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HB1219 Relative to immunization requirements in foster family homes and relative to financial eligibility for the Medicare savings program.

Child Care Now Law Auto-scored

Relative to immunization requirements in foster family homes and relative to financial eligibility for the Medicare savings program.

Impact Score — How Does This Bill Affect You?

7

Overall Impact Score

Mixed

Scale: 1 (harmful) to 10 (beneficial)

7
💰

Your Wallet

Removing resource limits for the Medicare savings program expands eligibility for low-income seniors to access subsidized prescription drugs, reducing out-of-pocket costs for a vulnerable population.

6
🏘️

Your Community

Standardizing foster home vaccination requirements to state baseline may reduce administrative burden and friction in foster care recruitment and retention without eliminating vaccination protections.

7
⚖️

Your Freedom

Aligning adult vaccination requirements in foster homes with state exemption rules preserves existing medical, religious, and philosophical exemptions while requiring foster care providers to meet the same standards as the general population.

Status

Law Without Signature 07/07/2026; Chapter 279; eff. 9/5/2026

Voted Yes

178 R + 2 D

Voted No

3 R + 142 D

R Yes D Yes R No D No

Sponsor

Melissa Litchfield (R)

The Short Version

This bill aligns vaccination requirements for adults in foster homes with state standards (RSA 141-C:20-a) and removes resource limits for NH's Medicare savings program to expand prescription drug assistance for low-income seniors, subject to federal approval. The vaccination change affects foster care providers; the Medicare change expands eligibility for seniors struggling with drug costs.

Who's Behind This Bill?

Who Benefits

  • ▲ Low-income seniors in New Hampshire seeking prescription drug assistance
  • ▲ Current and prospective adult foster care providers subject to vaccination requirements
  • ▲ Foster children and families by potentially improving foster home availability

Who Pays the Price

  • ▼ State budget for Medicare savings program expansion (federal CMS approval required)
  • ▼ Foster care licensing agencies that must track and enforce aligned standards

Roll Call Detail (1 vote)

Every recorded floor vote on this bill, with each legislator's individual vote. Click a name to see that rep's full record.

Who actually supports this bill?

Across the 1 recorded vote on this bill — counting each legislator's net direction and treating kill motions as opposing the bill — Republicans supported it ( 178 for , 3 against ) , and Democrats opposed it ( 2 for , 142 against ) .

"Supporting" means voting for passage OR voting against a kill motion. "Opposing" is the inverse. Concurs and amendment-only votes don't count.

Ought to Pass with Amendment 2026-03-11
Passed

YES = Pass the bill with the attached amendment. NO = Reject the bill (as amended).

178R + 2D
Voted to Pass (180)
3R + 142D
Voted Against (145)
38
Absent
29
Not voting
Show all 392 individual votes

Voted Yea (180)

Republicans (178)
Democrats (2)

Voted Nay (145)

Democrats (142)

Bill statuses as of October 7, 2026. Check LegiScan or NH General Court for the latest.

This bill was auto-scored using AI analysis of the bill text and legislative data. Scores may be refined as we review more bills.