Logic and critical thinking are the foundation of intelligence. Together they create the ability to make wise decisions throughout one's growth and development.
HB1584
House · 2026 sessionRepublicanSigned into lawVaccine exemption and drug price notices
AIRequires the department of health and human services to notify families that medical and religious exemptions from childhood immunization requirements exist, and requires pharmacies to inform consumers of the lowest available prescription drug price.
(Second New Title) directing the department of health and human services to provide notice of medical and religious exemptions from immunization requirements and relative to notice of drug pricing options.
Status
Signed into law · July 20, 2026- ✓Introduced
- ✓House
- ✓Senate
- ✓Governor
- ✓Law
Division of testimony
435 submissionsArgument digest · AI-generated
from 92 of 92 written submissionsHB1584 would require the Department of Health and Human Services to prominently disclose that medical and religious exemptions from immunization requirements exist whenever it promotes vaccination, and would loosen the documentation standard for religious exemptions. Supporters, including many parents, frame this as basic transparency that respects informed consent and religious or bodily autonomy, while opponents, including many nurses and physicians, argue it will undermine public health messaging, increase exemption rates, and raise the risk of disease outbreaks, and that the disclosure is unnecessary since exemption information is already available.
- Ensures transparency and informed consent about exemptionsSupport20 of 92 reviewed · 6 via form letter
Supporters argue residents have a legal right to know that exemptions exist and that failing to disclose this whenever the state promotes vaccination misleads the public, undermines trust, and violates the principle of informed consent.
“This bill represents a balanced and transparent approach to public health messaging. Including this information ensures that New Hampshire residents are clearly informed of their rights under existing state law.”
— John Barker, Nashua · #527326 — read full submission →
“Residents have a legal right to medical and religious exemptions—NH law already recognizes them. Failing to disclose this information upfront misleads the public and erodes trust in government health messaging.”
— Olga Duclerc, Laconia · #536708 — read full submission →
- Protects religious liberty and bodily autonomySupport8 of 92 reviewed
Some supporters frame the bill around personal and religious freedom, arguing government should not compel medical decisions and that people have a right to know their options before being vaccinated.
“Every American should have options not to take vaccinations if they don’t want them! Government has no right to mandate what happens with our bodies! Period!”
— Joanna Fouch, Henniker · #530963 — read full submission →
“That day was the day a weight lifted from my shoulders. Religion is the reason I felt wrong. My faith was telling me for so long that I was not to be doing this. We should not be taking this away from people.”
— Natali Mills, Hill · #533911 — read full submission →
- Would increase exemption rates and disease outbreak riskOppose31 of 92 reviewed
The most common objection is that prominently advertising exemptions will push more families to opt out of vaccination, increasing the risk of preventable disease outbreaks and harming vulnerable populations such as infants and the immunocompromised.
“This bill will quite likely increase exemption rates and decrease vaccination rates (I'm a PhD-educated biologist: I know how this stuff works). That is very bad news for the elderly, children, and anyone with medical vulnerabilities”
— Jessica Bolker, Dover · #525551 — read full submission →
“I strongly oppose this bill, which would lead to reduced vaccination rates and increased disease outbreaks.”
— Chelsey Canavan, Hanover · #532542 — read full submission →
“As a pediatrician, I oppose this bill. Members of the public who do not want to vaccinate their children can easily find out how to obtain an exemption online. This bill will only decrease vaccination rates”
— Emily Davie MD, Dover · #523373 — read full submission →
- Undermines public health messagingOppose9 of 92 reviewed
Opponents argue the bill would force state vaccine materials to shift focus away from evidence-based, risk-benefit health information and toward advertising ways to opt out, distorting the purpose of public health communication.
“HB 1584 mandates that state vaccine materials include prominent warnings about exemptions. This change would shift the focus away from disease prevention and evidence-based recommendations, and toward potential loopholes.”
— Danielle Passalacqua, Nashua · #531909 — read full submission →
“Requiring prominent warnings about exemptions on all state vaccine materials distorts the purpose of public health communication. Education materials are meant to convey accurate risk–benefit information, not to advertise pathways to opt out.”
— Flavia Martin, Nashua · #534960 — read full submission →
- Bill is unnecessary and duplicativeOppose7 of 92 reviewed
Opponents contend that exemption information is already readily available to parents online and through healthcare providers, that an effective exemption process already exists, and that the Governor previously vetoed a similar bill as redundant.
