Rebecca Moore

Subject: Support for SB 480 – Improving Access to Rehabilitation Services Dear Members of the New Hampshire House Commerce and Consumer Affairs Committee, I am writing to express my strong support for SB 480 in the 2026 legislative session. This bipartisan bill represents a thoughtful and necessary step toward improving access to essential rehabilitation services for residents of New Hampshire. SB 480 addresses a significant barrier in healthcare delivery: the administrative burden of prior authorization for physical therapy, occupational therapy, and related rehabilitative services. By prohibiting insurers from requiring prior authorization for the first visit in a new episode of care, the bill ensures that patients can begin treatment without unnecessary delays at a critical point in their recovery. Additionally, the requirement that insurers approve at least eight medically necessary visits following the initial evaluation provides a reasonable and evidence-informed framework for continuity of care. This provision supports clinical decision-making while still allowing insurers to retain oversight through medical necessity determinations. The benefits of SB 480 are clear: Improved patient outcomes through timely initiation and continuation of care Reduced administrative burden on providers, allowing more time for patient care Increased efficiency within the healthcare system by minimizing delays and interruptions in treatment As a professional invested in education and healthcare practice, I recognize how essential early and consistent rehabilitation services are in promoting recovery, independence, and long-term health. Delays caused by prior authorization can lead to worsening conditions, increased healthcare costs, and decreased quality of life for patients. SB 480 strikes an appropriate balance between access and accountability. It protects patients while maintaining insurers’ ability to deny services that are not medically necessary. I respectfully urge you to support SB 480 and advance this important legislation to improve access to care for individuals across New Hampshire. Thank you for your time and consideration. Sincerely, Rebecca C Moore OTD, MS, OTR/L Professor of Practice Russel Sage College, Practicing Occupational Therapist, St Joseph's Hospital, Outpatient Rehab, Hudson NH [Your City, NH]