New Hampshire 2026 Session Status: Enacted Bipartisan · 7 R · 2 D cosponsors

SB 670 — establishing a developmental services oversight commission; relative to reporting requirements regarding the death of a child in residential care; and relative to the registry of founded reports of abuse, neglect, or exploitation of vulnerable adults.

Last action — III. Remainder Effective 08/31/2026

  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 February 05, 2026. 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.

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.

  • 9 sponsors

    1 primary, 8 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (7 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

The bill establishes a commission to oversee developmental services and reporting requirements for vulnerable populations.

This bill creates a developmental services oversight commission and sets new reporting requirements related to the deaths of children in residential care and abuse of vulnerable adults. It aims to improve oversight and accountability in these areas.

Summary

(New Title) establishing a developmental services oversight commission; relative to reporting requirements regarding the death of a child in residential care; and relative to the registry of founded reports of abuse, neglect, or exploitation of vulnerable adults.

Bill Text

What changed in the latest version

290 added · 334 removed

Plain-language change summary

The final version of Bill SB 670 adds provisions to create a Developmental Services Oversight Commission, which will be responsible for reviewing health and safety data related to individuals receiving developmental services. This commission aims to ensure the well-being of participants in home and community-based waiver services. It matters because it establishes a formal oversight body that can identify areas for improvement and enhance care for vulnerable populations. Additionally, it sets clear term lengths for members, ensuring consistent and ongoing oversight.

