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SB 17 · 2025 · Senate · Health and Human Services Committee

Third-party payments count toward cost-sharing

AI-generated

relative to insurance cost-sharing calculations.

Requires insurers to apply third-party payments, including from independent charities, toward an enrollee's cost-sharing requirements, except for covered prescription drugs with an available generic or interchangeable biological alternative.AI-generated

Status

Killed in the Senate — Inexpedient to Legislate · November 3, 2025
  1. ✓Introduced
  2. ✕Senate
  3. House
  4. Governor
  5. Law

Analysis

This bill requires an insurer to apply an amount paid by a third party, including an independent charity, to the enrollee's cost sharing requirements, except in the case of a covered prescription drug for which there is a generic alternative or interchangeable biological product.

From the bill's official ANALYSIS section.

In the bill's words

Quoted verbatim from the bill as amended by the Senate. Passages chosen from the operative text.Computed by this site

“"Interchangeable biological product" means a biological product that the federal Food and Drug Administration:”
RSA 415:18-ff
“If the assistance payment is not processed in coordination with the enrollee’s health insurance coverage at the point of sale, then an insurer or its contracted entity providing prescription drug coverage may require a pharmacy processing an assistance payment from an independent charity patient assistance program on behalf of an enrollee to disclose to the enrollee’s insurer:”
RSA 415:18-ff
“For a health care contract that meets the definition of a "high deductible plan" set forth in 26 U.S.C. section 223(c)(2) or a catastrophic health plan, as defined under the Patient Protection and Affordable Care Act of 2009, a carrier shall be exempt from the provisions of this section until the enrollee has satisfied the minimum deductible under Section 223 of the Federal Internal Revenue Code.”
RSA 415:18-ff

Official record

Bill page — docket & status

gc.nh.gov · the authoritative source

Sponsors

Sen. Daniel InnisRPrimeChair, Majority Policy Conference

Public testimony

No one submitted online testimony on this bill. See the record

Votes

yeanay
Starting text: Bill as introduced

Hearings and debates

  • Jan 15, 2025Public hearingSenate Health and Human Services40:25–58:1317m 48slocated in the stream transcriptHearing
  • Mar 6, 2025Floor debateSenate floor5:05:07–5:07:492m 42slocated in the stream transcriptCommittee Report: Ought to Pass with Amendment # 2025-0531s; Ought to Pass with Amendment #2025-0531s — adopted, voice vote; Committee Amendment # 2025-0531s — adopted, voice vote

Timestamps locate where this bill is taken up in the chamber's YouTube stream.

Legislative history

  1. Jan 8, 2025SenIntroduced 01/08/2025 and Referred to Health and Human Services; SJ 2
  2. Jan 15, 2025SenHearing: 01/15/2025, Room 100, SH, 09:30 am; SC 5
  3. Mar 6, 2025Sen: Ought to Pass with Amendment # 2025-0531s, 03/06/2025; Vote 5-0; CC; SC 11
  4. Mar 6, 2025SenSB 17 was Removed from the Consent Calendar; 03/06/2025; SJ 6
  5. Mar 6, 2025SenCommittee Amendment # 2025-0531s, AA, VV; 03/06/2025; SJ 6
  6. Mar 6, 2025SenOught to Pass with Amendment #2025-0531s, MA, VV; 03/06/2025; SJ 6
  7. Mar 6, 2025SenSen. Birdsell Moved Laid on Table, MA, VV; 03/06/2025; SJ 6
  8. Mar 6, 2025SenPending Motion OT3rdg; 03/06/2025; SJ 6
  9. Oct 31, 2025SenInexpedient to Legislate, Senate Rule 3-23, 10/31/2025; SJ 1

Coverage

No reporting linked yet.

Documents (PDF)

Bill text & amendments link direct to gc.nh.gov; committee reports stream from the state record.