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, but it is projected to have a fiscal impact on state expenditures. The Department of Health and Human Services estimates that the Medicaid program spent approximately $211,433 on circumcision-related services in FY24, with $82,553 attributed to elective circumcision. The bill is expected to result in a potential annual reduction of $100,000 in state expenditures, although this could be offset by new administrative costs related to prior authorizations. The act is set to take effect on January 1, 2026.