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Bill > HB1323


NH HB1323

NH HB1323
Relative to parental alienation, limiting certain prior authorization requirements for physical therapy, occupational therapy, and similar rehabilitative services, relative to children's mental health services for persons 18 years of age and younger.


summary

Introduced
12/01/2025
In Committee
05/06/2026
Crossed Over
02/13/2026
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

This bill: I. Defines parental alienation to mean a pattern of behavior, conduct, or speech which would damage the relationship of the child and a parent, resulting in the child's fear, negative perception, rejection, or hostility toward their other parent, and adds standards for considering claims of parental alienation in certain cases involving children and parental rights. II. Prohibits health carriers from requiring prior authorization for the first physical or occupational therapy visit in any new episode of care, and mandates approval of at least 8 medically necessary treatments after the initial evaluation before further review. This bill also preserves insurers' ability to deny claims deemed not medically necessary. III. Establishes the New Hampshire children's behavioral health association for the purpose of collecting assessments to fund payments to care management entities for the provision of childhood behavioral health services. The association is authorized to collect assessments from insurance carriers, stop loss carriers, and third-party administrators for fully insured and self-funded health plans. The assessment base would include covered lives in the state employee health plan, as well as pooled risk management programs under RSA 5-b. The funds provided for this purpose would be deposited in a dedicated fund administered by the insurance commissioner.

AI Summary

This bill defines "parental alienation" as behavior that damages a child's relationship with a parent, leading to fear or hostility towards that parent, and establishes standards for considering such claims in legal cases involving children and parental rights. It also limits prior authorization requirements for physical and occupational therapy, ensuring at least eight medically necessary visits after an initial evaluation before further review, while still allowing insurers to deny claims deemed not medically necessary. Furthermore, the bill creates the New Hampshire Children's Behavioral Health Association, which will collect assessments from insurance carriers, stop loss carriers, and third-party administrators to fund childhood behavioral health services for individuals 18 years of age and younger, with these funds being deposited into a dedicated account managed by the insurance commissioner.

Committee Categories

Budget and Finance, Justice

Sponsors (12)

Last Action

Conference Committee Report; Not Signed Off; Senate Journal 14 (on 06/02/2026)

Bill Topics

Health
  • ‐ Health Insurance Reform
  • ‐ Mental Illness, Mental Retardation, and Deinstitutionalization
Law, Crime, and Family Issues
  • ‐ Family Issues

bill text


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