Bills: HB1012

Keywords: health and human services, DHHS, appropriations, biennial budget, behavioral health, substance use disorder, opioid settlement, medical assistance expansion, Medicaid, basic care, long-term care, child care assistance, early childhood care, child care provider payments, guardianship, conservatorship, housing loan fund, disability services, extraordinary medical needs, community health trust fund

Summary: The Senate Appropriations Human Services Division met to consider House Bill 1012, the Department of Human Services budget, and reviewed three previously made amendments: correcting a reference to $30 million underfunding, changing “human service centers” to “behavioral health clinics,” and revising section 31 language so the department would review medical assistance services and report findings and recommendations rather than directly implement adjustments. The committee also discussed whether to include funding related to two other bills with fiscal impacts, House Bill 1485 (personal needs allowance) and House Bill 2399 (PRTF reimbursement), noting those measures may go to conference committee and that appropriations could be added there instead of in HB 1012. The committee agreed to proceed with HB 1012 and members noted provider inflation questions would be raised later in full committee. The division then approved a due pass recommendation on the amendments to HB 1012 and, after a roll call vote, approved HB 1012 as amended on a 4-1 vote, with Senator Mathern voting no. Senator Davison was named as carrier. Members also discussed House Bill 1577, involving wastewater project financing and possible amendments related to a line of credit from the Bank of North Dakota for specific projects, and House Bill 1619, for which additional amendments were expected before full committee action. The meeting ended with general thanks and adjournment.

Transcript Highlights:

• Nobody's licensing DHHS doesn't have any standards that you can find.
• Nobody's licensing DHHS doesn't have any standards that you can find.
• Nobody's licensing DHHS doesn't have any standards that you can find.
• Nobody's licensing DHHS doesn't have any standards that you can find.
• <00:16:46.759> after<00:16:47.040> the DHHS after the DHHS after the fact<00:16:49.480>

Keywords: 1191, senate, all

Transcript Highlights:

• You do not question the amount requested from DHHS. the year 2018 it shows that DHHS the year 2018 it
• DHHS was aware of it.
• DHHS was aware of it.
• Any questions of DHHS representative? Any questions of DHHS representative?
• DHHS is not part of the text.

Keywords: 928, house, all

Summary: The committee heard testimony on House Bill 224, which would redirect most money from New Hampshire’s renewable energy fund back to electric ratepayers. The bill sponsor argued the measure would lower energy costs, noting recent utility rate increases and estimating annual savings of roughly $2.5 million to $7.3 million for ratepayers. Supporters said the fund has accumulated money that should be returned to customers rather than used for subsidies, and they emphasized that the state has already rebated similar funds from RGGI for years. Opponents, including Rep. Kat McGee, argued the renewable energy fund is a successful, nonlapsing dedicated fund that supports local clean-energy projects, energy resilience, emissions reductions, and private investment. McGee said the fiscal note overstated the benefit of rebates and understated the loss of investment, claiming the average annual rebate would amount to less than $10 per customer while the program has helped leverage significant private dollars and nearly 10,000 projects. She urged the committee to reject the bill as a poor deal for the state and ratepayers. Committee members questioned the fiscal note, the size of the rebate, whether the bill would set a precedent for other dedicated funds, and whether the program’s incentives amount to picking winners and losers. The Department of Energy testified neutrally, explaining how the renewable energy fund works, including renewable energy credits, alternative compliance payments, and the fund’s use for renewable energy initiatives. No vote was taken in the portion of the hearing provided.

Transcript Highlights:

• Is it from New Hampshire DHHS, or who specifically? Is it just like some...
• There are a couple of other pages on New Hampshire DHHS website discussing vaccination, and basically
• The COVID-19 vaccine are accessed through the DHHS webpage, Immunization Guidance for Parents, and then
• The American Academy of Pediatrics recommendations for the COVID-19 vaccine are accessed through the DHHS
• So, New Hampshire DHHS has this page, So, New Hampshire DHHS has this page, immunization guidance for

