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Bill

HB 349

relative to the practice of optometry and authorization to perform ophthalmic laser procedures.

2025 Regular Session Introduced by Debra Altschiller and 6 co-sponsors

New Hampshire bill authorizes optometrists to perform ophthalmic laser procedures, expanding their scope of practice beyond current limits and potentially increasing patient access to these treatments.

Minority Committee Report: Inexpedient to Legislate
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Bill Summary · HB 349

Legislative bill overview

HB 349 expands the scope of practice for optometrists in New Hampshire by authorizing them to perform ophthalmic laser procedures. The bill passed committee with a majority recommendation of "Ought to Pass" (12-3 vote) with amendments, though a minority report recommends rejecting it entirely.

Why is this important

This directly affects patient access to eye care services and costs, as optometrists would be able to perform certain laser treatments without requiring referral to ophthalmologists (MDs). The change impacts healthcare workforce utilization, insurance billing, and the competitive landscape between optometry and ophthalmology providers in the state.

Potential points of contention

  • Scope of practice boundaries: Ophthalmologists may argue that laser procedures require their higher level of medical training, while optometrists contend they can safely perform specific approved procedures with proper licensure
  • Patient safety and oversight: Questions about required training standards, continuing education requirements, and liability coverage for optometrists performing surgical procedures
  • Economic competition: Ophthalmologists and their professional organizations likely oppose expanded optometry authority as it reduces referral revenue and market share

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

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