New Hampshire 2026 Regular Session

New Hampshire Senate Bill SB498

Introduced
11/21/25  
Refer
11/21/25  
Report Pass
2/18/26  
Report Pass
3/19/26  
Engrossed
3/27/26  
Refer
3/27/26  
Refer
3/27/26  

Caption

Relative to children's mental health services for persons 18 years of age and younger.

Impact

If enacted, SB498 will amend existing state laws to create the framework for funding childhood behavioral health services through assessments on health insurance providers. This will allow the state to address the financial aspects associated with providing essential mental health services. The bill anticipates an indeterminable increase in both revenue and expenditures, estimated to exceed $2.5 million annually due to the expected number of covered lives and servicing costs for managing childhood behavioral health programs.

Summary

SB498 establishes the New Hampshire Children's Behavioral Health Association, aimed at enhancing mental health services for children aged 18 and under. The bill is designed to create a structured system for collecting assessments from various insurance providers to fund childhood behavioral health services. These services will be delivered by care management entities, which are responsible for coordinating comprehensive care for children with behavioral health challenges. This systematic approach is expected to align resources and improve access to necessary mental health services for children across the state.

Sentiment

The sentiment around the bill has shown general support, particularly from advocates who prioritize children's mental health services. However, there is concern among some legislators about the potential financial burden on insurance providers and how this might impact health insurance premiums. The overall sentiment appears to be cautiously optimistic, acknowledging the pressing need for improved childhood mental health resources while also recognizing the complexities of funding such initiatives.

Contention

Notable points of contention regarding SB498 center on the financial implications of the assessments on insurance providers and the potential passing of costs onto consumers. There's a fear that increased insurance costs may lead to higher premiums, which could make health coverage less affordable for families in New Hampshire. Additionally, the legality and regulatory frameworks surrounding the collection of these assessments could be challenged, raising questions about the sustainability of this funding method.

Companion Bills

No companion bills found.

Previously Filed As

NH SB128

Relative to children's mental health services for persons 18 years of age and younger.

NH SB262

Relative to the penalty for trafficking in persons under 18 years of age.

NH HB507

Relative to the timeline for credentialing of mental health care providers.

NH HB528

Amending the penalties for the possession and use of psilocybin for persons 18 years of age or older.

NH HB636

Relative to community mental health providers.

NH SB14

Relative to the penalty for certain fentanyl-related offenses; relative to establishing a mandatory minimum sentence for the crime of distribution of a controlled drug with death resulting; and relative to amending the penalties for the possession and use of a quantity of psilocybin for persons 18 years of age or older.

NH SB244

Relative to expanding access to primary health care services, increasing the size of the health care workforce, and making appropriations therefor.

NH SB266

Relative to safety and accountability of drivers under 18 years of age.

NH HB715

Relative to personal electric vehicles.

NH HB316

Relative to reimbursement for ground ambulance services.

Similar Bills

RI H5635

Changes the name of "applied behavior assistant analyst" to "assistant applied behavior analyst" and makes several changes to provide consistency in the certification language for behavioral analysts.

RI S0790

Changes the name of "applied behavior assistant analyst" to "assistant applied behavior analyst" and makes several changes to provide consistency in the certification language for behavioral analysts.

MO HB1964

Modifies provisions relating to the practice of applied behavior analysis

MI SB0928

Health: licensing; behavioral health transportation licensing requirements; provide for. Amends 1974 PA 258 (MCL 330.1001 - 330.2106) by adding ch. 9B. TIE BAR WITH: SB 0927'26

MI HB5291

Health occupations: health professionals; limited license for certain individuals engaging in the practice of applied behavior analysis; provide for. Amends secs. 16343a, 18253 & 18257 of 1978 PA 368 (MCL 333.16343a et seq.).

OR HB5025

Relating to the financial administration of the Oregon Health Authority; and declaring an emergency.

AZ HB2348

Behavioral health services; insurance coverage

AZ HB2559

behavioral health services; insurance coverage