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SB134 Relative to work requirements under the state Medicaid program.

Healthcare Now Law Auto-scored

Relative to work requirements under the state Medicaid program.

Impact Score — How Does This Bill Affect You?

3

Overall Impact Score

Harmful

Scale: 1 (harmful) to 10 (beneficial)

4
💰

Your Wallet

Work requirements add administrative costs for compliance tracking and often result in coverage losses for eligible people who fail paperwork requirements, not because they do not work.

3
🏘️

Your Community

Research from other states shows work requirements primarily cause eligible working people to lose coverage due to administrative barriers, increasing uninsured rates and emergency room costs.

3
⚖️

Your Freedom

Conditions healthcare access on government-approved activities, restricting the freedom of vulnerable residents to make their own life decisions while maintaining health coverage.

Status

Signed by the Governor on 03/27/2026; Chapter 18; Effective 03/27/2026

Voted Yes

0 R

Voted No

0 R

R Yes D Yes R No D No

Sponsor

Howard Pearl (R)

The Short Version

Implements work requirements for the state Medicaid program. Signed into law with near-unanimous support (349-5 on amendment adoption, 204-150 on passage). Requires able-bodied Medicaid recipients to work or participate in qualifying activities.

Who's Behind This Bill?

Who Benefits

  • Fiscal conservatives seeking to reduce Medicaid enrollment
  • Those who believe work requirements incentivize employment

Who Pays the Price

  • Low-income NH residents who may lose health coverage
  • People with irregular work or caregiving responsibilities
  • Healthcare providers treating more uninsured patients

Roll Call Detail (3 votes)

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 3 recorded votes on this bill — counting each legislator's net direction and treating kill motions as opposing the bill — Republicans supported it ( 195 for ) , Democrats opposed it ( 9 for , 149 against ) , and Independents opposed it ( 1 against ) .

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

Concur with other chamber's amendments 2026-02-05
Passed

YES = Accept the other chamber's amendments. NO = Reject the other chamber's amendments.

15R
Voted to Concur (15)
1R + 8D
Voted to Not Concur (9)
0
Absent
0
Not voting
Show all 24 individual votes
Adopt Amendment 2026-01-08
Passed

YES = Adopt this amendment. NO = Reject this amendment.

194R + 154D + 1I
Voted to Adopt Amendment (349)
1R + 4D
Voted Against Amendment (5)
28
Absent
13
Not voting
Show all 395 individual votes

Voted Yea (349)

Republicans (194)
Democrats (154)
Independents (1)

Voted Nay (5)

Republicans (1)
Ought to Pass with Amendment 2026-01-08
Passed

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

195R + 9D
Voted to Pass (204)
0R + 149D + 1I
Voted Against (150)
28
Absent
13
Not voting
Show all 395 individual votes

Voted Yea (204)

Republicans (195)

Voted Nay (150)

Democrats (149)
Independents (1)

Bill statuses as of May 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.