New Hampshire health

The firearm mortality fact includes deaths across intents. Pistol-license application requirements concern firearm regulation, not a demonstrated change in access, ownership or firearm deaths. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.

Retained New Hampshire evidence context: Firearm deaths. This record’s connection to the topic does not establish an effect on the measured result.

325:1 Purpose. The general court finds that the pistol/revolver license application process must protect the privacy and constitutional rights of law-abiding citizens. This act ensures that the form used by licensing authorities collects only the information required by law and does not compel applicants to waive rights not mandated by statute. 325:2 License to Carry. Amend RSA 159:6, I(b) to read as follows: (b) The license shall be in duplicate and shall bear the name, address, description, and signature of the licensee and the name, title, and signature of the person issuing the license. The original shall be delivered to the licensee and the duplicate shall be preserved by the people issuing the same for 5 years. When required, license renewal shall take place within the month of the fifth anniversary of the license holder's date of birth following the date of issuance. The license shall be issued within 14 days after application, and, if such application is denied, the reason for such denial shall be stated in writing, the original of which such writing shall be delivered to the applicant, and a copy kept in the office of the person to whom the application was made. The fee for licenses issued to residents of the state shall be $10, which fee shall be for the use of the town or city granting said licenses; the fee for licenses granted to out-of-state residents shall be $100, which fee shall be for the use of the state. The director of state police is hereby authorized and directed to prepare forms for the licenses required under this chapter and forms for the application for such licenses and to supply the same to officials of the cities and towns authorized to issue the licenses. The form shall require no more information than was required on the state of New Hampshire application for pistol/revolver license, form DSSP 85, as revised in [] March 2017. The form shall not request or require disclosure of the applicant’s occupation, present employer, employer’s address, or personal references. The form shall not contain any consent or release language requiring the applicant to authorize disclosure of personal, employment, medical, psychiatric, or other records beyond what is expressly required on the state of New Hampshire application for pistol/revolver license. No other forms shall be used by officials of cities and towns. The cost of the forms shall be paid out of the fees received from nonresident licenses. […] 325:4 New Paragraph; License to Carry. Amend RSA 159:6 by inserting after paragraph III the following new paragraph: IV. The department of safety shall enter into rulemaking pursuant to RSA 541-A to develop a form consistent with paragraph I. 325:5 Prospective Repeal. RSA 159:6, IV, relative to rulemaking authority to create a new form, is repealed. 325:6 Effective Date. I. Sections 1, 2, and 5 of this act shall take effect January 1, 2027. II. Section 3 of this act shall take effect September 1, 2027. III. The remainder of this act shall take effect upon its passage.

The firearm mortality fact includes deaths across intents. Pistol-license application requirements concern firearm regulation, not a demonstrated change in access, ownership or firearm deaths. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.

Retained New Hampshire evidence context: Firearm deaths. This record’s connection to the topic does not establish an effect on the measured result.

325:1 Purpose. The general court finds that the pistol/revolver license application process must protect the privacy and constitutional rights of law-abiding citizens. This act ensures that the form used by licensing authorities collects only the information required by law and does not compel applicants to waive rights not mandated by statute. 325:2 License to Carry. Amend RSA 159:6, I(b) to read as follows: (b) The license shall be in duplicate and shall bear the name, address, description, and signature of the licensee and the name, title, and signature of the person issuing the license. The original shall be delivered to the licensee and the duplicate shall be preserved by the people issuing the same for 5 years. When required, license renewal shall take place within the month of the fifth anniversary of the license holder's date of birth following the date of issuance. The license shall be issued within 14 days after application, and, if such application is denied, the reason for such denial shall be stated in writing, the original of which such writing shall be delivered to the applicant, and a copy kept in the office of the person to whom the application was made. The fee for licenses issued to residents of the state shall be $10, which fee shall be for the use of the town or city granting said licenses; the fee for licenses granted to out-of-state residents shall be $100, which fee shall be for the use of the state. The director of state police is hereby authorized and directed to prepare forms for the licenses required under this chapter and forms for the application for such licenses and to supply the same to officials of the cities and towns authorized to issue the licenses. The form shall require no more information than was required on the state of New Hampshire application for pistol/revolver license, form DSSP 85, as revised in [] March 2017. The form shall not request or require disclosure of the applicant’s occupation, present employer, employer’s address, or personal references. The form shall not contain any consent or release language requiring the applicant to authorize disclosure of personal, employment, medical, psychiatric, or other records beyond what is expressly required on the state of New Hampshire application for pistol/revolver license. No other forms shall be used by officials of cities and towns. The cost of the forms shall be paid out of the fees received from nonresident licenses. […] 325:4 New Paragraph; License to Carry. Amend RSA 159:6 by inserting after paragraph III the following new paragraph: IV. The department of safety shall enter into rulemaking pursuant to RSA 541-A to develop a form consistent with paragraph I. 325:5 Prospective Repeal. RSA 159:6, IV, relative to rulemaking authority to create a new form, is repealed. 325:6 Effective Date. I. Sections 1, 2, and 5 of this act shall take effect January 1, 2027. II. Section 3 of this act shall take effect September 1, 2027. III. The remainder of this act shall take effect upon its passage.

