This bill aims to amend the state Medicaid plan by excluding coverage for gender reassignment surgery for individuals under the age of 18. The new section to be inserted, RSA 167:3-n, explicitly states that medical assistance provided under the state Medicaid plan shall not include any form of gender reassignment surgery for minors. The effective date of this act is set to be 60 days after its passage.

The fiscal note attached to the bill indicates that there is no immediate estimated increase or decrease in state revenue as a result of this bill. However, the Department of Health and Human Services estimates that gender reassignment surgery costs approximately $10,000 per procedure, typically funded equally by federal funds and state general funds. The department notes that such surgeries for minors are rare, but the exclusion of coverage could lead to increased demand for other Medicaid services. The net fiscal impact is indeterminable, with the department estimating a potential range from a $50,000 annual savings to a $50,000 annual increase in general fund expenditures. The bill does not provide additional funding to cover estimated expenditures, nor does it authorize new positions for its implementation.