This bill establishes a Medicaid methodology working group within the Department of Health and Human Services (DHHS) to study nursing home rate Medicaid methodology. The working group will consist of various members, including three representatives from the House, one senator, the DHHS commissioner or designee, and representatives from relevant associations and a certified public accountant specializing in nursing home cost reporting. The group is exempt from RSA 14:49 and will operate under RSA 91-A, focusing on issues such as access to nursing home care, barriers to hospital discharge, reimbursement adequacy, and the overall solvency of the nursing home sector.

Additionally, the bill mandates that by December 31, 2026, the DHHS commissioner or designee must submit proposed changes to state law or regulations regarding nursing home Medicaid rate methodology to key legislative and state officials. The act will take effect upon its passage, which is set for July 2, 2026. The bill does not include any deletions from current law but introduces new provisions to facilitate the establishment and operation of the working group.