NH SB477

Requires 340B covered entities to file annual reports by April 1 with the Department of Health and Human Services detailing patient numbers by payer type, drug acquisition costs and reimbursements, net revenues, charity care costs, and government contracts for healthcare services to lower income individuals

Mandates hospitals with more than $2,000,000 in net 340B savings to submit annual rural patient benefit plans describing targeted investments in rural services with measurable metrics, beginning April 1, 2027

Requires the department to implement claim-level 340B identifiers for fee-for-service and managed care organization claims and establish exclusion rules to prevent duplicate discounts, with annual integrity reports published on the department website

Obligates hospitals to post plain-language 340B patient notices and charity-care policies on their websites and at points of service

Material non-filing or false filing constitutes an unfair or deceptive act under RSA 358-A, with the act taking effect January 1, 2027