Keywords: 928, house, all

Summary: The Special Committee on COVID Response Efficacy met to review its mission, approve prior minutes at a future meeting, and discuss materials related to COVID-19 vaccination guidance. Members examined a pediatric vaccination handout from a private pediatric practice and compared it with New Hampshire DHHS and AAP/AAFP immunization guidance, focusing on how COVID-19 vaccine recommendations are presented for children and adults. Committee members also discussed the scope and accuracy of the committee’s endnotes and supporting documents. The main business was a draft letter urging the governor to direct state agencies to stop recommending COVID-19 mRNA vaccines. Members revised the letter paragraph by paragraph, including changing wording about age ranges for children, clarifying references to the American Academy of Pediatrics, and adding discussion of vaccine safety concerns, alleged suppression of safety data, and federal investigations. They also debated whether to reference specific reporting systems such as VAERS and V-safe, and whether to include examples from other states, including Tennessee, Arizona, Minnesota, and Florida, as evidence of broader concern about mRNA vaccines. After the edits were completed, Representative Villio moved to accept the letter as amended, Representative Leroy seconded, and the committee approved it by voice vote 4-0. The chair said the revised letter would be finalized and distributed later in the week. The meeting then adjourned at approximately 11:57 a.m.

Transcript Highlights:

• But the interesting thing about it was it was only maybe $6 million in DHHS.
• So I'm concerned that these, especially DHHS, but maybe it's a general thing, contracts are getting let
• was only maybe six S8 millionar in DHHS was only maybe six S8 millionar in DHHS however<00:15:11.480
• but maybe it's a general especially DHHS but maybe it's a general a<00:15:34.839> more<00:15:
• where I was which I committee or to DHHS where I was which I was<00:15:48.480> serving<00:15:

Keywords: 928, house, all

Summary: The Capital Project Overview Committee held an organizational meeting. Members elected Rep. Miltz as chair and later nominated Sen. Mark McConkey as vice chair, but that appointment was carried over because he was not present to accept it. Mike Edgar was nominated and accepted as clerk. The committee also adopted its procedures and guidelines, which set deadlines for agencies to submit capital project materials and establish reporting thresholds intended to keep small projects out of the quarterly report. The main discussion centered on the Department of Administrative Services’ quarterly capital budget project report for the quarter ending December 31, 2024. Staff explained that the report compiles statewide capital projects under the committee’s guidelines and includes new projects plus large DOT projects. Several members raised concerns about projects listed as on hold or lacking updates, including the Big E agricultural building rebid, a prison woodworking facility, Pease pier projects, the General Sullivan Bridge removal, Sunapee State Beach parking lot work, and a closed-loop referral contract. Members asked for better status updates, especially on projects with no agency response, and the chair said agencies could be asked to appear before the committee if needed. Members also discussed the governor’s proposal in HB 2 to change the report from quarterly to annual. Several members opposed the change, saying quarterly reporting is more useful for oversight, and suggested the committee ask Finance to remove that section or consider raising the reporting threshold instead. There was also discussion of toll credits, with staff explaining that any other use of toll credits requires committee approval, and of the Department of Corrections’ prison planning funds, including $50 million currently available for site feasibility and design work. The committee agreed to schedule its next meeting for April 14, with June 23 to be revisited later, and then adjourned by voice vote.

Transcript Highlights:

• still be pushed to DHHS.
• DHHS and their programs would just be I DHHS and their programs would just be I would<01:23:57.800>
• <01:25:36.440> indicates question is like so say DHHS indicates question is like so say DHHS
• <01:26:29.679> will the the testimony from DHHS will the the testimony from DHHS will indicate
• <01:48:17.920> the you yes thank you so uh DHHS the you yes thank you so uh DHHS the department

Keywords: 1189, house, all

Transcript Highlights:

• DHHS wanted it but didn’t get it in the budget.
• We'll hope to find that out from the Hospital Association or DHHS. I just ask Mr.
• The bill says that DHHS shall not contract with any hospital.
• We'll call on Robert Moore, who says he's representing DHHS contracts.
• You said that DHHS has 23 to 24 contracts with 6 to 7 hospitals.

