New Hampshire 2026 Session Status: Passed Senate Bipartisan · 6 R · 2 D cosponsors

SB 543 — relative to long-term care eligibility and making an appropriation therefor.

Last action — Inexpedient to Legislate: MA RC 182-154 04/23/2026 HJ 11 P. 56

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill has passed the Senate. Introduced November 24, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the House.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 74% · high confidence

  • Passed Senate

    Current position in the legislative process.

  • 8 sponsors

    1 primary, 7 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (6 R · 2 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 1 recorded vote so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

relative to long-term care eligibility and making an appropriation therefor.

Bill Text

What changed in the latest version

19 added · 16 removed

Plain-language change summary

The amendment to SB 543 significantly reduced the funding for provisional eligibility expenses from $1.5 million to just $1 for the biennium ending June 30, 2027. This change means that much less money will be available to support the eligibility process for Medicaid recipients and related services. This is important because it could impact how effectively the Department of Health and Human Services can manage and fund necessary supports for individuals in state institutions and rehabilitation centers.

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Latest
SB 543-FN - AS INTRODUCED SESSION 26-2146 05/08 SENATE BILL 543-FN AN ACT relative to long-term care eligibility and making an appropriation therefor.
SB 543-FN - AS AMENDED BY THE SENATE 01/29/2026 0109s SESSION 26-2146 05/08 SENATE BILL 543-FN AN ACT relative to long-term care eligibility and making an appropriation therefor.
SB 543-FN - AS INTRODUCED 26-2146 05/08 STATE OF NEW HAMPSHIRE In the Year of Our Lord Two Thousand Twenty-Six AN ACT relative to long-term care eligibility and making an appropriation therefor.
SB 543-FN - AS AMENDED BY THE SENATE 01/29/2026 0109s 26-2146 05/08 STATE OF NEW HAMPSHIRE In the Year of Our Lord Two Thousand Twenty-Six AN ACT relative to long-term care eligibility and making an appropriation therefor.
SB 543-FN - AS INTRODUCED - Page 2 - 2 Appropriation;
SB 543-FN - AS AMENDED BY THE SENATE - Page 2 - 2 Appropriation;
The sum of $1,500,000 is hereby appropriated for the biennium ending June 30, 2027, to the department of health and human services for the purposes of funding provisional eligibility expenses RSA 167:8.
The sum of $1 is hereby appropriated for the biennium ending June 30, 2027, to the department of health and human services for the purposes of funding provisional eligibility expenses RSA 167:8.
(b) Counties shall not be liable for provisional eligibility appropriations and/or payments as identified in RSA 167:8, and for Medicaid recipients in state institutions, the Crotched Mountain Rehabilitation Center, and intermediate care facilities (ICF) approved by the department of health and human services and servicing developmentally impaired persons.
(b) Counties shall not be liable for provisional eligibility appropriations and/or payments as identified in RSA 167:8, and for Medicaid recipients in state institutions[, the Crotched Mountain Rehabilitation Center,] and intermediate care facilities (ICF) approved by the department of health and human services and servicing developmentally impaired persons.
LBA 26-2146 Revised 1/12/26 SB 543-FN- FISCAL NOTE AS INTRODUCED AN ACT relative to long-term care eligibility and making an appropriation therefor.
LBA 26-2146 3/20/26 SB 543-FN- FISCAL NOTE AS AMENDED BY THE SENATE (AMENDMENT #2026-0109s) AN ACT relative to long-term care eligibility and making an appropriation therefor.
Estimated State Impact FY 2026 FY 2027 FY 2028 FY 2029 Revenue $0 $0 $0 $0 Revenue Fund(s) None Expenditures* $0 Indeterminable Indeterminable Indeterminable Increase Increase Increase Funding Source(s) General Fund Appropriations* $0 $1.5 million $0 $0 Funding Source(s) General Fund *Expenditure = Cost of bill *Appropriation = Authorized funding to cover cost of bill METHODOLOGY:
Estimated State Impact FY 2026 FY 2027 FY 2028 FY 2029 Revenue $0 $0 $0 $0 Revenue Fund(s) None Expenditures* $0 Indeterminable Indeterminable Indeterminable Increase Increase Increase Funding Source(s) General Fund Appropriations* $0 $1 $0 $0 Funding Source(s) General Fund *Expenditure = Cost of bill *Appropriation = Authorized funding to cover cost of bill METHODOLOGY:
This bill establishes provisional eligibility for Medicaid nursing facility services as part of the long-term care application process, and appropriates $1.5 million in the FY26/27 biennium for the purpose of funding provisional eligibility expenses.
This bill establishes provisional eligibility for Medicaid nursing facility services as part of the long-term care application process, and appropriates $1 in the FY26/27 biennium for the purpose of funding provisional eligibility expenses.
The Department of Health and Human Services was contacted for a fiscal note worksheet on November 17, 2025.
The Department of Health and Human Services was contacted for a fiscal note worksheet for the bill as introduced on November 17, 2025, and for the bill as amended on March 20, 2026.
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Action History

