#

It wasn’t a good day for Democrats in the New Hampshire House. Lawmakers who were opposed to bills like election law reform and fetal homicide legislation saw that their efforts were futile in convincing a Republican-led chamber to defeat them.

Thursday marked the final deadline for the House to act on legislation that originated in the Senate before conference committees are set up on bills to reconcile any differences between the two chambers. Naturally, some of the most controversial bills were saved for this day and most of them passed the House despite protests and hard campaigning from Democrats.

Today has been a day of gut punches in #nhpolitics. Our resolve needs to be absolute https://t.co/qAJgSLhCop

— Sherry Frost (@frostnhstaterep) June 1, 2017

The House passed Senate Bill 3, a bill tightening the identification requirements for people registering to vote, by a 191-162 vote. Only two Democrats voted for the bill and nine Republicans opposed it.

“I commend the support of the House in strengthening the residency requirements for voters in New Hampshire as there is nothing more sacred as a citizen of this state and this nation than the right to cast a ballot in a free and open election,” said bill sponsor Sen. Regina Birdsell, R-Hampstead. “This legislation does nothing more than ask a resident to provide proof that they live where they say they do and provides an additional layer of protections increasing the integrity of elections in the state of New Hampshire.”

This was one of the most hotly debated bills of the legislative session. Proponents say it closes a “domicile loophole” where people are allowed to vote in the state without being required to prove it. Opponents believe it’s a GOP bill to suppress voters, especially young people.

“Today’s vote in support of SB 3 was a partisan sabotage of the election process that will do nothing but confuse and intimidate new voters,” said House Minority Leader Steve Shurtleff. “This legislation adds over 350 words to the registration form that new voters will be required to read, and swear to understand, with the pressure of a growing line behind them at the polls on Election Day.”

The bill heads back to the Senate, which is expected to concur with small changes made by the House. If they approve of it, the bill will go to Gov. Chris Sununu’s desk where he is expected to sign it into law.

Democrats accused that the bill further perpetuates President Donald Trump’s claims that there is rampant voter fraud in the United States.

“This legislation was clearly designed to placate those who buy into President Trump’s discredited assertion that fraud cost him the popular vote in New Hampshire,” Shurtleff said. “Leaders from both parties denounced those assertions, and as we know from the reports released following every single New Hampshire election, voter fraud is not an issue in our state.”

SB 3 also has the backing of Secretary of State William Gardner, a Democrat. He said he doesn’t believe the bill places undue burdens on any voter. He was recently asked to sit on Trump’s voter fraud commission.

The bill also garnered interest from outside groups that spent money in the state to convince residents to contact their legislator to oppose the bill.

“As host of the first-in-the-nation primary, New Hampshire has the obligation to ensure our system is beyond reproach,” Sununu said in a statement. “This bill does exactly that and as such, I support SB 3 and commend the House of Representatives for their actions today.”

Democrats were also not happy about the passage of Senate Bill 66, legislation that defines a fetus at 20 weeks and beyond as a person for purposes of criminal prosecution of murder or other violent crimes.It contains an exemption for abortion. The bill passed 186-170.

Handmaidens @NHHouseofReps reminding us of the importance of protecting women's reproductive rights #nhpolitcs pic.twitter.com/Od0DPWAA7N

— ACLU_New Hampshire (@ACLU_NH) June 1, 2017

Democrats tried several times during the session to table the bill, but those attempts failed. The bill was originally retained in the House Criminal Justice Committee a couple weeks again and lawmakers expected to work on it over the next few months. In a surprise move last week, Republicans reconsidered the bill and voted it ought to pass to the full House.

“Today, the House of Representatives passed a critical fix that allows prosecution of individuals who criminally end the life of a viable unborn baby,” Sununu said. “It provides security and addresses injustice for women who may have been in abusive situations that resulted in the death of a fetus.”

The bill will also go back to the Senate to concur on a House amendment and then on to Sununu’s desk, if approved.

There was a bright spot for Democrats when the House overwhelmingly passed Senate Bill 191 to fund full-day kindergarten in the state. The final vote was 231 to 100.

Approximately $1,100 per pupil would be sent to school districts for the program with the funds coming through revenues from Keno, the electronic bingo game, which is currently illegal in New Hampshire.

