New Hampshire 2026 Session Status: Enacted Bipartisan · 11 R · 5 D cosponsors

SB 453 — authorizing advanced practice registered nurses and physician associates to make certain certifications.

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

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced November 21, 2025. Enacted.

Signed by Governor Kelly Ayotte (Republican) on July 09, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 78% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 16 sponsors

    1 primary, 15 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (11 R · 5 D) — cross-party backing.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill allows advanced practice registered nurses and physician associates to make specific certifications.

This legislation enables advanced practice registered nurses and physician associates to issue certain certifications. It expands the authority of these healthcare professionals in their practice.

What this means for you
  • Healthcare: This means that advanced practice nurses and physician associates can certify certain health-related conditions, broadening their role in patient healthcare.

Summary

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

Bill Text

What changed in the latest version

25 added · 21 removed

Plain-language change summary

The final version of Bill SB 453 includes two significant changes: it allows individuals with disabilities to obtain a vehicle equipment waiver for up to four years instead of just two, making it easier for them to maintain necessary modifications for their vehicles. Additionally, it offers an exemption from certain immunizations for children if a healthcare provider certifies that the vaccine could harm the child's health. These changes are important because they enhance support for people with disabilities and prioritize children's health based on medical advice.

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Latest
SB 453 - VERSION ADOPTED BY BOTH BODIES 06/04/2026 2019EBA SESSION 26-2006 09/05 SENATE BILL 453 AN ACT authorizing advanced practice registered nurses and physician associates to make certain certifications.
CHAPTER 253 SB 453 - FINAL VERSION 06/04/2026 2019EBA SESSION 26-2006 09/05 SENATE BILL 453 AN ACT authorizing advanced practice registered nurses and physician associates to make certain certifications.
SB 453 - VERSION ADOPTED BY BOTH BODIES 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.
CHAPTER 253 SB 453 - FINAL VERSION 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.
1 Equipment Waiver for Disabled.
253:1 Equipment Waiver for Disabled.
2 Communicable Disease;
253:2 Communicable Disease;
3 Effective Date.
253:3 Effective Date.
Approved:
July 02, 2026 Effective Date:
August 31, 2026
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Action History

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

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

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

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

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

  6. Ought to Pass: MA VV 05/07/2026 HJ 12 P. 11

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

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

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

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

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

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

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

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

Sponsors

Sponsorship breakdown

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1 sponsors · 15 co-sponsors · 399 not signed on

Sponsors (1)

Co-sponsors (15)

Not signed on (399)

399 members have not signed on to this bill.

Show all 399 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

public-safety healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 453 do?
authorizing advanced practice registered nurses and physician associates to make certain certifications.
Who sponsors SB 453?
SB 453 is sponsored by Victoria Sullivan (Republican), Tim McGough (Republican), David Rochefort (Republican), Keith Murphy (Republican), Howard Pearl (Republican), Donovan Fenton (Democrat), Timothy Lang (Republican), Suzanne Prentiss (Democrat), Cindy Rosenwald (Democrat), Daniel Innis (Republican), Bill Gannon (Republican), Ruth Ward (Republican), Kevin Avard (Republican), Regina Birdsell (Republican), David Watters (Democrat), and Rebecca Perkins Kwoka (Democrat).
What is the current status of SB 453?
This bill has been enacted into law. Introduced November 21, 2025. Enacted.
Where can I track SB 453?
Track SB 453 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes about 2 months ago · updated continuously

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