New Hampshire legislation · 2026 Regular Session
New Hampshire HB1638: creating a bypass mechanism for health insurer step therapy protocols when medically necessary.
Status: In committee, October 19, 2026
What the bill says
An act creating a bypass mechanism for health insurer step therapy protocols when medically necessary. Rep. Lundgren, Rock. 16; Rep. W. MacDonald, Rock. 16; Rep. Miles, Hills. 12; Rep. M. Pearson, Rock. 34; Rep. L. Walsh, Rock. 15; Rep. Woods, Merr. 30; Sen. Avard, Dist 12; Sen. Rosenwald, Dist 13 COMMITTEE: Commerce and Consumer Affairs ----------------------------------------------------------------- ANALYSIS This bill creates a bypass mechanism for health insurer step therapy protocols when medically necessary. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.
From the introduced text, January 7, 2026:
AN ACT creating a bypass mechanism for health insurer step therapy protocols when medically necessary. Rep. Lundgren, Rock. 16; Rep. W. MacDonald, Rock. 16; Rep. Miles, Hills. 12; Rep. M. Pearson, Rock. 34; Rep. L. Walsh, Rock. 15; Rep. Woods, Merr. 30; Sen. Avard, Dist 12; Sen. Rosenwald, Dist 13 COMMITTEE: Commerce and Consumer Affairs ----------------------------------------------------------------- ANALYSIS This bill creates a bypass mechanism for health insurer step therapy protocols when medically necessary. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Explanation: Matter added to current law appears in bold italics. Matter removed from current law appears [in brackets and struckthrough.] Matter which is either (a) all new or (b) repealed and reenacted appears in regular type. 26-3029 07/08 STATE OF NEW HAMPSHIRE In the Year of Our Lord Two Thousand Twenty-Six AN ACT creating a bypass mechanism for health insurer step therapy protocols when medically necessary. Step Therapy 420-J:27 Definitions. As used in …
Sponsors
- David Nagel (D, 6) · primary sponsor
- David Lundgren (R, 16)