  1. Inexpedient to Legislate: MA RC 182-154 04/23/2026 HJ 11

  2. Minority Committee Report: Ought to Pass

  3. Majority Committee Report: Inexpedient to Legislate 04/15/2026 (Vote 10-8; RC)

  4. Executive Session: 04/15/2026 10:00 am GP 158

  5. Public Hearing: 03/25/2026 11:30 am GP 158

  6. Introduced (in recess of) 02/19/2026 and referred to Health, Human Services and Elderly Affairs HJ 5 P. 124

  7. Committee Amendment # 2026-0109s, AA, VV; 01/29/2026; SJ 2

  8. Ought to Pass with Amendment #2026-0109s, MA, VV; OT3rdg; 01/29/2026; SJ 2

  9. Committee Report: Ought to Pass with Amendment # 2026-0109s, 01/29/2026; Vote 5-0; CC; SC 3

  10. Hearing: 01/08/2026, Room 100, SH, 09:00 am; SC 46

  11. Introduced 01/07/2026 and Referred to Health and Human Services; SJ 1

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 7 co-sponsors · 407 not signed on · 146 voted No

Sponsors (1)

Co-sponsors (7)

Not signed on (407)

407 members have not signed on to this bill.

Show all 407 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

ITL

Passed 182 Yea · 154 Nay · 54 Other
Party YeaNayPresentNot Voting
Republican 1724029
Democrat 0143024
Unaffiliated 7200
Independent 0001
Total 179149054
% of votes cast 47%39%0%14%
How each member voted (382)
Member Party Vote
Susan C DeLemus — Yea
Thomas L Kaczynski — Yea
Kimberly A Rice — Yea
Lisa M Freeman — Yea
Paul P Dargie — Nay
Patrick N Long — Nay
Matt R Sabourin dit Choinière — Yea
Gary L. Daniels — Yea
Tom D Mannion — Yea
Alexis Simpson Democrat Nay
Alice Wade Democrat Nay
Alicia Gregg Democrat Nay
Alissandra Murray Democrat Not Voting
Allan Howland Democrat Not Voting
Allison Knab Democrat Nay
Amy Malone Democrat Not Voting
Anita Burroughs Democrat Nay
Barry Faulkner Democrat Nay
Beth Richards Democrat Nay
Bill Bolton Democrat Nay
Billie Butler Democrat Nay
Bobbi Boudman Democrat Nay
Brian Sullivan Democrat Nay
Buzz Scherr Democrat Nay
Carrie Sorensen Democrat Nay
Carry Spier Democrat Nay
Cassandra Levesque Democrat Nay
Catherine Rombeau Democrat Nay
Catherine Sofikitis Democrat Not Voting
Cathryn Harvey Democrat Nay
Chris McAleer Democrat Nay
Chris Muns Democrat Nay
Christal Lloyd Democrat Nay
Christine Seibert Democrat Nay
Christopher Herbert Democrat Nay
Connie Lane Democrat Nay
Dale Swanson Democrat Nay
Dan Bergeron Democrat Nay
Daniel LeClerc Democrat Nay
Daniel Veilleux Democrat Nay
David Fracht Democrat Nay
David Luneau Democrat Nay
David Meuse Democrat Nay
David Nagel Democrat Nay
David Paige Democrat Nay
David Preece Democrat Nay
Dennis Malloy Democrat Not Voting
Dick Ames Democrat Nay
Dru Fox Democrat Nay
Efstathia Booras Democrat Nay
Eileen Kelly Democrat Nay
Eleana Colby Democrat Nay
Ellen Read Democrat Not Voting
Ellen Rockmore Democrat Nay
Eric Gallager Democrat Nay
Eric Turer Democrat Nay
Erica de Vries Democrat Nay
Erik Johnson Democrat Nay
Erin Kerwin Democrat Nay
Fred Davis Democrat Not Voting
Gaby Grossman Democrat Not Voting
Gary Gilmore Democrat Nay
Gary Woods Democrat Nay
Geoffrey Smith Democrat Nay
George Sykes Democrat Nay
Gerald Ward Democrat Nay
Gregory Sargent Democrat Not Voting
Heath Howard Democrat Nay
Heather Baldwin Democrat Nay
Heather Raymond Democrat Nay
Hope Damon Democrat Nay
James Gruber Democrat Nay
