---
type: "Bill"
title: "including state medical facilities in the statute providing medical freedom in immunizations, and relative to licensure of case management service providers."
description: "including state medical facilities in the statute providing medical freedom in immunizations, and relative to licensure of case management service providers."
jurisdiction: "us/states/nh"
legislature: "New Hampshire General Court"
session: "2022"
identifier: "HB 1604"
citation: "New Hampshire HB 1604 (2022)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Leah P. Cushman"]
version_count: 1
action_count: 27
vote_count: 2
first_action: "2021-12-22"
last_action: "2022-06-29"
source: "openstates"
source_identifier: "ocd-bill/aaa2daa7-e5a8-4c6c-99cb-b4faf695b693"
source_url: "http://www.gencourt.state.nh.us/bill_status/legacy/bs2016/bill_status.aspx?lsr=2142&sy=2022&sortoption=&txtsessionyear=2022"
source_hash: "4e76aa2b727a5282c1ea99478ee2cd5246631a3ab55e539dedd63fac3a088e6b"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-nh"]
---

# New Hampshire HB 1604 (2022) — including state medical facilities in the statute providing medical freedom in immunizations, and relative to licensure of case management service providers.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Amendment #2022-1972s** (committee substitute) — [source](http://www.gencourt.state.nh.us/bill_status/legacy/bs2016/billText.aspx?sy=2022&id=2022-1972s&txtFormat=amend)

## Votes

- Adopt Amendment — **174–173** (pass) · lower
- OTPA — **176–174** (pass) · lower

## Sponsors

- Leah P. Cushman — primary (person)
- Diane Pauer — cosponsor (person)
- Melissa Blasek — cosponsor (person)
- Peter E. Torosian — cosponsor (person)
- Terry Roy — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-12-22** Introduced 01/05/2022 and referred to Health, Human Services and Elderly Affairs `introduction, referral-committee`
- **2022-02-01** Public Hearing: 02/01/2022 10:45 a.m. LOB210-211
- **2022-02-03** Executive Session: 02/08/2022 09:30 am LOB 210-211
- **2022-02-09** Majority Committee Report: Ought to Pass with Amendment # 2022-0554h (Vote 11-10; RC) `committee-passage-favorable`
- **2022-02-09** Minority Committee Report: Inexpedient to Legislate
- **2022-02-18** Amendment # 2022-0554h: AA RC 174-173 02/17/2022 HJ 4
- **2022-03-04** Referred to Finance 02/16/2022 HJ 3
- **2022-03-04** Ought to Pass with Amendment 2022-0554h: MA RC 176-174 02/16/2022 HJ 3 `passage`
- **2022-03-09** Executive Session: 03/23/2022 10:00 am LOB 210-211
- **2022-03-11** Division Work Session: 03/14/2022 10:00 am LOB 210-211
- **2022-03-18** ==CONTINUED== Division III Work Session: 03/21/2022 10:00 am LOB 201-203
- **2022-03-24** Committee Report: Ought to Pass with Amendment # 2022-1160h (Vote 13-8; RC) `committee-passage-favorable`
- **2022-03-31** Amendment # 2022-1160h: AA VV 03/31/2022 HJ 9
- **2022-03-31** Ought to Pass with Amendment 2022-1160h: MA VV 03/31/2022 HJ 9 `passage`
- **2022-04-05** Introduced 03/31/2022 and Referred to Health and Human Services; SJ 8 `introduction, referral-committee`
- **2022-04-07** Hearing: 04/14/2022, Room Reps Hall, SH, 11:50 am; SC 15
- **2022-04-14** Committee Report: Ought to Pass with Amendment # 2022-1566s, 04/21/2022; Vote 5-0; CC; SC 16 `committee-passage-favorable`
- **2022-04-21** Committee Amendment # 2022-1566s, AA, VV; 04/21/2022; SJ 9
- **2022-04-21** Ought to Pass with Amendment 2022-1566s, MA, VV; Refer to Finance Rule 4-5; 04/21/2022; SJ 9 `passage`
- **2022-04-26** Committee Report: Ought to Pass, 05/05/2022; SC 18 `committee-passage-favorable`
- **2022-05-05** Special Order to after the Bills removed from the Consent Calendar, Without Objection, MA; 05/05/2022; SJ 11
- **2022-05-05** Sen. Avard Floor Amendment # 2022-1972s, AA, VV; 05/05/2022; SJ 11
- **2022-05-05** Ought to Pass with Amendment 2022-1972s, MA, VV; OT3rdg; 05/05/2022; SJ 11 `passage`
- **2022-05-13** House Concurs with Senate Amendment (Rep. M. Pearson): MA VV 05/12/2022 HJ 13
- **2022-06-14** Enrolled (in recess of) 05/26/2022 HJ 14
- **2022-06-14** Enrolled Adopted, VV, (In recess 05/26/2022); SJ 13
- **2022-06-29** Signed by Governor Sununu 06/24/2022; Chapter 269; eff. 8/23/2022 HJ 14 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/aaa2daa7-e5a8-4c6c-99cb-b4faf695b693`. Confidence: reported (aggregated from official New Hampshire legislature records).