[{"_1":2,"_124":-5,"_125":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,76,88,100,112],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},"mediaId",6347829,"mediaKeyId","2244500-a3f1555f322ec4146c47eff63f870901","parentId",2244500,"title","Hospitals seek standardized timing, clearer \"track changes\" and financial estimates when insurers update provider manuals","audioSeconds",174,"startMs",2436000,"endMs",2610000,"viewUrl","/Search/View?dp=1&key=2244500-a3f1555f322ec4146c47eff63f870901&start=2436&end=2610","thumbnailUrl","https://assets.pipeline.soar.com/2244500-a3f1555f322ec4146c47eff63f870901/thumbnail_2436000.jpg","articleUrl","/articles/6347829/New-Hampshire/Hospitals-seek-standardized-timing-clearer-track-changes-and-financial-estimates-when-insurers-update-provider-manuals","mediaUrl","https://secure.pipeline.soar.com/6347829-91f0212e007e7005f07a4b3a32610273/orig.mp4?Expires=1771169726&Signature=FGQ97LORNPWZ933GLh4G99LnmQF1ShLtY6nw5TBSikU8dZ9o1XwVn6t1FpazBH6mGzKmDaXCqIzNwVyV9GYyrO5oq6BAivnssEGg~mfftY08V8TJlTtX7DG4Ib0ZxzbSv2eiSYJRQa7Ptw7LEGKypm2Pt6ESNKAYdiCGjYzOFRGYErKv0usPqTSiMH246wv12UvF9xByGmof2ndnNpqb8xze1sqLXoAHQZsU5fsVazIQ8l5M~72IUB44ldE6WXm-ahnssnWaGG1ybFc6qsGvG6aIBmALtHqNzzFXyF3TroJJDmibcyCwZvpEb5w7CpcA3Dexfo7NpCoT-TYKILZIQw__&Key-Pair-Id=KUT5TJCACFTXG","author","New Hampshire Senate","date","2025-02-06T00:00:00Z","article","Sen. Kevin Avard introduced Senate Bill 126, which would require health carriers to limit unilateral changes to provider manuals and ancillary documents to four set dates per year, clearly identify changes (\"track changes\") when they issue updated policies, and provide a good‑faith estimate of the aggregate financial impact of changes that exceed an annual threshold (proposed in testimony as $500,000).

Ben Bradley of the New Hampshire Hospital Association told the committee hospitals endure a heavy administrative burden when carriers make mid‑contract policy changes that materially affect reimbursement and utilization. Bradley said hospitals often must research hundreds of pages of policy changes and reconfigure billing and prior‑authorization systems; smaller practices have even fewer resources to adapt. He said the bill is intended as a measured approach that does not outright prohibit insurers from making changes but requires predictable timing, clearer identification of edits, and transparency on financial impact.

Anthem and other carriers opposed the bill. Sabrina Dunlap of Anthem said provider manuals and other referenced documents are contemplated by both parties to be updated periodically and that changing an insurer's provider manual is not a unilateral change to the underlying contract terms. Dunlap and other carrier witnesses argued the measure is unworkable in many respects — including the proposed effective‑date timing — and said the Maine law cited by proponents has produced implementation challenges. Cigna and Harvard Pilgrim joined in opposing the bill as intrusive into private contracting and administratively burdensome.

Cigna's counsel noted the legislature has considered similar bills in earlier sessions and repeatedly referred them to interim study. The Insurance Department took a neutral position and said the bill would introduce costs to carriers that could be shifted into premiums; the department's fiscal note said the premium‑tax base might increase with higher carrier administrative costs depending on implementation.

Why it matters: Hospitals and providers testified the bill is intended to reduce administrative churn and surprise denials related to post‑contract policy updates; carriers warned the bill would interfere with contract administration and could be difficult to implement without unintended consequences for premiums and operations.