The FBI violent-crime measure includes aggravated assault. Serious-injury assaults and federal criminal-defense rules concern components of violent crime; simple assault and every offense within the bills are not automatically included in the FBI measure. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.

Retained New Hampshire evidence context: Reported violent-crime rate. This record’s connection to the topic does not establish an effect on the measured result.

277:1 Assault and Related Offenses; First Degree Assault. Amend RSA 631:1, I(e) to read as follows: (e) Knowingly causes serious bodily injury to a law enforcement officer, a paid firefighter, volunteer firefighter, on-call firefighter, or licensed emergency medical care provider as defined in RSA 153-A:2, V, acting in the line of duty; or commits such an act against a law enforcement officer whether or not the officer is on duty, where the purpose was to harm the officer because of his or her present or previous employment as a law enforcement officer[]; or (f) Knowingly causes serious bodily injury to any emergency room personnel acting in the line of duty. For purposes of this subparagraph, "emergency room personnel" means a person in a hospital emergency department who, in the course and scope of their employment or as a volunteer, provides services or medical care, or who assists in the providing of services or medical care, for the benefit of the general public, including, but not limited to, any health care professional, emergency department clerk, emergency department technician, student, and emergency department volunteer working in the hospital emergency department. 277:2 Assault and Related Offenses; Second Degree Assault. Amend RSA 631:2, I(g) to read as follows: (g) Knowingly causes bodily injury to a law enforcement officer, a paid firefighter, volunteer firefighter, on-call firefighter, or licensed emergency medical care provider as defined in RSA 153-A:2, V, acting in the line of duty; or commits such an act against a law enforcement officer whether or not the officer is on duty, where the purpose was to harm the officer because of his or her present or previous employment as a law enforcement officer[]; or (h) Knowingly causes bodily injury to any emergency room personnel acting in the line of duty. For purposes of this subparagraph, "emergency room personnel" means a person in a hospital emergency department who, in the course and scope of their employment or as a volunteer, provides services or medical care, or who assists in the providing of services or medical care, for the benefit of the general public, including, but not limited to, any health care professional, emergency department clerk, emergency department technician, student, and emergency department volunteer working in the hospital emergency department. 277:3 Effective Date. This act shall take effect January 1, 2027.

The FBI violent-crime measure includes aggravated assault. Serious-injury assaults and federal criminal-defense rules concern components of violent crime; simple assault and every offense within the bills are not automatically included in the FBI measure. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.

Retained New Hampshire evidence context: Reported violent-crime rate. This record’s connection to the topic does not establish an effect on the measured result.

277:1 Assault and Related Offenses; First Degree Assault. Amend RSA 631:1, I(e) to read as follows: (e) Knowingly causes serious bodily injury to a law enforcement officer, a paid firefighter, volunteer firefighter, on-call firefighter, or licensed emergency medical care provider as defined in RSA 153-A:2, V, acting in the line of duty; or commits such an act against a law enforcement officer whether or not the officer is on duty, where the purpose was to harm the officer because of his or her present or previous employment as a law enforcement officer[]; or (f) Knowingly causes serious bodily injury to any emergency room personnel acting in the line of duty. For purposes of this subparagraph, "emergency room personnel" means a person in a hospital emergency department who, in the course and scope of their employment or as a volunteer, provides services or medical care, or who assists in the providing of services or medical care, for the benefit of the general public, including, but not limited to, any health care professional, emergency department clerk, emergency department technician, student, and emergency department volunteer working in the hospital emergency department. 277:2 Assault and Related Offenses; Second Degree Assault. Amend RSA 631:2, I(g) to read as follows: (g) Knowingly causes bodily injury to a law enforcement officer, a paid firefighter, volunteer firefighter, on-call firefighter, or licensed emergency medical care provider as defined in RSA 153-A:2, V, acting in the line of duty; or commits such an act against a law enforcement officer whether or not the officer is on duty, where the purpose was to harm the officer because of his or her present or previous employment as a law enforcement officer[]; or (h) Knowingly causes bodily injury to any emergency room personnel acting in the line of duty. For purposes of this subparagraph, "emergency room personnel" means a person in a hospital emergency department who, in the course and scope of their employment or as a volunteer, provides services or medical care, or who assists in the providing of services or medical care, for the benefit of the general public, including, but not limited to, any health care professional, emergency department clerk, emergency department technician, student, and emergency department volunteer working in the hospital emergency department. 277:3 Effective Date. This act shall take effect January 1, 2027.

