New Hampshire 2026 Session Status: Enacted Bipartisan · 3 D · 3 R cosponsors

SB 544 — relative to managed care laws.

Last action — Signed by the Governor on 07/02/2026; Chapter 263; Effective 01/01/2027

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

This bill has been enacted into law. Introduced November 24, 2025. Enacted.

Signed by Governor Kelly Ayotte (Republican) on July 09, 2026.

Odds of enactment

High chance

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

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

Prognosis

Likely to advance 78% · moderate confidence
  • Enacted

    Current position in the legislative process.

  • 7 sponsors

    1 primary, 6 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (3 D · 3 R) — cross-party backing.

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

In plain language

The bill updates regulations on managed care laws.

The legislation modifies existing managed care laws to potentially improve health care planning and delivery. It aims to align better with current health care practices.

What this means for you
  • Healthcare: This means healthcare providers may have new guidelines to follow for managed care services.

Summary

(New Title) relative to managed care laws.

Bill Text

What changed in the latest version

37 added · 46 removed

Plain-language change summary

The final version of Bill SB 544 includes two significant changes concerning prescription drug benefits. First, it extends the notice period required before any deletions from a health plan's formulary from 45 days to 60 days, giving patients more time to prepare for changes in their medication options. Additionally, it raises the minimum font size for written notices to 14 points, making the information more accessible and easier to read for covered individuals. These changes aim to enhance transparency and communication between health plans and their members regarding prescription drug coverage.

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Latest
SB 544-FN - VERSION ADOPTED BY BOTH BODIES 03/12/2026 1038s 14May2026...
CHAPTER 263 SB 544-FN - FINAL VERSION 03/12/2026 1038s 14May2026...
SB 544-FN - VERSION ADOPTED BY BOTH BODIES 03/12/2026 1038s 14May2026...
CHAPTER 263 SB 544-FN - FINAL VERSION 03/12/2026 1038s 14May2026...
1 Managed Care Law;
263:1 Managed Care Law;
SB 544-FN - VERSION ADOPTED BY BOTH BODIES - Page 2 - 2 Effective Date.
263:2 Effective Date.
LBA 26-2160 05/15/2026 SB 544-FN- FISCAL NOTE AS AMENDED BY THE HOUSE (AMENDMENT # 2026-1703h) AN ACT relative to managed care laws.
Approved:
FISCAL IMPACT:
July 02, 2026 Effective Date:
The Office of Legislative Budget Assistant states this bill has no fiscal impact on state, county and local expenditures or revenue.
January 01, 2027
AGENCIES CONTACTED:
None
View plain text versions (5)

Action History

  1. Signed by the Governor on 07/02/2026; Chapter 263; Effective 01/01/2027

  2. Enrolled (in recess of) 06/04/2026 HJ 15

  3. Enrolled Adopted, VV, (In recess 06/04/2026); SJ 14

  4. Sen. Rochefort Moved to Concur with the House Amendment, MA, VV; 05/21/2026; SJ 13

  5. Ought to Pass with Amendment 2026-1703h: MA VV 05/14/2026 HJ 13 P. 5

  6. Amendment # 2026-1703h: AA VV 05/14/2026 HJ 13 P. 5

  7. Committee Report: Ought to Pass with Amendment # 2026-1703h 04/29/2026 (Vote 15-0; CC) HC 19 P. 7

  8. Subcommittee Work Session: 04/28/2026 10:00 am GP 229

  9. Executive Session: 04/29/2026 10:00 am GP 229

  10. Subcommittee Work Session: 04/22/2026 10:00 am GP 229

  11. Public Hearing: 04/15/2026 11:30 am GP 229

  12. Introduced (in recess of) 03/12/2026 and referred to Commerce and Consumer Affairs HJ 8 P. 114

  13. Ought to Pass with Amendment #2026-1038s, MA, VV; OT3rdg; 03/12/2026; SJ 6

  14. Committee Amendment # 2026-1038s, AA, VV; 03/12/2026; SJ 6

  15. Committee Report: Ought to Pass with Amendment # 2026-1038s, 03/12/2026; Vote 4-1; CC; SC 9

  16. Hearing: 02/04/2026, Room 100, SH, 09:00 am; SC 4

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

Sponsors

Sponsorship breakdown

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1 sponsors · 6 co-sponsors · 408 not signed on

Sponsors (1)

Co-sponsors (6)

Not signed on (408)

408 members have not signed on to this bill.

Show all 408 →

"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

Subjects

Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 544 do?
(New Title) relative to managed care laws.
Who sponsors SB 544?
SB 544 is sponsored by William A. Pearson, Pat Long (Democrat), Lisa Mazur (Republican), Donovan Fenton (Democrat), Cindy Rosenwald (Democrat), Regina Birdsell (Republican), and Karel Crawford (Republican).
What is the current status of SB 544?
This bill has been enacted into law. Introduced November 24, 2025. Enacted.
Where can I track SB 544?
Track SB 544 free on One Click Politics — get push/email alerts when it moves.

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