Keywords: 928, house, all

Summary: The Finance Committee held a hearing on House Bill 619, which would appropriate $1 million to the Solid Waste Management Fund for matching grants to municipalities and businesses for waste diversion projects, with 50% of the money prioritized for food waste diversion. Representative Karen Ebel, the sponsor, said the fund would help New Hampshire meet its solid waste diversion goals, preserve landfill capacity, and support composting, recycling, and related local business activity. She cited New London’s composting program as an example, saying 172 families participated and 32 tons of food waste were diverted in 2024, reducing tipping and trucking costs. Committee members asked about possible alternative funding sources, including a surcharge on landfill tipping fees. Ebel said many other states use such surcharges to fund recycling and solid waste programs, while New Hampshire relies on general funds. She also said the current fund balance was about $900,000 because some money had been used for staffing, and that the grant program was still in rulemaking. Questions also focused on how household composting works and whether municipalities could generate revenue from compost; Ebel said participation is optional, most programs use buckets and transfer stations, and the main benefit is cost savings from reduced disposal rather than compost sales. Testimony in support came from the New Hampshire Municipal Association and the Northeast Resource Recovery Association. Both said municipalities are interested in food waste diversion and composting, that these programs can reduce long-term disposal costs and property tax pressure, and that there is growing demand for technical assistance and grant support. The Northeast Resource Recovery Association said food waste makes up about 24% of municipal and business waste, that fewer than two dozen communities and fewer than two dozen businesses currently offer such services, and that a City of Lebanon pilot program saw about 30% savings by composting on site. The Department of Environmental Services said it was not taking a position but is working on rulemaking for the grant program and expects strong interest from municipalities, private composters, farmers, and anaerobic digester operators. No vote or final action was taken at the hearing.

Transcript Highlights:

• <00:17:28.600> is okay so um if you look at the DHHS is okay so um if you look at the DHHS
• I'm the legislative liaison for Behavioral Health at DHHS.
• DHHS had had this Authority but at some DHHS had had this Authority but at some point<03:49:18.760>
• It has the DHHS 2023 data brief.
• It has the DHHS 2023 data brief.

Keywords: 1189, house, all

Transcript Highlights:

• So, the DCYF or DHHS Bureau of Children's Behavioral Health will work with the child sending district
• So, the DCYF or DHHS Bureau of Children's Behavioral Health will work with the child sending district
• , which is our community through DHHS, which is our community residential<01:09:35.520> program.
• <01:10:09.680> to contracts through the state DHHS to contracts through the state DHHS to
• We have 20 contracted beds with DHHS.

Keywords: 1189, house, all

Summary: The commission on the costing of special education met to review several documents and updates, including draft materials on residential placements, an LBA dispute resolution report, prior minutes, rate-setting rules, and a letter involving Senator Hassan. The minutes from March 16 were approved by motion, second, and one abstention. Members also received an update that the LBA special education performance audit is still pending; the report is expected to be very large, NHED and the Board of Education must review and comment before release, and it likely will not be available until late summer or early fall. The separate EFA audit was also noted as still unreleased, and members said they may return later to issues involving EFA costing and differentiated aid. A major focus was HB 1099, which would create a committee to study the cost and liability of providing educational services to students placed in residential facilities. The chair explained that the House version had passed unanimously and the bill was headed to a committee of conference. Members discussed a proposed amendment to add the phrase “including but not limited to” so the study would cover not only court-ordered or treatment-related placements but also other residential placements, including those tied to school district decisions. Some members said this was a substantial expansion, while others said it would simply give the committee broader latitude. Jason Stock of the Winnisquam Regional School Board described how the issue arose during budget work at Winnisquam, where the district was trying to determine who should pay for educational services for students living at Spaulding Youth Center in Northfield. He said the district had 10 students attending Winnisquam, including three foster students and seven students connected to Spaulding, and that Spaulding-specific invoicing for 2024-2025 totaled $141,417.05 for eight students. Members also discussed rising private placement tuition costs and the difficulty of determining residency and fiscal responsibility for students placed in residential settings. Department counsel explained that under RSA 193:27 and 193:28, children placed in a home for children may attend the local district school, and that special education cost responsibility depends on whether the student is identified as disabled and on the nature of the placement. Spaulding representatives had not yet presented by the end of the excerpt, and the committee was still working through the residency and funding questions.

Bills: AB102, AB108, AB117, AB213, AB220, AB221, AB251, AB259, AB331, AB336, AB375, AB379, AB409, AB475, AB476, AB550, AB575, AB594, SB466

Keywords: emergency medical services, ambulance, licensing, health district, paramedic, training requirements, outdoor education, recreation, grant program, environment, funding, special license plates, vehicle registration, custom plates, state revenue, transportation, public works, prevailing wage, custom fabrication, nonstandard materials

Transcript Highlights:

• <00:09:26.959> have<00:09:27.120> also<00:09:27.360> invited<00:09:27.680> DHHS
• ><00:09:28.640> to<00:09:29.120> uh<00:09:29.360> to then I have also invited DHHS
• to uh to then I have also invited DHHS to uh to to<00:09:30.160> provide<00:09:30.480> their
• <00:30:12.960> leadership<00:30:13.760> and counties along with DHHS leadership and
• and used in >> Recent data issued by DHHS and used in Governor<00:35:58.320> Aayod's<00