The fact counts residents under 65 without insurance. Medicaid eligibility requirements and marketplace premium assistance concern obtaining or retaining coverage; neither establishes the number enrolled or a change in the uninsured share. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.

Retained New Hampshire evidence context: People under 65 without health insurance. This record’s connection to the topic does not establish an effect on the measured result.

18:1 New Sections; New Hampshire Granite Advantage Health Care Program; Work Requirements. Amend RSA 126-AA by inserting after section 5 the following new sections: 126-AA:6 Work Requirements. I. In this section: (a) “Applicable individual” means an individual described in 42 U.S.C. section 1396a(xx)(9)(A) who is eligible for the granite advantage health care program, and who is subject to work requirements. (b) “Work requirements” mean the Medicaid community engagement and work requirements established under Section 71119 of Public Law No. 119-21. II. No applicable individual shall be enrolled in Medicaid unless, at the time of application, the individual demonstrates compliance with the work requirements for the one month immediately preceding the month during which the individual applies. The department of health and human services shall require documentary evidence and shall not accept self-attestation at the time of application. III. The department of health and human services shall verify an applicable individual’s compliance with documentary evidence. Verification shall occur on an ongoing basis, at least quarterly between redetermination periods. Self-attestation shall not be accepted. IV. The department of health and human services may rely on ex parte records and or documentary evidence provided by the applicable individual to verify exemption from work requirements. The department of health and human services shall verify all exemptions and shall not accept self-attestation from individuals seeking exemptions. V. The department of health and human services shall not seek or implement any additional optional exemptions under 42 U.S.C. section 1396a(xx)(3)(B) or other program waivers without obtaining express approval of the oversight committee on health and human services established in RSA 126-A:13. VI. The department of health and human services shall only approve an exemption for an individual based on the status of medically frailty or otherwise an individual with special needs if the individual has been medically certified per a statement from a physician, physician associate, nurse, nurse practitioner, designated representative of the physician’s office, a licensed or certified psychologist, or a social worker, as having disabling mental disorders, having a physical, intellectual, or developmental disability that significantly impairs their ability to perform activities of daily living, including eating, dressing, bathing, grooming, getting in and out of bed and chairs, walking, going outdoors, using the toilet, or is in treatment for a chronic substance use disorder. In no case may the department of health and human services expand the definition of an individual who is medically frail or otherwise an individual with special needs beyond the scope of the definition established under 42 C.F.R. section 440.315 unless as otherwise modified in Public Law 119-21, Section 71119 (2025). VII. Any applicable individual who fails to comply with the work requirements shall be provided notice and an additional 30 days to supply verification of compliance or exemption. After the 30-day notice period, the department of health and human services shall disenroll any applicable individual who does not demonstrate compliance with the work requirements or qualify for an exemption. VIII. In the event of a conflict between this section and the requirements of Public Law 119-21, Section 71119 (2025), the requirements of the federal statute or regulation shall control. 126-AA:7 Severability. If any portion of this chapter or the application thereof to any person or circumstances is held invalid, such invalidity shall not affect other provisions or applications of the chapter which can be given effect without the invalid provisions or applications, and to this end the provisions of this chapter are severable. 18:2 New Hampshire Granite Advantage Health Care Program; Community Engagement and Work Requirements. Amend 2025, 141:412 to read as follows: 141:412 New Hampshire Granite Advantage Health Care Program, [] Community Engagement and Work Requirements. I. On or before [] December 1, 2026, or on an earlier date within 30 calendar days after publication of the federal application template, the department of health and human services shall [] submit to the Center for Medicare and Medicaid Services (CMS) [] required documentation relative to implementing community engagement and work requirements as a condition of Granite Advantage eligibility in accordance with the One Big Beautiful Bill Act of 2025, Public Law 119-21, Section 71119 (2025). Prior to submitting the [] required documentation to CMS, the department shall submit the proposed [] plan to implement community engagement and work requirements to the fiscal committee of the general court for [] review. II. Beginning November 1, 2025 and [] quarterly thereafter through December 31, 2026, and then annually thereafter, the department shall provide a report regarding the status of the [] plan under review by CMS and implementation of the community engagement and work requirements [] eligibility in accordance with Public Law 119-21, Section 71119 (2025), to the senate president, the speaker of the house of representatives, the senate clerk, the house clerk, and the governor. 18:3 New Hampshire Granite Advantage Health Care Program Established; Community Engagement and Work Requirements; Suspended. The provisions of RSA 126-AA:2, directly related to the community engagement and work requirements, shall be suspended for the duration of the federal community engagement and work requirements under Public Law 119-21, Section 71119 (2025), as amended. If the federal community engagement and work requirements are subsequently eliminated, the commissioner of the department of health and human services shall immediately certify in writing the removal of the suspension to the director of the office of legislative services, the secretary of state, the senate president, the speaker of the house of representatives, the senate clerk, the house clerk, and the governor. 18:4 New Hampshire Granite Advantage Health Care Program Established. Amend RSA 126-AA:2, I(a) to read as follows: I.(a) The commissioner shall apply for any necessary waivers and state plan amendments to implement [] and administer the New Hampshire granite advantage health care program which shall be funded exclusively from non-general fund sources, including federal funds. The commissioner shall include in an application for the necessary waivers submitted to the Centers for Medicare and Medicaid Services (CMS) a waiver of the requirement to provide 90-day retroactive coverage and a state plan amendment allowing state and county correctional facilities to conduct presumptive eligibility determinations for incarcerated inmates to the extent provided under federal law. To receive coverage under the program, those individuals in the new adult group who are eligible for benefits shall choose coverage offered by one of the managed care organizations (MCOs) awarded contracts as vendors under Medicaid managed care, pursuant to RSA 126-A:5, XIX(a). The program shall make coverage available in a cost-effective manner and shall provide cost transparency measures, and ensure that patients are utilizing the most appropriate level of care. Cost effectiveness shall be achieved by offering cash incentives and other forms of incentives to the insured by choosing preferred lower cost medical providers. Loss of incentives shall also be employed. MCOs shall employ reference-based pricing, cost transparency, and the use of incentives and loss of incentives to the Medicaid and newly eligible population. For the purposes of this subparagraph, "reference-based pricing" means setting a maximum amount payable for certain medical procedures. 18:5 Effective Date. This act shall take effect upon its passage.

