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Committee hears bill to align school Medicaid billing with federal one‑time consent rule

New Hampshire House Education Committee · January 14, 2026
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Summary

Lawmakers and witnesses debated HB 1640, which would align New Hampshire law with 34 CFR 300.154(d) by clarifying that a one‑time annual parental consent is sufficient for Medicaid‑to‑schools billing; witnesses and committee members pressed for detail on IEP changes, consent withdrawal, and reimbursement rates.

Representative Mary Murray introduced HB 1640 to align state law with the cited federal regulation about parental consent for Medicaid billing in schools. She said the bill is intended to "streamline the process and potentially expedite" reimbursement so districts are not burdened by additional signature requirements that could delay Medicaid‑to‑schools billing.

Becky Wilson, director of governmental relations for the New Hampshire School Boards Association, told the committee the bill "would remove some barriers to participation for the Medicaid to schools program" and emphasized that the Medicaid consent is distinct from IEP consent: "The IEP consents are completely…

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