SB 453 (2026): authorizing advanced practice registered nurses and physician associates to make certain certifications.

SB 453 (2026)

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

• Status: Signed into law
• Term: 2025-2026
• House committee: Health, Human Services and Elderly Affairs
• Senate committee: Health and Human Services
• Subject: Motor Vehicles
• Chapter law: 253

The Story

It was introduced on January 7, 2026 and referred to the Senate Health and Human Services committee. The committee held a public hearing on March 4, 2026. The committee voted unanimously, 5–0, to recommend that the Senate pass it, and the report was placed on the consent calendar. On March 12, 2026 the Senate voted to pass it on a voice vote and ordered it to a third reading. It crossed to the House on March 12, 2026 and was referred to the House Health, Human Services and Elderly Affairs committee. The committee held a public hearing on April 8, 2026, with 11 people signed in online: 10 in support and 1 as neutral. The committee met in executive session on April 15, 2026 to vote on its recommendation. The committee voted unanimously, 18–0, to recommend that the House pass it, and the report was placed on the consent calendar. On May 7, 2026 the House voted to pass it on a voice vote. An enrolled bill amendment (2026-2019e) was adopted on a voice vote on May 21, 2026. These correct technical errors found after passage. The bill was enrolled on June 4, 2026 — the final check of the text before it goes to the governor — and an enrolled bill amendment (2026-2019e) was adopted on a voice vote to correct technical errors found after passage. The governor signed it on July 2, 2026, making it Chapter 253 of the session laws. It took effect on August 31, 2026.

Sponsors

• Sen. Suzanne Prentiss (D - SD5) (prime sponsor)
• Sen. Kevin Avard (R - SD12)
• Sen. Regina Birdsell (R - SD19)
• Sen. Donovan Fenton (D - SD10)
• Sen. Bill Gannon (R - SD23)
• Sen. Daniel Innis (R - SD7)
• Sen. Timothy Lang (R - SD2)
• Sen. Tim McGough (R - SD11)
• Sen. Keith Murphy (R - SD16)
• Sen. Howard Pearl (R - SD17)
• Sen. Rebecca Perkins Kwoka (D - SD21)
• Sen. David Rochefort (R - SD1)
• Sen. Cindy Rosenwald (D - SD13)
• Sen. Victoria Sullivan (R - SD18)
• Sen. Ruth Ward (R - SD8)
• Sen. David Watters (D - SD4)

Hearings and Sessions

• March 4, 2026, 9:45 AM: hearing, Senate Health and Human Services, SH 100
• March 12, 2026: consent calendar, Senate
• April 8, 2026, 10:30 AM: public hearing, House Health, Human Services and Elderly Affairs, GP 158
• April 15, 2026, 10:00 AM: executive session, House Health, Human Services and Elderly Affairs, GP 158
• May 7, 2026: consent calendar, House

Votes

• March 12, 2026, Senate: Ought to Pass — voice vote, passed
• May 7, 2026, House: Ought to Pass — voice vote, passed

The Docket

Laws It Would Change

• RSA 266:61-a
• RSA 141-C:20-c

From the General Court

• Bill text
• Bill status page
• Docket
• SJ 1
• SC 7
• SC 9
• SJ 6
• HJ 8, page 114
• HC 18, page 8
• HJ 12, page 11
• HJ 14, page 36
• SJ 14
• HJ 15, page 45