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

HB 1554 — requiring insurance carriers to provide peer-to-peer review at any stage of prior authorization and mandating disclosure of reviewer credentials.

Last action — Public Hearing: 02/17/2026 02:15 pm GP 159

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

This bill has been enacted into law. Introduced December 10, 2025. Enacted.

Signed by Governor Kelly Ayotte (Republican) on June 02, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high 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 78% · moderate confidence

  • Enacted

    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.

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

This bill requires insurance carriers to allow peer-to-peer reviews during prior authorization and disclose reviewer credentials.

The legislation mandates that insurance companies facilitate peer-to-peer reviews at any stage of the prior authorization process and must share the credentials of the reviewers. This aims to improve transparency in the authorization process for medical services.

What this means for you
  • Healthcare: Healthcare providers will have a clearer understanding of who is reviewing their authorization requests.

Summary

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

Bill Text

What changed in the latest version

67 added · 68 removed

Plain-language change summary

The amendment to Bill HB 1554-FN has clarified the qualifications for medical reviewers, specifically stating that they must be actively practicing in the same or similar field of medicine. Additionally, it now requires that these qualifications be disclosed to the treating provider. This change is important because it aims to ensure that the reviews of medical cases are conducted by professionals with relevant, current experience, potentially improving the quality of care and decision-making in medical evaluations.

→
Previous
Latest
HB 1554-FN - AS AMENDED BY THE SENATE 11Mar2026...
HB 1554-FN - AS AMENDED BY THE HOUSE 11Mar2026...
0805h 05/14/2026 1980s SESSION 26-2818 05/06 HOUSE BILL 1554-FN AN ACT requiring insurance carriers to provide peer-to-peer review at any stage of prior authorization and mandating disclosure of reviewer credentials.  SPONSORS:
0805h SESSION 26-2818 05/06 HOUSE BILL 1554-FN AN ACT requiring insurance carriers to provide peer-to-peer review at any stage of prior authorization and mandating disclosure of reviewer credentials.  SPONSORS:
HB 1554-FN - AS AMENDED BY THE SENATE 11Mar2026...
HB 1554-FN - AS AMENDED BY THE HOUSE 11Mar2026...
0805h 05/14/2026 1980s 26-2818 05/06 STATE OF NEW HAMPSHIRE In the Year of Our Lord Two Thousand Twenty-Six AN ACT requiring insurance carriers to provide peer-to-peer review at any stage of prior authorization and mandating disclosure of reviewer credentials.  Be it Enacted by the Senate and House of Representatives in General Court convened:
0805h 26-2818 05/06 STATE OF NEW HAMPSHIRE In the Year of Our Lord Two Thousand Twenty-Six AN ACT requiring insurance carriers to provide peer-to-peer review at any stage of prior authorization and mandating disclosure of reviewer credentials.  Be it Enacted by the Senate and House of Representatives in General Court convened:
HB 1554-FN - AS AMENDED BY THE SENATE - Page 2 - (2) Is actively practicing in the same or similar field of medicine;
(2) Is actively practicing in the same or similar field of medicine;
and (3) Has expertise to assess the medical necessity of the specific procedure or service under review.
and HB 1554-FN - AS AMENDED BY THE HOUSE - Page 2 - (3) Has expertise to assess the medical necessity of the specific procedure or service under review.
HB 1554-FN - AS AMENDED BY THE SENATE - Page 3 - (a) The peer-to-peer review shall be conducted by a physician reviewer who:
(a) The peer-to-peer review shall be conducted by a physician reviewer who:
(1) Holds an active license in the same or a similar specialty as the treating provider;
HB 1554-FN - AS AMENDED BY THE HOUSE - Page 3 - (1) Holds an active license in the same or a similar specialty as the treating provider;
This act shall take effect July 1, 2027.
This act shall take effect January 1.
LBA 26-2818 5/18/26 HB 1554-FN- FISCAL NOTE AS AMENDED BY THE SENATE (AMENDMENT # 2026-1980s) AN ACT requiring insurance carriers to provide peer-to-peer review at any stage of prior authorization and mandating disclosure of reviewer credentials.  FISCAL IMPACT:
2027.
Estimated State Impact FY 2026 FY 2027 FY 2028 FY 2029 Indeterminable Indeterminable Increase Increase Revenue $0 $0 (not provided (not provided by by agency) agency) Revenue Fund(s) General Funds Expenditures* $0 $0 $0 $0 Funding Source(s) None Appropriations* $0 $0 $0 $0 Funding Source(s) None *Expenditure = Cost of bill *Appropriation = Authorized funding to cover cost of bill Estimated Political Subdivision Impact FY 2026 FY 2027 FY 2028 FY 2029 County Revenue $0 $0 $0 $0 County Expenditures $0 $0 Indeterminable Indeterminable Local Revenue $0 $0 $0 $0 Local Expenditures $0 $0 Indeterminable Indeterminable METHODOLOGY:
LBA 26-2818 3/18/26 HB 1554-FN- FISCAL NOTE AS AMENDED BY THE HOUSE (AMENDMENT # 2026-0805h) AN ACT requiring insurance carriers to provide peer-to-peer review at any stage of prior authorization and mandating disclosure of reviewer credentials.  FISCAL IMPACT:
This bill requires insurance carriers to provide peer-to-peer review at any stage of prior authorization, establishes and clarifies qualifications for reviewing providers, including requiring that reviewers be actively practicing in the same or similar field, and requires disclosure of such information to the treating provider with an effective date of July 1, 2027.
Estimated State Impact FY 2026 FY 2027 FY 2028 FY 2029 Indeterminable Indeterminable Indeterminable Increase Increase Increase Revenue $0 (not provided by (not provided (not provided by agency) by agency) agency) Revenue Fund(s) General Funds Expenditures* $0 $0 $0 $0 Funding Source(s) None Appropriations* $0 $0 $0 $0 Funding Source(s) None *Expenditure = Cost of bill *Appropriation = Authorized funding to cover cost of bill Estimated Political Subdivision Impact FY 2026 FY 2027 FY 2028 FY 2029 County Revenue $0 $0 $0 $0 County Expenditures $0 Indeterminable Indeterminable Indeterminable Local Revenue $0 $0 $0 $0 Local Expenditures $0 Indeterminable Indeterminable Indeterminable METHODOLOGY:
This bill requires insurance carriers to provide peer-to-peer review at any stage of prior authorization, establishes and clarifies qualifications for reviewing providers, including requiring that reviewers be actively practicing in the same or similar field, and requires disclosure of such information to the treating provider.
⬇ Download PDF
View plain text versions (3)

