HB 1562 — relative to licensing requirements for health care facilities that operate on a membership-based business model.

HB 1562-FN - AS INTRODUCEDAMENDED SESSIONBY 26-2358THE 05/08 HOUSE BILL11Mar2026... 1562-FN AN ACT relative to licensing requirements for health care facilities that operate on a membership-based business model.

0415h SESSION 26-2358 05/08 HOUSE BILL 1562-FN AN ACT relative to licensing requirements for health care facilities that operate on a membership-based business model.

Health, Human Services and Elderly Affairs ───────────────────────────────────────────────────────────────── AMENDED ANALYSIS This bill exempts direct-pay health care facilities from certain licensing requirements and policies in RSA 151:2-f151:2-f. as well as the moratorium on licensing and bed capacity in RSA 151:2, VI(a).

HB 1562-FN - AS INTRODUCEDAMENDED 26-2358BY 05/08THE STATEHOUSE OF11Mar2026... NEW HAMPSHIRE In the Year of Our Lord Two Thousand Twenty-Six AN ACT relative to licensing requirements for health care facilities that operate on a membership-based business model.

0415h 26-2358 05/08 STATE OF NEW HAMPSHIRE In the Year of Our Lord Two Thousand Twenty-Six AN ACT relative to licensing requirements for health care facilities that operate on a membership-based business model.

1 ResidentialPatients' CareBill andof HealthRights; Facility Licensing;

License or Registration Required;

Moratorium;

Exception for Membership-Based and Direct Payment Facilities.

Amend RSA 151:2, VI(a)(1) to read as follows:

(1) No new license shall be issued for, and there shall be no increase in licensed capacity of, any nursing home, skilled nursing facility, intermediate care facility, or rehabilitation facility, including rehabilitation hospitals and facilities offering comprehensive rehabilitation services.

This moratorium shall not apply to:

(A) Any facility that is not a nursing home, skilled nursing facility, or intermediate care facility;

(B) Any rehabilitation facility, including rehabilitation hospitals and facilities offering comprehensive rehabilitation services, that operates on a membership- based business model or exclusively provides services to persons who make direct payment for services;

(C) Any rehabilitation facility whose sole purpose is to treat individuals for substance use disorder or mental health issues;

or [to] (D) Any continuing care facility for which a certificate of authority has been issued by the insurance commissioner pursuant to RSA 420-D:2.

2 Patients' Bill of Rights;

32 Patients' Bill of Rights;

"Patients' rights" or "rights" means those rights established under RSA 151:21151:21, [or] RSA 151:21-b, or RSA 151:21-c, as applicable.

43 Residential Care and Health Facility Licensing;

HB 1562-FN - AS INTRODUCED - Page 2 - 151:2-f Policies Required for Health Facilities and Special Health Care Service Licenses.

[I.](a)[I.] (a) Adopt and enforce a written policy to assure that the facility provides its services to all persons who require the services the facility provides regardless of the source of payment for the services provided to any person;

[II.](b)[II.] (b) Adopt, publicize, and apply an assistance plan for persons who are uninsured or who do not have the financial resources to pay for the facility's services due to financial hardship;

[III.](c)[III.] (c) Provide data to the commissioner of the department of health and human services regarding the volume, cost and outcomes of services provided in the facility;

and [IV.](d)[IV.] (d) Pay fees under RSA 151:2-e, III to the commissioner of the department to cover the costs of administering the licensing of special health care services, the administration of the quality and patient safety requirements of this section, and the collection and analysis of the data collected under this section.

Subparagraph I(a) shall not apply to rehabilitationany facilities, including rehabilitation hospitals and facilities offering comprehensive rehabilitation services facilities that operate on a membership-based business model or exclusively provide services to persons who make direct payment for services, and are not nursing homes, skilled nursing facilities, HB 1562-FN - AS AMENDED BY THE HOUSE - Page 2 - intermediate care facilities, or rehabilitation facilities, including rehabilitation hospitals and facilities offering comprehensive rehabilitation services.

54 New Section;

HB 1562-FN - AS INTRODUCED - Page 3 - III.

HB 1562-FN - AS AMENDED BY THE HOUSE - Page 3 - V.

Medical information contained in the medical records at any facility HB 1562-FN - AS INTRODUCED - Page 4 - licensed under this chapter shall be deemed to be the property of the patient.

HB 1562-FN - AS AMENDED BY THE HOUSE - Page 4 - XIV.

65 Department of Health and Human Services;

The commissioner of the department of health and human services shall conduct a study to examine the impact of direct pay models on the health care system of New Hampshire, with special attention given to the impact of implementation of the direct primary care law, RSA 329:1-e and 2019, 330 HB 1562-FN - AS INTRODUCED - Page 5 - (HB 508).

76 EffectivePatients' Date.Bill of Rights;

ThisDefinitions; act shall take effect 60 days after its passage.

Direct Payment and Membership-Based Facilities.

Amend RSA 151:19, II to read as follows:

II.

"Facility" means any hospital, building, residence, or other place or part thereof, licensed under the provisions of RSA 151:2.

For the purposes of RSA 151:21, RSA 151:25, and RSA 151:26, "facility" shall not include home health care providers, or private homes where home care services are provided.