HB1638

Creating a bypass mechanism for health insurer step therapy protocols when medically necessary.

Introduced·12/10/25
Text Text

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

New Hampshire HB1638 amends RSA 420-J to establish a bypass mechanism for health insurer step therapy protocols when medically necessary. The bill allows for exceptions to step therapy protocols based on medical necessity, including contraindications, adverse reactions, and ineffectiveness. It also mandates that clinical review criteria for step therapy protocols be based on clinical practice guidelines, developed by multidisciplinary panels of experts, and supported by peer-reviewed, evidence-based literature.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

See what it does, who it affects, and the critical issues in plain language. Free, 30 seconds.

Where it stands

Current
In committee
Next
Session adjourned — paused until it reconvenes

Sponsors

DD
2
7
RRRRRRR
Democratic CaucusRepublican Caucus

Calendar

Feb 18

10:00 AM

Commerce and Consumer Affairs Work Session

Feb 18

1:00 PM

Commerce and Consumer Affairs Executive Session

History

Mar 11

House

Refer for Interim Study: Motion Adopted Voice Vote 03/11/2026 House Journal 7 P. 13

Mar 3

House

Committee Report: Refer for Interim Study 02/18/2026 (Vote 15-0; Consent Calendar) House Calendar 10 P. 9

Feb 11

House

Full Committee Work Session: 02/18/2026 10:00 am GP 229