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HB 360 Prohibits public schools from performing surgical procedures or prescribing pharmaceutical drugs.

Education In Senate

Prohibits public schools from performing surgical procedures or prescribing pharmaceutical drugs.

Impact Score — How Does This Bill Affect You?

4

Overall Impact Score

Concerning

Scale: 1 (harmful) to 10 (beneficial)

5
💰

Your Wallet

No direct financial impact on taxpayers

4
🏘️

Your Community

Vague language may discourage schools from offering health-related services

4
⚖️

Your Freedom

Addresses a non-existent practice; may have chilling effect on school health services

Status

Passed House Jan 7, 2026. In Senate HHS Committee.

Voted Yes

183 R

Voted No

0 R + 155 D

R Yes D Yes R No D No

Sponsor

Rep. Kristin Noble (R-Bedford)

The Short Version

Schools don't perform surgery. Schools don't prescribe drugs. This is a solution in search of a problem — almost certainly targeting trans-related healthcare fears, school-based health clinics, or school nurses administering medications. Sponsored by Rep. Kristin Noble (R-Bedford), it passed 183–155, which tells you it's about politics, not policy. If it were actually about something real, it would've been unanimous. Now in the Senate.

Who's Behind This Bill?

Who Benefits

  • No practical beneficiary — schools don't perform surgery

Who Pays the Price

  • School health services (chilling effect from vague language)
  • Students who rely on school-based health support

Roll Call Detail (1 vote)

Every recorded floor vote on this bill, with each legislator's individual vote. Click a name to see that rep's full record.

Who actually supports this bill?

Across the 1 recorded vote on this bill — counting each legislator's net direction and treating kill motions as opposing the bill — Republicans supported it ( 182 for , 2 against ) , and Democrats opposed it ( 1 for , 153 against ) .

"Supporting" means voting for passage OR voting against a kill motion. "Opposing" is the inverse. Concurs and amendment-only votes don't count.

Ought to Pass with Amendment 2026-01-07
Passed

YES = Pass the bill with the attached amendment. NO = Reject the bill (as amended).

182R + 1D
Voted to Pass (183)
2R + 153D
Voted Against (155)
38
Absent
19
Not voting
Show all 395 individual votes

Voted Yea (183)

Republicans (182)
Democrats (1)

Voted Nay (155)

Democrats (153)

Full Analysis

Rep. Kristin Noble (R-Bedford) — who also sponsors HB 1268 (eliminating homeschool oversight) — introduced a bill prohibiting public schools from performing surgical procedures or prescribing pharmaceutical drugs. Read that again. Schools. Performing surgery.

No school in New Hampshire has ever performed surgery on a student. No school nurse has a DEA prescribing license. This bill prohibits something that isn't happening and cannot happen under existing medical licensing laws. So what's it really about?

The bill is almost certainly targeting one or more of: school-based health clinics that might provide referrals for gender-affirming care, school nurses administering prescribed medications (like insulin, ADHD medication, or hormonal contraceptives), and school counselors who might discuss healthcare options with students. The vagueness is intentional — it creates a legal threat that discourages schools from providing any health-related services.

The 183-155 vote is the tell. If this bill actually addressed a real problem, it would pass unanimously. The partisan split proves this is culture-war legislation, not a response to any actual policy issue.

Bill statuses as of May 2026. Check LegiScan or NH General Court for the latest.