creating a bypass mechanism for health insurer step therapy protocols when medically necessary.

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Overview Bill text 2 Compare versions History 38 Sponsors 9

Introduced — · 2.1K words Open full page ↗

HB 1638-FN - AS INTRODUCED

2026 SESSION

26-3029

07/08

HOUSE BILL 1638-FN

AN ACT creating a bypass mechanism for health insurer step therapy protocols when

medically necessary.

SPONSORS: Rep. Nagel, Belk. 6; Rep. Lundgren, Rock. 16; Rep. W. MacDonald, Rock. 16; Rep.

Miles, Hills. 12; Rep. M. Pearson, Rock. 34; Rep. L. Walsh, Rock. 15; Rep. Woods,

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PASSAGE PROBABILITY

40.2% Uncertain

Why this number

Stage base In Committee — base rate 27%, measured from NH's completed sessions
Momentum -1 45/100 from the pace of recorded action
Time since last action -6 66 days quiet
Cosponsors +10 8 signed on
Bipartisan support +9 3 D · 6 R
Sponsor influence +2 71/100

A transparent scoring model over stage, momentum, recency, sponsorship and recorded votes — not a trained predictor. Treat it as a way to rank attention, not as a forecast.