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 only be covered if deemed medically necessary for children with specific diagnoses. The bill introduces a new section, RSA 167:3-n, which defines terms such as "health care provider," "newborn child," and "minor," and outlines the conditions under which circumcision is considered medically necessary for both newborns and minors. For newborns, valid diagnoses include congenital obstructive urinary tract anomalies and recurrent urinary tract infections, while for minors, it includes conditions such as recurrent urinary tract infections, phimosis, and other specified medical issues.

The bill does not allocate funding or authorize new positions, and its fiscal impact is projected to range from a $100,000 annual reduction to a $100,000 annual increase in state expenditures. The Department of Health and Human Services notes that the Medicaid program previously spent $211,433 on circumcision-related services, with a portion attributed to elective procedures. However, the Department cautions that the exact financial implications of the bill are uncertain due to potential new administrative requirements for prior authorizations. The act is set to take effect on January 1, 2026.