Next steps: Committee members heard arguments on both sides. Advocates asked lawmakers to consider the limited, predictable changes proposed; carriers and the Department of Insurance encouraged legislative caution and possible further study of practical alternatives before moving to a final vote.","mediaType","Video","parentTitle","Senate Health and Human Services (02/06/2025)","oneSentenceSummary","Sen. Kevin Avard introduced SB 126 to require scheduled notice windows, explicit identification of edits, and financial estimates when insurers revise provider manuals or related policy documents.","taxTitle","Health and Human Services, Senate , Committees\t, Legislative, New Hampshire","taxId",29510,"location","New Hampshire","headline","","shortSummary",{"_33":77,"_35":36,"_37":38,"_39":78,"_41":79,"_43":80,"_45":81,"_47":82,"_49":83,"_51":84,"_53":85,"_55":56,"_57":58,"_59":86,"_61":62,"_63":64,"_65":87,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6347833,"Committee revisits Medicaid case‑management rate parity; department and advocates differ on scope",781,3104000,3885000,"/Search/View?dp=1&key=2244500-a3f1555f322ec4146c47eff63f870901&start=3104&end=3885","https://assets.pipeline.soar.com/2244500-a3f1555f322ec4146c47eff63f870901/thumbnail_3104000.jpg","/articles/6347833/New-Hampshire/Committee-revisits-Medicaid-casemanagement-rate-parity-department-and-advocates-differ-on-scope","https://secure.pipeline.soar.com/6347833-0844523d258142a4e5a0be4774de64ef/orig.mp4?Expires=1771169726&Signature=h5cKvqFgru1WZoZDLH-wvovjjoRxlZJJtsLGcf26XjJWlcjwhJsktGgAqVF6qJFjlx2CKB1Yyo1iLrqttGyHP5Z35HXWVWR8k7n4EgT5Ik~2DFBEVP37HLOzOhQUGy7ye65-Iu0SUji6SXAV9ha0yoc7NNYGU3AHV3puecPS-W4MLdw55YB6XPn4VCxspbE30RgmilOGDr5cOAAvuHsW1GUBwcMFZgfxbW4yiGvEqgvvd4bY6mgROgxNQDCbuQj0tf1Qou2LVNh2Wt2E2n8FE6LGMG6fIhCHIkbzNuYd3jsBNCd~eZG3BxNhOZra61FvLpnoyLsv5-Hqt25yIc0lSQ__&Key-Pair-Id=KUT5TJCACFTXG","Sen. Kevin Nabard (prime sponsor) presented Senate Bill 135, which would direct the Department of Health and Human Services to annually establish Medicaid rates for state‑plan case management services and create parity among the same or similar services.

Caroline (Carolyn/Caroline in transcript) Virtue and other case‑management advocates told the committee parity is required by the Centers for Medicare & Medicaid Services (CMS) and by state direction, and that current reimbursement for Choices for Independence (CFI) case management is far below comparable rates for other targeted populations. Virtue said the department's July 2024 rate study benchmarked certain rates against themselves instead of against comparable services, and that the CFI case management rate was set without a recognized case‑management rate‑setting paradigm.

Advocates presented a chart showing variation across case management rates: example figures included a CFI rate (quoted as $301 in testimony handouts), mental‑health case‑management rates higher than the CFI rate, and a supportive‑housing waiver rate that was set more recently. They argued federal guidance treats case management as the same Medicaid medical service regardless of target population and that benchmarking should compare similar services.

Department officials — including Henry Littman, Medicaid director, and Melissa Hardy, division director for long‑term supports and services — said the department supports parity in principle and implemented a code‑for‑code parity approach following HB2 (2023). Littman said the agency's interpretation of parity in 2023 was that like billing codes should carry like rates, with a limited exception for community mental‑health centers where the legislature directed a different treatment. He acknowledged that some stakeholders view parity more broadly (to include administrative components captured in the designated area agency administrative claiming—DA D S—rate) and said the department is willing to continue discussions to reconcile views and, if necessary, to produce an updated fiscal analysis showing the appropriation needed to achieve broader parity.

Committee members pressed for clarity about what parity means in practice: code‑for‑code (department position) versus a broader accounting for comparably performing services including administrative components (advocates' position). Department staff said transitioning to a cost‑report or similar provider cost basis for some services could help create durable parity but would be a larger project requiring time and, in some cases, federal approval. The department agreed to follow up with additional financial options and a revised fiscal note.