James MacKay Democrat Not Voting
James Newsom Democrat Nay
James Roesener Democrat Nay
Janet Lucas Democrat Nay
Janet Wall Democrat Nay
Jared Sullivan Democrat Nay
Jean Jeudy Democrat Nay
Jennifer Mandelbaum Democrat Not Voting
Jerry Stringham Democrat Nay
Jessica Grill Democrat Nay
Jessica LaMontagne Democrat Nay
Jim Maggiore Democrat Nay
Jim Snodgrass Democrat Nay
Jodi Newell Democrat Nay
John Cloutier Democrat Nay
John Larochelle Democrat Nay
John Stone Democrat Nay
Jonah Wheeler Democrat Not Voting
Julie Gilman Democrat Nay
Karen Ebel Democrat Nay
Karen Hegner Democrat Not Voting
Kat McGhee Democrat Nay
Kathy Staub Democrat Nay
Kris Schultz Democrat Not Voting
Laura Telerski Democrat Not Voting
Laurel Stavis Democrat Not Voting
Lee Ann Kluger Democrat Nay
Lily Foss Democrat Nay
Linda DiSilvestro Democrat Not Voting
Linda Harriott-Gathright Democrat Nay
Linda Ryan Democrat Nay
Loren Foxx Democrat Nay
Loren Selig Democrat Nay
Louis Juris Democrat Nay
Lucius Parshall Democrat Nay
Lucy Weber Democrat Nay
Luz Bay Democrat Nay
Manoj Chourasia Democrat Nay
Marc Plamondon Democrat Nay
Marjorie Smith Democrat Nay
Mark MacKenzie Democrat Nay
Mark Paige Democrat Nay
Mark Vallone Democrat Nay
Martin Jack Democrat Nay
Mary Georges Democrat Nay
Mary Hakken-Phillips Democrat Nay
Mary Jane Wallner Democrat Nay
Matthew Hicks Democrat Nay
Matthew Wilhelm Democrat Not Voting
Megan Murray Democrat Nay
Merryl Gibbs Democrat Nay
Michael Cahill Democrat Nay
Michael Edgar Democrat Nay
Molly Howard Democrat Nay
Muriel Hall Democrat Nay
Myles England Democrat Not Voting
Nancy Murphy Democrat Nay
Ned Raynolds Democrat Nay
Nicholas Germana Democrat Nay
Nicole Leapley Democrat Nay
Paige Beauchemin Democrat Not Voting
Patricia Cornell Democrat Nay
Paul Berch Democrat Nay
Peggy Balboni Democrat Nay
Peter Bixby Democrat Nay
Peter Leishman Democrat Nay
Peter Lovett Democrat Nay
Peter Petrigno Democrat Nay
Peter Schmidt Democrat Nay
Philip Jones Democrat Nay
Ray Newman Democrat Nay
Rosemarie Rung Democrat Nay
Russell Muirhead Democrat Nay
Sallie Fellows Democrat Nay
Samantha Jacobs Democrat Not Voting
Sanjeev Manohar Democrat Nay
Santosh Salvi Democrat Nay
Seth Miller Democrat Nay
Stephanie Grund Democrat Not Voting
Stephanie Payeur Democrat Nay
Stephen Woodcock Democrat Nay
Sue Newman Democrat Nay
Susan Almy Democrat Nay
Susan Elberger Democrat Nay
Suzanne Chretien Democrat Nay
Terri O'Rorke Democrat Nay
Terry Spahr Democrat Nay
Thomas Buco Democrat Not Voting
Thomas Cormen Democrat Nay
Thomas Schamberg Democrat Nay
Thomas Southworth Democrat Nay
Timothy Horrigan Democrat Nay
Timothy Soucy Democrat Nay
Toni Weinstein Democrat Nay
Tony Caplan Democrat Nay
Tracy Bricchi Democrat Nay
Trinidad Tellez Democrat Nay
Wayne Burton Democrat Nay
Wayne Pearson Democrat Not Voting
Wendy Thomas Democrat Nay
Will Darby Democrat Nay
William Dolan Democrat Nay
William Palmer Democrat Nay
Zoe Manos Democrat Nay
Aidan Ankarberg Independent Not Voting
Aboul Khan Republican Yea
Adam Presa Republican Yea
Alvin See Republican Yea
Andrew Prout Republican Yea
Arnold Davis Republican Yea
Barbara Comtois Republican Yea
Bill Boyd Republican Yea
Bill Ohm Republican Yea
Bob Lynn Republican Yea
Brian Cole Republican Yea
Brian Labrie Republican Yea
