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Bill

Bill

HB 1671

relative to prohibiting state Medicaid payments to facilities that discriminate against employees, students, or trainees for exercising lawful medical or religious vaccine exemptions.

2026 Regular Session Introduced by Linda McGrath and 3 co-sponsors

Bill prohibits New Hampshire Medicaid payments to healthcare and educational facilities that deny employment or enrollment based on vaccine exemption status.

Refer for Interim Study: MA VV 02/19/2026 HJ 5 P. 27
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Bill Summary · HB 1671

Legislative bill overview

HB 1671 would prohibit New Hampshire state Medicaid payments to healthcare facilities, educational institutions, and training programs that discriminate against employees, students, or trainees for using lawful medical or religious vaccine exemptions. The bill essentially creates a financial penalty mechanism where facilities lose Medicaid funding if they enforce vaccine requirements without accepting valid exemptions.

Why is this important

This bill directly addresses employment and educational access for individuals who decline vaccines on medical or religious grounds. It affects healthcare workforce availability, institutional autonomy in setting health protocols, and Medicaid program administration—with potential ripple effects on healthcare provider finances and service delivery in the state.

Potential points of contention

  • Scope of "discrimination": Whether enforcing vaccine requirements for patient/public safety reasons constitutes unlawful discrimination or legitimate institutional health policy, especially in clinical settings where vaccine status affects infection control
  • Medicaid leverage and federal compliance: Federal Medicaid rules may conflict with or constrain states' ability to use funding as a penalty mechanism, and facilities might face conflicting requirements between state and federal regulations
  • Practical implementation: Determining what constitutes valid "lawful" exemptions, establishing dispute resolution processes, and the fiscal impact on already-strained healthcare facilities and state Medicaid budgets

Compiled from official sources — confirm details with the bill’s official record.

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