Why it matters: Advocates say lack of parity leaves important case‑management programs underfunded, undermining services for people with disabilities and the elderly; the department told the committee it implemented parity consistent with recent legislative direction but acknowledged unresolved questions in how the area‑agency administrative functions are treated and what approach should form the permanent methodology.

Next steps: Department officials committed to ongoing conversations with stakeholders and to providing additional fiscal detail to the committee.","Sen. Kevin Nabard presented SB 135 to require annual rate‑setting and parity for Medicaid state‑plan case management services.",{"_33":89,"_35":36,"_37":38,"_39":90,"_41":91,"_43":92,"_45":93,"_47":94,"_49":95,"_51":96,"_53":97,"_55":56,"_57":58,"_59":98,"_61":62,"_63":64,"_65":99,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6347838,"Senate panel reviews bill to expand and better pay New Hampshire public guardianship services",1344,1015000,2359000,"/Search/View?dp=1&key=2244500-a3f1555f322ec4146c47eff63f870901&start=1015&end=2359","https://assets.pipeline.soar.com/2244500-a3f1555f322ec4146c47eff63f870901/thumbnail_1015000.jpg","/articles/6347838/New-Hampshire/Senate-panel-reviews-bill-to-expand-and-better-pay-New-Hampshire-public-guardianship-services","https://secure.pipeline.soar.com/6347838-2c73f815a87adb698ff107fcbe625756/orig.mp4?Expires=1771169726&Signature=kv5YPfqDfaaHJczFDM3VjrYY0ovJooO~GGcq3neHaZdt5KovtXtXgXhF-D1K6MgpmUpSEeFxJ~kj-Pdsl3~YjIHlLOAcMs5~gXvUTyPQ-icZrJVEdCnF--i1oOKlkf72AZ-tDC8NzH~lGDrWZkq~Z4GvJzOO5P6QSyJIDt0aKCknYbRoq8SWmw1OUSuEcZPWa-OyGC~q74cA4jxxasrOxV6XwfcJWz8OL4gpJfHpFL-5LD3oreiNaPhPcChs5xBgN5kd0ik1E5ebHd2dhQ5s4pRZ4a1e2UCq~Yk-JtFtAi-69qTAWzZrfQ~ERD43bpyMqdIqeXJ1wOMLSveuF3sxcQ__&Key-Pair-Id=KUT5TJCACFTXG","Sen. Kevin Avard, prime sponsor of Senate Bill 127, told the Health and Human Services Committee the bill is intended to expand capacity and raise pay for professional public guardians so people who lack family or friends can get guardianship services needed to leave hospitals and to obtain long‑term supports.

Lisa Brits Silksky Stevens, chief executive officer of the Office of Public Guardian, said OPG serves about 1,400 Granite Staters and employs nearly 60 people who provide guardianship, fiduciary and trust services to adults with intellectual or developmental disabilities, severe mental illness, traumatic brain injury or dementia. She told the committee that the department's current contracted rate of $9.91 per day does not cover the actual cost of providing 24/7 guardianship services, which she estimated closer to $13 per day, and that the office has been operating with a structural deficit.

\"Seventy percent of OPG's current cases are paid by DHHS contracts, though those contracts only make up 51 percent of our revenue,\" Lisa Stevens said. She described long hospital stays caused when patients need guardianship to participate in discharge planning but do not qualify for the department's existing adult protective services (APS) pathway.

Stevens and other witnesses described data collected by the Foundation for Healthy Communities and hospitals showing unnecessary inpatient bed days tied to guardianship gaps; the foundation's analysis cited about 1,726 unnecessary hospital days in calendar 2024 and more than $5 million in uncompensated care related to delays in securing guardianship and placement.

Melissa Nemeth of DHHS said the department supports additional funding but raised drafting and implementation questions. DHHS staff noted the bill creates 100 new contract \"slots\" but left unclear whether the new slots were intended for the Office of Public Guardian only or shared among the state's two contracted public guardianship agencies (OPG and Tri-County CAP Guardianship services). Nemeth said the department had interpreted the bill as potentially creating additional slots on top of the department's prioritized budget request; the sponsor clarified the intent was to mirror the DHHS prioritized need rather than add to it.