Brian Nadeau Republican Yea
Brian Seaworth Republican Yea
Brian Taylor Republican Yea
Bryan Morse Republican Not Voting
Calvin Beaulier Republican Yea
Carol McGuire Republican Yea
Catherine Kenny Republican Not Voting
Charles Foote Republican Not Voting
Charles McMahon Republican Yea
Charles Melvin Republican Yea
Cindy Bennett Republican Yea
Claudine Burnham Republican Yea
Clayton Wood Republican Yea
Cyril Aures Republican Yea
Dale Girard Republican Nay
Dan McGuire Republican Yea
Daniel Popovici-Muller Republican Yea
Darrell Louis Republican Yea
David Love Republican Yea
David Lundgren Republican Yea
David Milz Republican Yea
David Walker Republican Yea
Deborah Aylward Republican Yea
Debra DeSimone Republican Yea
Denis Murphy Republican Yea
Denise DeDe-Poulin Republican Not Voting
Dennis Mannion Republican Nay
Diane Kelley Republican Yea
Diane Pauer Republican Yea
Dick Thackston Republican Yea
Dillon Dumont Republican Yea
Donald McFarlane Republican Not Voting
Donald Selby Republican Yea
Douglas Thomas Republican Yea
Douglas Trottier Republican Not Voting
Erica Layon Republican Yea
Ernesto Gonzalez Republican Not Voting
George Grant Republican Yea
Gerald Griffin Republican Yea
Glen Aldrich Republican Yea
Glenn Bailey Republican Yea
Gregory Hill Republican Yea
Henry Giasson Republican Yea
JD Bernardy Republican Yea
Jack Flanagan Republican Yea
James Creighton Republican Yea
James Guzofski Republican Yea
James Qualey Republican Yea
James Spillane Republican Yea
James Summers Republican Yea
James Thibault Republican Yea
James Tierney Republican Yea
Jason Osborne Republican Yea
Jay Markell Republican Yea
Jeanine Notter Republican Yea
Jeffrey Tenczar Republican Yea
Jennifer Rhodes Republican Yea
Jeremy Slottje Republican Yea
Jess Edwards Republican Yea
Jim Fedolfi Republican Yea
Jim Kofalt Republican Yea
Jodi Nelson Republican Not Voting
Joe Alexander Republican Yea
Joe Sweeney Republican Not Voting
John Hunt Republican Yea
John Janigian Republican Yea
John Leavitt Republican Yea
John MacDonald Republican Yea
John Potucek Republican Yea
John Schneller Republican Yea
John Sellers Republican Not Voting
John Suiter Republican Yea
John Sytek Republican Yea
Jonathan Smith Republican Yea
Jordan Ulery Republican Not Voting
Jose Cambrils Republican Not Voting
Joseph Barton Republican Yea
Joseph Guthrie Republican Yea
Joseph Hamblen Republican Yea
Judy Aron Republican Yea
Julie Miles Republican Yea
Juliet Harvey-Bolia Republican Yea
Julius Soti Republican Yea
Karel Crawford Republican Yea
Katelyn Kuttab Republican Yea
Katherine Prudhomme-O'Brien Republican Yea
Kathleen Paquette Republican Yea
Katy Peternel Republican Yea
Keith Ammon Republican Yea
Keith Erf Republican Yea
Kelley Potenza Republican Yea
Kenneth Weyler Republican Yea
Kevin Scully Republican Yea
Kevin Verville Republican Yea
Kristin Noble Republican Yea
Kristine Perez Republican Yea
Larry Gagne Republican Yea
Laurence Miner Republican Not Voting
Len Turcotte Republican Not Voting
Lex Berezhny Republican Yea
Lilli Walsh Republican Yea
Linda Franz Republican Yea
Linda Gould Republican Yea
Linda McGrath Republican Yea
Lino Avellani Republican Yea
Lisa Mazur Republican Yea
Lisa Post Republican Yea
Liz Barbour Republican Yea
Lori Korzen Republican Yea
