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New Hampshire: SB504

Healthcare Professional Dispensing and Pharmacy Practice Expansion

Topics

Health Freedom

Bill Information

MAHA Approved

Summary

Bill Summary

NH SB504 authorizes licensed healthcare professionals to dispense up to a 30-day supply of noncontrolled oral anti-cancer medications under provider supervision, expands remote processing capabilities for advanced pharmacy technicians, removes the requirement for pharmacist identification on controlled drug labels, broadens the definition of pharmacy practice, and eliminates examination requirements and pharmacy law testing for advanced pharmacy technician licensure. The bill also reduces the pharmacy board's regulatory authority over collaborative pharmacy practice agreements and changes license display requirements from conspicuous posting to readily retrievable format. These changes collectively shift regulatory focus away from restrictive oversight toward expanded clinical flexibility and professional autonomy.

Why It Matters to MAHA

MAHA strongly supports this bill because it removes unnecessary regulatory barriers that restrict patient access to medications and healthcare services. By allowing qualified healthcare professionals to dispense anti-cancer medications and enabling pharmacists to practice at the full scope of their training without redundant bureaucratic oversight, the bill expands treatment access and patient choice. Eliminating mandatory pharmacy law examinations and reducing board authority over practice agreements removes government gatekeeping that does not improve patient safety but instead limits innovation in medication delivery and collaborative care models. The expansion of remote processing capabilities increases convenience and accessibility for patients while trusting qualified professionals to deliver safe care. This legislation exemplifies health freedom by prioritizing patient autonomy and professional expertise over rigid regulatory control.

Introduced

11/21/2025

In Committee

05/01/2026

Crossed Over

03/27/2026

Dead

06/30/2026

Sponsors

David Rochefort

Republican Senator (NH)

Howard Pearl

Republican Senator (NH)

Carol McGuire

Republican Representative (NH)

Activity

05/21/2026

Sen. Rochefort Moved Nonconcur with the House Amendment, Motion Adopted, Voice Vote; 05/21/2026; Senate Journal 13

05/14/2026

Ought to Pass with Amendment 2026-1742h and 2026-1951h: Motion Adopted Regular Calendar 197-145 05/14/2026 House Journal 13 P. 85

05/14/2026

FLAM # 2026-1951h (Rep. Mazur): Amendment Adopted Regular Calendar 188-153 05/14/2026 House Journal 13 P. 78

05/14/2026

Amendment # 2026-1742h: Amendment Adopted Voice Vote 05/14/2026 House Journal 13 P. 77

05/01/2026

Committee Report: Ought to Pass with Amendment # 2026-1742h 04/29/2026 (Vote 15-0; Regular Calendar) House Calendar 19 P. 24

04/29/2026

Executive Departments and Administration Executive Session (10:00:00 4/29/2026 GP 231)

04/22/2026

Executive Session: 04/29/2026 10:00 am GP 231

04/15/2026

Executive Departments and Administration Public Hearing (13:10:00 4/15/2026 GP 231)

04/08/2026

Public Hearing: 04/15/2026 01:10 pm GP 231

03/27/2026

Introduced (in recess of) 03/26/2026 and referred to Executive Departments and Administration House Journal 9 P. 54

03/26/2026

Ought to Pass with Amendments #2026-1225s and #2026-1262s, Motion Adopted, Voice Vote; OT3rdg; 03/26/2026; Senate Journal 7

03/26/2026

Sen. Rochefort Floor Amendment # 2026-1262s, Amendment Adopted, Voice Vote; 03/26/2026; Senate Journal 7

03/26/2026

Committee Amendment # 2026-1225s, Amendment Adopted, Voice Vote; 03/26/2026; Senate Journal 7

03/26/2026

SB 504 was Removed from the Consent Calendar; 03/26/2026; Senate Journal 7

03/18/2026

Committee Report: Ought to Pass with Amendment # 2026-1225s, 03/26/2026; Vote 5-0; Consent Calendar; Senate Calendar 11

03/11/2026

Health and Human Services Hearing (09:00:00 3/11/2026 Room 100, State House)

03/04/2026

Hearing: 03/11/2026, Room 100, State House, 09:00 am; Senate Calendar 9

11/21/2025

Introduced 01/07/2026 and Referred to Health and Human Services; Senate Journal 1

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