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SB 134 · 2026 · Senate · Health and Human Services Committee

Medicaid work requirements

AI-generated

relative to work requirements under the state Medicaid program.

Establishes community engagement and work requirements under the state's expanded Medicaid program and directs the department of health and human services to file implementation documentation with the federal Centers for Medicare and Medicaid Services.AI-generated

Status

Signed into law · March 30, 2026
  1. ✓Introduced
  2. ✓Senate
  3. ✓House
  4. ✓Governor
  5. ✓Law

Analysis

This bill establishes community engagement and work requirements under the New Hampshire granite advantage health care program, or the state's expanded Medicaid program, pursuant to authorization for such requirements established in Section 71119, Public Law 119-21. This bill also directs the department of health and human services to file documentation with the Center for Medicare and Medicaid Services relative to implementing community engagement and work requirements as a condition of granite advantage eligibility.

From the bill's official ANALYSIS section.

In the bill's words

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

““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.”
Section 18:1
“Prior to submitting the [Section 1115 waiver] required documentation to CMS, the department shall submit the proposed [waiver] plan to implement community engagement and work requirements to the fiscal committee of the general court for [approval] review.”
Section 141:412
“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.”
Section 18:3
“The commissioner shall apply for any necessary waivers and state plan amendments to implement [a 5-year demonstration program beginning on January 1, 2019 to create] and administer the New Hampshire granite advantage health care program which shall be funded exclusively from non-general fund sources, including federal funds.”
Section 18:4

Official record

Bill page — docket & status

gc.nh.gov · the authoritative source

Sponsors

Sen. Howard PearlRPrimeChair· Executive Departments and Administration
  • Sen. Timothy LangRMajority Whip
  • Sen. Keith MurphyRDeputy President Pro Tempore
  • Sen. Daniel InnisRChair, Majority Policy Conference
  • Sen. Bill GannonRChair· Judiciary
  • Rep. Jason OsborneRMajority Leader
  • Rep. Michael MoffettRChair· State-Federal Relations and Veterans Affairs

Also: Sen. Tim McGoughR, Rep. Jess EdwardsR

Public testimony

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

Votes

yeanay
Starting text: Bill as introduced

Hearings and debates

  • Feb 5, 2025Public hearingSenate Health and Human Services4:42:19–4:50:258m 6slocated in the stream transcriptHearing
  • Mar 6, 2025Floor debateSenate floor4:05:07–4:11:266m 19slocated in the stream transcriptCommittee Report: Ought to Pass with Amendment # 2025-0401s; Ought to Pass with Amendment #2025-0401s — adopted, roll call 16-8; Committee Amendment # 2025-0401s — adopted, voice vote
  • Mar 20, 2025Floor debateSenate floor2:04:02–2:06:032m 1slocated in the stream transcriptCommittee Report: Ought to Pass; Ought to Pass — adopted, roll call 15-8
  • Apr 16, 2025Public hearingHouse Health, Human Services and Elderly Affairs5:00:30–5:08:358m 5slocated in the stream transcriptPublic Hearing
  • Apr 30, 2025Public hearingHouse Health, Human Services and Elderly Affairs1:32:58–1:37:444m 46slocated in the stream transcriptExecutive Session
  • Oct 1, 2025Public hearingHouse Health, Human Services and Elderly Affairs58:54–1:05:396m 45slocated in the stream transcriptSubcommittee Work Session
  • Oct 22, 2025Public hearingHouse Health, Human Services and Elderly Affairs3:57–6:382m 41slocated in the stream transcriptSubcommittee Work Session
  • Nov 3, 2025Public hearingHouse Health, Human Services and Elderly Affairs9:07–12:283m 21slocated in the stream transcriptSubcommittee Work Session
  • Nov 12, 2025Public hearingHouse Health, Human Services and Elderly Affairs1:24:16–1:26:592m 43slocated in the stream transcriptMajority Committee Report: Ought to Pass with Amendment # 2025-3093h — roll call; Executive Session
  • Jan 8, 2026Floor debateHouse floor3:05:27–3:09:263m 59slocated in the stream transcriptOught to Pass with Amendment 2025-3093h — adopted, roll call 204-150; Amendment # 2025-3093h — adopted, roll call 349-5; Referral Waived by Committee Chair per House Rule 47(f)
  • Feb 5, 2026Floor debateSenate floor1:51:22–1:54:593m 37slocated in the stream transcriptSen. Rochefort Moved to Concur with the House Amendment — adopted, roll call 15-9; Special Order to the Present Time, Without Objection — adopted
  • Mar 12, 2026Floor debateSenate floorWatchnot located in the transcript — opens the full streamEnrolled Adopted — voice vote

