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 medication. It introduces a new chapter, Chapter 137-M, which defines key terms such as "qualified individual," "medical aid in dying," and "informed decision." The bill stipulates that only adults with mental capacity, a terminal condition, and a prognosis of six months or less may request this medication. It mandates that health care providers ensure the individual is making an informed decision free from coercion and document their findings. The bill also outlines the responsibilities of health care providers in the prescription process, including educating the individual on self-administration and ensuring the request is voluntary.

Furthermore, the bill includes provisions that protect health care providers from criminal or civil liability when participating in medical aid in dying, provided they comply with the law. It prohibits health care entities from penalizing providers for their participation or non-participation and requires clear communication of policies regarding this practice to patients. The legislation clarifies that actions taken under this chapter do not constitute suicide or homicide and ensures that individuals' requests for aid in dying do not affect their insurance policies. The attending health care provider is allowed to sign the death certificate attributing the death to the underlying terminal disease. The bill is set to take effect on January 1, 2026, with minimal estimated costs for the Department of Health and Human Services.