- Religious exemptions lack legitimate basisOppose3 of 92 reviewed
A few opponents argue that religious objections to vaccination are not doctrinally grounded and that loosening the exemption standard invites misuse as a pretext to avoid vaccination.
“This bill would allow religious exemptions and these are not real reasons to not have a child vaccinated. Even the Pope has told Catholics that vaccines are valuable no matter how they were made”
— Patricia Edwards, Bow · #524724 — read full submission →
“Religious exemption is not scientifically based reasoning to refuse a vaccination that protects the health of entire communities.”
— Michaela Janowski, Epping · #537272 — read full submission →
Generated by claude-sonnet-5 (claude code agent) on Jul 22, 2026. Quotes are verbatim excerpts, verified against the cited submission before publication. Summaries are AI interpretation of the record, not part of it.
I support this bill
Religious exemption is not scientifically based reasoning to refuse a vaccination that protects the health of entire communities. If you can prove a vaccine is harmful, that's a different thing.
This bill undermines public health messaging when New Hampshire already faces rising exemption rates.
Dear Committee Members, I strongly support HB 1584, which mandates that the Department of Health and Human Services include the statement “Medical and religious exemptions are available under New Hampshire law” prominently in all vaccination-related communications and notices. This bill enforces basic transparency. Residents have a legal right to medical and religious exemptions—NH law already recognizes them. Failing to disclose this information upfront misleads the public and erodes trust in government health messaging. Clear notice respects individual autonomy, informed consent, and existing freedoms without undermining vaccination efforts. HB 1584 does not oppose vaccines; it demands honest, complete information from a state agency. Passing it upholds integrity in public policy and reinforces that New Hampshire prioritizes personal rights alongside public health. I urge a DO PASS recommendation on HB 1584. Thank you.
I urge you to oppose this bill that will harm the health of NH's children and vulnerable individuals. NH should be protecting, not injuring the public's health!
NH should be providing accurate public health information about the importance of vaccines and not trying to scare people and encourage them to have their children opt out of these lifesaving vaccines. Vaccines are being politicized in a coordinated national effort and this will only harm our NH families who have shown healthier outcomes than many other states due to strong public health education and the availability of evidence based information and easy access to vaccines. I urge you to oppose this bill. Thank you.
I'm a pediatrician and this is insane
Requiring such steps outlined in HB1584 will impose an unnecessary administrative burden and will only exacerbate a rise in vaccine exemption rates - which have increased from 2.7% in 2020-2021 to 4.1% in 2024-2025 - not due to those personally held beliefs and health conditions, but due to a distrust in our public health systems and evidence-based vaccine policy. Standardized information management is a hallmark of respect for communication. Suggesting that important health choices that should be noted and affirmed can be delivered via a simple posting does not ensure informed consent or more shared decision making with trusted healthcare providers, but instead sends a message of uncertainty and cynicism to parents and families.
I am writing in strong support of HB 1584, which would require the New Hampshire Department of Health to include the statement, “Medical and religious exemptions are available under New Hampshire law,” in any communication or notice promoting vaccination. This bill represents a balanced and transparent approach to public health messaging. Including this information ensures that New Hampshire residents are clearly informed of their rights under existing state law. This promotes trust, autonomy, and accountability within our Department of Health. Clear and complete communication helps residents make informed medical decisions for themselves and their families while reinforcing that the state respects both scientific guidance and individual freedoms. HB 1584 does not discourage vaccination. Rather, it strengthens confidence in public health efforts by showing that New Hampshire values honesty and personal choice. By passing this bill, the legislature recognizes that informed consent and individual medical and religious choices are fundamental to sound governance. I respectfully urge you to support HB 1584 and help ensure that our state continues to set an example of integrity and transparency in public policy. Thank you for your time and dedication to serving the people of New Hampshire. Sincerely,, Leslie Nuchow, Portsmouth, New Hampshire
I strongly urge you to oppose this unnecessary bill. It politicizes health information when granite staters should receive information that conveys risks and benefits, not advertise pathways for opting out. This information is already clearly stated on the school and childcare immunizations pages of the NH Health and Human Services website. "Promoting" exemptions increases the risks for our children, our families, and our communities, especially among the most vulnerable, including children to young to be immunized and those with serious health conditions. Please oppose HB 1584. Thank you.
Please pass this much needed bill.
