SB 453 · 2026 · Senate · Health and Human Services Committee
Nurse and PA certification authority
AI-generatedauthorizing 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- ✓Introduced
- ✓Senate
- ✓House
- ✓Governor
- ✓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.
In the bill's words
Quoted verbatim from the bill as enacted. Passages chosen from the operative text.Computed by this site
“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.”
“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.”
Official record
gc.nh.gov · the authoritative source
Sponsors
- 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
Votes
yeanay- Mar 12, 2026SenateCommittee report: Ought to Pass5–0Overall100% yea
- Mar 12, 2026SenateVoice voteOught to Passadopted
- Apr 15, 2026HouseCommittee report· consent calendar: Ought to Pass18–0Overall100% yea
- May 7, 2026HouseVoice voteOught to Passadopted
- May 21, 2026HouseVoice voteEnrolled Bill Amendment # 2026-2019eadopted
- Jun 4, 2026SenateVoice voteEnrolled Bill Amendment # 2026-2019eadopted
- Jun 4, 2026SenateVoice voteEnrolledadopted
Hearings and debates
- Mar 4, 2026Public hearingSenate Health and Human Services1:58:13–2:07:529m 39slocated in the stream transcriptHearing
- Mar 12, 2026Floor debateSenate floorWatchnot located in the transcript — opens the full streamCommittee Report: Ought to Pass; Ought to Pass — adopted, voice vote
- Apr 8, 2026Public hearingHouse Health, Human Services and Elderly Affairs1:38:07–1:40:102m 3slocated in the stream transcriptPublic Hearing
- Apr 15, 2026Public hearingHouse Health, Human Services and Elderly Affairs38:27–40:472m 20slocated in the stream transcriptCommittee Report: Ought to Pass; Executive Session
- May 7, 2026Floor debateHouse floorWatchnot located in the transcript — opens the full streamOught to Pass — adopted, voice vote
- May 21, 2026Floor debateHouse floorWatchnot located in the transcript — opens the full streamEnrolled Bill Amendment # 2026-2019e — adopted, voice vote
- Jun 4, 2026Floor debateSenate floorWatchnot located in the transcript — opens the full streamEnrolled Bill Amendment # 2026-2019e Adopted — voice vote; Enrolled Adopted — voice vote
Timestamps locate where this bill is taken up in the chamber's YouTube stream.
Legislative history
- Jan 7, 2026SenIntroduced 01/07/2026 and Referred to Health and Human Services; SJ 1
- Mar 4, 2026SenHearing: 03/04/2026, Room 100, SH, 09:45 am; SC 7
- Mar 12, 2026Sen: Ought to Pass, 03/12/2026; Vote 5-0; CC; SC 9
- Mar 12, 2026SenOught to Pass: MA, VV; OT3rdg; 03/12/2026; SJ 6
- Mar 12, 2026HouseIntroduced (in recess of) 03/12/2026 and referred to Health, Human Services and Elderly Affairs HJ 8 P. 114
- Apr 8, 2026HousePublic Hearing: 04/08/2026 10:30 am GP 158
- Apr 15, 2026HouseExecutive Session: 04/15/2026 10:00 am GP 158
- Apr 15, 2026House: Ought to Pass 04/15/2026 (Vote 18-0; CC) HC 18 P. 8
- May 7, 2026HouseOught to Pass: MA VV 05/07/2026 HJ 12 P. 11
- May 21, 2026HouseEnrolled Bill Amendment # 2026-2019e: AA VV (in recess of) 05/21/2026 HJ 14 P. 36
- Jun 4, 2026SenEnrolled Bill Amendment # 2026-2019e Adopted, VV, (In recess of 06/04/2026); SJ 14
- Jun 4, 2026HouseEnrolled (in recess of) 06/04/2026 HJ 15 P. 36
- Jun 4, 2026SenEnrolled Adopted, VV, (In recess 06/04/2026); SJ 14
- Jul 2, 2026SenSigned by the Governor on 07/02/2026; Chapter 253; Effective 08/31/2026
Coverage
No reporting linked yet.
Documents (PDF)
- Introducedversion
- Adopted by both chambersversion
- Chaptered (final law)version
- Amendment 2026-2019EBAamendment
Bill text & amendments link direct to gc.nh.gov; committee reports stream from the state record.