New Hampshire 2026 Regular Session

New Hampshire House Bill HB1653

Introduced
12/10/25  
Refer
12/10/25  
Report DNP
2/3/26  

Caption

Relative to emergency medical care provided at freestanding hospital emergency facilities.

Impact

If enacted, HB 1653 will significantly impact how FHEFs operate by mandating that they provide patients or their legal representatives with comprehensive information regarding their options for transfer to other hospitals. The bill prohibits any limitations on transfer options that may arise from a facility's affiliation with another hospital, thereby ensuring that patient safety, continuity of care, and community access to healthcare services are prioritized. It introduces rules that FHEFs must follow while documenting patient transfer choices and requires the creation of new regulations to enforce these provisions.

Summary

House Bill 1653 focuses on the regulation of transfer policies at freestanding hospital emergency facilities (FHEFs) in New Hampshire. The primary objective of this legislation is to ensure that patients who receive emergency medical care at these facilities have the right to choose the acute care hospital they wish to be transferred to, rather than being directed solely to the hospital that operates the FHEF. This provision is designed to enhance patient autonomy, accommodate individual needs, and prevent anti-competitive practices within the healthcare system.

Sentiment

The sentiment surrounding HB 1653 appears generally positive, as it aligns with patient-centric healthcare initiatives. Supporters, including various stakeholders in the healthcare sector, argue that granting patients more choice fosters better health outcomes and promotes fairness within the healthcare system. However, there may be concerns among some healthcare providers about how the bill could affect their operational practices and financial models, leading to a nuanced debate regarding the balance between patient choice and institutional stability.

Contention

Notable points of contention related to HB 1653 include potential financial implications for FHEFs and parent hospitals, which might arise due to increased competition for patient transfers. Some healthcare providers may express worries that unrestricted patient choice could lead to a decline in business for certain facilities. Additionally, the enforcement provisions proposed in the bill may be scrutinized, particularly concerning how violation patterns will be identified and handled within the healthcare system.

Companion Bills

No companion bills found.

Previously Filed As

NH HB59

Relative to the assault of a firefighter, emergency medical care provider, or law enforcement officer.

NH SB133

Relative to the designation of emergency medical services performed by ambulance service providers as essential services.

NH SB36

Relative to the collection and reporting of abortion statistics by health care providers and medical facilities.

NH HB223

Relative to licensing requirements for health care facilities that operate within 15 miles of a critical access hospital.

NH SB130

Establishing a commission to study delivery models for emergency medical services in the state of New Hampshire.

NH HB559

Relative to staffing requirements in emergency medical transport vehicles.

NH SB137

Relative to hospital stays covered under the state Medicaid plan.

NH HB712

Limiting breast surgeries for minors, relative to residential care and health facility licensing, and relative to the collection and reporting of abortion statistics by health care providers and medical facilities.

NH SB138

Relative to record requests by health care providers.

NH HB183

Relative to reporting requirements for emergency medical services personnel.

Similar Bills

NJ S1461

Modifies collective Statewide transfer agreement and reverse transfer agreement; establishes New Jersey Transfer Ombudsperson within Office of Secretary of Higher Education.

NJ A1315

Modifies collective statewide transfer agreement and reverse transfer agreement; establishes New Jersey Transfer Ombudsperson within Office of Secretary of Higher Education.

TX SB1559

Relating to conflicts between a protective order and certain other orders and to the transfer of a protective order.

NV AB62

Revises provisions relating to transferable tax credits for affordable housing. (BDR 32-437)

DE HB147

An Act To Amend Title 12, Title 18, Title 25, And Title 30 Of The Delaware Code Relating To The Uniform Real Property Transfer On Death Act.

MS SB2226

Youth court; revise transfer to circuit court.

MS SB2344

Youth court; revise transfer to circuit court.

TX SB3039

Relating to the transfer of students in public higher education and to transparency regarding certificate or degree program requirements.