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SB453 • 2026

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

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

Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Suzanne Prentiss (D), Timothy Lang (R), Tim McGough (R), Cindy Rosenwald (D), Bill Gannon (R), Keith Murphy (R), David Watters (D), Howard Pearl (r), Daniel Innis (R), Regina Birdsell (R), Ruth Ward (R), David Rochefort (R), Kevin Avard (R), Victoria Sullivan (R), Donovan Fenton (D), Rebecca Perkins Kwoka (D)
Last action
2026-07-09
Official status
SIGNED BY GOVERNOR
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

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

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

What This Bill Does

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

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2026-07-09 S

    Signed by the Governor on 07/02/2026; Chapter 253; Effective 08/31/2026

  2. 2026-06-17 H

    Enrolled (in recess of) 06/04/2026 HJ 15

  3. 2026-06-17 S

    Enrolled Adopted, VV, (In recess 06/04/2026); SJ 14

  4. 2026-06-05 S

    Enrolled Bill Amendment #2026-2019e Adopted, VV, (In recess of 06/04/2026); SJ 14

  5. 2026-06-02 H

    Enrolled Bill Amendment #2026-2019e : AA VV (in recess of) 05/21/2026 HJ 14

  6. 2026-05-07 H

    Ought to Pass : MA VV 05/07/2026 HJ 12

  7. 2026-04-22 H

    Committee Report: Ought to Pass 04/15/2026 (Vote 18-0; CC) HC 18 P. 8

  8. 2026-04-07 H

    Executive Session: 04/15/2026 10:00 am GP 158

  9. 2026-04-01 H

    Public Hearing: 04/08/2026 10:30 am GP 158

  10. 2026-03-16 H

    Introduced (in recess of) 03/12/2026 and referred to Health, Human Services and Elderly Affairs HJ 8 P. 114

  11. 2026-03-06 S

    Ought to Pass : MA, VV; OT3rdg; 03/12/2026; SJ 6

  12. 2026-03-04 S

    Committee Report: Ought to Pass, 03/12/2026; Vote 5-0; CC; SC 9

  13. 2026-02-18 S

    Hearing: 03/04/2026, Room 100, SH, 09:45 am; SC 7

  14. 2025-11-21 S

    Introduced 01/07/2026 and Referred to Health and Human Services; SJ 1

Official Summary Text

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

Current Bill Text

Read the full stored bill text 
CHAPTER 253
SB 453 - FINAL VERSION

06/04/2026 2019EBA
2026 SESSION
26-2006
09/05

SENATE BILL
453

AN ACT
authorizing advanced practice registered nurses and physician associates to make certain certifications.

SPONSORS: Sen. Prentiss, Dist 5; Sen. Rosenwald, Dist 13; Sen. Watters, Dist 4; Sen. Birdsell, Dist 19; Sen. Avard, Dist 12; Sen. Perkins Kwoka, Dist 21; Sen. Lang, Dist 2; Sen. Gannon, Dist 23; Sen. Pearl, Dist 17; Sen. Ward, Dist 8; Sen. Sullivan, Dist 18; Sen. McGough, Dist 11; Sen. Murphy, Dist 16; Sen. Innis, Dist 7; Sen. Rochefort, Dist 1; Sen. Fenton, Dist 10

COMMITTEE: Health and Human Services

─────────────────────────────────────────────────────────────────

ANALYSIS

This bill adds advanced practice registered nurses and physician associates as medical professionals who can:

I. Document a lasting medical necessity, which allows for a vehicle equipment waiver for persons with disabilities to be granted for 4 years instead of 2 years; and

II. Exempt a child from certain required immunizations if they find that the immunization may be detrimental to the child's health.

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Explanation: Matter added to current law appears in
bold italics.
Matter removed from current law appears [
in brackets and struckthrough.
]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
06/04/2026 2019EBA 26-2006
09/05

STATE OF NEW HAMPSHIRE

In the Year of Our Lord Two Thousand Twenty-Six

AN ACT
authorizing advanced practice registered nurses and physician associates to make certain certifications.

Be it Enacted by the Senate and House of Representatives in General Court convened:

253:1 Equipment Waiver for Disabled. Amend RSA 266:61-a, VII to read as follows:
VII. The waiver granted by the commissioner or his designee shall be for a period not to exceed 2 years; except in any case where a licensed physician
, advanced practice registered nurse licensed under RSA 326-B, or physician associate licensed under RSA 328-D
documents a lasting medical necessity, in which case the waiver shall be for a period not to exceed 4 years. The applicant may reapply for the waiver before such period expires.

253:2 Communicable Disease; Immunization Exemption. Amend RSA 141-C:20-c, I to read as follows:
I. A physician licensed under RSA 329, or a physician exempted under RSA 329:21, III,
an advanced practice registered nurse licensed under RSA 326-B, or a physician associate licensed under RSA 328-D
certifies that immunization against a particular disease may be
detrimental to the child's health. The exemption shall exist only for the length of time, in the opinion of the physician,
advanced practice registered nurse, or physician associate,
such immunization would be detrimental to the child. An exemption from immunization for one disease shall not affect other required immunizations.

253:3 Effective Date. This act shall take effect 60 days after its passage.

Approved: July 02, 2026
Effective Date: August 31, 2026