This bill expands the authority of advanced practice registered nurses and physician associates by allowing them to document medical necessities and certify immunization exemptions. Specifically, it amends RSA 266:61-a, VII to permit these medical professionals to document a lasting medical necessity, which enables individuals with disabilities to receive a vehicle equipment waiver for a duration of up to four years, rather than the previous limit of two years. The language added includes the insertion of "advanced practice registered nurse licensed under RSA 326-B, or physician associate licensed under RSA 328-D" in the context of who can document this necessity.

Additionally, the bill modifies RSA 141-C:20-c, I to allow advanced practice registered nurses and physician associates to certify that immunization against a specific disease may be detrimental to a child's health, thereby granting an exemption from required immunizations. The new legal language includes the insertion of "an advanced practice registered nurse licensed under RSA 326-B, or a physician associate licensed under RSA 328-D" in the certification process. The exemption is valid only for the duration deemed necessary by the certifying medical professional. The act is set to take effect 60 days after its passage.

Statutes affected:
Introduced: 266:61-a, 141-C:20-c
Version adopted by both bodies: 266:61-a, 141-C:20-c
SB453 text: 266:61-a, 141-C:20-c