“The House of Representatives deserves high praise for moving full-day kindergarten forward and recognizing that this is a priority for many families in both considering the quality of a community’s public education and in their decision-making process when choosing a place to raise their children,” Sununu said.

The bill heads back to the Senate, which has historically rejected Keno. Democrats blasted the Senate budget for not funding full-day kindergarten in its proposal, but it’s not clear if tying Keno revenues to the program will deter it in the Senate.

“This bill is a long-overdue recognition of those benefits, and a signal to working families and the business community that we understand our obligation to offer all New Hampshire children the opportunity for a high quality education,” Shurtleff said. “Support of full day public kindergarten is a top priority for House Democrats, and I am pleased that the Republican majority has joined us in recognizing the benefit of this investment.”

Follow Kyle on Twitter.

Sign up for NH Journal’s must-read morning political newsletter.

The Senate Finance Committee finished crafting its version of the state budget on Wednesday. It largely resembles what Gov. Chris Sununu proposed in February, except for new business tax cuts and a multimillion dollar investment in mental health services.

The committee voted 4-2 along party lines to approve a two-year, $11.8 billion state budget. Republicans believe the spending is conservative enough and tackles important issues facing the state, such as the mental health crisis. Democrats argue the budget doesn’t focus enough on higher education, public health, and workforce training initiatives.

“It’s a solid budget that provides what New Hampshire needs,” said Senate President Chuck Morse. “We certainly have had lists of things that we couldn’t fund, like increased funding for the university system, that we just can’t get to in this budget if we’re going to live within our means.”

One of the biggest differences between Sununu’s proposal and the Senate Finance Committee’s spending plan is the cut in the state’s business profits tax (BPT) and business enterprise tax (BET). Sununu’s budget didn’t include them.

Under the measure, the BPT would drop to 7.7 percent in 2019 and 7.5 in 2021. Meanwhile, the state’s BET would fall to 0.6 percent in 2019 and 0.5 percent in 2021.

“The budget passed by the Senate Finance Committee does not increase or create any new taxes or fees and relies on realistic revenue projections,” said Senate Finance Chair Gary Daniels. “The budget also addresses our state’s top priorities including providing resources for those most in need. This budget also includes additional business tax cuts and increases small businesses’ ability to make capital investments. This allows businesses in New Hampshire to create good paying jobs and grow their business, keeping our state competitive with other states in New England and nationally.”

The two Democrats on the committee, Dan Feltes of Concord and Lou D’Allesandro of Manchester, voted against the budget, saying several necessary programs are underfunded.

“This budget fails to fully fund full-day kindergarten, fails to fully fund our efforts to combat the opioid epidemic, and fails to adequately meet the needs of those suffering from mental illness,” D’Allesandro said. “Make no mistake, this is not the budget I wanted and I will continue to work to ensure that the critical needs of the people of New Hampshire are met.”

The Senate Finance Committee’s budget leaves out money for full-day kindergarten, which Sununu included in his proposal. Those funds, though, are part of a separate bill making its way through the Legislature.

The budget also calls for more than $17 million in spending to increase the number of mental health beds and expand mental health services. That measure was not in Sununu’s budget, but he supports it. It also increases funding for additional social workers and supervisors in the Division for Children, Youth and Families (DCYF). The Alcohol Fund is seeing an allocation of 3.4 percent of revenues, which is up from 1.7 percent in the current budget.

“We addressed our state’s most critical needs, including programs to benefit families with a disabled child and adding 60 new beds and community treatment options to relieve the growing mental health problem,” Daniels said. “We also doubled the Governor’s Commission on Alcohol and Substance Abuse Prevention, Treatment and Recovery to bring new resources into our communities combating the heroin crisis. We also made sweeping changes to the leadership at the Division of Children, Youth and Families and added more caseworkers to ensure our kids’ best interests are being taken care of and they are protected abuse and neglect harm.”

The Senate Finance Committee budget also approves the use of $2 million in unspent money from the 2017 Alcohol Fund for renovations and construction of a youth substance abuse treatment wing at the Sununu Youth Services Center in Manchester. An allocation of $250,000 per year for sexual and domestic violence prevention programs was also approved, along with $1 million in funding for 13 rape and domestic violence crisis centers operated by the N.H. Coalition Against Domestic and Sexual Violence.

