This bill mandates the Department of Education and the Insurance Department to establish rules regarding signature requirements for school billing related to Medicaid services. Specifically, it introduces a new section, RSA 167:34-a, which allows school districts to obtain a yearly consent form from parents or legal guardians to access their Medicaid insurance. The bill stipulates that a single signature from a parent or guardian will suffice for all allowable Medicaid services linked to a child's Individualized Education Program (IEP) or Section 504 plan. Additionally, it requires that written parental consent be obtained before accessing a child's public benefits for the first time, and outlines procedures for obtaining consent when a child moves to a new school district.

The bill also emphasizes the need for the departments to adopt rules that ensure compliance with Medicaid and expanded Medicaid reimbursement eligibility. It allows for consent forms to be provided in both paper and digital formats and mandates that parental consent be dated. The effective date of the act is set for 60 days after its passage. Overall, the bill aims to streamline the consent process for Medicaid billing in schools while ensuring that parental rights and notifications are upheld.