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New Hampshire Becomes 28th State to Join PA Licensure Compact, Completing the Trifecta of AAPA’s PA Policy Modernizations

July 17, 2026

On July 15, Governor Kelly Ayotte signed HB 1772 into law, entering New Hampshire into the PA Licensure Compact as the 28th state. This follows an expressed commitment within the state’s federal Rural Health Transformation Program (RHTP) application to pursue PA Licensure Compact legislation as one of its workforce strategies to expand access to care in rural communities.

“New Hampshire physician associates are pleased to have access to PA compact privileges once they become available,” said New Hampshire Society of Physician Associates President Malcolm Hauthaway, MS, PA. “We appreciate North Country Sen. David Rochefort’s leadership and the strong support of Governor Ayotte and her Rural Health leadership team. With HB 1772 becoming law, New Hampshire PAs now enjoy one of the best practice environments in the country and can provide care to our friends and neighbors statewide to the full extent of our education training and experience.”

Rather than navigating a duplicative licensure process, the PA Licensure Compact allows eligible PAs to practice across state lines via a compact privilege, whether in-person or via telehealth, to deliver care. This is important for PAs as it may reduce time and cost burdens to practice in surrounding states, as well as for patients to have greater access to and continuity of care.

The PA Compact Commission expects compact privileges to be available for PAs by early-to-mid-2027.

Further, with the addition of the PA Licensure Compact, New Hampshire has now advanced all three of AAPA’s core priorities for modernizing PA practice laws and improving access to care: title change, joining the PA Licensure Compact, and establishing an optimal practice environment. The state joins a growing list of states to successfully pass all three legislative priorities including Delaware, Iowa, and Maine.

New Hampshire’s achievement is another major win during a year of significant legislative progress for the PA profession spurred, in several states, by RHTP. For New Hampshire’s more than 1,150 PAs, HB 1772 is a major victory to expand their ability to practice across state lines and help ensure patients can access quality and timely healthcare.

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