Representatives of the hospital and long-term care communities — including Ben Bradley of the New Hampshire Hospital Association and Jessica Ryan of Dartmouth Health — supported the bill, saying the lack of guardianship capacity blocks hospital throughput and causes patients to accumulate costly, unnecessary inpatient days. Jessica Ryan described 12 current patients in her health system awaiting guardianship (about 24 slots) and said those patients accounted for roughly 480 bed days and about $1.5 million in estimated costs at the time of testimony.

Several witnesses and committee members focused on statutory drafting: DHHS staff and a Bureau of Aging and Adult Services representative said SB 127 introduces language to RSA 161‑F‑52 (and related sections) but does not change the underlying statutory definition of \"protective services\" in RSA 161‑F‑43; as written, the new language could be interpreted to authorize guardianship only for adults already known to APS. Committee counsel and the sponsor discussed working with OPG and the department on language changes so hospitalized adults who are unknown to APS but need guardianship would be eligible for contracted guardianship services.

Opposition testimony included an extended personal account from an individual who said her sister was placed into state guardianship and described serious alleged mistreatment. Committee members asked the witness to provide details to the chair so the allegation could be reviewed; the committee did not take action on the claim at the hearing.

Why it matters: Committee witnesses said SB 127 aims to prevent hospital discharge delays that result when adults with incapacity have no one to act as guardian and do not qualify under existing APS‑funded contract pathways. Proponents argue modest increases in ongoing guardianship funding would reduce unnecessary inpatient days, improve patient outcomes and ultimately reduce uncompensated hospital costs. DHHS staff supported the idea but asked for clarifications to statutory cross‑references and contract slot accounting before the committee advances the bill.

Next steps: Sponsors and agency staff agreed to work on statutory language clarifications (especially links between the bill's new hospital‑discharge language and the definition of protective services in RSA 161‑F‑43) and to reconcile whether the 100 contract slots are an addition to or a mirror of the department's prioritized budget request.","SB 127 would increase funding and contracts for the Office of Public Guardian (OPG) to reduce hospital discharge delays and raise reimbursement; OPG and hospital officials told the committee the change would clear hospital beds, while state staff flagged drafting fixes to ensure hospitalized, unknown adults gain access to guardianship slots.",{"_33":101,"_35":36,"_37":38,"_39":102,"_41":103,"_43":104,"_45":105,"_47":106,"_49":107,"_51":108,"_53":109,"_55":56,"_57":58,"_59":110,"_61":62,"_63":64,"_65":111,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6347843,"Senate panel hears bill to let Medicaid favor lower net-cost brand drugs over generics",242,211000,453000,"/Search/View?dp=1&key=2244500-a3f1555f322ec4146c47eff63f870901&start=211&end=453","https://assets.pipeline.soar.com/2244500-a3f1555f322ec4146c47eff63f870901/thumbnail_211000.jpg","/articles/6347843/New-Hampshire/Senate-panel-hears-bill-to-let-Medicaid-favor-lower-net-cost-brand-drugs-over-generics","https://secure.pipeline.soar.com/6347843-77bbf758ff9ed4bb39f29aa3cffcd630/orig.mp4?Expires=1771169726&Signature=FGgQ9B4F4HvRUyz74vxa9rhWiQoJpGA3jhDfBa1acXp-Z-rxehlU2BtTXHCRDEWuBanZ~vUILjjn34ywCU2OI31Fmqd50wDhJ-M3AXSVxCVTo-eqCG~oyZQQvh~nkunji2tjhE2T1dloGoIH3EAJ0GX9yn~FaQJQ5tbrmjnpoBb7W4cjv5Tl2Af9t67H-dif30tUasFYllt-Nk~mDmhqk~16CjkltQ0Vtbr~BQWJqk72eVf2Uomlgpr4nyAPWZWVa-YXuiBHgX1hLnwpMAZvp2Cy42qysQUSNKdAdVkKmrHWcuRcNsW6a85IuVP5eav4FvDINdBkPpvSHio0KTn30A__&Key-Pair-Id=KUT5TJCACFTXG","Sen. James Gray introduced Senate Bill 119 on behalf of the sponsor, saying the proposal would give the Medicaid program flexibility to prefer the lowest net-cost drug after rebates, even if that drug is brand-name.

