New Hampshire Healthcare Compliance Requirements
State-specific breach notification rules, medical records retention periods, PDMP requirements, and mandatory reporting obligations for medical practices operating in New Hampshire.
Breach Notification Rules
Notification deadline
Most expedient time possible
Notification must be made as soon as possible. AG must be notified immediately upon discovery.
AG notification threshold
All breaches
Notify: AG
Harm analysis required
Penalty range
Up to $10,000 per violation under Consumer Protection Act
Medical Records Retention
| Record type | Retention period | Measured from |
|---|---|---|
| General medical | 7 years | Last treatment |
| Pediatric | 7 years | Patient turns 18 |
PDMP Requirements — NH PDMP
Check required
All controlled substances
Check frequency
Every prescription
Delegation allowed
Penalty range
Licensing board discipline; civil penalties; possible misdemeanor charges
Exemptions
Hospice patients, cancer treatment, ≤3 day supply in ER, inpatient hospital or nursing facility administration
Mandatory Reporting Obligations
Mandated reporters
Physicians, surgeons, nurses, dentists, psychologists, and all persons having reason to suspect child abuse
Report to
Division for Children, Youth and Families (DCYF)
Timeline
Immediately / as soon as possible
Penalty for failure
Misdemeanor
Immunity provision
Good faith reporters immune from civil and criminal liability under RSA 169-C:31
Mandated reporters
Physicians, nurses, and all healthcare professionals
Report to
Bureau of Elderly and Adult Services, Department of Health and Human Services
Timeline
Immediately / as soon as possible
Penalty for failure
Misdemeanor
Immunity provision
Good faith reporters immune from civil and criminal liability
Mandated reporters
Healthcare providers are not specifically mandated; may report when treating injuries from violence
Report to
Local law enforcement (voluntary reporting permitted)
Timeline
Immediately / as soon as possible
Immunity provision
Good faith reporters immune from civil liability
Mandated reporters
Physicians, laboratories, and healthcare facility administrators
Report to
New Hampshire Division of Public Health Services, Bureau of Infectious Disease Control
Timeline
Within 24 hours
Penalty for failure
Misdemeanor
Immunity provision
Good faith reporters immune from civil liability
Mandated reporters
All healthcare providers treating gunshot wounds
Report to
Local law enforcement
Timeline
Immediately / as soon as possible
Penalty for failure
Misdemeanor
Immunity provision
Good faith reporters immune from civil and criminal liability
Stay compliant in New Hampshire
GuardWell tracks New Hampshire-specific breach deadlines, PDMP requirements, retention periods, and mandatory reporting obligations automatically.