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SB 614 · 2026 · Senate · Health and Human Services Committee

Self-insured coverage for caregiver providers

AI-generated

(New Title) establishing multiple-caregiver self-insured risk coverage arrangements for nonprofit and for-profit providers and servicers.

Establishes multiple-caregiver self-insured risk coverage arrangements for nonprofit and for-profit child care, foster care, and behavioral health providers, sets reporting requirements, and authorizes the insurance commissioner to verify, penalize, and adopt rules for such arrangements.AI-generated

Status

Signed into law · July 9, 2026
  1. ✓Introduced
  2. ✓Senate
  3. ✓House
  4. ✓Governor
  5. ✓Law

Analysis

This bill: I. Establishes a multiple-caregiver self-insured risk coverage arrangement for nonprofit and for-profit providers and servicers of child care, day care, foster care placement, and behavioral health services. II. Establishes reporting requirements for such arrangements. III. Authorizes the commissioner of the insurance department to verify such arrangements, including whether the arrangements are to be suspended or terminated. IV. Authorizes the commissioner of the insurance department to issue penalties and adopt rules relative to such arrangements.

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

“"Covered entity" means a nonprofit or for-profit provider or servicer of child care, day care, foster care placement, and behavioral health services.”
RSA 405-C:2
“Any arrangement authorized and meeting the standards required under this chapter is not an insurance company, reciprocal insurer, or insurer under the laws of this state, and administration of any activities of the arrangement shall not constitute doing an insurance business for purposes of regulation or taxation.”
RSA 405-C:3
“A covered entity may join or form a self-insured risk coverage arrangement together with one or more other covered entities and may jointly purchase insurance or reinsurance with one or more other covered entities for liability risks as permitted under this chapter.”
RSA 405-C:5
“Before the establishment of a multiple-caregiver self-insured risk coverage arrangement, the covered entities shall obtain the approval of the commissioner.”
RSA 405-C:6

Official record

Bill page — docket & status

gc.nh.gov · the authoritative source

Sponsors

Sen. Denise RicciardiRPrimeVice Chair· Commerce
  • Sen. Rebecca Perkins KwokaDMinority Leader
  • Rep. Katelyn KuttabRClerk· Judiciary
  • Rep. Lisa PostRClerk· Commerce and Consumer Affairs

Also: Sen. David WattersD, Sen. Debra AltschillerD, Rep. Lilli WalshR

Public testimony

16 signed in online · 1 wrote testimony

100% support0% oppose0% neutral

In their wordsVerbatim, exactly as submitted

“I support SB 614-FN’s goal of enabling collaborative risk-sharing among child-care and behavioral-health providers, but urge the committee to maintain strong oversight, actuarial standards, and solvency safeguards to ensure these arrangements operate transparently and protect the vulnerable populations they serve.…”
— Hannah Meiselman, Manchestersupports

Verbatim excerpts of submitted testimony, quoted from the testimony tool.

Read the testimony · as of Aug 12, 2026

Votes

yeanay
Starting text: Bill as introduced

Hearings and debates

  • Jan 8, 2026Public hearingSenate Health and Human Services1:41:57–1:46:024m 5slocated in the stream transcriptHearing
  • Mar 12, 2026Floor debateSenate floorWatchnot located in the transcript — opens the full streamCommittee Report: Ought to Pass with Amendment # 2026-1044s; Ought to Pass with Amendment #2026-1044s — adopted, voice vote; Committee Amendment # 2026-1044s — adopted, voice vote
  • Mar 26, 2026Floor debateSenate floorWatchnot located in the transcript — opens the full streamCommittee Report: Ought to Pass; Ought to Pass — adopted, voice vote
  • Apr 15, 2026Public hearingHouse Commerce and Consumer Affairs3:42:41–3:47:214m 40slocated in the stream transcriptPublic Hearing
  • Apr 22, 2026Public hearingHouse Commerce and Consumer AffairsWatchnot located in the transcript — opens the full streamSubcommittee Work Session
  • Apr 28, 2026Public hearingHouse Commerce and Consumer AffairsWatchnot located in the transcript — opens the full streamSubcommittee Work Session
  • Apr 29, 2026Public hearingHouse Commerce and Consumer AffairsWatchnot located in the transcript — opens the full stream==RECESSED== Executive Session
  • May 6, 2026Public hearingHouse Commerce and Consumer Affairs46:02–47:071m 5slocated in the stream transcriptCommittee Report: Ought to Pass with Amendment # 2026-1626h; Subcommittee Work Session; ==CONTINUED== Executive Session
  • May 14, 2026Floor debateHouse floorWatchnot located in the transcript — opens the full streamOught to Pass with Amendment 2026-1626h — adopted, voice vote; Amendment # 2026-1626h — adopted, voice vote
  • May 21, 2026Floor debateSenate floor1:06:57–1:08:041m 7slocated in the stream transcriptSen. Rochefort Moved to Concur with the House Amendment — adopted, voice vote
  • Jun 4, 2026Floor debateSenate floorWatchnot located in the transcript — opens the full streamEnrolled Bill Amendment # 2026-2150e Adopted — voice vote; Enrolled Adopted — voice vote
  • Jun 4, 2026Floor debateHouse floorWatchnot located in the transcript — opens the full streamEnrolled Bill Amendment # 2026-2150e — adopted, voice vote; Enrolled (in recess)

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

Legislative history

  1. Jan 7, 2026SenIntroduced 01/07/2026 and Referred to Health and Human Services; SJ 1
  2. Jan 8, 2026SenHearing: 01/08/2026, Room 100, SH, 09:30 am; SC 46
  3. Mar 12, 2026Sen: Ought to Pass with Amendment # 2026-1044s, 03/12/2026; Vote 5-0; CC; SC 9
  4. Mar 12, 2026SenCommittee Amendment # 2026-1044s, AA, VV; 03/12/2026; SJ 6
  5. Mar 12, 2026SenOught to Pass with Amendment #2026-1044s, MA, VV; Refer to Finance Rule 4-5; 03/12/2026; SJ 6
  6. Mar 26, 2026Sen: Ought to Pass, 03/26/2026; Vote 7-0; CC; SC 11
  7. Mar 26, 2026SenOught to Pass: MA, VV; OT3rdg; 03/26/2026; SJ 7
  8. Mar 26, 2026HouseIntroduced (in recess of) 03/26/2026 and referred to Commerce and Consumer Affairs HJ 9 P. 55
  9. Apr 15, 2026HousePublic Hearing: 04/15/2026 01:15 pm GP 229
  10. Apr 22, 2026HouseSubcommittee Work Session: 04/22/2026 10:00 am GP 229
  11. Apr 28, 2026HouseSubcommittee Work Session: 04/28/2026 10:00 am GP 229
  12. Apr 29, 2026House==RECESSED== Executive Session: 04/29/2026 10:00 am GP 229
  13. May 6, 2026HouseSubcommittee Work Session: 05/06/2026 10:00 am GP 229
  14. May 6, 2026House==CONTINUED== Executive Session: 05/06/2026 10:30 am GP 229
  15. May 6, 2026House: Ought to Pass with Amendment # 2026-1626h 05/06/2026 (Vote 18-0; CC) HC 19 P. 9
  16. May 14, 2026HouseAmendment # 2026-1626h: AA VV 05/14/2026 HJ 13 P. 9
  17. May 14, 2026HouseOught to Pass with Amendment 2026-1626h: MA VV 05/14/2026 HJ 13 P. 9
  18. May 21, 2026SenSen. Rochefort Moved to Concur with the House Amendment, MA, VV; 05/21/2026; SJ 13
  19. Jun 4, 2026HouseEnrolled Bill Amendment # 2026-2150e: AA VV (in recess of) 06/04/2026 HJ 15
  20. Jun 4, 2026SenEnrolled Bill Amendment # 2026-2150e Adopted, VV, (In recess of 06/04/2026); SJ 14
  21. Jun 4, 2026HouseEnrolled (in recess of) 06/04/2026 HJ 15
  22. Jun 4, 2026SenEnrolled Adopted, VV, (In recess 06/04/2026); SJ 14
  23. Jul 2, 2026SenSigned by the Governor on 07/02/2026; Chapter 273; Effective 07/01/2027

Coverage

No reporting linked yet.

Documents (PDF)

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