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 appointed members, including representatives from the House and Senate, the DHHS commissioner or designee, and members from relevant associations such as the New Hampshire Association of Counties, the New Hampshire Health Care Association, and the New Hampshire Hospital Association, as well as a certified public accountant specializing in nursing home cost reporting. The group will focus on several key issues, including access to nursing home care, barriers to hospital discharge, the adequacy of reimbursement for resident care needs, capital reimbursement for aging infrastructure, workforce needs, the overall solvency of the nursing home sector, and ownership changes affecting reimbursement.

The bill mandates that the working group be convened by the DHHS commissioner and operate under RSA 91-A, which pertains to public access to government meetings. By December 31, 2026, the commissioner, in consultation with the working group, must submit proposed changes to state law or regulations regarding nursing home Medicaid rate methodology to various legislative and state officials. The bill does not have any fiscal impact on state, county, or local expenditures or revenue.