The bill would allow Medicaid to choose the drug option with the lower net cost once manufacturer rebates and other adjustments are taken into account. Henry Littman, the state's Medicaid director, told the Senate Health and Human Services Committee that the proposal would align Medicaid purchasing with net-cost realities and allow the program to maintain a stronger, single pharmacy drug list across managed care organizations.

\"Generics often are cheaper, but they're not always cheaper,\" Littman said. He told the committee that using net cost to select preferred products would not change patient benefits and would strengthen program economy while preserving access.

Littman summarized the department's current fiscal analysis for the state general fund, saying the projected budgetary impact is savings that ramp over time: about $1.1 million in fiscal 2026, $3.4 million in fiscal 2027 and roughly $4.5 million in fiscal 2028. He said pharmacy spending has grown as a share of Medicaid medical spend, and the change is intended to be a cost-management tool.

The bill also contains new language directing the Medicaid program to review certain over‑the‑counter conversions and newly available medical devices annually, to permit the department to consider those products if the net cost to the program is favorable.

Committee members asked questions about how brand rebates can make brand drugs less expensive than generics in Medicaid. Littman explained that manufacturers commonly provide rebates and assessment-fee arrangements that reduce net brand costs and that Medicaid typically receives preferential discounting because of its purchasing scope.

After public testimony the committee took procedural steps on the bill. The committee moved into executive session on SB 119 for deliberation, then returned and recorded a consent action to move the bill forward. The committee recorded voice votes of \"aye\"; no roll-call tallies were available in the hearing transcript.

Why it matters: The bill is targeted at Medicaid program purchasing rules rather than changing patient coverage; supporters including the Medicaid director framed it as a budget tool to preserve benefits while capturing available discounts. Opponents did not appear in the hearing record provided.

LITIGATION, OVERSIGHT: Committee members requested the fiscal note and actuarial work supporting the savings estimates; the Medicaid director said the fiscal note was in progress and would be provided to the committee.","A Senate committee heard testimony on SB 119, which would let New Hampshire Medicaid prefer brand-name drugs when net cost after rebates is lower than generic alternatives; Medicaid officials said the change could save the state money without changing patient benefits.",{"_33":113,"_35":36,"_37":38,"_39":114,"_41":115,"_43":116,"_45":117,"_47":118,"_49":119,"_51":120,"_53":121,"_55":56,"_57":58,"_59":122,"_61":62,"_63":64,"_65":123,"_67":68,"_69":70,"_71":72,"_73":74,"_75":74},6347823,"Senate committee hears plan for stable funding of New Hampshire 988 crisis services, including proposed telecom surcharge and specialty license plate",837,6066000,6903000,"/Search/View?dp=1&key=2244500-a3f1555f322ec4146c47eff63f870901&start=6066&end=6903","https://assets.pipeline.soar.com/2244500-a3f1555f322ec4146c47eff63f870901/thumbnail_6066000.jpg","/articles/6347823/New-Hampshire/Senate-committee-hears-plan-for-stable-funding-of-New-Hampshire-988-crisis-services-including-proposed-telecom-surcharge-and-specialty-license-plate","https://secure.pipeline.soar.com/6347823-33318c73e54fa5fde99ab5980b4a8eb6/orig.mp4?Expires=1771169726&Signature=Pwy~xl958tfuv2JLIVaHgi3poWqA2rmSrRfc1PGF01TwD50pQTE81n-v-btOtWf~kG2JPmqAnPISW6bdRvmvl1sOQq2rAs7~CcydpgrH1UNU37nIEKZFtPDEcGBeF8s5m15PmClaJ~EsNxk9P014Qot4ULwzU0aq94nTNh-sIyjGukzyF1XA6cGVQ9UFV1AJlIv5hoWTQKlVflMgf7loB9mbMkkNjBaxjTU4C8OCct8ZgKnuxwn-e213pLNXV9grAEmg8-czvzSNlTq1W1sg5J4ilOrxIANCNRYaAfWMwuhIrWt0oao1nMai8Nmvs4PGvZ6uR8J32G4o0ELLNTtyVw__&Key-Pair-Id=KUT5TJCACFTXG","Sen. Kevin Avard opened a hearing on Senate Bill 255, which would establish a 988 Trust Fund to support New Hampshire's crisis call centers and related crisis response services, create a small telecommunications surcharge to finance the fund, and authorize an optional 988 specialty license plate.

