SB 134-FN (2026): relative to work requirements under the state Medicaid program.

SB 134-FN (2026)

relative to work requirements under the state Medicaid program.

• Status: Signed into law
• Term: 2025-2026
• House committee: Health, Human Services and Elderly Affairs
• Senate committee: Health and Human Services
• Subject: Welfare/Medicare/Medicaid
• Chapter law: 18

The Story

It was introduced on January 9, 2025 and referred to the Senate Health and Human Services committee. The committee held a public hearing on February 5, 2025. The committee voted 3–2 to recommend that the Senate pass it with changes (amendment 2025-0401s). The committee's amendment (2025-0401s) was adopted on a voice vote on March 6, 2025, changing the text of the bill. On March 6, 2025 the Senate voted to pass it with changes, then referred it on to the Senate Finance committee. The committee voted 4–2 to recommend that the Senate pass it. On March 20, 2025 the Senate voted to pass it and ordered it to a third reading. It crossed to the House on March 27, 2025 and was referred to the House Health, Human Services and Elderly Affairs committee. The committee held a public hearing on April 16, 2025, with 486 people signed in online: 9 in support and 477 in opposition. The committee met in executive session on April 30, 2025 to vote on its recommendation. The committee retained the bill, holding it for further work rather than reporting it out this year. The committee held work sessions on October 1, 2025, October 22, 2025 and November 3, 2025. The committee met in executive session on November 12, 2025 to vote on its recommendation. The majority recommended that the House pass it with changes (amendment 2025-3093h), and the minority recommended that the House kill it, by a vote of 11–6. The report was placed on the regular calendar. The committee's amendment (2025-3093h) was adopted on a roll call 349–5 on January 8, 2026, changing the text of the bill. On January 8, 2026 the House voted to pass it with changes on a roll call 204–150. On February 5, 2026 the Senate voted to agree to the other chamber's changes, on a motion by Sen. David Rochefort. On February 5, 2026 the Senate adopted “Special Order to the Present Time, Without Objection”. The bill was enrolled on March 12, 2026 — the final check of the text before it goes to the governor. The governor signed it on March 27, 2026, making it Chapter 18 of the session laws. It took effect on March 27, 2026.

Sponsors

• Sen. Howard Pearl (R - SD17) (prime sponsor)
• Sen. Timothy Lang (R - SD2)
• Sen. Keith Murphy (R - SD16)
• Sen. Daniel Innis (R - SD7)
• Sen. Tim McGough (R - SD11)
• Sen. Bill Gannon (R - SD23)
• Rep. Jason Osborne (R - Rock 2)
• Rep. Michael Moffett (R - Merr 4)
• Rep. Jess Edwards (R - Rock 31)

Hearings and Sessions

• February 5, 2025, 1:00 PM: hearing, Senate Health and Human Services, LOB 101
• March 6, 2025: floor debate, Senate
• March 20, 2025: floor debate, Senate
• April 16, 2025, 1:00 PM: public hearing, House Health, Human Services and Elderly Affairs, LOB 205-207
• April 30, 2025, 9:30 AM: executive session, House Health, Human Services and Elderly Affairs, LOB 205-207
• October 1, 2025, 1:00 PM: subcommittee work session, House Health, Human Services and Elderly Affairs, GP 158
• October 22, 2025, 1:00 PM: subcommittee work session, House Health, Human Services and Elderly Affairs, GP 158
• November 3, 2025, 1:00 PM: subcommittee work session, House Health, Human Services and Elderly Affairs, GP 158
• November 12, 2025, 10:00 AM: executive session, House Health, Human Services and Elderly Affairs, GP 158
• January 8, 2026: floor debate, House
• February 5, 2026: floor debate, Senate

Votes

• March 6, 2025, Senate: Ought to Pass with Amendment — yeas 16, nays 8, passed
• March 20, 2025, Senate: Ought to Pass — yeas 15, nays 8, passed
• January 8, 2026, House: Adopt Amendment — yeas 349, nays 5, passed
• January 8, 2026, House: Ought to Pass with Amendment — yeas 204, nays 150, passed
• February 5, 2026, Senate: Concur — yeas 15, nays 9, passed

The Docket

Laws It Would Change

• RSA 126-AA
• RSA 126-AA:2

Related Bills

• SB 506-FN (2026): relative to community engagement and work requirements under the state Medicaid program.

From the General Court

• Bill text
• Bill status page
• Docket
• SC 8
• SC 13
• HC 51, page 39
• HJ 2, pages 39 and 43
• SJ 7
• HJ 8, page 115
• This page’s data as JSON