Please support this bill. It is important that everyone is aware of the fact that they have the right to choose medical and or religious exemptions from immunization requirements.
I strongly oppose HB 1584, which directs the Department of Health and Human Services to promote medical and religious exemptions from immunization requirements. While the bill may purport to enhance individual rights, it inadvertently undermines public health initiatives by providing a platform for misinformation and fear. The prominent display of exemption notices risks emboldening anti-vaccine sentiments and may disproportionately affect vulnerable populations, including low-income families and marginalized communities who rely on herd immunity for protection against outbreaks. This creates a dangerous precedent that prioritizes personal beliefs over collective health and safety. Moreover, the lack of accountability and rigorous evaluation embedded in this bill raises significant ethical concerns. Allowing parents to provide any written statement as a form of religious objection creates an environment ripe for misuse, potentially opening the door to unfounded exemptions that could increase health risks for children and communities alike. Without stringent safeguards or oversight, this legislation threatens to erode decades of public health progress and exacerbate existing health disparities. True equity in health means safeguarding the well-being of all, not promoting exemptions that could lead to widespread repercussions, particularly among marginalized groups who are often the most affected by preventable diseases.
Requiring prominent warnings about exemptions on all state vaccine materials distorts the purpose of public health communication. Education materials are meant to convey accurate risk–benefit information, not to advertise pathways to opt out. This shifts materials away from evidence-based guidance and toward ideologically driven messaging. I strongly oppose this bill. Flavia Martin, Registered Nurse.
Clearly the intent of this bill is to kill elderly people with vaccine preventable diseases. I oppose this morally, medically, and scientifically reprehensible bill.
As the spouse of a severely immune compromised cancer patient, it's SHOCKING to me the blatant disregard some of our elected representatives have for evidence based public health practices. You have been elected to serve the people of NH - all people - and while you may feel that turning over "choice" to individuals is aligned with our democratic principles, the reality shows that this is really a choice to disregard the wellness of our whole community. Please vote no on this bill.
Please SUPPORT HB 1584 and keep our freedom to choose medical options. Thank you!
Encouraging more exemptions from vaccines and immunizations is a threat to everyone's health and safety - I oppose this bill.
Please protect our children from preventable disease
I want my children to be able to be healthy and not get sick. I want people at greater risk from illness to have just as much opportunity as everyone else to participate in our society.
Some people think adding in exemptions gives people an "out" from getting a vaccine. Our state is the Live Free or Die state. We are not the state that manipulates. We have morals. If we have exemptions then it should be known to the public. Keeping these out of the forms is deceitful no matter what your beliefs are on vaccines. If you believe this should not be put in, ask yourself this....are you being honest to this person? Are you wanting them to not know because of fear? I was forced to receive vaccines in the military. I always felt wrong every time. I always felt like I was doing something morally wrong. One day I found out that there were exemptions. That day was the day a weight lifted from my shoulders. Religion is the reason I felt wrong. My faith was telling me for so long that I was not to be doing this. We should not be taking this away from people. Let people make this choice. Let's keep being the Live Free or Die State.
This is a bill which would have the effect of increasing exemption rates and disease outbreaks. It makes no sense and should be voted down.
It is hard enough now for working parents to work and raise a family now we want to add one more unneeded requirement to keep them healthy. Let us not go backwards. Let Science be our guide.
Letter in Support of HB 1584 Dear Members of the New Hampshire Legislature, I am writing in strong support of HB 1584, which would require the New Hampshire Department of Health to include the statement, “Medical and religious exemptions are available under New Hampshire law,” in any communication or notice promoting vaccination. This bill represents a balanced and transparent approach to public health messaging. Including this information ensures that New Hampshire residents are clearly informed of their rights under existing state law. This promotes trust, autonomy, and accountability within our Department of Health. Clear and complete communication helps residents make informed medical decisions for themselves and their families while reinforcing that the state respects both scientific guidance and individual freedoms. HB 1584 does not discourage vaccination. Rather, it strengthens confidence in public health efforts by showing that New Hampshire values honesty and personal choice. By passing this bill, the legislature recognizes that informed consent and individual medical and religious choices are fundamental to sound governance. I respectfully urge you to support HB 1584 and help ensure that our state continues to set an example of integrity and transparency in public policy. Thank you for your time and dedication to serving the people of New Hampshire. Sincerely, Pamela Harders Manchester, New Hampshire