Emma Savini of New Futures and other witnesses said 988 is the keystone of the state's behavioral‑health crisis system and that prior funding has relied on time‑limited federal sources such as ARPA. They urged a durable, state‑level revenue source so Granite Staters reach a New Hampshire response (rather than the national backup) and so mobile and follow‑up crisis services remain available.

DHHS legislative liaison Jenny O'Higgins told the committee the department's crisis‑system roadmap emphasizes three pillars — someone to call (988), someone to respond (mobile crisis/EMS partnerships), and somewhere to go (stabilization beds and placements). O'Higgins said New Hampshire's two 24/7 call centers handled more than 46,000 call/text/chat interactions in 2024 and that the calls reduce pressure on 911 and emergency departments because some calls can be routed to crisis clinicians instead of law enforcement.

Proposals in SB 255 include a telecommunications surcharge (a per‑line fee similar to how 911 is funded in New Hampshire) and creation of a 988 license plate to generate additional revenue. Witnesses argued the surcharge model mirrors 911 funding and is administratively feasible because telecommunication providers already collect similar fees.

Several providers and advocacy organizations — including NAMI New Hampshire, hospitals, maternal‑health clinicians, home‑health and hospice advocates, and others — testified in support, giving both systemic and personal reasons for durable funding. Multiple witnesses described how mobile crisis and 988 options keep people out of costly inpatient care and provide timely local responses.

CTIA, the wireless industry trade group, expressed conditional concerns about scope and urged guardrails: it said the statutory fee/tax should be carefully delimited to equipment, communication services and direct call‑taking costs, the levy amount should be set in statute for transparency, and states should avoid funding unrelated programs with the surcharge. CTIA also suggested consolidating fee collection with the bureau that administers 911 fees to avoid duplicative administration.

The New Hampshire Municipal Association asked clarifying language so that the bill's bar on local governments collecting a telecommunication surcharge does not inadvertently conflict with municipal taxation authority or create unequal tax treatment of telecommunication infrastructure under RSA 72‑A; the association requested a technical clarification tied to existing municipal statute.

DHHS presented a fiscal worksheet showing agency administrative needs to support the trust fund and ongoing oversight: the department assumed trust‑fund revenue would pay for a full‑time finance position and two part‑time administrators (quality oversight and commission support). DHHS said it expects the trust fund to reduce reliance on state general funds and on expiring federal funds that currently subsidize crisis‑system operations.

Why it matters: Supporters described SB 255 as a straightforward financing mechanism that mirrors how 911 is funded and that ensures local responders and clinicians staff New Hampshire crisis lines and mobile teams. Opponents and industry groups urged narrow statutory limits and careful drafting to avoid unintended tax or administrative consequences.

Next steps: Sponsors indicated a willingness to work on technical drafting items flagged by CTIA and the Municipal Association and to coordinate with DHHS on the department's fiscal assumptions and administrative model.","SB 255 would create a 988 Trust Fund supported by a telecommunications surcharge and an optional specialty 988 license plate to sustain New Hampshire's 988 crisis call centers and related crisis response infrastructure; sponsors and advocates said the fund would stabilize local 988 operations as federal and one-time funds expire.","actionData","errors"]

Article not found

Hospitals seek standardized timing, clearer "track changes" and financial estimates when insurers update provider manuals

Committee revisits Medicaid case‑management rate parity; department and advocates differ on scope

Senate panel reviews bill to expand and better pay New Hampshire public guardianship services

Senate panel hears bill to let Medicaid favor lower net-cost brand drugs over generics

Senate committee hears plan for stable funding of New Hampshire 988 crisis services, including proposed telecom surcharge and specialty license plate