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SB 670-FN-A - VERSION ADOPTED BY BOTH BODIES 03/12/2026 1046s 7May2026...
CHAPTER 278 SB 670-FN-A - FINAL VERSION 03/12/2026 1046s 7May2026...
SB 670-FN-A - VERSION ADOPTED BY BOTH BODIES 03/12/2026 1046s 7May2026...
CHAPTER 278 SB 670-FN-A - FINAL VERSION 03/12/2026 1046s 7May2026...
1 New Subdivision;
278:1 New Subdivision;
SB 670-FN-A - VERSION ADOPTED BY BOTH BODIES - Page 2 - (k) One representative of the Disability Rights Center (DRC), appointed by that organization.
(k) One representative of the Disability Rights Center (DRC), appointed by that organization.
(m) Two individuals receiving services from the developmental services system, appointed by the governor.
CHAPTER 278 SB 670-FN-A - FINAL VERSION - Page 2 - (m) Two individuals receiving services from the developmental services system, appointed by the governor.
(e) Review the DD, IHS, and ABD 1915 (c) waivers' performance measures as presented by the department to the center for medicare and medicaid services and provide recommendations to the department regarding improving the care based on the performance measures.
(e) Review the DD, IHS, and ABD 1915(c) waivers' performance measures as presented by the department to the Center for Medicare and Medicaid Services and provide recommendations to the department regarding improving the care based on the performance measures.
Beginning November 1, 2026, and annually thereafter, the commission shall provide a report of its findings and recommendations to the president of the senate, the speaker of the house of representatives, the oversight committee on health and human services established in RSA 126- A:13, the governor’s office, and the commissioner of health and human services.
Beginning November 1, 2026, and annually thereafter, the commission shall provide a report of its findings and recommendations to the president of the senate, the speaker of the house of representatives, the oversight committee on health and human services established in RSA 126-A:13, the governor’s office, and the commissioner of health and human services.
SB 670-FN-A - VERSION ADOPTED BY BOTH BODIES - Page 3 - IX.
IX.
2 Position Established;
278:2 Position Established;
II.
CHAPTER 278 SB 670-FN-A - FINAL VERSION - Page 3 - II.
3 New Paragraphs;
278:3 New Paragraphs;
(a) Supported by the 1915c home and community-based Medicaid waiver program;
(a) Supported by the 1915(c) home and community-based Medicaid waiver program;
The department shall annually notify each area agency as defined in RSA 171-A:2, I-b, community mental health program as defined in RSA 135-C:2, IV, state-owned or operated facility, including, but not limited to, New Hampshire Hospital and Glencliff Home, Hampstead Hospital and SB 670-FN-A - VERSION ADOPTED BY BOTH BODIES - Page 4 - Residential Treatment Facility, and each certified residential services provider of their responsibilities under this section and provide contact information for the agencies to be notified.
The department shall annually notify each area agency as defined in RSA 171-A:2, I-b, community mental health program as defined in RSA 135-C:2, IV, state-owned or operated facility, including, but not limited to, New Hampshire hospital and Glencliff home, Hampstead hospital and residential treatment facility, and each certified residential services provider of their responsibilities under this section and provide contact information for the agencies to be notified.
4 Elderly and Adult Services;
278:4 Elderly and Adult Services;
The registry shall be confidential and subject to rules on access established by the commissioner of the department under RSA 541-A.
The registry shall be confidential and subject to rules on access established CHAPTER 278 SB 670-FN-A - FINAL VERSION - Page 4 - by the commissioner of the department under RSA 541-A.
The department shall maintain statistical, non- identifying information on founded reports as the department determines is necessary to track and address trends.
The department shall maintain statistical, non-identifying information on founded reports as the department determines is necessary to track and address trends.
SB 670-FN-A - VERSION ADOPTED BY BOTH BODIES - Page 5 - (d) Of the right to appeal an adverse administrative hearing decision to the probate court in accordance with paragraph V.
(d) Of the right to appeal an adverse administrative hearing decision to the probate court in accordance with paragraph V.
(a) Expiration of the 10-business-day period for appeal when the perpetrator does not request an appeal.
CHAPTER 278 SB 670-FN-A - FINAL VERSION - Page 5 - (a) Expiration of the 10-business-day period for appeal when the perpetrator does not request an appeal.
SB 670-FN-A - VERSION ADOPTED BY BOTH BODIES - Page 6 - (c) No new or additional evidence shall be introduced in the probate court.
(c) No new or additional evidence shall be introduced in the probate court.
The employer, upon receiving notice that a prospective employee, consultant, contractor, or volunteer is on the registry and in order to determine whether to request a waiver from the department, may request permission from the prospective employee, consultant, contractor, or volunteer for the authority to obtain further information about a founded report of abuse, neglect, or exploitation.
The employer, upon receiving notice that a prospective employee, consultant, contractor, or volunteer is on the registry and in CHAPTER 278 SB 670-FN-A - FINAL VERSION - Page 6 - order to determine whether to request a waiver from the department, may request permission from the prospective employee, consultant, contractor, or volunteer for the authority to obtain further information about a founded report of abuse, neglect, or exploitation.
Such action may include, but is not limited to, termination[, training,] or re- assignment[, probationary employment, and/or the provision of direct supervision of the employee, consultant, contractor, or volunteer when working with individuals].
Such action may include, but is not limited to, termination[, training,] or re-assignment[, probationary employment, and/or the provision of direct supervision of the employee, consultant, contractor, or volunteer when working with individuals].
Any person considering designating another to serve as his or her agent under a power of attorney or any type of durable power of attorney may, with the consent of the proposed agent, SB 670-FN-A - VERSION ADOPTED BY BOTH BODIES - Page 7 - submit the proposed agent's name for review against the registry.
Any person considering designating another to serve as his or her agent under a power of attorney or any type of durable power of attorney may, with the consent of the proposed agent, submit the proposed agent's name for review against the registry.
The court may require the department to provide any additional information that the court believes may aid it in making a determination on the petition.
The court may require the department to CHAPTER 278 SB 670-FN-A - FINAL VERSION - Page 7 - provide any additional information that the court believes may aid it in making a determination on the petition.
(d) Upon the receipt of the department's report, the court may act on the petition without further hearing or may schedule the matter for hearing at the request of either party.
(d) Upon the receipt of the department's report, the court may act on the petition without further hearing or may schedule the matter for hearing at the request of either paIf the court determines that the petitioner does not pose a present threat to the safety of individuals and has exhibited best efforts to eliminate the likelihood of reoccurrence of the type of behavior that resulted in his or her entry onto the registry, the court shall grant the petition and order the department to remove the founded report from the registry.
If the court determines that the petitioner does not pose a present threat to the safety of individuals and has exhibited best efforts to eliminate the likelihood of reoccurrence of the type of behavior that resulted in his or her entry onto the registry, the court shall grant the petition and order the department to remove the founded report from the registry.
SB 670-FN-A - VERSION ADOPTED BY BOTH BODIES - Page 8 - (b) Safeguarding the confidentiality of and access to the registry except for the functions necessary to comply with this section.
(b) Safeguarding the confidentiality of and access to the registry except for the functions necessary to comply with this section.
5 New Section;
278:5 New Section;
IV.
CHAPTER 278 SB 670-FN-A - FINAL VERSION - Page 8 - IV.
6 Effective Date.
278:6 Effective Date.
LBA 26-3258 04/06/2026 SB 670-FN-A- FISCAL NOTE AS AMENDED BY THE SENATE (AMENDMENT #2026-1046s) AN ACT establishing a developmental services oversight commission;
Approved:
relative to reporting requirements regarding the death of a child in residential care;
July 02, 2026 Effective Date:
and relative to the registry of founded reports of abuse, neglect, or exploitation of vulnerable adults.
I.
FISCAL IMPACT:
Section 1 effective July 2, 2026 II.
This bill does not provide funding, nor does it authorize new positions.
Section 2 effective July 1, 2026 III.
Estimated State Impact FY 2026 FY 2027 FY 2028 FY 2029 Revenue $0 $0 $0 $0 Revenue Fund(s) None $276,000+ $83,000+ general funds;
Remainder effective August 31, 2026
$80,000+ general general funds;
Expenditures* $0 $52,000 federal funds;
$55,000 $57,000 federal federal funds funds funds Funding Source(s) General funds, federal funds Appropriations* $0 $52,000 $0 $0 Funding Source(s) General Fund *Expenditure = Cost of bill *Appropriation = Authorized funding to cover cost of bill METHODOLOGY:
This bill establishes a developmental services oversight commission tasked with reviewing data and making recommendations to strengthen health and safety outcomes in the developmental services system.
The bill establishes a classified position within the Department of Health and Human Services to provide oversight to the commission, and appropriates $52,000 in FY27 for this purpose.
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In addition to establishing an oversight commission, the bill imposes new requirements relative to reports and investigation of adult abuse, and makes revisions to the state registry that maintains records of abuse allegations.
The Department states that these provisions may impact costs in a variety of ways.
Fatality review reporting and the new seven-day provider notification requirement are expected to have moderate administrative impacts, primarily related to incident screening, intake, and coordination.
Based on an estimated screening time of approximately 20–30 minutes per incident and an estimated volume of 100–200 reports per month, the additional workload is projected to be approximately 600–1,200 staff hours annually, or roughly 0.5–1.0 full-time equivalent positions (FTE), which the Department notes may initially be manageable within existing resources.
Other provisions, such as those expanding registry eligibility beyond caregivers, requiring annual employer registry checks, and removing the waiting period before registry placement, may significantly increase the number of administrative reviews and appeals, resulting in corresponding increases in administrative hearings and legal review.
The magnitude of this increase is indeterminable.
The Department assumes that the position established by the bill will cost $104,000 in FY27, $109,000 in FY28, and $114,000 in FY29.
Of this, approximately half is expected to be funded with federal funds, so the $52,000 general fund appropriation in FY27 is sufficient to finance the state share in FY27.
The Department assumes that the various other changes contained in the bill will necessitate IT modifications costing $200,000 in FY26, as well as a part-time paralegal position to support the additional registry appeals resulting from expanded eligibility registry.
This position is projected to cost $24,000 in FY27, $52,000 in FY28, and $26,000 in FY29.
Both the IT costs and the paralegal position are expected to be fully generally funded.
AGENCIES CONTACTED:
Department of Health and Human Services
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Action History

