The bill, known as the "Children's Body Autonomy Act," aims to restrict the coverage of circumcision under the state Medicaid plan. It stipulates that Medicaid will not cover the cost of circumcision for children unless there is a specific medical diagnosis that deems the procedure necessary. The bill defines medically necessary circumcisions for newborns and minors with a list of qualifying diagnoses, such as congenital obstructive urinary tract anomalies, neurogenic bladder, spina bifida, recurrent urinary tract infections, and various other conditions. Additionally, any condition deemed medically necessary for circumcision by a licensed physician or health care provider in New Hampshire is included.

The fiscal note attached to the bill indicates that the state Medicaid program's expenditures on circumcision-related services were $213,160 in FY23, with $90,560 spent on elective circumcisions. The bill is expected to reduce costs by approximately $90,000 annually, split evenly between general funds and federal funds. However, there may be an indeterminate increase in costs due to prior authorization requirements that could arise from the bill's implementation. The bill's effective date is set for January 1, 2025, and the fiscal impact table reflects the anticipated cost reduction for six months in FY25. The Department of Health and Human Services was contacted for this analysis, but they caution that the precise dollar amounts attributable to circumcisions covered or not covered under this bill cannot be determined with certainty.