HB1660: relative to coverage of certain procedures for minor children under the state’s Medicaid program.

HB 1660-FN - AS INTRODUCED

2024 SESSION

24-2634

05/10

HOUSE BILL 1660-FN

AN ACT relative to coverage of certain procedures for minor children under the state’s Medicaid program.

SPONSORS: Rep. Kofalt, Hills. 32; Rep. Sirois, Hills. 32; Rep. See, Merr. 26; Rep. Osborne, Rock. 2; Sen. Avard, Dist 12; Sen. Innis, Dist 7

COMMITTEE: Health, Human Services and Elderly Affairs

ANALYSIS

This bill provides that the state Medicaid plan shall not include gender reassignment treatment for minors.

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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

24-2634

05/10

STATE OF NEW HAMPSHIRE

In the Year of Our Lord Two Thousand Twenty Four

AN ACT relative to coverage of certain procedures for minor children under the state’s Medicaid program.

Be it Enacted by the Senate and House of Representatives in General Court convened:

1 New Section; Coverage of Gender Reassignment Procedures for Minors Excluded Under State Medicaid Program. Amend RSA 167 by inserting after section 3-m the following new section:

167:3-n State Medicaid Plan; Sex Reassignment Excluded. Medical assistance provided under the state Medicaid plan shall not include any form of gender reassignment surgery for a person under 18 years of age.

2 Effective Date. This act shall take effect 60 days after its passage.

LBA

24-2634

Revised 1/30/24

HB 1660-FN- FISCAL NOTE

AS INTRODUCED

AN ACT relative to coverage of certain procedures for minor children under the state’s Medicaid program.

FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None

Estimated State Impact - Increase / (Decrease)

FY 2024

FY 2025

FY 2026

FY 2027

Revenue

$0

$0

$0

$0

Revenue Fund(s)

Expenditures

$0

Indeterminable

Indeterminable

Indeterminable

Funding Source(s)

General Fund

Federal matching funds

Appropriations

$0

$0

$0

$0

Funding Source(s)

None

• Does this bill provide sufficient funding to cover estimated expenditures? [X] See Below

• Does this bill authorize new positions to implement this bill? [X] N/A

METHODOLOGY:

This bill provides that the state Medicaid plan shall not include coverage of gender reassignment treatment for minors. The Department of Health and Human Services states that gender reassignment surgery is estimated to cost $10,000 per procedure in total funds. (In most cases, the procedures would be funded with 50 percent federal funds and 50 percent state general funds.) The Department notes that gender reassignment for minors is a rare occurrence, and that lack of coverage for the procedure may result in other Medicaid expenditures due to a substitution of demand for different services. The net impact of the change is indeterminable, but the Department assumes it will range from a $50,000 annual savings to a $50,000 annual increase in general fund expenditures.

AGENCIES CONTACTED:

Department of Health and Human Services