New Hampshire State Laws

Law #1: Insurance Coverage Protections / Surprise Medical Bills & Prosthetics for Minors

Law / Bill: Senate Bill 177; House Bill 1197; Senate Bill 173 (2025) — multiple insurance protection laws. (New Hampshire Bulletin)
Effective: Early 2025 (some as bills signed into law at start of year) (New Hampshire Bulletin)

📝 What it Does

  • Requires insurers to cover prosthetics and prosthetic care for minors under 19, including all parts and repair, plus instruction on how to use them. (New Hampshire Bulletin)

  • Also requires insurers to cover intrauterine insemination (IUI) fertility treatment. (New Hampshire Bulletin)

  • Aligns state law to federal law to prevent surprise medical bills (where patients get billed unexpectedly) in certain circumstances. (New Hampshire Bulletin)

💰 Cost to Taxpayers / State Budget

  • Likely minimal direct cost to state government; cost borne largely by private insurers and ultimately passed through in premiums.

  • Some administrative / oversight cost for state insurance regulators.

👥 Who it Helps / Affects

  • Helps: Minors who need prosthetics; people who need fertility treatments; patients protected from surprise billing.

  • Affects: Health insurers; medical providers; patients who may see increased premiums in some cases.

🧑‍⚖️ Who Sponsored / Supported vs. Who Opposed

  • Supported by patient rights / health advocacy groups; likely opposition from insurer associations concerned about cost.

  • Sponsors include legislature members backing health access reforms. (Bill texts have sponsors listed in official Legislature records.) (New Hampshire Bulletin)

Pros & Cons

Pros:

  • Expands access to medical treatments for minors; increases fairness in billing practices.

  • Reduces unexpected financial burden on patients/families.

Cons:

  • Could raise insurance premium costs overall.

  • Possibility of insurer pushback, delays in implementation.

🗳️ The Ballot Beacon Takeaway

In 2025, NH strengthened health insurance laws: more coverage for minors’ prosthetics, fertility treatments, and protections from surprise medical bills — better access and fairness, but with potential premium impacts.

Law #2: PFAS Disclosure for Real Estate Sales

Law / Bill: Amendment to existing real estate disclosure law regarding PFAS contamination. (https://www.wcax.com)
Effective: January 1, 2025 (https://www.wcax.com)

📝 What it Does

  • When selling a home, sellers must now inform buyers about potential PFAS water contamination. PFAS are chemicals sometimes found in groundwater/well water. (https://www.wcax.com)

  • Does not require testing, and does not apply to renters. Also doesn’t require the seller to pay for remediation. (https://www.wcax.com)

💰 Cost to Taxpayers / State Budget

  • State costs are low; law mostly requires disclosure.

  • Real estate agents/sellers may incur some paperwork/disclosure costs.

👥 Who it Helps / Affects

  • Helps: Homebuyers (more information about water safety).

  • Affects: Home sellers, real estate agents (must provide disclosure).

🧑‍⚖️ Who Sponsored / Supported vs. Who Opposed

  • Likely sponsored by public health / environmental protection advocates.

  • Opposition: some sellers/real estate stakeholders who prefer less disclosure or fear property value impact.

Pros & Cons

Pros:

  • Better transparency for buyers.

  • Encourages awareness of environmental health risks.

Cons:

  • May cause worry or lower property values in areas with PFAS issues even if risk is minimal.

  • Sellers may resist or be opposed to additional disclosure burdens.

🗳️ The Ballot Beacon Takeaway

As of Jan 1, 2025, NH requires home sellers to disclose potential PFAS water contamination to buyers — a win for transparency, with some worry about how buyers interpret risk and property values.

Law #3: Parental Medical Leave—“Birth/Adoption Medical Appointments” Unpaid Leave

Law / Bill: Amended RSA 275:37-f (Parental Medical Leave law) (McLane Middleton)
Effective: 2025 (soon after bill signing; applies in first year after birth or adoption) (McLane Middleton)

📝 What it Does

  • Gives eligible employees up to 25 hours of unpaid leave in the first year after a child is born/adopted. (McLane Middleton)

  • Leave allowed for attending: childbirth-related medical appointments, postpartum care, or child’s pediatric medical appointments. (McLane Middleton)

💰 Cost to Taxpayers / State Budget

  • Little/no cost to the state; unpaid leave means no direct wage replacement required.

  • Some cost for employers to schedule or staff around leave; employees take time off without pay.

👥 Who it Helps / Affects

  • Helps: New parents (birth/adoption) needing medical appointments for themselves or children.

  • Affects: Employers (must grant leave without pay); employees in private and public sectors (if eligible).

🧑‍⚖️ Who Sponsored / Supported vs. Who Opposed

  • Supported by parent/employee rights advocates.

  • Likely little high-profile opposition since unpaid leave is less costly than paid leave; but businesses may express concern about productivity or scheduling.

Pros & Cons

Pros:

  • Helps parents get medical care without losing job protections.

  • Recognizes need for medical care around birth/adoption.

Cons:

  • Unpaid leave means financial hardship for some.

  • Employers must accommodate schedule disruptions.

🗳️ The Ballot Beacon Takeaway

NH now gives new parents up to 25 unpaid hours (in first year after birth/adoption) for medical appointments — improving access to care, though no pay involved and workplace adjustments needed.

Law #4: Comprehensive Privacy Law — AG Enforcement, Consumer Controls

Law / Bill: New Hampshire’s Consumer Privacy Law (NH’s “comprehensive privacy law”) (Koley Jessen)
Effective: January 1, 2025 (Koley Jessen)

📝 What it Does

  • Gives people more control over their personal data held by companies: what data is collected, how used.

  • Attorney General has the sole authority to enforce violations.

  • Companies get first chance to cure violations after notice. If not cured, AG can act. (Koley Jessen)

💰 Cost to Taxpayers / State Budget

  • Moderate cost: state AG’s office must monitor, enforce; companies must update privacy policies/compliance.

👥 Who it Helps / Affects

  • Helps: Consumers wanting privacy; people concerned about how their data is handled.

  • Affects: Companies doing business in NH—must comply with new rules; policy & legal departments may incur costs.

🧑‍⚖️ Who Sponsored / Supported vs. Who Opposed

  • Supported by privacy advocates, consumer protection groups.

  • Opposition: Some businesses wary of compliance costs, potential liability.

Pros & Cons

Pros:

  • Stronger data protection for residents.

  • Clear enforcement path via the Attorney General.

Cons:

  • Companies may raise costs or adjust practices in ways that impact consumers.

  • AG’s resources may be stretched; small businesses may struggle with compliance.

🗳️ The Ballot Beacon Takeaway

Starting Jan 1, 2025, NH’s new privacy law gives consumers more rights over their data, with enforcement via the Attorney General — good for privacy, with compliance effort ahead for businesses.

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