up care via telemedicine to an existing patient
  • Removes the criminal background check requirement for designated caregivers in the therapeutic cannabis program and modifies the criminal background check requirement for alternative treatment center agents

The House voted to add several parts to the bill:

  • Increases the fee for certain child care employment eligibility cards
  • Establishes requirements for the transfer or discharge of residents from certain child care agencies
  • Makes an appropriation to the department of health and human services for hospital birthing services
  • Changes the penalty for disclosure of confidential information in an abuse or neglect proceeding under RSA 169-C from a misdemeanor to a violation
  • Establishes investigatory procedures and licensing criteria for recreational camps

The House also voted to add the text of HB 1044. If a facility exclusively provides services to persons who make direct payment for services, or through a membership-based model, that bill exempts the facility from the requirement to adopt a written policy to assure that the facility provides its services to all persons regardless of the source of payment.

The Senate removed part of the bill:

  • Establishes a presumptive eligibility pilot program for nursing care eligible individuals who elect home and community-based services. 

The House voted to remove several other parts of the bill:

  • Grants the department guardianship of a child following surrender of parental rights under the state adoption laws
  • Expands the state Medicaid plan to include preventative health care benefits
  • Revises the “look back” period for Medicaid eligibility for long term care
  • Revises childcare license definitions
  • Sends some of the funds received by the state from the Centene settlement to DHHS to complete the Medicaid Care Management SFY 2020 Risk Corridor calculation.

After the House and Senate could not agree on a final version of this bill, the Senate added parts of it to HB 1661.

Bill Sponsor:
Jeb Bradley
Republican party logo
Bill Became Law?:
Status Detail:
Killed in the Senate
Public Hearing Date:
04/12/2022 02:15 pm
Public Hearing Location:
LOB Room 205-207
House Voting Date:
Senate Voting Date:
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