HB 1117 New Hampshire House · 2026 Regular Session

relative to the right of licensed health care providers to freely communicate with patients, colleagues, and the public about medical information, emerging therapies, and treatment options.

HB 1117, the "Health Care Provider Free Speech and Innovation Act," protects licensed health care providers (such as doctors, nurses, and therapists) from disciplinary action, sanctions, or legal liability when discussing medical information, emerging therapies, or off-label treatments with patients, colleagues, or the public. This protection applies only if the communication is made in good faith and not knowingly false or misleading. The bill also prohibits retaliation from licensing boards, employers, or insurers for such communications and allows providers to recommend innovative therapies with patient consent, provided they are not legally prohibited. It does not require insurers or employers to cover non-standard treatments but aims to accelerate the adoption of medical innovations by safeguarding open dialogue. The law directly affects health care providers and their ability to share evolving medical knowledge without fear of punishment.
Bill status passed 3 of 5 stages cleared
Introduction
Dec 2025
Committee Review
Apr 2026
House Passage
Mar 2026
Senate Passage
Governor
Introduced Dec 1, 2025 Last action Apr 10, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced As Amended by the House · 3 edits
MINOR
The House amendment narrowed the free speech protection for off-label medication use to only FDA-approved medications, and significantly reworked the enforcement section by specifying the superior court as the venue, clarifying who can be sued, and replacing the original remedies list with declaratory judgment and reinstatement provisions.
SCOPE

The protection for communicating about off-label uses of medications was narrowed from all medications to only 'FDA-approved medications,' meaning providers would not have free speech protection when discussing off-label use of non-FDA-approved substances.

ENFORCEMENT

The enforcement section was substantially rewritten: the standard changed from being 'aggrieved under this chapter' to 'who alleges a violation of this chapter'; the action must now be brought in superior court; it can be brought against 'any person or entity responsible for the violation'; and the available remedies were changed from injunctive relief, reinstatement, damages, or other appropriate remedies to declaratory judgment and reinstatement to professional position or licensure status.

TECHNICAL

Minor clarification changing 'another provider' to 'another health care provider' in subsection I(a) for consistency with the defined term used throughout the chapter.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
12
Key actions
3
Committee
4
Amendments
1
Apr 10, 2026
Committee
Committee Report: Referred to Interim Study, 04/16/2026; Vote 4-0; CC; SC 14A
upper
Mar 17, 2026
Introduced
Introduced 03/12/2026 and Referred to Health and Human Services; SJ 7
upper
Mar 11, 2026
Lower · Passed
Ought to Pass with Amendment 2026-1026h: MA DV 176-145 03/11/2026 HJ 7 P. 183
lower
Mar 11, 2026
Introduced
Amendment # 2026-1026h: AA VV 03/11/2026 HJ 7 P. 183
lower
Mar 4, 2026
Lower · Passed
Minority Committee Report: Inexpedient to Legislate
lower
Mar 4, 2026
Lower · Passed
Majority Committee Report: Ought to Pass with Amendment # 2026-1026h 03/04/2026 (Vote 10-8; RC) HC 10 P. 49
lower
Dec 1, 2025
Introduced
Introduced 01/07/2026 and referred to Health, Human Services and Elderly Affairs HJ 1 P. 7
lower
1 primary · 8 co-sponsors

Sponsors