New Hampshire 2026 Regular Session

New Hampshire Senate Bill SB452

Introduced
11/21/25  
Refer
11/21/25  

Caption

Enabling health care providers to offer certain complementary and alternative health care services.

Impact

The enactment of SB452 would represent a significant shift in the state's approach to alternative health practices by formally recognizing and allowing unlicensed individuals to engage in specific health care modalities that are not widely accepted in conventional medical practice. The measure is expected to expand access to diverse health care options for patients seeking alternative treatments, which may not be available through traditional licensed practitioners. However, it places an emphasis on consumer protection through disclosure requirements and informed consent.

Summary

Senate Bill 452, known as the Complementary and Alternative Health Care Practice Act, aims to enable individuals to provide certain complementary and alternative health care services without the necessity of state licensing, provided specific conditions are met. This includes disclosing qualifications and obtaining informed consent from clients before rendering services. The bill introduces a new chapter in the New Hampshire statutes, focusing on defining what constitutes complementary and alternative health care services and outlining the exempt practices that can be conducted without a license.

Sentiment

General sentiment around SB452 appears to be mixed. Proponents argue that the bill will enhance patient choice and enable practitioners of alternative health modalities to operate without the barriers of licensing that may stifle innovation and access to holistic care. On the other hand, there are concerns from some health care professionals about potential risks associated with unlicensed practitioners providing health services, which could undermine patient safety and the integrity of health care standards.

Contention

Notable points of contention include the specific activities that are prohibited for complementary and alternative health care providers, such as surgery and the prescription of drugs. Critics argue that while the bill facilitates greater access to alternative health care, it may expose patients to unqualified practitioners whose services could be potentially harmful. The requirement for practitioners to maintain transparency in their training and qualifications is a critical aspect that aims to mitigate some of these concerns, but debates continue regarding the adequacy of consumer protections in such an unregulated environment.

Companion Bills

No companion bills found.

Previously Filed As

NH SB246

Providing maternal depression screening for new mothers; increasing access to health care services for new mothers; enabling new parents to attend infant pediatric medical appointments; and developing a plan for perinatal peer support certification.

NH HB241

Relative to treatment alternatives to opioids.

NH SB138

Relative to record requests by health care providers.

NH SB244

Relative to expanding access to primary health care services, increasing the size of the health care workforce, and making appropriations therefor.

NH SB18

Permitting the commissioner of health and human services to authorize additional beds for a pediatric intermediate care facility under certain circumstances.

NH SB214

Enabling no-excuse absentee registration and voting.

NH HB712

Limiting breast surgeries for minors, relative to residential care and health facility licensing, and relative to the collection and reporting of abortion statistics by health care providers and medical facilities.

NH SB105

Enabling towns to adopt budget caps.

NH HB710

Enabling electric utilities to own, operate, and offer advanced nuclear resources, and relative to purchased power agreements for electric distribution utilities and limitations on community customer generators.

NH SB107

Enabling the state treasurer to invest certain fish and game funds.

Similar Bills

MA S1481

Providing for consumer access to and the right to practice complementary and alternative health care services

MA H2504

Providing for consumer access to and the right to practice complementary and alternative health care services

ME LD1128

An Act to Modernize the Formulary for Naturopathic Doctors

CO SB226

Extending Spinal & Related Medicine Program

US HB5943

THRIVE Act of 2025 Transforming Healing, Resilience, and Integrative Veteran Engagement Act of 2025

CO HB1008

Complementary Behavioral Health Services in Jails

HI HR102

Requesting The University Of Hawaii Board Of Regents To Review And Refine The Operational Missions Of The University Of Hawaii's Four-year Institutions To Ensure That Each Campus Fulfills A Distinct And Complementary Role In Serving Students And The State.

HI HCR110

Requesting The University Of Hawaii Board Of Regents To Review And Refine The Operational Missions Of The University Of Hawaii's Four-year Institutions To Ensure That Each Campus Fulfills A Distinct And Complementary Role In Serving Students And The State.