HB 1554-FN (2026): requiring insurance carriers to provide peer-to-peer review at any stage of prior authorization and mandating disclosure of reviewer credentials.

HB 1554-FN (2026)

requiring insurance carriers to provide peer-to-peer review at any stage of prior authorization and mandating disclosure of reviewer credentials.

• Status: Died: conferees could not agree
• Term: 2025-2026
• House committee: Commerce and Consumer Affairs
• Senate committee: Commerce
• Subject: Insurance

The Story

It was introduced on January 7, 2026 and referred to the House Commerce and Consumer Affairs committee. The committee held a public hearing on February 17, 2026, with 31 people signed in online: 28 in support and 3 in opposition. The committee held a work session on February 18, 2026. The committee met in executive session on February 18, 2026 to vote on its recommendation. The committee held a work session on March 3, 2026. The committee met in executive session on March 3, 2026 to vote on its recommendation. The majority recommended that the House pass it with changes (amendment 2026-0805h), and the minority recommended that the House study it after the session ends, by a vote of 13–2. The report was placed on the regular calendar. The committee's amendment (2026-0805h) was adopted on a division vote 192–143 on March 11, 2026, changing the text of the bill. On March 11, 2026 the House voted to pass it with changes on a division vote 244–92. It crossed to the Senate on March 12, 2026 and was referred to the Senate Commerce committee. The committee held a public hearing on April 7, 2026. The committee voted unanimously, 5–0, to recommend that the Senate kill it, and the report was placed on the consent calendar. The bill was taken off the consent calendar on May 7, 2026. On May 7, 2026 the Senate adopted “Special Order to 05/14/2026, Without Objection”. The committee voted unanimously, 5–0, to recommend that the Senate kill it. On May 14, 2026 the Senate adopted “Special Order to be the first bill after the lunch break, Without Objection”. On May 14, 2026 the Senate rejected a motion to kill it on a voice vote. A floor amendment (2026-1980s), offered by Sen. Tim McGough, was adopted on a voice vote on May 14, 2026, changing the text of the bill. On May 14, 2026 the Senate voted to pass it with changes on a voice vote and ordered it to a third reading. On May 14, 2026 the House adopted “House Non-Concurs with Senate Amendment 2026-1980s and Requests CofC” on a voice vote, on a motion by Rep. John Hunt. On May 14, 2026 the Senate adopted “Accedes to House Request for Committee of Conference” on a voice vote, on a motion by Sen. Daniel Innis. A committee of conference met on May 26, 2026 to try to settle the differences between the two chambers' versions of the bill.

Sponsors

• Rep. Julie Miles (R - Hills 12) (prime sponsor)
• Sen. Bill Gannon (R - SD23)
• Rep. Jim Kofalt (R - Hills 32)
• Rep. Katelyn Kuttab (R - Rock 17)
• Sen. Tim McGough (R - SD11)
• Rep. Mary Murphy (R - Hills 27)
• Rep. David Nagel (D - Belk 6)
• Sen. Suzanne Prentiss (D - SD5)

Hearings and Sessions

• February 17, 2026, 2:15 PM: public hearing, House Commerce and Consumer Affairs, GP 159
• February 18, 2026, 10:00 AM: full committee work session, House Commerce and Consumer Affairs, GP 229
• February 18, 2026, 1:00 PM: executive session, House Commerce and Consumer Affairs, GP 229
• March 3, 2026, 10:00 AM: full committee work session, House Commerce and Consumer Affairs, GP 229
• March 3, 2026, 1:00 PM: executive session, House Commerce and Consumer Affairs, GP 229
• March 11, 2026: floor debate, House
• April 7, 2026, 10:40 AM: hearing, Senate Commerce, SH 100
• May 7, 2026: floor debate, Senate
• May 14, 2026: floor debate, Senate
• May 26, 2026, 12:00 PM: committee of conference, GP 229

Votes

• March 11, 2026, House: Adopt Committee Amendment — yeas 192, nays 143, passed
• March 11, 2026, House: Ought to Pass with Amendment 2026-0805h — yeas 244, nays 92, passed
• May 14, 2026, Senate: Inexpedient to Legislate — voice vote, failed
• May 14, 2026, Senate: Ought to Pass with Amendment # 2026-1980s — voice vote, passed
• May 14, 2026, House: House Non-Concurs with Senate Amendment 2026-1980s and Requests CofC — voice vote, passed
• May 14, 2026, Senate: Accedes to House Request for Committee of Conference — voice vote, passed

The Docket

Laws It Would Change

• RSA 420-E:4-b
• RSA 420-J:6

From the General Court

• Bill text
• Bill status page
• Docket
• HJ 1, page 25
• HC 10, page 31
• HJ 7, pages 68 and 69
• SJ 7
• SC 13
• SC 17
• SJ 11
• SC 18
• SJ 12
• HJ 13, page 148
• SJ 13
• SJ 14