Information for New Hampshire Residents
Vermont law no longer requires a person to be a Vermont resident in order to request medical aid in dying. As a result, a growing number of New Hampshire residents are inquiring about whether they can seek this option in Vermont.
While the residency requirement has changed, the medical and procedural safeguards remain in place. The process involves multiple evaluations by Vermont-licensed physicians, formal requests made in person, and self-administration of the medication within the state.
Traveling to another state for medical aid in dying is not a simple or immediate step. It requires medical eligibility, the ability to travel, coordination of care, and thoughtful planning.
Before considering travel, it is important to understand what hospice and palliative care can offer. High-quality comfort care can address many forms of suffering and may meet the needs of individuals who wish to remain at home. Exploring these options is an essential part of careful end-of-life planning.
The information below is intended to help you understand how Vermont’s law works and what practical considerations are involved.
Eligibility
Under Vermont law, a person must:
- Have a terminal illness with a prognosis of six months or less
- Be 18 years of age or older
- Have decision-making capacity
- Make a voluntary, informed request
- Be able to self-administer the medication
Eligibility is determined by Vermont-licensed physicians in accordance with state law.
Be Physically Present in Vermont
All required medical visits, formal requests, and the self-administration of medication must take place in Vermont. Telemedicine from another state is not sufficient to complete the process.
For many individuals, this means arranging travel and lodging for multiple visits and for the final day of self-administration.
Establish Care with a Vermont Physician
A patient must establish a relationship with a Vermont-licensed physician who is willing and able to participate under the law. A second Vermont physician must also confirm eligibility.
Many people begin by discussing their wishes with their existing medical team and requesting a referral. Participation by any clinician is voluntary.
Independent organizations in Vermont may provide educational resources about how the law operates, but they do not determine eligibility.
Hospice
Hospice enrollment is strongly recommended for anyone pursuing this option. Hospice can provide medical, emotional, and logistical support, particularly on the day medication is taken. Some Vermont physicians will only work with MAiD patients enrolled in hospice.
If a person is already enrolled in hospice in their home state, coordination with a Vermont hospice provider may be required during the period of time spent in Vermont.
Financial and Practical Considerations
Insurance coverage may vary. Physician consultations or hospice services may be covered, but travel, lodging, and medication costs are often not.
Advance planning is important, including advance directives, end-of-life preferences, and final arrangements.
Important Perspective
Seeking medical aid in dying in another state is a significant undertaking. It requires careful coordination, medical eligibility, and the ability to travel.
Some terminally ill people have friends or family in Vermont and have place for MAiD to take place. For others, especially if it is late in the course of their illness, hospice and palliative care at home in New Hampshire may better meet their needs.
If you are exploring this possibility, we encourage early, open conversations with your loved ones and medical team.
For detailed information about Vermont’s law and non-residents, visit Patient Choices Vermont .