SB 425 New Hampshire Senate · 2026 Regular Session

adopting the physician associate licensure compact.

SB 425 lowers the retirement age for the adjutant general and deputy adjutant general from 65 to 64. It changes the adjutant general's term to a maximum of 5 years or until age 64 (previously age cap alone) and sets the deputy adjutant general's term at 4 years or until age 64. The bill also creates a new appointment process for the commandant of the New Hampshire veterans' home, requiring nomination by the home's board of managers and appointment by the governor and council for a 4-year term. These changes directly affect leadership roles in the New Hampshire National Guard and the veterans' home.
Bill status passed 3 of 5 stages cleared
Introduction
Nov 2025
Committee Review
May 2026
Senate Passage
Feb 2026
House Passage
Governor
Introduced Nov 21, 2025 Last action May 20, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced As Amended by the Senate · 5 edits
MODERATE
The bill was completely rewritten. The original version dealt with military personnel (changing retirement ages for the adjutant general and deputy adjutant general, and creating a new appointment process for the veterans' home commandant). The amended version replaces all of that content with an entirely different subject: adopting the multi-state physician associate licensure compact, which allows physician associates licensed in one participating state to practice in another through a 'compact privilege.'
Scope change
The bill's scope changed entirely from military personnel and veterans' home governance to healthcare professional licensure and interstate practice portability for physician associates.
SCOPE

All provisions regarding military personnel were removed: the change to retirement age from 65 to 64 for the adjutant general and deputy adjutant general, the tenure modification for the adjutant general, and the new appointment process for the commandant of the New Hampshire veterans' home.

A new section (RSA 328-D:18-a) was added that adopts the full text of the physician associate licensure compact, a multi-state agreement allowing PAs to practice across state lines through mutual recognition of their license.

DEFINITION

The new compact includes extensive definitions for terms like 'compact privilege,' 'qualifying license,' 'remote state,' 'adverse action,' 'participating state,' and 'PA licensure compact commission.'

ELIGIBILITY

The compact specifically provides a pathway for active duty military personnel and their spouses to obtain a compact privilege based on holding an unrestricted license in good standing from any participating state, reducing barriers for military families.

REQUIREMENT

The compact establishes that PAs must be under the jurisdiction of the state licensing board where the patient is located at the time of the encounter, and that each state retains authority to impose adverse actions against a compact privilege issued in that state.

Floor votes

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Full legislative history

Actions timeline

Total actions
13
Key actions
5
Committee
5
Amendments
1
May 20, 2026
Lower · Passed
Full Committee Work Session: 06/02/2026 10:00 am GP 231
lower
Apr 15, 2026
Lower · Passed
Committee Report: Refer for Interim Study 04/08/2026 (Vote 14-0; CC)
lower
Mar 16, 2026
Introduced
Introduced (in recess of) 03/12/2026 and referred to Executive Departments and Administration HJ 8 P. 114
lower
Feb 24, 2026
Upper · Passed
Ought to Pass with Amendment #2026-0840s, MA, VV; OT3rdg; 03/05/2026; SJ 5
upper
Feb 24, 2026
Upper · Passed
Committee Amendment # 2026-0840s, AA, VV; 03/05/2026; SJ 5
upper
Feb 19, 2026
Upper · Passed
Committee Report: Ought to Pass with Amendment # 2026-0840s, 03/05/2026; Vote 4-0; CC; SC 8
upper
Feb 12, 2026
Introduced
Hearing: 02/18/2026, Room 103, SH, 09:00 am, on proposed non-germane amendment # 2026-0579s; SC 6
upper
Nov 21, 2025
Introduced
Introduced 01/07/2026 and Referred to Executive Departments and Administration; SJ 1
upper
1 primary · 4 co-sponsors

Sponsors