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During the early days of the New Hampshire First District Democratic primary, none of the (at least) nine congressional candidates would commit to supporting former Speaker of the House Nancy Pelosi’s return to power if, as expected, their party took control of the chamber.

Eventually, just one of the candidates, state rep. Mark MacKenzie, would publicly endorse Pelosi for speaker before the primary vote.

He came in eighth. 

The eventual nominee, Democrat Chris Pappas, then spent the entire general election dodging the issue in his campaign against Republican Eddie Edwards.  Pappas won handily on November 6th, but weeks later still refused to reveal his intentions regarding the leader of his caucus.

Until today.

This morning, Pappas finally announced what many NH pundits suspected was true throughout his campaign: #HesWithHer. He will join his fellow New Hampshire Rep. Annie Kuster and vote for a return to the Pelosi era.

“After careful consideration and discussion with many constituents and future colleagues in Congress, I have decided to support Nancy Pelosi for Speaker of the House,” Pappas said in a statement released today.   “I believe she is best equipped to lead the House at this point in our history.

“My conversations with her convinced me she will lead with fairness and empower the incoming class to play a significant role in the work ahead. We must get down to doing the people’s business quickly, and we should start by reforming the way Washington works, lowering the cost of health care and creating an economy that allows everyone to succeed.”

“I will work with anyone, anywhere to do what’s right for the New Hampshire district I represent, and I will stand up to anyone—from President Trump to leaders in Congress—when they’re wrong.”

Despite the fact that the movement to stop a Pelosi speakership has been led by his fellow centrists in the party, a low-key moderate like Chris Pappas was always an unlikely rebel. In the primary, he ran against a field of strong women candidates for the chance to replace a Congresswoman, Carol Shea-Porter, in a state that currently has an entirely female federal delegation.

A vote against the first-ever woman Speaker–or any powerful woman, for that matter–was never in the cards.

In a controversy that led to the resignation of the New Hampshire Hospital CEO, it’s been revealed Wednesday that Dartmouth-Hitchcock has been in violation of a $36 million contract to staff the state’s psychiatric facilities.

Health and Human Services Commissioner Jeffrey Meyers broke the news to Gov. Chris Sununu on Wednesday morning that Dartmouth-Hitchcock has only been regularly providing between eight to 10 psychiatrists, instead of the 11 required by the contract. The position of geriatric psychiatrist has also not been filled since January. The $36 million contract for Dartmouth-Hitchcock to provide services at NH Hospital, the state-run hospital for mental health services, was signed by the Executive Council last fall.

Sununu told the Executive Council during their regularly scheduled meeting on Wednesday that he asked NH Hospital CEO Robert MacLeod to “step aside.” He also asked former HHS Commissioner Donald Shumway to run the hospital on an interim basis.

“We’ve been paying for psychiatrists that have not necessarily been there,” Sununu said during a news conference. “It’s troubling, it’s disappointing.”

Meyers sent Dartmouth-Hitchcock a letter Tuesday asking the hospital for a “corrective action plan” to be submitted by May 9. He discovered the violations after Executive Councilor Chris Pappas, D-Manchester, raised questions about the hospital’s staffing during the Executive Council’s meeting last month.

Executive Councilor Andru Volinsky, D-Concord, called for an outside evaluation of the quality of care at Dartmouth-Hitchcock. Sununu wanted a review of the contract for other compliance issues by the state’s attorney general. He would also be seeking reimbursement from the state psychiatric hospital for payments based on full staffing.

“Throughout the course of this contract, the state agreed that the staffing levels have been appropriate and the patient care is high quality,” according to a statement from the hospital. “From the inception of this contract to provide clinical psychiatric services at New Hampshire Hospital, Dartmouth-Hitchcock has provided the state, including through weekly reports, current and projected staffing levels and any projected deficiencies.”

Dartmouth-Hitchcock also said it has “only been paid by the state through January of this year.”

“In light of questions raised regarding compensation for Dartmouth-Hitchcock, it is critically important to note that the agreement with the state is a ‘fixed price’ contract, and Dartmouth-Hitchcock has only been paid by the state through January of this year,” according to the statement. “Any suggestion that Dartmouth-Hitchcock has not been completely forthcoming with the state is factually incorrect and reflects a misunderstanding that requires clarification.”

The hospital said it is “deeply troubled” by criticisms from Sununu and Meyers and requested a meeting with them.

“Consequently, we have requested a meeting with Governor Sununu and Commissioner Meyers to discuss our mutual concerns and forge a path forward,” the statement reads. “Dartmouth-Hitchcock has been, and will remain, fully committed to the care of the State’s most vulnerable citizens, and we look forward to working with interim CEO Donald Shumway in continuing to provide that care at New Hampshire Hospital.”

Yet, the controversy comes on the heels of several news reports about concerns that the state doesn’t provide enough mental health services and that waiting list times for treatment beds has also increased.

The contract with Dartmouth-Hitchcock was controversial from the start when it was signed in September 2016 and became a significant issue during the election.

Last year, Dartmouth-Hitchcock transferred from Dartmouth College’s medical school to the private hospital and a group of psychiatrists quit amid a labor contract dispute.

The Executive Council approved the contract on September 7 and two days later, Dartmouth-Hitchcock announced its intention to lay off between 270 and 460 employees. The layoff announcement took then-Democratic Gov. Maggie Hassan by surprise, she said. It became a talking point for the New Hampshire Republican Party in their battle to reelect former Republican U.S. Sen. Kelly Ayotte.

The NHGOP also filed right-to-know requests charging that Hassan knew about the layoff announcement before the Executive Council voted on the contract.

At the time, Sununu, who was an executive councilor and gubernatorial candidate, called to cancel the contract and rebid it. However, he was outvoted and has since not called for the contract to be rebid.

Dartmouth-Hitchcock CEO James Weinstein also announced in December that he would retire from Dartmouth-Hitchcock on June 30.

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