HB 1030 New Hampshire House · 2026 Regular Session

relative to licensed practical nurse scope of practice.

HB 1030 updates New Hampshire law to clarify the scope of practice for licensed practical nurses (LPNs). It removes the word "focused" from the description of assessments LPNs can conduct and revises the language about their role in care planning from "development" to "evolution and modification" of the registered nurse-initiated comprehensive plan. The bill does not change LPNs' actual duties or responsibilities but modernizes the legal wording. The changes take effect 60 days after the bill's passage.

Bill status signed all 5 stages cleared

Introduction

Nov 2025

Committee Review

Mar 2026

House Passage

Feb 2026

Senate Passage

Mar 2026

Signed into Law

May 2026

Introduced Nov 7, 2025 Signed May 12, 2026

Maddy AI version diff · 4 comparisons

What changed between versions

Introduced → As Amended by the House · 2 edits

MINOR

The House amendment broadens the scope of practice for licensed practical nurses (LPNs) in two ways: it allows LPNs to conduct initial nursing assessments (not just follow-up ones), and it removes the requirement that comprehensive care plans be 'registered nurse-initiated' before an LPN can contribute to them. These changes give LPNs a more active role in patient care planning.

SCOPE

Removed the word 'subsequent' from the assessment provision, allowing LPNs to conduct initial nursing assessments rather than only follow-up assessments of clients' health status.

Removed the phrase 'registered nurse-initiated' from the care plan provision, meaning LPNs can now contribute to comprehensive plans of care regardless of whether an RN started them. Also changed the verb from 'Participating in' to 'Contributing to' and removed the word 'evolution.'

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

May 12, 2026

Signed into law

Signed by Governor Ayotte 05/08/2026; Chapter 46; eff. 07/07/2026

lower

Apr 9, 2026

Introduced

House Concurs with Senate Amendment 2026-1227s (Rep. Layon): MA VV 04/09/2026 HJ 10 P. 8

lower

Mar 23, 2026

Upper · Passed

Committee Amendment # 2026-1227s, AA, VV; 03/26/2026; SJ 7

upper

Mar 23, 2026

Upper · Passed

Ought to Pass with Amendment #2026-1227s, MA, VV; OT3rdg; 03/26/2026; SJ 7

upper

Mar 19, 2026

Upper · Passed

Committee Report: Ought to Pass with Amendment # 2026-1227s, 03/26/2026; Vote 3-0; CC; SC 11

upper

Feb 13, 2026

Introduced

Introduced 02/05/2026 and Referred to Executive Departments and Administration; SJ 4

upper

Feb 12, 2026

Lower · Passed

Ought to Pass with Amendment 2026-0224h: MA VV 02/12/2026 HJ 4 P. 3

lower

Feb 12, 2026

Introduced

Amendment # 2026-0224h: AA VV 02/12/2026 HJ 4 P. 3

lower

Feb 3, 2026

Lower · Passed

Committee Report: Ought to Pass with Amendment # 2026-0224h 01/28/2026 (Vote 12-0; CC) HC 6 P. 5

lower

Nov 7, 2025

Introduced

Introduced 01/07/2026 and referred to Executive Departments and Administration HJ 1 P. 3

lower

1 primary · 1 co-sponsor