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Bill > SB544


NH SB544

NH SB544
Limiting changes to prescription drug formularies under health benefit plans.


summary

Introduced
11/24/2025
In Committee
11/24/2025
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

This bill limits modification of prescription drug coverage to the renewal date for the health benefit plan. The bill also provides for continued coverage of certain prescription drugs if they were previously covered under the plan.

AI Summary

This bill limits how health insurance carriers (companies that provide health coverage) can modify prescription drug formularies (lists of covered medications). Specifically, the bill mandates that health carriers can only change drug coverage at the time of plan renewal and must apply any changes uniformly across all identical or substantially identical health benefit plans. Additionally, the bill requires that any prescription drug previously approved or covered under a health plan must continue to be offered to the enrollee at their current benefit level until their plan's renewal date, even if the drug has been removed from the plan's formulary. The goal is to protect patients from unexpected mid-year changes in their prescription drug coverage that could disrupt their medical treatment. The Insurance Department notes that these requirements might increase carrier costs, which could potentially be passed on to policyholders through higher premiums. The bill will take effect 60 days after its passage and applies to health benefit plans in the jurisdiction (in this case, New Hampshire).

Committee Categories

Health and Social Services

Sponsors (7)

Last Action

Health and Human Services Hearing (09:00:00 2/4/2026 Room 100, State House) (on 02/04/2026)

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