The proposed bill, known as the "Children's Body Autonomy Act," amends the state Medicaid plan to restrict coverage for circumcision. Specifically, it stipulates that circumcision will not be covered unless it is deemed medically necessary for children with specific diagnoses. The new section added to RSA 167 outlines that medically necessary circumcision for newborns is valid for conditions such as congenital obstructive urinary tract anomalies and recurrent urinary tract infections, while for minors, it includes a broader range of diagnoses, including recurrent urinary tract infections and phimosis unresponsive to medical therapy.

The bill also indicates that the state Medicaid plan will not include circumcision unless a child has a specific diagnosis, effectively deleting any previous provisions that allowed for elective circumcision coverage. The act is set to take effect on January 1, 2026, and is projected to have a fiscal impact that could range from a $100,000 annual reduction to a $100,000 annual increase in state expenditures, with costs shared between general and federal funds. The Department of Health and Human Services has noted that while the bill may lead to cost savings, it could also introduce new administrative requirements that may offset these savings.