During a recent meeting of the New Hampshire House of Representatives Committee on Executive Departments and Administration, discussions centered on House Bill 349, which seeks to expand the scope of practice for optometrists to include certain ophthalmological procedures. This proposed legislation has sparked significant debate among medical professionals, particularly between optometrists and ophthalmologists, highlighting ongoing concerns about access to eye care in the state.

One of the key points raised was the pressing need for improved access to eye care services, especially in rural areas like the North Country. Dr. Angelique Sawyer, an optometrist practicing in Berlin, emphasized the long wait times for patients seeking treatment, noting that some individuals may wait months for necessary procedures. She argued that House Bill 349 would allow optometrists to perform specific laser procedures, thereby alleviating some of the burden on ophthalmologists and improving patient access to care.

In contrast, ophthalmologists expressed strong opposition to the bill, citing concerns about the training and qualifications of optometrists to perform these procedures. Dr. Timothy Blake, an ophthalmologist, pointed out that New Hampshire already has a favorable access situation, with over 90% of residents living within a 30-minute drive of an ophthalmologist. He argued that expanding the scope of practice for optometrists could undermine the rigorous training that ophthalmologists undergo, which includes extensive education and residency programs.

The committee also discussed the historical context of the relationship between optometrists and ophthalmologists, with some representatives noting that ophthalmologists have traditionally opposed any expansion of optometric practice. This longstanding tension raises questions about collaboration and the potential for a more integrated approach to eye care in New Hampshire.

As the committee prepares to move forward with the bill, the discussions highlighted the need for a balanced approach that considers both the urgent access needs of patients and the importance of maintaining high standards of care in the field of ophthalmology. The outcome of this legislative effort could significantly impact how eye care is delivered in the state, particularly for residents in underserved areas.

The committee plans to continue its discussions in subcommittee sessions, where further testimony and detailed proposals will be examined to address the complexities surrounding this issue. The next steps will be crucial in determining how New Hampshire navigates the evolving landscape of eye care services and the roles of different medical professionals within it.