NH SB498

Establishes the New Hampshire Children's Behavioral Health Association as a nonprofit corporation to collect assessments from insurance carriers, stop loss carriers, and third-party administrators covering children under 19 years of age

Assessments fund payments to care management entities for childhood behavioral health services including intensive in-home services, structured outpatient programs, intensive care coordination, and parent/youth peer support

Creates a 9-member board of directors including representatives from assessable entities, health care providers, commissioners of health and insurance, and public members appointed by the governor, speaker, and senate president

Establishes the Childhood Behavioral Health Services Fund with the state treasurer, with assessments calculated annually based on estimated program costs, administrative expenses, and a reserve of up to 10 percent for unanticipated costs

Fiscal impact estimated at greater than $2.5 million annually beginning FY 2027, covering approximately 160,000 covered lives, with assessments treated as medical benefit costs rather than regulatory costs for medical loss ratio calculations