New Hampshire 2026 Session Status: Enacted Bipartisan · 7 R · 5 D cosponsors

SB 421 — relative to the membership and duties of the trauma medical review committee and establishing a study committee to review the membership and duties of other boards and an appointment related to emergency medical services.

Last action — Signed by the Governor on 06/05/2026; Chapter 124; Effective 06/05/2026

  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 June 08, 2026.

Odds of enactment

High chance

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

Upgrade to see the exact probability and what's driving it.

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.

  • 12 sponsors

    1 primary, 11 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (7 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 updates the trauma medical review committee's membership and duties and creates a study committee for related boards.

This legislation changes how the trauma medical review committee is structured and what it does. It also sets up a study committee to assess other boards and their roles in emergency medical services.

Summary

(New Title) relative to the membership and duties of the trauma medical review committee and establishing a study committee to review the membership and duties of other boards and an appointment related to emergency medical services.

Bill Text

What changed in the latest version

70 added · 66 removed

Plain-language change summary

The final version of SB 421 made several important updates to the Trauma Medical Review Committee. Notably, it added a representative from the New Hampshire Association of Emergency Medical Technicians and a state medical examiner or their designee to the committee's membership. This change broadens the expertise on the committee, ensuring a more comprehensive perspective on trauma care and emergency medical services. By including diverse medical professionals, the committee can make better-informed decisions to improve patient outcomes.

→
Previous
Latest
SB 421 - VERSION ADOPTED BY BOTH BODIES 02/05/2026 0372s SESSION 26-2216 09/08 SENATE BILL 421 AN ACT relative to the membership and duties of the trauma medical review committee and establishing a study committee to review the membership and duties of other boards and an appointment related to emergency medical services.
CHAPTER 124 SB 421 - FINAL VERSION 02/05/2026 0372s SESSION 26-2216 09/08 SENATE BILL 421 AN ACT relative to the membership and duties of the trauma medical review committee and establishing a study committee to review the membership and duties of other boards and an appointment related to emergency medical services.
SB 421 - VERSION ADOPTED BY BOTH BODIES 02/05/2026 0372s 26-2216 09/08 STATE OF NEW HAMPSHIRE In the Year of Our Lord Two Thousand Twenty-Six AN ACT relative to the membership and duties of the trauma medical review committee and establishing a study committee to review the membership and duties of other boards and an appointment related to emergency medical services.
CHAPTER 124 SB 421 - FINAL VERSION 02/05/2026 0372s 26-2216 09/08 STATE OF NEW HAMPSHIRE In the Year of Our Lord Two Thousand Twenty-Six AN ACT relative to the membership and duties of the trauma medical review committee and establishing a study committee to review the membership and duties of other boards and an appointment related to emergency medical services.
1 Trauma Medical Review Committee;
124:1 Trauma Medical Review Committee;
2 New Subparagraph;
124:2 New Subparagraph;
SB 421 - VERSION ADOPTED BY BOTH BODIES - Page 2 - (i) Annually provide a report to the governor on the status of New Hampshire’s trauma system including the names, levels, and locations of all trauma hospitals, the activities and recommendations of the trauma medical review committee for the continuous improvement of New Hampshire’s trauma system, and data that summarizes the leading causes of injury and death in New Hampshire from both intentional and unintentional injuries.
(i) Annually provide a report to the governor on the status of New Hampshire’s trauma system including the names, levels, and locations of all trauma hospitals, the activities and recommendations of the trauma medical review committee for the continuous improvement of New Hampshire’s trauma system, and data that summarizes the leading causes of injury and death in New Hampshire from both intentional and unintentional injuries.
3 Committee Established.
CHAPTER 124 SB 421 - FINAL VERSION - Page 2 - 124:3 Committee Established.
4 Membership and Compensation.
124:4 Membership and Compensation.
5 Duties.
124:5 Duties.
(a) Emergency medical and trauma services coordinating board, as established by RSA 153-A:3.
(a) Emergency medical and trauma services coordinating board, as established by RSA 153- A:3.
6 Chairperson;
124:6 Chairperson;
7 Report.
124:7 Report.
8 Effective Date.
124:8 Effective Date.
Approved:
June 05, 2026 Effective Date:
June 05, 2026
⬇ Download PDF
View plain text versions (4)

Action History

  1. Signed by the Governor on 06/05/2026; Chapter 124; Effective 06/05/2026

  2. Enrolled (in recess of) 05/14/2026 HJ 13

  3. Enrolled Adopted, VV, (In recess 05/14/2026); SJ 13

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

  5. Inexpedient to Legislate: MF DV 158-183 05/07/2026 HJ 12

  6. Lay HB421 on Table (Rep. Mazur): MF DV 164-178 05/07/2026 HJ 12

  7. Minority Committee Report: Ought to Pass

  8. Majority Committee Report: Inexpedient to Legislate 04/15/2026 (Vote 10-8; RC) HC 18 P. 13

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

  10. Public Hearing: 03/25/2026 10:00 am GP 158

  11. Introduced (in recess of) 02/19/2026 and referred to Health, Human Services and Elderly Affairs HJ 5 P. 124

  12. Committee Amendment # 2026-0372s, AA, VV; 02/05/2026; SJ 3

  13. Ought to Pass with Amendment #2026-0372s, MA, VV; OT3rdg; 02/05/2026; SJ 3

  14. Committee Report: Ought to Pass with Amendment # 2026-0372s, 02/05/2026; Vote 4-0; CC; SC 4

  15. Hearing: 01/14/2026, Room 103, SH, 09:30 am; SC 1

  16. Introduced 01/07/2026 and Referred to Executive Departments and Administration; SJ 1

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 11 co-sponsors · 403 not signed on

Sponsors (1)

Co-sponsors (11)

Not signed on (403)

403 members have not signed on to this bill.

Show all 403 →

"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 421 do?
(New Title) relative to the membership and duties of the trauma medical review committee and establishing a study committee to review the membership and duties of other boards and an appointment related to emergency medical services.
Who sponsors SB 421?
SB 421 is sponsored by Tim McGough (Republican), Howard Pearl (Republican), Donovan Fenton (Democrat), Timothy Lang (Republican), Suzanne Prentiss (Democrat), Cindy Rosenwald (Democrat), Bill Gannon (Republican), Kevin Avard (Republican), Regina Birdsell (Republican), David Watters (Democrat), Sharon Carson (Republican), and Rebecca Perkins Kwoka (Democrat).
What is the current status of SB 421?
This bill has been enacted into law. Introduced November 21, 2025. Enacted.
Where can I track SB 421?
Track SB 421 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on SB 421

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of SB 421

Last checked for changes about 2 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →