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SB 453 · 2026 · Senate · Health and Human Services Committee

Nurse and PA certification authority

AI-generated

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

Authorizes advanced practice registered nurses and physician associates to certify lasting medical necessity for extended vehicle equipment waivers and to certify medical exemptions from required childhood immunizations.AI-generated

Status

Signed into law · July 9, 2026
  1. ✓Introduced
  2. ✓Senate
  3. ✓House
  4. ✓Governor
  5. ✓Law

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.

From the bill's official ANALYSIS section.

Official record

Bill page — docket & status

gc.nh.gov · the authoritative source

Sponsors

Sen. Suzanne PrentissDPrimeAssistant Democratic Leader
  • Sen. Cindy RosenwaldDDeputy Democratic Leader
  • Sen. Regina BirdsellRMajority Leader
  • Sen. Kevin AvardRVice Chair· Health and Human Services
  • Sen. Rebecca Perkins KwokaDMinority Leader
  • Sen. Timothy LangRMajority Whip
  • Sen. Bill GannonRChair· Judiciary
  • Sen. Howard PearlRChair· Executive Departments and Administration
  • Sen. Ruth WardRDeputy Majority Leader
  • Sen. Victoria SullivanRVice Chair· Education
  • Sen. Keith MurphyRDeputy President Pro Tempore
  • Sen. Daniel InnisRChair, Majority Policy Conference
  • Sen. David RochefortRChair· Health and Human Services

Also: Sen. David WattersD, Sen. Tim McGoughR, Sen. Donovan FentonD

Public testimony

11 signed in online

91% support0% oppose9% neutral

Read the testimony · as of Aug 12, 2026

Hearings

  • 2026-03-049:00 amSenate Health and Human ServicesSH 100Public hearing
  • 2026-04-089:00 amHouse Health, Human Services and Elderly AffairsGP 158Public hearing
  • 2026-04-1510:00 amHouse Health, Human Services and Elderly AffairsGP 158Public hearing

Legislative history

  1. Jan 7, 2026SenIntroduced 01/07/2026 and Referred to Health and Human Services; SJ 1
  2. Mar 4, 2026SenHearing: 03/04/2026, Room 100, SH, 09:45 am; SC 7
  3. Mar 12, 2026Sen: Ought to Pass, 03/12/2026; Vote 5-0; CC; SC 9
  4. Mar 12, 2026SenOught to Pass: MA, VV; OT3rdg; 03/12/2026; SJ 6
  5. Mar 12, 2026HouseIntroduced (in recess of) 03/12/2026 and referred to Health, Human Services and Elderly Affairs HJ 8 P. 114
  6. Apr 8, 2026HousePublic Hearing: 04/08/2026 10:30 am GP 158
  7. Apr 15, 2026HouseExecutive Session: 04/15/2026 10:00 am GP 158
  8. Apr 15, 2026House: Ought to Pass 04/15/2026 (Vote 18-0; CC) HC 18 P. 8
  9. May 7, 2026HouseOught to Pass: MA VV 05/07/2026 HJ 12 P. 11
  10. May 21, 2026HouseEnrolled Bill Amendment # 2026-2019e: AA VV (in recess of) 05/21/2026 HJ 14 P. 36
  11. Jun 4, 2026SenEnrolled Bill Amendment # 2026-2019e Adopted, VV, (In recess of 06/04/2026); SJ 14
  12. Jun 4, 2026HouseEnrolled (in recess of) 06/04/2026 HJ 15 P. 36
  13. Jun 4, 2026SenEnrolled Adopted, VV, (In recess 06/04/2026); SJ 14
  14. Jul 2, 2026SenSigned by the Governor on 07/02/2026; Chapter 253; Effective 08/31/2026

Coverage

No reporting linked yet.

Documents (PDF)

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