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

Legislative history

  1. Jan 9, 2025SenIntroduced 01/09/2025 and Referred to Health and Human Services; SJ 3
  2. Feb 5, 2025SenHearing: 02/05/2025, Room 101, LOB, 01:00 pm; SC 8
  3. Mar 6, 2025Sen: Ought to Pass with Amendment # 2025-0401s, 03/06/2025, Vote 3-2;
  4. Mar 6, 2025SenCommittee Amendment # 2025-0401s, AA, VV; 03/06/2025; SJ 6
  5. Mar 6, 2025SenOught to Pass with Amendment #2025-0401s, RC 16Y-8N, MA; Refer to Finance Rule 4-5; 03/06/2025; SJ 6
  6. Mar 20, 2025SenCommittee Report: Ought to Pass, 03/20/2025, Vote 4-2; SC 13
  7. Mar 20, 2025SenOught to Pass: RC 15Y-8N, MA; OT3rdg; 03/20/2025; SJ 8
  8. Mar 27, 2025HouseIntroduced (in recess of) 03/27/2025 and referred to Health, Human Services and Elderly Affairs HJ 11 P. 111
  9. Apr 16, 2025HousePublic Hearing: 04/16/2025 01:00 pm LOB 205-207
  10. Apr 30, 2025HouseExecutive Session: 04/30/2025 09:30 am LOB 205-207
  11. May 1, 2025HouseRetained in Committee
  12. Oct 1, 2025HouseSubcommittee Work Session: 10/01/2025 01:00 pm GP 158
  13. Oct 22, 2025HouseSubcommittee Work Session: 10/22/2025 01:00 pm GP 158
  14. Nov 3, 2025HouseSubcommittee Work Session: 11/03/2025 01:00 pm GP 158
  15. Nov 12, 2025HouseExecutive Session: 11/12/2025 10:00 am GP 158
  16. Nov 12, 2025HouseMajority : Ought to Pass with Amendment # 2025-3093h 11/12/2025 (Vote 11-6; RC) HC 51 P. 39
  17. Nov 18, 2025HouseMinority : Inexpedient to Legislate
  18. Jan 8, 2026HouseAmendment # 2025-3093h: AA RC 349-5 01/08/2026 HJ 2 P. 39
  19. Jan 8, 2026HouseOught to Pass with Amendment 2025-3093h: MA RC 204-150 01/08/2026 HJ 2 P. 43
  20. Jan 8, 2026HouseReferral Waived by Committee Chair per House Rule 47(f) 01/08/2026 HJ 2 P. 43
  21. Feb 5, 2026SenSpecial Order to the Present Time, Without Objection, MA; 02/05/2026; SJ 3
  22. Feb 5, 2026SenSen. Rochefort Moved to Concur with the House Amendment, RC 15Y-9N, MA; 02/05/2026; SJ 3
  23. Mar 12, 2026HouseEnrolled (in recess of) 03/12/2026 HJ 8 P. 115
  24. Mar 12, 2026SenEnrolled Adopted, VV, (In recess 03/12/2026); SJ 7
  25. Mar 27, 2026SenSigned by the Governor on 03/27/2026; Chapter 18; Effective 03/27/2026

Coverage

No reporting linked yet.

Documents (PDF)

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