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Bill

SB 501

relative to authorization of seclusion or restraint during a personal safety emergency by a physician, physician associate, or advanced practice registered nurse.

2026 Regular Session Introduced by Kevin Avard and 10 co-sponsors

SB 501 authorizes NH physicians, PAs, and advanced nurses to use physical seclusion/restraint during patient safety emergencies without standard authorization procedures.

Lay SB501 on Table (Rep. W. MacDonald): MA RC 188-154 05/07/2026 HJ 12
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Bill Summary · SB 501

Legislative bill overview

SB 501 authorizes physicians, physician associates, and advanced practice registered nurses to use seclusion or restraint on patients during what the bill defines as a "personal safety emergency." The bill establishes parameters for when these medical professionals can physically restrict patient movement without standard authorization procedures that normally apply in healthcare settings.

Why is this important

Seclusion and restraint in medical settings remain controversial practices with documented risks including injury, psychological trauma, and death. This bill directly affects patient rights and safety protocols in New Hampshire healthcare facilities, particularly for vulnerable populations like those experiencing mental health crises. It also defines scope-of-practice boundaries for non-physician providers in emergency situations.

Potential points of contention

  • Definition and oversight: The bill's definition of "personal safety emergency" and what constitutes appropriate use may be too broad or lack sufficient oversight mechanisms to prevent misuse
  • Patient protections and due process: Concerns about whether patients have adequate recourse, documentation requirements, and whether emergency use could become routine without proper justification
  • Liability and training standards: Unclear whether the bill establishes mandatory training requirements, documentation standards, and liability protections for both patients harmed and providers acting in good faith

Compiled from official sources — confirm details with the bill’s official record.

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