Action History

  1. Public Hearing: 02/17/2026 02:15 pm GP 159

  2. Conference Committee Report; Not Signed Off; SJ 14

  3. Conference Committee Meeting: 05/26/2026 12:00 pm GP 229

  4. President Appoints: Senators Innis, Murphy, Prentiss; (In Recess 05/14/2026); SJ 13

  5. Sen. Innis Accedes to House Request for Committee of Conference, MA, VV; (In recess 05/14/2026); SJ 13

  6. Speaker Appoints: Reps. Hunt, Miles, Herbert, Potucek 05/14/2026 HJ 13

  7. House Non-Concurs with Senate Amendment 2026-1980s and Requests CofC (Rep. Hunt): MA VV 05/14/2026 HJ 13 P. 148

  8. Ought to Pass with Amendment # 2026-1980s, MA, VV; OT3rdg; 05/14/2026; SJ 12

  9. Sen. McGough Floor Amendment # 2026-1980s, AA, VV; 05/14/2026; SJ 12

  10. Sen. McGough Moved Ought to Pass; 05/14/2026; SJ 12

  11. Inexpedient to Legislate, MF, VV; 05/14/2026; SJ 12

  12. Special Order to be the first bill after the lunch break, Without Objection, MA; 05/14/2026; SJ 12

  13. Committee Report: Inexpedient to Legislate, 05/14/2026, Vote 5-0; SC 18

  14. Special Order to 05/14/2026, Without Objection, MA; 05/07/2026 SJ 11

  15. HB 1554 was Removed from the Consent Calendar; 05/07/2026; SJ 11

  16. Committee Report: Inexpedient to Legislate; Vote 5-0; CC; 05/07/2026; SC 17

  17. Hearing: 04/07/2026, Room 100, SH, 10:40 am; SC 13

  18. Introduced 03/12/2026 and Referred to Commerce; SJ 7

  19. Ought to Pass with Amendment 2026-0805h: MA DV 244-92 03/11/2026 HJ 7 P. 69

  20. Amendment # 2026-0805h: AA DV 192-143 03/11/2026 HJ 7 P. 68

  21. Minority Committee Report: Refer for Interim Study

  22. Majority Committee Report: Ought to Pass with Amendment # 2026-0805h 03/03/2026 (Vote 13-2; RC) HC 10 P. 31

  23. Full Committee Work Session: 03/03/2026 10:00 am GP 229

  24. ==CONTINUED== Executive Session: 03/03/2026 01:00 pm GP 229

  25. Full Committee Work Session: 02/18/2026 10:00 am GP 229

  26. ==RECESSED== Executive Session: 02/18/2026 01:00 pm GP 229

  27. Introduced 01/07/2026 and referred to Commerce and Consumer Affairs HJ 1 P. 25

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 7 co-sponsors · 407 not signed on

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

Subjects

healthcare health-insurance
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 HB 1554 do?
requiring insurance carriers to provide peer-to-peer review at any stage of prior authorization and mandating disclosure of reviewer credentials. 
Who sponsors HB 1554?
HB 1554 is sponsored by Tim McGough (Republican), Mary Murphy (Republican), Julie Miles (Republican), David Nagel (Democrat), Suzanne Prentiss (Democrat), Bill Gannon (Republican), Katelyn Kuttab (Republican), and Jim Kofalt (Republican).
What is the current status of HB 1554?
This bill has been enacted into law. Introduced December 10, 2025. Enacted.
Where can I track HB 1554?
Track HB 1554 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on HB 1554

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of HB 1554

Last checked for changes about 1 month ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →