New Hampshire 2026 Regular Session

New Hampshire Senate Bill SB453

Introduced
11/21/25  
Refer
11/21/25  
Report Pass
3/4/26  
Engrossed
3/16/26  
Refer
3/16/26  

Caption

Authorizing advanced practice registered nurses and physician associates to make certain certifications.

Impact

The adoption of SB453 may lead to increased autonomy for APRNs and physician associates, as they will have the authority to certify conditions that were traditionally reserved for physicians. This could streamline processes for patients requiring waivers or exemptions related to their health scenarios, ultimately allowing for faster and more efficient service delivery in the healthcare system. Additionally, the bill seeks to amend existing laws to better accommodate the recommendations of qualified medical professionals regarding patient health needs, thus potentially reducing the burden on families and individuals dealing with such cases.

Summary

Senate Bill 453 aims to enhance the roles of advanced practice registered nurses (APRNs) and physician associates in New Hampshire by allowing them to certify specific medical conditions. Notably, the bill permits these health professionals to document a lasting medical necessity for disability-related vehicle equipment waivers, extending the waiver period from two years to four years. This represents a significant change intended to reduce bureaucratic hurdles for individuals with disabilities, enabling them to maintain necessary adaptations for accessibility.

Contention

While the bill promotes expanded roles for certain healthcare providers, there may be concerns from established physicians regarding the shift in certification authority. Critics might argue that the complexity and nuances of certain medical conditions should remain solely in the purview of physicians, advocating for centralized decision-making in health matters. Moreover, discussions surrounding the exemptions for immunizations could attract debate, as they touch upon public health regulations and the overall safety of communal health standards, raising questions about how these exemptions are determined and their potential impacts on vaccination rates.

Companion Bills

No companion bills found.

Previously Filed As

NH SB172

Banning certain contract provisions from being enforced against advanced practice registered nurses.

NH SB285

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

NH SB197

Relative to the medical supervision of the licensed registered nurse employed by general court.

NH SB111

Authorizing a reliability indexing credit pilot program.

NH HB208

Relative to certification requirements for school nurses.

NH SB252

Relative to criteria for providing certain medical care through telemedicine.

NH SB146

Relative to medical examiner's certificates and medical certification of the death record.

NH HB110

Authorizing counties to establish revolving fund accounts.

NH HB247

Authorizing municipalities to hold a referendum on whether to allow historic horse racing.

NH SB152

Authorizing the sale of toll credits to fund a newly established noise barrier construction fund for the design and construction of noise barrier projects.

Similar Bills

CA AB2398

Graduate medical education capacity: report.

NV AB170

Providing for the licensure of associate physicians and associate osteopathic physicians. (BDR 54-840)

GA HB1273

Professions and businesses; authorize physician assistants to receive certain delegated authorities from podiatric physicians

LA HB1143

Provides relative to physician assistants

MO HB2749

Modifies provisions relating to collaborative practice arrangements between physicians and physician assistants

NM HB267

Physician Assistants Supervising Others

MO HB3039

Modifies provisions relating to the prescriptive authority of physician assistants

DE HB325

An Act To Amend The Delaware Code Relating To Physician Associates And Physician Assistants.