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NH House Bill 701

Legislation

State: New Hampshire
Signed: August 20, 2025

Effective: January 01, 2026
Chapter: 304

Summary

House Bill 701 authorizes consent forms for lifesaving and life-improving treatment to be signed remotely before a Notary Public.

Affects

Amends Section 126-Z:1 of the New Hampshire Revised Statutes Annotated.

Changes
  1. Defines “remote signing” as the process where a Notary Public or licensed health care provider witnesses written informed consent — by a patient, parent, or legal guardian — for participation in a clinical trial or treatment involving a drug, biologic, or device, when the patient has a life-threatening diagnosis.
  2. Allows remote consent for treatment using a drug, biologic, or device by manufacturers, pharmacists, health care providers, or facilities with a New Hampshire office, provided they conduct a telehealth prescreening under RSA 126-Z:1, IV.
  3. Provides immunity from enforcement actions or penalties to health care providers, facilities, or related entities that obtain patient consent via remote signing, if they comply with the conditions in point 2.
  4. Provides legal immunity to those using remote signing for consent, shielding them from lawsuits challenging its validity, if they act in good faith and avoid willful misconduct.
Analysis

The purpose of House Bill 701 is to make it easier for patients with terminal illnesses to access potentially lifesaving or life-improving treatments. It removes legal barriers and protects those who help provide these treatments from liability. The law encourages participation in clinical trials and other treatment programs that collect patient outcome data, aiming to make New Hampshire a leading state for medical innovation and research.

A key feature of the new law is its authorization of remote signing of consent forms. Patients may now sign treatment consent forms remotely, with the signature witnessed by either a Notary Public or a licensed health care provider. This provision is especially important for patients who cannot travel due to their condition. 

However, the law does not specify how remote signing should be conducted. It uses the term “form” which some could interpret as implying a paper document. New Hampshire’s Notary statutes do allow remote notarization using communication technology for both paper and electronic documents. While the law does not explicitly mention electronic consent forms, it is possible that the New Hampshire Uniform Electronic Transactions Act (UETA) could provide the legal basis for remote electronic notarization of these forms.

Read House Bill 701.

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