NH HB1656

Requires all health insurance plans in New Hampshire to cover pelvic-floor physical therapy (PFPT) as a rehabilitative benefit, prohibiting categorical exclusions of such coverage

Mandates coverage for specific diagnoses including urinary incontinence, fecal incontinence, pelvic organ prolapse, diastasis recti, pelvic pain, and postpartum rehabilitation, with initial evaluations covered without prior authorization

Provides baseline coverage of one comprehensive evaluation plus 12 weeks of supervised therapy, with extensions up to 12 months when medically necessary

Requires insurers to cover up to 6 preoperative PFPT sessions before pelvic surgery and up to 12 post-operative sessions within the first 12 weeks, with additional sessions if medically necessary

Mandates annual insurer reporting to the Insurance Department and DHHS on PFPT utilization, diagnoses, outcomes, and surgical rates, with the Insurance Department publishing an annual report by October 1 each year

Takes effect July 1, 2027, with indeterminable potential increases to state revenue from insurance premium taxes and county/local expenditures for health insurance premiums