Keywords: 928, house, all

Summary: The committee to study long-term managed care met to approve the prior meeting minutes, with a clarification that “OB3” referred to the “one big beautiful bill.” The minutes were then approved. Chair Jim Kofalt outlined the day’s agenda, which included testimony from the Granite State Home Health and Hospice Association, the New Hampshire Association of Counties, and later DHHS. He also noted that future meetings were expected soon and that the meetings were being livestreamed on YouTube. Granite State Home Health and Hospice Association, represented by Kellyanne Totten and Amy Moore, urged inclusive planning and a cautious, phased approach if managed care is considered. They emphasized that home care providers are not uniform, with different licensing and service models, and said any pilot should include varied provider types, rural and southern regions, and agencies of different sizes. They warned that workforce shortages, inflation, and a possible 9% CMS cut to Medicare home health payments could force agencies to reduce service areas or service types. They also said the 2023 Medicaid CFI rate increase has begun to lose its effect. In response to questions, they said the rural health transformation fund may help with planning and telehealth but likely cannot be used directly for rates or recruitment/retention. They also described the New England Home Care Nurse Residency Program, a Department of Labor grant, as a way to bring new registered nurses into home care with added training and school partnerships. The New Hampshire Association of Counties, through county nursing home administrators Craig Labore and David Ross, revisited the earlier Step Two managed care discussions from 2016-2018. They said prior consultants found the long-term services and supports system was underfunded and needed investment to stabilize providers and expand community-based care. They argued the same concerns remain today and said a managed model would jeopardize the Medicaid quality incentive payment program and, for county nursing homes, the proportionate share payment program. Their testimony was generally opposed to moving forward with managed long-term services and supports without significant additional funding and safeguards.

Transcript Highlights:

• DHHS Commissioners' update. committees and they're working 12-hour committees and they're working 12-
• /c><00:04:45.560> you<00:04:45.960> welcome<00:04:46.960> uh<00:04:47.160> DHHS
• There have been a few people recently who have suggested that DCYF has broken out from DHHS, and the
• So that is an authority that DHHS uses very frequently.
• It would help me as I tell people what a great DHHS we have. Yeah, I think that'd be good.

Keywords: 928, house, all

Summary: The committee first handled organizational business, electing Representative Mark Pearson as chair for the coming term, appointing Representative Lucy Weber as clerk, and approving the November 22 minutes with abstentions from members who were absent. Members also noted excused absences for Senator Avard and Representative Jessica Lontine. After the vote, the committee moved to the DHHS commissioners’ update. DHHS associate commissioners Patricia Tilly and Chris Santinello described a process-improvement effort to improve transitions for youth moving from DCF care into adult developmental services and Medicaid. They said the old process was fragmented, dependent on personal relationships, and not sustainable, so staff from DCF, the Bureau of Family Assistance, Developmental Services, and public health used a Kaizen/Lean event to map the workflow, identify bottlenecks, clarify roles, and create a more consistent playbook. Members asked about IT support and whether the process would create new bureaucracy; DHHS said current systems are antiquated, especially DCF’s CWIS, but the goal is to streamline coordination, not add bureaucracy, and future systems like Granite Families may help with reminders and age-based ticklers. Several members praised the work, including a CASA volunteer who said the added attention has improved services for vulnerable youth. The committee then received the annual healthcare-associated infections update from Ctin Hansen of the Division of Public Health Services. Hansen reported that New Hampshire’s HAI program, created by statute, tracks infections in hospitals, ambulatory surgery centers, dialysis centers, and long-term care facilities. For 2023, hospitals reported fewer infections than predicted nationally, with 135 infections statewide and 174 C. diff infections also below national rates; hospital influenza vaccination was 89.9%. Ambulatory surgery centers reported low infection counts and an 80.1% staff flu vaccination rate; dialysis centers reported fewer infections overall than the prior year but higher local access-site infections, with staff vaccination at 52.6%; and long-term care facilities reported a 50.1% flu vaccination rate, up from 37.8%. Hansen also said the program conducted over 100 investigations, handled 84 antibiotic-resistant organism reports, completed 20 infection-prevention assessments, and operated on a budget of about $348,000 plus grant funding, including an Epidemiology Laboratory Capacity Grant that was later reduced.

