On January 23, 2025, the New Hampshire Legislature introduced House Bill 751, aimed at establishing a certification process for substance use treatment programs and facilities across the state. The bill seeks to enhance the oversight and quality of care provided to individuals receiving treatment for substance use disorders, addressing a critical public health issue.

Key provisions of House Bill 751 include the requirement for the New Hampshire Department of Health and Human Services (DHHS) to maintain a publicly accessible list of certified treatment programs and facilities. This list will also include investigatory and monitoring reports, ensuring transparency and accountability within the treatment sector. Additionally, the bill proposes the creation of a substance use treatment certification fund, which will collect fees from certified programs to support its operations.

The fiscal impact of the bill indicates that while it does not authorize new funding or positions initially, it anticipates generating revenue through certification fees, estimated to range from $50,000 to $75,000 annually starting in FY 2026. However, the bill also outlines significant expenditures, including an estimated $872,000 in FY 2026 for operational costs, which may necessitate reliance on general funds due to the lag in fee collection.

Debate surrounding House Bill 751 has highlighted concerns regarding its financial sustainability. Critics argue that the operational costs may exceed the revenue generated from certification fees, potentially leading to budget shortfalls. Proponents, however, emphasize the necessity of establishing a robust certification process to improve treatment quality and protect the rights of individuals in care.

The bill also designates a representative within the Ombudsman’s office to address complaints related to treatment facilities, further enhancing consumer protection. This addition is expected to incur annual training costs of up to $50,000.

As the bill progresses through the legislative process, its implications for the state's substance use treatment landscape could be significant. Experts suggest that successful implementation may lead to improved treatment outcomes and greater accountability among providers, while failure to secure adequate funding could undermine these goals.

House Bill 751 represents a critical step towards reforming substance use treatment in New Hampshire, with the potential to shape the future of care for individuals struggling with addiction. The legislature's ongoing discussions will determine the bill's fate and its impact on the state's public health initiatives.