NHNPA History

Early Advocacy and Legislative Struggles (1973-1985)
From its inception as the New Hampshire Pediatric Nurse Practitioner Association in 1973, the NHNPA has been pivotal in advancing the role of nurse practitioners (NPs). Initially focused on pediatric care, the association quickly expanded to include various specialties, reflecting its growing diversity. The period from 1973 to 1985 was marked by intense political activism, as NPs fought to establish and expand their prescribing rights amidst significant opposition. This era was characterized by NPs navigating complex legal and professional landscapes to secure legislative support for their practice.

Formation and Name Change
The association was granted a state charter in 1975 and by 1978, it had broadened its membership categories and was renamed to the New Hampshire Nurse Practitioners' Association to represent its diverse member base better.

NHNPA Impact and Influence

Mission:  Champion APRN practice through advocacy, networking, and education to improve the health and well-being of people in NH.

Vision: A healthier NH for all.

NHNPA Milestones

• 1973: Formation under the original name, focusing on pediatric nurse practitioners.
• 1975: Recognition through the amendment of the New Hampshire Nurse Practice Act.
• 1978: The name was changed to NHNPA, reflecting an expanded membership.
• 1983: Passage of HB 425, granting NPs authority to prescribe medications under specific conditions.
• 1991: Enactment of SB 158, providing NPs with plenary prescriptive authority.
• 2022: Passed SB 83, relative to the signature authority of an advanced practice registered nurse or a certified midwife
• 2024: Passed SB 556, prohibiting health carriers from establishing payment or reimbursement provisions based solely on a participating APRN license (effective 1/1/2025)