New Hampshire's House Bill 774 aims to enhance transparency and accessibility in Medicare supplement policies and Medicare Advantage Plans. Introduced on January 23, 2025, the bill mandates that applicants receive a comprehensive outline of coverage at the time of application, ensuring they are fully informed about their options.

Key provisions of the bill include a requirement for a prominently displayed notice on the first page of policies, informing applicants of their right to return the policy within 30 days for a full refund if unsatisfied. Additionally, the bill prohibits medical underwriting for pre-existing conditions, allowing beneficiaries to enroll in supplementary plans based on community ratings during the Medicare Open Enrollment Period. It also stipulates that insurers offering Medicare Advantage Plans must provide Medicare Supplement or Medigap Plans.

The bill has sparked discussions among lawmakers and stakeholders, particularly regarding its potential impact on insurance premiums and the availability of coverage options. While some advocates argue that the bill will improve access to necessary healthcare for seniors, critics express concerns about the financial implications for insurers and the overall healthcare market in New Hampshire.

The fiscal impact of House Bill 774 remains uncertain, as the Office of Legislative Budget Assistant is awaiting further information from the Department of Health and Human Services. This delay in fiscal analysis raises questions about the bill's long-term sustainability and its effects on state healthcare funding.

As the legislative process unfolds, the implications of House Bill 774 could significantly reshape the landscape of Medicare coverage in New Hampshire, potentially setting a precedent for similar initiatives in other states. The bill's progress will be closely monitored by both supporters and opponents, as its outcomes could influence healthcare accessibility for thousands of residents.