New rules will impact Medicaid enrollees, effective Jan. 1, 2027. The changes —detailed in a public educational toolkit released by disability advocacy organization ABLE NH—will require many low-income adults enrolled in the Granite Advantage Health Care Program to complete 80 hours per month of qualifying activities or secure an explicit exemption to maintain their coverage.

For peer support agencies and community advocates keeping pace with what passed, what failed, and what lies ahead is crucial. Across 10 key pieces of legislation tracked by the NH Mental Health Peer Alliance, the outcomes reveal a rapidly evolving landscape for vulnerable Granite Staters.

On June 18, 2026 the Department of Justice (DOJ) released a memo arguing a much narrower reading of Olmstead v. L.C. and rolling back 30 years of federal support for the idea that individuals with disabilities have the right to live in a community setting.

Senate Bill 498 failed to pass the House on Thursday despite a push from Gov. Kelly Ayotte, who has been outspoken in her support for the bill."