(Second New Title) relative to prescribing ibogaine for investigational use only and adopting the physician associate licensure compact.
Sponsored By: Michael I Moffett (Republican)
Signed by Governor
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Bill Overview
Analyzed Economic Effects
5 provisions identified: 2 benefits, 1 costs, 2 mixed.
Patients gain research-only access to ibogaine
Licensed physicians and other qualified licensed practitioners can give ibogaine only through FDA-approved research protocols. Federal law and the study protocol must allow the use. This does not allow general ibogaine treatment outside approved research. The law takes effect 60 days after passage.
Physician associates gain an interstate practice pathway
New Hampshire joins a compact allowing eligible physician associates to practice across participating states without separate state licenses. The compact commission starts operating once seven states join. Applicants need a qualifying unrestricted license, approved education, current national certification, and required background checks. Disqualifying convictions, license actions, or pending actions can block access; applicants must also meet the destination state's legal-knowledge requirements. Certain past restrictions trigger a two-year wait after removal; restrictions on a qualifying license deactivate interstate privileges during the restriction and for two years afterward. Associates must follow the patient's state's practice and controlled-medicine rules, report address changes, and accept legal notices at their primary address. New Hampshire must handle licensing, complaints, background checks, and required reporting; privileges generally last until the qualifying license expires or is revoked.
Interstate practice can bring new provider fees
Participating states can charge physician associates for interstate practice privileges, but the law sets no required state fee or amount. The commission can also charge licensees privilege fees and participating states annual assessments. Its rules set the amounts, and its finances require adequate funding and audited records. The fiscal note estimates $10,000 in one-time New Hampshire software costs and a potential $93,000 annual loss in license revenue. These are estimates, not appropriations; the law sets no direct patient charge or consumer tax change.
Interstate licensing rules gain force and safeguards
A commission with one delegate per participating state makes binding rules without each state's usual rulemaking process. Courts can invalidate rules exceeding its authority or conflicting with state laws on physician associates' allowed medical services. A majority of participating-state legislatures can reject a rule within four years after adoption. States must enforce the compact and share licensing, discipline, and significant investigation data through a secure system with disclosure limits. States retain authority over their own licenses; other participating states can limit local privileges, but cannot punish conduct lawful in the licensing state.
State exits affect physician associates' practice rights
After other compliance efforts fail, a majority of state delegates can remove a state that has not fixed compact violations. The state still owes assessments and other obligations incurred through termination. Existing practice privileges generally continue for 180 days after termination. Associates can retain privileges beyond that period by holding or obtaining a qualifying license in another participating state before the deadline. A state can also withdraw by repealing its compact law; withdrawal takes effect after 180 days, with temporary protections for existing privileges.
Sponsors & Cosponsors
Sponsor
Michael I Moffett
Republican • House
Cosponsors
Howard Pearl
r • Senate
Jess Edwards
Republican • House
Keith Michael Ammon
Republican • House
Lily M Foss
Democratic • House
Lisa M Freeman
Affiliation unavailable
Terry W Roy
Republican • House
Tim McGough
Republican • Senate
Roll Call Votes
No roll call votes available for this bill.
Actions Timeline
Signed by Governor Ayotte 07/15/2026; Chapter 333; eff. 09/13/2026
7/20/2026HouseEnrolled Adopted, VV, (In recess 06/04/2026); SJ 15
7/6/2026SenateEnrolled (in recess of) 06/04/2026 HJ 15 P. 56
7/6/2026HouseEnrolled Bill Amendment # 2026-2184e: AA VV (in recess of) 06/04/2026 HJ 15 P. 53
6/23/2026HouseEnrolled Bill Amendment # 2026-2184e Adopted, VV, (In recess of 06/04/2026); SJ 14
6/23/2026SenateConference Committee Report 2026-2090c: Adopted, VV 06/04/2026 HJ 15 P. 13
6/4/2026HouseConference Committee Report # 2026-2090c, Adopted, VV; 06/04/2026; SJ 14
5/29/2026SenateConference Committee Report Filed, # 2026-2090c; 06/04/2026
5/28/2026SenateConference Committee Meeting: 05/27/2026 01:45 pm GP 231
5/27/2026HousePresident Appoints: Senators Rochefort, Pearl, Prentiss; (In Recess 05/14/2026); SJ 13
5/20/2026SenateSen. Rochefort Accedes to House Request for Committee of Conference, MA, VV; (In recess 05/14/2026); SJ 13
5/20/2026SenateSpeaker Appoints: Reps. W. MacDonald, Drew, Markell, Milz 05/14/2026 HJ 13 P. 152
5/20/2026HouseHouse Non-Concurs with Senate Amendment 2026-1916s and 2026-1623s and Requests CofC (Rep. W. MacDonald): MA VV 05/14/2026 HJ 13 P. 152
5/20/2026HouseOught to Pass with Amendments #2026-1623s and #2026-1916s, MA, VV; OT3rdg; 05/14/2026; SJ 12
5/14/2026SenateSen. Rochefort Floor Amendment # 2026-1916s, AA, VV; 05/14/2026; SJ 12
5/14/2026SenateCommittee Amendment # 2026-1623s, AA, VV; 05/14/2026; SJ 12
5/14/2026SenateCommittee Report: Ought to Pass with Amendment # 2026-1623s, 05/14/2026, Vote 4-0; SC 18
5/7/2026SenateSpecial Order to 05/14/2026, Without Objection, MA; 05/07/2026 SJ 11
5/7/2026SenateCommittee Report: Ought to Pass with Amendment # 2026-1623s, 05/07/2026, Vote 4-0; SC 17
4/22/2026SenateHearing: 03/25/2026, Room 100, SH, 10:00 am; SC 12
3/24/2026SenateIntroduced 03/12/2026 and Referred to Health and Human Services; SJ 7
3/17/2026SenateAmendment # 2026-0365h: AA VV 03/11/2026 HJ 7 P. 206
3/11/2026HouseOught to Pass with Amendment 2026-0365h: MA DV 176-156 03/11/2026 HJ 7 P. 207
3/11/2026HouseMinority Committee Report: Refer for Interim Study
3/4/2026HouseMajority Committee Report: Ought to Pass with Amendment # 2026-0365h 03/04/2026 (Vote 10-8; RC) HC 10 P. 53
3/4/2026House
Bill Text
As Amended
6/23/2026
Enrolled
6/23/2026
Introduced
12/17/2025
CHAPTERED FINAL VERSION
Version adopted by both bodies
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