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HB 223 · 2025 · House · Health, Human Services and Elderly Affairs Committee

Health facility licensing near hospitals

AI-generated

relative to licensing requirements for health care facilities that operate within 15 miles of a critical access hospital.

Exempts ambulatory surgical centers, emergency medical care centers, birthing centers, drop-in or walk-in care centers, dialysis centers, and special health care services from notice and consent requirements for establishing within 15 miles of a critical access hospital.AI-generated

Status

Killed in the Senate — Inexpedient to Legislate · November 3, 2025
  1. ✓Introduced
  2. ✓House
  3. ✕Senate
  4. Governor
  5. Law

Analysis

This bill exempts ambulatory surgical centers, emergency medical care centers, birthing centers, drop-in or walk-in care centers, dialysis centers, and special health care services from the notice and consent requirements for establishment within 15 miles of a critical access hospital.

From the bill's official ANALYSIS section.

Official record

Bill page — docket & status

gc.nh.gov · the authoritative source

Sponsors

Rep. Mark McLeanRPrime
  • Sen. Victoria SullivanRVice Chair· Education

Also: Rep. Jim KofaltR

Public testimony

92 signed in online · 12 wrote testimony

10% support90% oppose0% neutral

In their wordsVerbatim, exactly as submitted

“If a college student is going to college in this state that is not a resident of NH, they should utilize an absentee ballot from their home state. It is their personal responsibility to obtain an absentee ballot from their home state.…”
— David Brooks, Colebrooksupports
“Children attending these alternative schools should have similar protective measures with regard to adults they are in contact with as those in our traditional public schools.”
— Michael Cahill, Newmarket · Rockingham 10 Newfields, Newmarketopposes
“This is frightening as it lowers the standards for public education and is unfair for our community commitments to our children and youth. We need to provide a comprehensive definition of education than is no less than what it is now.”
— Deborah Walker, Meredithopposes
“I oppose HB 223 because it undermines the coordination and sustainability of rural healthcare systems.…”
— Erin Morehouse, Nashuaopposes

Verbatim excerpts of submitted testimony, quoted from the testimony tool.

Read the testimony · as of Aug 12, 2026

Votes

yeanay
Starting text: Bill as introduced
  • Feb 19, 2025HouseCommittee report· regular calendar: Ought to Pass10–8
    Overall
    56% yea
  • Mar 6, 2025HouseRoll callOught to PassAdopted213–158How they voted
    Overall
    57% yea
    Party-line vote
    Republicans
    204–299% yea
    Democrats
    9–1565% yea
  • May 8, 2025SenateCommittee report: Inexpedient to Legislate4–1
    Overall
    80% yea
  • May 8, 2025SenateVoice voteSen. Birdsell Moved Laid on Tableadopted

Hearings and debates

  • Feb 12, 2025Public hearingHouse Health, Human Services and Elderly Affairs5:29:58–5:36:376m 39slocated in the stream transcriptPublic Hearing; Executive Session
  • Mar 6, 2025Floor debateHouse floor3:24:30–3:36:3312m 3slocated in the stream transcriptOught to Pass — adopted, roll call 213-158
  • Apr 2, 2025Public hearingSenate Health and Human Services1:12:41–1:25:5113m 10slocated in the stream transcriptHearing
  • May 8, 2025Floor debateSenate floor2:05:17–2:08:453m 28slocated in the stream transcriptCommittee Report: Inexpedient to Legislate; Pending Motion Inexpedient to Legislate; HB 223 was Removed from the Consent Calendar

Timestamps locate where this bill is taken up in the chamber's YouTube stream.

Legislative history

  1. Jan 8, 2025HouseIntroduced 01/08/2025 and referred to Health, Human Services and Elderly Affairs HJ 2 P. 11
  2. Feb 12, 2025HousePublic Hearing: 02/12/2025 01:45 pm LOB 301-303
  3. Feb 12, 2025HouseExecutive Session: 02/12/2025 01:45 pm LOB 301-303
  4. Feb 19, 2025HouseMajority : Ought to Pass 02/19/2025 (Vote 10-8; RC) HC 14 P. 22
  5. Feb 26, 2025HouseMinority : Inexpedient to Legislate
  6. Mar 6, 2025HouseOught to Pass: MA RC 213-158 03/06/2025 HJ 7 P. 50
  7. Mar 6, 2025SenIntroduced 03/06/2025 and Referred to Health and Human Services; SJ 7
  8. Apr 2, 2025SenHearing: 04/02/2025, Room 101, LOB, 10:00 am; SC 15
  9. May 8, 2025Sen: Inexpedient to Legislate, 05/08/2025, Vote 4-1, CC; SC 20
  10. May 8, 2025SenHB 223 was Removed from the Consent Calendar; 05/08/2025; SJ 12
  11. May 8, 2025SenSen. Birdsell Moved Laid on Table, MA, VV; 05/08/2025; SJ 12
  12. May 8, 2025SenPending Motion Inexpedient to Legislate; 05/08/2025; SJ 12
  13. Oct 31, 2025SenInexpedient to Legislate, Senate Rule 3-23, 10/31/2025; SJ 1

Coverage

No reporting linked yet.

Documents (PDF)

  • Introducedversion

Bill text & amendments link direct to gc.nh.gov; committee reports stream from the state record.