The fact counts residents under 65 without insurance. Medicaid eligibility requirements and marketplace premium assistance concern obtaining or retaining coverage; neither establishes the number enrolled or a change in the uninsured share. This relationship does not establish causation. Actions after the measurement period cannot explain its earlier value.

Retained New Hampshire evidence context: People under 65 without health insurance. This record’s connection to the topic does not establish an effect on the measured result.

18:1 New Sections; New Hampshire Granite Advantage Health Care Program; Work Requirements. Amend RSA 126-AA by inserting after section 5 the following new sections: 126-AA:6 Work Requirements. I. In this section: (a) “Applicable individual” means an individual described in 42 U.S.C. section 1396a(xx)(9)(A) who is eligible for the granite advantage health care program, and who is subject to work requirements. (b) “Work requirements” mean the Medicaid community engagement and work requirements established under Section 71119 of Public Law No. 119-21. II. No applicable individual shall be enrolled in Medicaid unless, at the time of application, the individual demonstrates compliance with the work requirements for the one month immediately preceding the month during which the individual applies. The department of health and human services shall require documentary evidence and shall not accept self-attestation at the time of application. III. The department of health and human services shall verify an applicable individual’s compliance with documentary evidence. Verification shall occur on an ongoing basis, at least quarterly between redetermination periods. Self-attestation shall not be accepted. IV. The department of health and human services may rely on ex parte records and or documentary evidence provided by the applicable individual to verify exemption from work requirements. The department of health and human services shall verify all exemptions and shall not accept self-attestation from individuals seeking exemptions. V. The department of health and human services shall not seek or implement any additional optional exemptions under 42 U.S.C. section 1396a(xx)(3)(B) or other program waivers without obtaining express approval of the oversight committee on health and human services established in RSA 126-A:13. VI. The department of health and human services shall only approve an exemption for an individual based on the status of medically frailty or otherwise an individual with special needs if the individual has been medically certified per a statement from a physician, physician associate, nurse, nurse practitioner, designated representative of the physician’s office, a licensed or certified psychologist, or a social worker, as having disabling mental disorders, having a physical, intellectual, or developmental disability that significantly impairs their ability to perform activities of daily living, including eating, dressing, bathing, grooming, getting in and out of bed and chairs, walking, going outdoors, using the toilet, or is in treatment for a chronic substance use disorder. In no case may the department of health and human services expand the definition of an individual who is medically frail or otherwise an individual with special needs beyond the scope of the definition established under 42 C.F.R. section 440.315 unless as otherwise modified in Public Law 119-21, Section 71119 (2025). VII. Any applicable individual who fails to comply with the work requirements shall be provided notice and an additional 30 days to supply verification of compliance or exemption. After the 30-day notice period, the department of health and human services shall disenroll any applicable individual who does not demonstrate compliance with the work requirements or qualify for an exemption. VIII. In the event of a conflict between this section and the requirements of Public Law 119-21, Section 71119 (2025), the requirements of the federal statute or regulation shall control. 