  1. III. Remainder Effective 08/31/2026

  2. II. Section 2 Effective 07/01/2026

  3. I. Section 1 Effective 07/02/2026

  4. Signed by the Governor on 07/02/2026; Chapter 278

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

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

  7. Enrolled Bill Amendment # 2026-2148e Adopted, VV, (In recess of 06/04/2026); SJ 14

  8. Enrolled Bill Amendment # 2026-2148e: AA VV (in recess of) 06/04/2026 HJ 15

  9. Sen. Rochefort Moved to Concur with the House Amendment, MA, VV; 05/14/2026; SJ 12

  10. Ought to Pass with Amendment 2026-1516h: MA VV 05/07/2026 HJ 12 P. 37

  11. Amendment # 2026-1516h: AA VV 05/07/2026 HJ 12 P. 37

  12. Minority Committee Report: Inexpedient to Legislate

  13. Majority Committee Report: Ought to Pass with Amendment # 2026-1516h 04/15/2026 (Vote 13-5; RC) HC 18 P. 15

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

  15. Public Hearing: 03/25/2026 01:00 pm GP 158

  16. Introduced (in recess of) 03/12/2026 and referred to Health, Human Services and Elderly Affairs HJ 8 P. 115

  17. Ought to Pass with Amendment #2026-1046s, MA, VV; OT3rdg; 03/12/2026; SJ 6

  18. Committee Amendment # 2026-1046s, AA, VV; 03/12/2026; SJ 6

  19. Committee Report: Ought to Pass with Amendment # 2026-1046s, 03/12/2026; Vote 4-0; CC; SC 9

  20. Hearing: 02/18/2026, Room 100, SH, 09:30 am; SC 6

  21. Introduced 02/05/2026 and Referred to Health and Human Services; SJ 4

Sponsors

Sponsorship breakdown

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1 sponsors · 8 co-sponsors · 406 not signed on

Sponsors (1)

Co-sponsors (8)

Not signed on (406)

406 members have not signed on to this bill.

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"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

public-safety healthcare health-insurance
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Frequently asked questions

What does SB 670 do?
(New Title) establishing a developmental services oversight commission; relative to reporting requirements regarding the death of a child in residential care; and relative to the registry of founded reports of abuse, neglect, or exploitation of vulnerable adults.
Who sponsors SB 670?
SB 670 is sponsored by Tim McGough (Republican), David Rochefort (Republican), Howard Pearl (Republican), Cindy Rosenwald (Democrat), Bill Gannon (Republican), Ruth Ward (Republican), Regina Birdsell (Republican), Sharon Carson (Republican), and Rebecca Perkins Kwoka (Democrat).
What is the current status of SB 670?
This bill has been enacted into law. Introduced February 05, 2026. Enacted.
Where can I track SB 670?
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