The "New Hampshire End of Life Freedom Act," also known as HB 254-FN, establishes a legal framework for individuals with terminal illnesses to access medical aid-in-dying medications. The bill introduces a new chapter, Chapter 137-M, which defines key terms such as "qualified individual," "informed decision," and "medical aid in dying." It specifies that only adults with mental capacity, a terminal condition, and a prognosis of six months or less can request these medications. The attending health care provider is required to ensure that the individual is making an informed decision free from coercion and must document their findings. Key insertions include a formal request process that informs individuals about their options, a 48-hour waiting period before the prescription can be filled, and protections for health care providers against criminal or civil liability for participating in medical aid in dying.

The bill also emphasizes the importance of safety measures during the self-administration of the medication and outlines reporting requirements for health care providers, including demographic data about the individuals involved. It clarifies that actions taken under this chapter do not constitute suicide or other unlawful killings, and it protects individuals from liability if present during the self-administration process. Additionally, it ensures that no contractual obligations or insurance benefits can be altered based on an individual's request for medical aid in dying. The act is set to take effect on January 1, 2026, and includes a severability clause to maintain the validity of remaining provisions if any part is found invalid.