Transcript Highlights:

• DHHS DHHS went into the vaccine business in<02:39:32.920> partnership<02:39:33.399> with
• They are in partnership with DHHS.
• They are in partnership with DHHS.
• They are in partnership with DHHS.
• > the<02:44:44.720> vaccine works is that DHHS comes to the vaccine works is that DHHS

Keywords: 1189, house, all

Transcript Highlights:

• We're going to be hearing pretty much all day from the office of the commissioner of the DHHS.
• this we relied the DHHS relied on the this we relied the DHHS relied on the state<00:58:46.640> um
• Where does recovery money that comes back to DHHS show up?
• It doesn't show up in the DHHS budget, right? Thank you for the response.
• It doesn't show up in the DHHS budget, right?

Keywords: 1189, house, all

Summary: House Finance Division III convened a work session on the DHHS budget, with the chair noting there would be no votes and that the committee would spend the day hearing from the commissioner’s office. Nathan White, DHHS Chief Financial Officer, opened with the Division of Finance/Office of Business Operations, explaining that the unit supports the department through daily financial management, AP/AR, audit work, expense projections, transfers, and procurement functions such as contracts, amendments, RFPs/RFAs, and grants management. He also described the division’s revenue and reporting work, including federal draws, CMS-64 reporting, and the public assistance cost allocation plan, and said the department had centralized rate-setting work and a small team handling Medicaid rate analysis and nursing facility rebase work. Members asked about vacancies, turnover, and budget changes. White said the division had 18 positions unfunded in the governor’s budget, reducing personal services from about $10.8 million to $9.9 million, and estimated the division’s vacancy rate at about 11 percent, below the department average. He said turnover was relatively low, with one retirement at the manager level and higher turnover mainly at lower AP-level positions. He also explained that some budget lines reflected reallocations rather than new spending, including fringe benefits centralized elsewhere and an EBT card contract moved into this unit because the staff member overseeing it works in Finance. When asked about a rent/lease increase, he said it was due to higher copier leasing costs under a statewide DAS contract. White highlighted several management and technology improvements. He said a business intelligence tool procured in 2022, using Salesforce and Excel-based data, helped DHHS better track federal revenue and maintenance-of-effort spending, reducing FY24 General Fund lapse by about 70 percent and federal/other revenue lapse by 88 percent compared with FY23; he warned that the tool is not funded in the current budget. He also described Lean Six Sigma efforts in the contracts team, training for vendors and nonprofits on procurement and indirect cost rules, and a Finance Academy to standardize policies and procedures. On the contracts side, he said the department uses Smartsheet for project management and DocuSign for electronic signatures, which cut contract execution time dramatically, but noted DocuSign is also not funded in the governor’s budget. The session ended as the committee prepared to move on to the Employee Assistance Program presentation.

Transcript Highlights:

• They are not closing the state refugee program at DHHS, and it has nothing to do with refugees being
• <00:52:30.560> reminded<00:52:31.080> us Um and so part of what DHHS reminded us Um
• <00:52:44.320> has state refugee program at DHHS has state refugee program at DHHS has nothing
• So this is going to put a lot of burden on DHHS, which is already understaffed.
• which is already burden on DHHS, which is already understaffed. understaffed. understaffed.

Keywords: 1189, house, all

Transcript Highlights:

• <01:25:36.440> indicates question is like so say DHHS indicates question is like so say DHHS
• <01:26:29.679> will the the testimony from DHHS will the the testimony from DHHS will indicate
• <01:32:51.480> has two pages of risks that DHHS has two pages of risks that DHHS has identified
• <01:48:17.920> the you yes thank you so uh DHHS the you yes thank you so uh DHHS the department
• For the record, I'm Jenny O'Higgins, legislative liaison for Behavioral Health at DHHS.

