This bill mandates the New Hampshire Department of Health and Human Services to resubmit a 1115 demonstration waiver to the Center for Medicare and Medicaid Services (CMS) by July 1, 2025. The waiver pertains to the enforcement of community engagement and work requirements as conditions for eligibility in the Granite Advantage Health Care Program. Additionally, starting November 1, 2025, and annually thereafter, the department is required to provide a report to key legislative leaders and the governor regarding the status of the waiver application and the implementation of community engagement requirements outlined in RSA 126-AA:2, III.

The bill introduces new legal language that emphasizes the requirement for the department to resubmit the waiver and provide annual reports, while it does not appear to delete any existing legal language. The act is set to take effect upon its passage, and a fiscal impact note is currently pending as the Office of Legislative Budget Assistant awaits further information from the Department of Health and Human Services.