New Hampshire 2026 Regular Session

New Hampshire Senate Bill SB425

Introduced
11/21/25  
Refer
11/21/25  
Report Pass
2/19/26  
Engrossed
3/16/26  

Caption

Adopting the physician associate licensure compact.

Impact

The passage of SB425 would enhance New Hampshire's regulatory framework, aligning it with other participating states under the licensure compact. This alignment aims to strengthen healthcare delivery across state lines, especially for PAs who are often vital in primary care settings. However, the compact also introduces new administrative responsibilities for the state licensing boards to maintain compliance with the compact’s provisions, including the requirement for regular data sharing and compliance reporting among member states. While international cooperation in this capacity can enhance healthcare access, it also requires resources for effective implementation.

Summary

SB425 proposes the adoption of the Physician Associate Licensure Compact, a legal framework designed to facilitate the interstate practice of physician associates (PAs) by allowing PAs licensed in one member state to obtain a compact privilege to practice in other participating states. This initiative is aimed at improving access to medical services, especially in response to evolving healthcare delivery needs. By enhancing the portability of PA licenses, the compact seeks to alleviate barriers for PAs relocating across state lines, ultimately benefiting patients with increased access to medical care.

Contention

There are notable points of contention surrounding SB425, primarily regarding its implications for state regulatory authority and the enforcement of professional standards. Critics warn that adopting this compact might dilute state control over licensing practices and could lead to inconsistencies in clinical standards across states. Concerns have been raised regarding the adequacy of oversight for PAs practicing under the compact, especially if adverse actions are taken by a participant state. The fiscal implications, particularly the potential for decreased revenue from traditional PA licenses as more practitioners opt for compact privileges, may also lead to debates among lawmakers regarding the financial viability of the program.

Companion Bills

No companion bills found.

Previously Filed As

NH SB187

Adopting the dentist and dental hygienist compact.

NH HB145

Relative to background checks for licensed dietitians and adopting the dietitian licensure compact.

NH SB285

Relative to changing the term "physician assistant" to "physician associate."

NH HB692

Relative to utility companies adopting advanced meters.

NH HB85

Relative to temporary licensure for student respiratory therapists.

NH HB271

Relative to initial license requirements for licensed social work associates.

NH SB165

Relative to the audit requirements for consumer cooperative associations.

NH HB493

Requiring education on child abuse and neglect for certain healthcare providers as a condition for licensure.

NH SB185

Relative to office of professional licensure and certification investigations.

NH SB167

Relative to consumers' cooperative associations annual audit requirements.

Similar Bills

No similar bills found.