nh-2026-219: Initial License

1. Agency: Board of Medicine

Agency Address: Office of Professional Licensure and Certification 7 Eagle Square Concord, NH 03301

6. (a) Summary of what the rule says and of any proposed amendments including

whether the rule implements a state statute for the first time: The Board of Medicine (Board) intends to readopt with amendment various parts of Med 300 rules on applications, qualifications and examinations related to applications for initial license, including locum tenens, special camp, visiting professor, and special licenses. Changes to Med 300 are proposed to incorporate changes made by the legislature to the office of professional licensure and certification (OPLC) statutes in RSA 310. The Board proposes to repeal redundant definitions on Med 301.01. The Board proposes to readopt with amendment Med 301.02 rules on application review to incorporate Plc 304.06 and Plc 304.08 rules on application review and decisions, as adopted by the executive director of OPLC as required by RSA 310:6, II. ADMINISTRATIVE RULES (603) 271-3680 Generated on 10/06/2026 The Board proposes to readopt with amendment Med 301.03 rules on applications for initial licensure to incorporate the universal application for initial license and an addendum to the universal application. Med 301.03(a)(2) proposes in part, to require applicants disclose if they are board certified; attest that they have been actively engaged in the practice of clinical medicine within the past 12 months; disclose if they have ever failed any medical licensing examination or been denied the privilege of finishing or been accused of cheating or improper conduct during any required examination, and, if so, the circumstances involved; and provide a yes or no answer to whether the Drug Enforcement Administration (DEA) or any federal or state authority has ever taken action against, restricted, suspended, revoked, or investigated the applicant’s controlled substance registration. Med 301.03(a)(3) is proposed to require applicants to complete a criminal history records check in accordance with RSA 329:11-a. The Board proposes to readopt with amendment Med 302.01 on educational requirements to align with RSA 329:12, I,(a)(4)-(5). The Board intends to readopt with amendment Med 303.01 rules on examinations to align with RSA 329:12, I,(a)(6) The Board proposes to repeal Med 303.02 on candidates for USMLE Step 3. The Board proposes to reserve Med 304 for rules on reentry to clinical practice to be filed as a separate proposal. The Board proposes to readopt with amendment Med 305.01 on locum tenens licenses to incorporate the universal application for initial license and an addendum to the universal application. The Board proposes to readopt with amendment Med 305.02 on special camp and visiting professor license to incorporate the universal application for initial license and an addendum to the universal application. The Board proposes to readopt with amendment Med 305.03 on administrative licenses to incorporate the universal application for initial license and an addendum to the universal application. The Board proposes to readopt with amendment Med 305.04 on resident training licenses to incorporate the universal application for initial license and an addendum to the universal application. X Does this rule implement a state statute for the first time? If yes, please explain: Laws of 2021, Chapter 197:78, effective July 1, 2021; Laws of 2023, Chapter 212:20, effective October 3, 2023; RSA 329:2, II(a), (d); RSA 329:9, XV; RSA 329:11-a, I-IV; RSA 329:12, I(a)-(d) intro.; RSA 329:12, II; and RSA 329:14, as amended by Laws of 2024, Chapter 352:3,1-7, 13, effective October 1, 2024; and RSA 329:11-a, II, as amended by Laws of 2024, Chapter 366:29, effective July 1, 2026. ADMINISTRATIVE RULES (603) 271-3680 Generated on 10/06/2026 6. (b) Brief description of the groups affected: Applicants seeking initial licensure are affected by the proposed rules. 6. (c) Specific section or sections of state statute or federal statute or regulation which the rule is intended to implement: RULE STATUTE Med 301.01 RSA 329:9, II; RSA 329:12, II; RSA 329:14, III, VI, VIII Med 301.02 RSA 310:4, II(c) Med 301.03(a)(1) RSA 310:4, II(c) Med 301.03(a)(2) RSA 329:9, II; RSA 329:12, I(d)(2)-(5) Med 301.03(a)(3) RSA 329:11-a Med 301.03(a)(4) RSA 310:5 Med 301.03(b) RSA 310:6 Med 302.01 RSA 329:12 Med 303.01 RSA 329:12, II Med 303.02 (repeal) Med 305.01 RSA 329:9, II; RSA 329:9, VIII; RSA 329:14, VII Med 305.01(a) - (d) RSA 329:9, II, RSA 329:14, VII Med 305.02 RSA 329:9, II; RSA 329:9, VIII; RSA 329:14, VI Med 305.03 RSA 329:9, II; RSA 329:14, VIII Med 305.04 RSA 329:9, II; RSA 329:14, V

7. Contact person for copies and questions including requests to accommodate

persons with disabilities: Name: Chantell Wheeler Title: Rules Administrator Address: Office of Professional Licensure and Certification, 7 Eagle Phone Number: (603) 271-8311 Square, Concord, NH 03301 FAX Number: Email: oplc-rules@oplc.nh.gov

8. Deadline for submission of materials in writing or, if practicable for the agency, in

the electronic format specified: Wednesday, December 9, 2026 _ Fax X Email oplc-rules@oplc.nh.gov _ Other ADMINISTRATIVE RULES (603) 271-3680 Generated on 10/06/2026

9. Public hearing scheduled for:

Date: Wednesday, December 2, 2026 Time: 1:00 PM Place: Office of Professional Licensure and Certification 7 Eagle Square Concord, NH 03301 Electronic Access, if applicable: N/A

10. Fiscal Impact Statement (Prepared by Legislative Budget Assistant):

FIS #: 26:224, dated: Tuesday, October 6, 2026

1. Comparison of the costs of the proposed rule(s) to the existing rule(s):

When compared to the existing rules, the proposed rules may increase costs to certain state citizens. Not applicable to Med 303.02 which is repealed.

2. Cite the Federal mandate. Identify the impact on state funds:

No federal mandate, no impact on state funds.

3. Cost and benefits of the proposed rule(s):

The fee provisions referenced in Med 300 rules are applicable to Plc 1002.28, related to application processing and licensing fees for the professions regulated by the Board of Medicine. Additionally, any costs related to the criminal history records check referenced in Med 301.03(a)(3) are applicable to RSA 329:11-a.

B. To State citizens and political subdivisions:

Applicants for initial licensure may incur indeterminable costs to satisfy the proposed requirement in Med 301.03(a)(2)g to have actively practiced clinical medicine within the past 12 months. No impact on political subdivisions.

C. To independently owned businesses:

None. ADMINISTRATIVE RULES (603) 271-3680 Generated on 10/06/2026 11. Statement Relative to Part I, Article 28-a of the N.H. Constitution: There are no costs associated with this rule. These rules do not apply to political subdivisions. These rules do not mandate or assign any new, expanded, or modified programs or responsibilities to any political subdivision in such a way as to necessitate additional local expenditure, and therefore, these proposed rules do not violate Part I, Article 28-a of the N.H. Constitution. ADMINISTRATIVE RULES (603) 271-3680 Generated on 10/06/2026