New Hampshire HB1638: creating a bypass mechanism for health insurer step therapy protocols when medically necessary.

Sponsors

• David Nagel (D, 6) · primary sponsor
• David Lundgren (R, 16)
• Wayne MacDonald (R, 16)
• Julie Miles (R, 12)
• Mark Pearson (R, 34)
• Lilli Walsh (R, 15)
• Gary Woods (D, 30)
• Kevin Avard (R, 12)
• Lucinda Rosenwald (D, 13)

Latest actions

1. March 11, 2026: Refer for Interim Study: MA VV 03/11/2026 HJ 7
2. March 3, 2026: Committee Report: Refer for Interim Study 02/18/2026 (Vote 15-0; CC) HC 10 P. 9
3. February 11, 2026: Full Committee Work Session: 02/18/2026 10:00 am GP 229
4. February 11, 2026: Executive Session: 02/18/2026 01:00 pm GP 229
5. February 10, 2026: Public Hearing: 02/17/2026 11:00 am GP 159
6. December 10, 2025: Introduced 01/07/2026 and referred to Commerce and Consumer Affairs HJ 1 P. 29

Common questions

What is HB1638?

HB1638 is a bill in the New Hampshire Legislature (2025 Regular Session): creating a bypass mechanism for health insurer step therapy protocols when medically necessary.

What is the status of HB1638?

In committee as of March 11, 2026. Latest action: Refer for Interim Study: MA VV 03/11/2026 HJ 7 (March 11, 2026).

Who sponsored HB1638?

David Nagel (D, 6), with 8 co-sponsors.

Where is the official record for HB1638?

On the New Hampshire Legislature website: https://gc.nh.gov/bill_status/legacy/bs2016/bill_docket_report.aspx?lsr=3029&sy=2026