Keywords: 928, house, all

Summary: The House Committee on Health, Human Services and Elderly Affairs heard testimony on House Bill 606, as amended, a bill aimed at preventing physicians from denying medically necessary sterilizing or fertility-affecting treatment based on a patient’s age, number of children, marital status, or a doctor’s speculation about future reproductive intentions. Representative Ellen Reed, the sponsor, described the bill as a response to her own long experience with PCOS, heavy bleeding, and repeated refusals by doctors to perform a hysterectomy despite her clear wishes. She said the amendment narrows the bill to medically necessary care, adds definitions for “medical condition” and “appropriate reproductive care,” and removes earlier provisions about voluntary sterilization referrals. She also said the bill does not target religious objections, and that doctors could still refuse for medical, payment, or existing religious reasons not addressed by the bill. Committee members asked about religious freedom, informed consent versus waivers, and the scope of the new definitions. Reed responded that religion was not added to the list of prohibited reasons for denial, and that the amendment is intended to protect doctors when patients sign informed consent or waivers. She explained that “appropriate reproductive care” includes procedures such as hysterectomy, oophorectomy, orchiectomy, salpingectomy, and endometrial ablation, and that the bill now focuses on medically necessary treatment rather than elective sterilization. She said the change was intended to make the proposal narrower and more tailored after earlier concerns. Several witnesses supported the bill with personal accounts of being denied hysterectomies or other procedures despite serious symptoms. Representative Lauren Selig described a decade-long effort to obtain a hysterectomy after years of cycle problems and migraines, saying doctors dismissed her concerns and treated her symptoms as normal. Jade Flad also testified in support, saying she had long been told to simply endure her cycle problems and noted that her husband was offered a vasectomy without similar barriers. The sponsor said online support was strong and that there was little or no written opposition testimony. No vote or final committee action was taken during the portion of the hearing provided.

Transcript Highlights:

• <00:18:38.400> funding sb27 uh to complement DHHS funding sb27 uh to complement DHHS funding
• Current DHHS rate of payment is $991 a day.
• Current DHHS rate of payment is $991 a day.
• Current DHHS rate of payment is $991 a day.
• Therefore, there's no ability for DHHS to fund the guardianship. Sure.

Keywords: 1191, senate, all

Transcript Highlights:

• DHHS Commissioner Lori Weaver and Trisha Tilly.
• I had asked for somebody from DHHS, and I see at least two somebodies from DHHS to be here to listen
• I had asked for somebody from DHHS, and I see at least two somebodies from DHHS to be here to listen
• Internal DHHS audits, about which I know nothing?
• Is it the internal DHHS audits, Department of Health and Human Services audits?

Keywords: 928, house, all

Summary: The committee met on March 28 for a Health and Human Services Oversight Committee meeting, approved the draft minutes from February 21, and then received updates from DHHS on the sudden termination of about $80 million in federal COVID-era funding. Commissioner Lori Weaver and Trisha Tilly said the funding had been expected to continue through September 2026, but an email ending it immediately created a 15-month budget gap. They explained that most of the money supported public health work, especially epidemiology, laboratory capacity, data systems, community health workers, outbreak response, and some behavioral health supports. DHHS said it had notified contractors, was reassessing which activities could continue, and had managed to avoid layoffs for its 20 affected staff by shifting funding sources, though some contract lab staff had to leave and some work would stop or be put on hold. Senators and representatives asked about impacts on labs, staffing, and the state budget lapse, and DHHS said the water lab and testing supplies would be affected and that the department was trying to backfill where possible with other federal funds. The committee then heard a maternal mortality report from the Maternal Mortality Review Committee. Alison Power and Caroline Naami explained that the MMRC reviews maternal deaths to identify contributing factors and make recommendations, and that it had completed one CDC grant and received another five years of funding. For 2023, the state recorded five pregnancy-associated deaths, including three from overdose, two from cardiovascular causes, and one homicide; the share of deaths related to substance use fell from 62.5% in 2022 to 40% in 2023. Over the 2019–2023 period, half of pregnancy-related deaths were due to overdose, most occurred postpartum, and many involved Medicaid recipients, transportation or financial barriers, and deaths at home. The committee said mental health and substance use remained the main drivers of maternal mortality, but that 79% of pregnancy-related deaths in the five-year aggregate were considered preventable. Presenters highlighted recommendations and ongoing interventions, including expanding Medicaid coverage through one year postpartum, strengthening behavioral health access, partnering with the Department of Corrections on care for pregnant and postpartum women, and continuing clinical education through the Northern New England Perinatal Quality Improvement Network. Members asked why the maternal mortality rate had declined in recent years; staff said the 2021 spike was tied to the pandemic and that recent declines likely reflected both that spike and the impact of interventions, though the small number of cases makes trends hard to interpret. No additional votes or formal actions were taken beyond approving the minutes.