126-AA:7 Severability. If any portion of this chapter or the application thereof to any person or circumstances is held invalid, such invalidity shall not affect other provisions or applications of the chapter which can be given effect without the invalid provisions or applications, and to this end the provisions of this chapter are severable. 18:2 New Hampshire Granite Advantage Health Care Program; Community Engagement and Work Requirements. Amend 2025, 141:412 to read as follows: 141:412 New Hampshire Granite Advantage Health Care Program, [] Community Engagement and Work Requirements. I. On or before [] December 1, 2026, or on an earlier date within 30 calendar days after publication of the federal application template, the department of health and human services shall [] submit to the Center for Medicare and Medicaid Services (CMS) [] required documentation relative to implementing community engagement and work requirements as a condition of Granite Advantage eligibility in accordance with the One Big Beautiful Bill Act of 2025, Public Law 119-21, Section 71119 (2025). Prior to submitting the [] required documentation to CMS, the department shall submit the proposed [] plan to implement community engagement and work requirements to the fiscal committee of the general court for [] review. II. Beginning November 1, 2025 and [] quarterly thereafter through December 31, 2026, and then annually thereafter, the department shall provide a report regarding the status of the [] plan under review by CMS and implementation of the community engagement and work requirements [] eligibility in accordance with Public Law 119-21, Section 71119 (2025), to the senate president, the speaker of the house of representatives, the senate clerk, the house clerk, and the governor. 18:3 New Hampshire Granite Advantage Health Care Program Established; Community Engagement and Work Requirements; Suspended. The provisions of RSA 126-AA:2, directly related to the community engagement and work requirements, shall be suspended for the duration of the federal community engagement and work requirements under Public Law 119-21, Section 71119 (2025), as amended. If the federal community engagement and work requirements are subsequently eliminated, the commissioner of the department of health and human services shall immediately certify in writing the removal of the suspension to the director of the office of legislative services, the secretary of state, the senate president, the speaker of the house of representatives, the senate clerk, the house clerk, and the governor. 18:4 New Hampshire Granite Advantage Health Care Program Established. Amend RSA 126-AA:2, I(a) to read as follows: I.(a) The commissioner shall apply for any necessary waivers and state plan amendments to implement [] and administer the New Hampshire granite advantage health care program which shall be funded exclusively from non-general fund sources, including federal funds. The commissioner shall include in an application for the necessary waivers submitted to the Centers for Medicare and Medicaid Services (CMS) a waiver of the requirement to provide 90-day retroactive coverage and a state plan amendment allowing state and county correctional facilities to conduct presumptive eligibility determinations for incarcerated inmates to the extent provided under federal law. To receive coverage under the program, those individuals in the new adult group who are eligible for benefits shall choose coverage offered by one of the managed care organizations (MCOs) awarded contracts as vendors under Medicaid managed care, pursuant to RSA 126-A:5, XIX(a). The program shall make coverage available in a cost-effective manner and shall provide cost transparency measures, and ensure that patients are utilizing the most appropriate level of care. Cost effectiveness shall be achieved by offering cash incentives and other forms of incentives to the insured by choosing preferred lower cost medical providers. Loss of incentives shall also be employed. MCOs shall employ reference-based pricing, cost transparency, and the use of incentives and loss of incentives to the Medicaid and newly eligible population. For the purposes of this subparagraph, "reference-based pricing" means setting a maximum amount payable for certain medical procedures. 18:5 Effective Date. This act shall take effect upon its passage.