Lorie Ball Republican Yea
Louise Andrus Republican Yea
Marc Tremblay Republican Yea
Margaret Drye Republican Yea
Marie Louise Bjelobrk Republican Yea
Mark McLean Republican Nay
Mark Pearson Republican Not Voting
Mark Proulx Republican Yea
Mark Warden Republican Yea
Mary Ford Republican Yea
Mary Murphy Republican Yea
Matt Drew Republican Yea
Matthew Coker Republican Yea
Matthew Pitaro Republican Yea
Maureen Mooney Republican Yea
Melissa Litchfield Republican Yea
Michael Aron Republican Yea
Michael Granger Republican Yea
Michael Harrington Republican Yea
Michael Moffett Republican Yea
Mike Belcher Republican Yea
Mike Bordes Republican Not Voting
Mike Drago Republican Yea
Mike Ouellet Republican Yea
Nicholas Bridle Republican Not Voting
Pam Brown Republican Yea
Paul Terry Republican Yea
Paul Tudor Republican Yea
Pete Morency Republican Not Voting
Peter Mehegan Republican Yea
Peter Varney Republican Not Voting
Phyllis Katsakiores Republican Not Voting
Pierre Dupont Republican Yea
Ralph Boehm Republican Yea
Raymond Peeples Republican Yea
Raymond Plante Republican Not Voting
Rich Nalevanko Republican Yea
Richard Brown Republican Yea
Richard Lascelles Republican Yea
Richard Tripp Republican Yea
Riché Colcombe Republican Yea
Rick Ladd Republican Yea
Ricky Devoid Republican Yea
Rita Mattson Republican Yea
Robert Harb Republican Yea
Robert Wherry Republican Yea
Robley Hall Republican Not Voting
Ron Dunn Republican Yea
Ross Berry Republican Yea
Russell Dumais Republican Not Voting
Samuel Farrington Republican Yea
Sayra DeVito Republican Not Voting
Scott Bryer Republican Yea
Sean Durkin Republican Yea
Seth King Republican Yea
Shane Sirois Republican Yea
Sheri Minor Republican Not Voting
Sherman Packard Republican Not Voting
Sherri Reinfurt Republican Yea
Skip Rollins Republican Yea
Sly Karasinski Republican Yea
Stephen Boyd Republican Yea
Stephen Pearson Republican Yea
Steven Bogert Republican Yea
Steven Kesselring Republican Yea
Steven Smith Republican Yea
Susan DeRoy Republican Yea
Susan Porcelli Republican Yea
Susan Vandecasteele Republican Yea
Tanya Donnelly Republican Nay
Ted Gorski Republican Not Voting
Terry Roy Republican Not Voting
Thomas Walsh Republican Yea
Tim Mannion Republican Not Voting
Tom Dolan Republican Yea
Tom Ploszaj Republican Yea
Travis Corcoran Republican Yea
Travis Toner Republican Yea
Valerie McDonnell Republican Yea
Vanessa Sheehan Republican Yea
Vicki Wilson Republican Yea
Walter Spilsbury Republican Yea
Wayne Hemingway Republican Yea
Wayne MacDonald Republican Yea
Yury Polozov Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does SB 543 do?
relative to long-term care eligibility and making an appropriation therefor.
Who sponsors SB 543?
SB 543 is sponsored by Pat Long (Democrat), Victoria Sullivan (Republican), Tim McGough (Republican), David Rochefort (Republican), Dennis Mannion (Republican), Daryl Abbas (Republican), Suzanne Prentiss (Democrat), and Bill Gannon (Republican).
What is the current status of SB 543?
This bill has passed the Senate. Introduced November 24, 2025. It now moves to the second chamber.
Where can I track SB 543?
Track SB 543 free on One Click Politics — get push/email alerts when it moves.

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