SB 421 - AS AMENDED BY THE SENATE
02/05/2026 0372s
2026 SESSION
26-2216
09/08
SENATE BILL 421
SPONSORS: Sen. Prentiss, Dist 5; Sen. Lang, Dist 2; Sen. Watters, Dist 4; Sen. Carson, Dist 14; Sen. Fenton, Dist 10; Sen. Avard, Dist 12; Sen. Rosenwald, Dist 13; Sen. Gannon, Dist 23; Sen. Pearl, Dist 17; Sen. Perkins Kwoka, Dist 21; Sen. McGough, Dist 11; Sen. Birdsell, Dist 19
COMMITTEE: Executive Departments and Administration
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AMENDED ANALYSIS
This bill amends the membership of and adds an additional duty to the trauma medical review committee and establishes a study committee to review the membership, duties, and procedures for other boards and an appointment related to emergency medical services.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
02/05/2026 0372s 26-2216
09/08
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty-Six
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Trauma Medical Review Committee; Membership. Amend RSA 153-A:8, I to read as follows:
I. There is established a trauma medical review committee which shall consist of:
(a) One representative from each trauma hospital level of care, levels I, II, III, and IV. These representatives may consist of trauma surgeons, emergency [A minimum of 5 physicians representing the surgical disciplines of neurosurgery, general surgery, pediatric surgery, orthopedic surgery, and other] physicians experienced in the treatment of adult and pediatric trauma patients, trauma program managers, or trauma registrars.
(b) One member from the New Hampshire chapter of the American College of Emergency Physicians.
(c) One member from the New Hampshire Paramedic Association.
(d) One member from the New Hampshire Emergency Nurses Association.
(e) One trauma nurse coordinator with a background in trauma performance improvement.
(f) One member from the New Hampshire Association of Emergency Medical Technicians.
(g) The state medical examiner or designee.
(h) One member of the emergency medical services medical control board.
(i) One representative from a New Hampshire acute care hospital nominated by the New Hampshire Hospital Association.
(j) One representative of the Professional Firefighters of New Hampshire.
(k) One representative of the New Hampshire Association of Fire Chiefs.
(l) One injury prevention coordinator.
(m) One trauma survivor.
(n) A physician or physician designee from a rehabilitation center in New Hampshire specific to the treatment of physical injuries from trauma.
(o) A representative from the New Hampshire office of highway safety.
2 New Subparagraph; Trauma Medical Review Committee; Duty Added. Amend RSA 153-A:8, V by inserting after subparagraph (h) the following new subparagraph:
(i) Annually provide a report to the governor on the status of New Hampshire’s trauma system including the names, levels, and locations of all trauma hospitals, the activities and recommendations of the trauma medical review committee for the continuous improvement of New Hampshire’s trauma system, and data that summarizes the leading causes of injury and death in New Hampshire from both intentional and unintentional injuries.
3 Committee Established. There is established a committee to study the composition, duties, and responsibilities of certain boards.
4 Membership and Compensation.
I. The members of the committee shall be as follows:
(a) Two members of the house of representatives.
(b) One member of the senate, appointed by the president of the senate.
II. Members of the committee shall receive mileage at the legislative rate when attending to the duties of the committee.
5 Duties. The committee's study shall include, but not be limited to:
I. The composition and duties of the:
(a) Emergency medical and trauma services coordinating board, as established by RSA 153-A:3.
(b) Emergency medical services medical control board, as established by RSA 153-A:5.
II. The process for the appointment of the state medical director for emergency medical services, as established in RSA 153-A:7, II(c).
6 Chairperson; Quorum. The members of the study committee shall elect a chairperson from among the members. The first meeting of the committee shall be called by the first-named house member. The first meeting of the committee shall be held within 45 days of the effective date of this section. Two members of the committee shall constitute a quorum.
7 Report. The committee shall report its findings and any recommendations for proposed legislation to the speaker of the house of representatives, the president of the senate, the house clerk, the senate clerk, the governor, and the state library on or before November 1, 2026.
8 Effective Date. This act shall take effect upon its passage.
| Date | Amendment |
|---|---|
| Jan. 28, 2026 | 2026-0372s |
| Date | Body | Type |
|---|---|---|
| Jan. 14, 2026 | Senate | Hearing |
| Jan. 14, 2026 | Senate | Hearing |
| Feb. 5, 2026 | Senate | Floor Vote |
Feb. 26, 2026: Introduced (in recess of) 02/19/2026 and referred to Health, Human Services and Elderly Affairs HJ 5
Feb. 5, 2026: Ought to Pass with Amendment #2026-0372s, MA, VV; OT3rdg; 02/05/2026; SJ 3
Feb. 5, 2026: Committee Amendment # 2026-0372s, AA, VV; 02/05/2026; SJ 3
Jan. 29, 2026: Committee Report: Ought to Pass with Amendment # 2026-0372s, 02/05/2026; Vote 4-0; CC; SC 4
Jan. 8, 2026: Hearing: 01/14/2026, Room 103, SH, 09:30 am; SC 1
Jan. 6, 2026: Hearing: 01/14/2026, Room 103, SH, 09:30 am; SC 1
Nov. 21, 2025: Introduced 01/07/2026 and Referred to Executive Departments and Administration; SJ 1