Transcript Highlights:

• I would imagine that would be part of your contract with DHHS. Is that my assumption correct?
• Wayfair and Facilities is between DHHS Wayfair and Facilities is between DHHS and<00:39:38.760><
• This is a presentation from DHHS on critical topics for how things really work in the world.
• This is the second presentation of DHHS in advance of the release of the governor's budget.
• You have two of the most fun people at DHHS here if you love numbers and you love technology.

Keywords: 928, house, all

Summary: Finance Division 3 met for a work session on House Bill 519, which concerns funding for Waypoint. The chair noted general support for the organization but said the bill would likely need to be suspended and folded into the budget process because the committee did not yet know available revenues or what amount, if any, could be committed. Kya Fox, director of the Division for Behavioral Health, testified that the department supports the bill and the program, explaining that it had been funded with other available funds, including $100,000 for 2024 and $400,000 for 2025, under a contract running through June 30 of this year. She said the shelter serves a unique population of young adults and is part of the department’s children’s system of care and Mission Zero efforts to reduce barriers to psychiatric discharge and emergency department use. Members questioned Fox and Waypoint representatives about the budget placement of the request, the difference between the efficiency budget and prioritized needs, and whether state budget documents would show any internal Waypoint revenues. Fox said the request appears as a general fund item and that the state would not see Waypoint’s internal financial operations in the budget. A legislative member explained that prioritized needs are critical services already in place but not necessarily included in the efficiency budget, and another member said the distinction is not strictly applied. The committee also raised a separate question about how DHHS would handle any future state or federal restrictions on DEI practices; Fox said that was a question for department leadership and legal staff, but that the department follows state law and contract requirements. Waypoint CEO Bor Alvare and Director Mandy Lancaster then described the shelter and related services. They said the shelter serves ages 18 to 24, is a 14-bed open-room facility with half walls, and is staffed overnight by two full-time workers. They said admission is first come, first served, with some vulnerability factors considered, and that they do not discriminate by race, gender, or sexual orientation. They reported no known incidents of sexual violence, though some youth are turned away each night because the shelter is full. They also explained that Waypoint provides broader services beyond the shelter, including outreach, drop-in centers, housing support, rental assistance, and family mediation, and said they serve about 400 youth and young adults in Manchester alone. The discussion ended with questions about whether lowering the upper age limit would affect the program; Waypoint said most residents are already in the 18-to-23 range, but that housing shortages make the current age span important for helping young adults avoid chronic homelessness.

Transcript Highlights:

• commissioner John Stevens from the DHHS commissioner John Stevens from the DHHS about<00:11:37.040
• I called DHHS, the commissioner. There's no...
• I called DHHS, the commissioner. There's no...
• <04:12:54.720> has around October or November dhh has around October or November dhh has posted
• Starting in 2025, it's purely administered by DHHS.

Keywords: 928, house, all

Summary: The House Education Policy and Administration Committee heard testimony on House Bill 71, which would bar public elementary and secondary schools and higher education facilities from being used as shelters for certain non-citizens, with a stated exception for short-term emergency sheltering of up to 72 hours and for community-wide emergency use. Prime sponsor Rep. Juliet Harvey-Bolia said the bill was modeled on federal and out-of-state proposals and was prompted by examples in New York and Massachusetts where schools or other facilities were used as shelters, causing disruption. She argued the bill does not truly “ban” anything, but instead places a condition on receipt of state funds, and said the fiscal note’s projected loss of federal funding was unsupported and should have been described as undeterminable. Committee members questioned the bill’s scope and practical effects, including whether it would apply to vacant school-owned buildings, schools used during summer, charter schools, and situations where other states send people without advance notice. Harvey-Bolia said vacant buildings not functioning as schools would not be covered, and that the bill would still allow short-term emergency sheltering and community-wide use during weather events. She also said the bill would not prevent remote learning, and that its purpose was to avoid displacing students. Several members pressed her on the fiscal note and whether any federal or state program would actually be at risk; she said she found no evidence that funding would be lost and that DHHS had not identified a real threat. A witness from the New Hampshire Association of School Administrators, Jerry FW, raised practical concerns about who would determine eligibility at a shelter site, how the 72-hour limit would be enforced, and whether the bill would apply to charter schools. He also noted that remote learning is no longer an option in New Hampshire, making one of the bill’s stated concerns less relevant. The discussion also included clarification of the terms “refugee” and “asylum seeker,” with members and the sponsor debating the distinction and whether refugees are vetted. No vote or final committee action was taken in the portion of the meeting provided.