Despite these additions, Feltes said the Senate GOP budget doesn’t reflect the needs of Granite Staters.

“This budget fails to include job training programs that would boost our workforce and close our skills gap, breaks promises made to our retirees and increases health care costs for our seniors,” he said. “It fails to live up to our obligations to Granite Staters living with disabilities by failing to fund our developmental disability waitlist and does not adequately deal with childhood mental health. And it fails to provide resources to reform DCYF and protect our most vulnerable children. Quite simply, this budget fails to adequately address the critical and time-sensitive challenges facing our state.”

The budget go the Senate floor for a vote. Usually, after the full Senate approves of its budget, the Senate and House confer to iron out differences between the two budgets. However, the House was unable to pass a budget this year. After the Senate approves of the budget, it will ultimately need to be approved by the full House.

The real test of the budget will be in the lower chamber, after conservative members sided with Democrats to sink the House GOP leadership’s plan last month. They cited an increase in spending and lack of tax cuts as reasons for opposing the budget. With BPT and BET tax cuts, it’s possible they might support the Senate’s plan, which included several provisions from the House budget.

If the state budget makes it through the House, it will head to the governor’s desk for his signature. The whole process needs to be done by the end of the fiscal year on June 30.

Follow Kyle on Twitter.

Sign up for NH Journal’s must-read morning political newsletter.

One of the big agenda items that passed the House on Thursday was a bill with an amendment that would appropriate $33 million in the current fiscal year to address a projected shortfall at the state Department of Health and Human Services. That was just the amendment, though. Lawmakers tacked it on to a bill that would give preference to grandparents to be the guardian of a child in certain cases, like when a parent has a substance abuse disorder.

The House overwhelmingly voted to concur with the Senate on House Bill 629. It passed on a 283-32 vote. It now heads to Gov. Chris Sununu for his likely signature.

Most of the fanfare over the passage was because of the emergency DHHS funds. Yet, thousands of Granite State grandparents are victims of the drug crisis after they have been called on to raise their grandchildren.

“I am pleased that the House today overwhelming approved HB 629. With this legislation New Hampshire is leading the way in giving grandparents a voice when it comes to the guardianship process in cases dealing with substance abuse,” said bill sponsor Rep. Mariellen MacKay, R-Nashua. “This important legislation will keep children out of the foster care system and allow them to stay with their families. HB 629 is about love, passion, family, and just doing the right thing, and I couldn’t be more proud to see this bill overwhelmingly pass the legislature.”

HB 629 places the burden of proof on the petitioner to demonstrate that grandparent guardianship is in the best interest of the child in situations that were brought on due to a parent’s substance abuse. It establishes a preference for grandparents to be appointed as guardians and makes benefit eligibility information available on the DHHS website, as well as to grandparents seeking guardianship over their grandchild.

New Hampshire social service agencies estimate that 10,000 grandparents are now full-time guardians of young children, mostly because of the drug epidemic. Nationwide, there were 2.882 million kids being cared for by their grandparents, which was up from 2.871 million in 2011, according to the Annie E. Casey Foundation.

“A lot of these grandparents are on fixed income, and they’re taking on a responsibility, and for a lot of them, it’s a hard financial responsibility,” said Keith Kuenning, director of Advocacy for Child and Family Services.

Applying for guardianship can involve many steps, and navigating state programs for food stamps and Medicare only adds to the confusion in what can be an overwhelming process for many people.

A Pew Charitable Trusts report released in November found that 21 percent of grandparents caring for grandchildren in the United States are living below the poverty line. In addition, about 39 percent are over the age of 60 and 26 percent have a disability.

Gail Snow, an administrator with the state’s Bureaus of Child Protection and Juvenile Justice Services within the Division of Children, Youth and Families, said the division removes kids from their parents in some abuse and neglect cases, which are often linked to substance abuse issues, but not always.

“We only remove children when it would not be safe for them to remain in their home,” she said. “As a division, when we remove a child…we look toward relatives to provide care, and grandparents are often the people who step up.”

The problem with the current law is that it calls for immediate protection for the child, but also requires that courts and child welfare agencies protect the sanctity of the home. That’s why Chris Wade, who is a grandparent raising his grandchild, is supportive of HB 629.

“[I]t allows us to not have to be put through the ringer to protect our grandchildren,” he told the Associated Press. “It means we can go to the judge and, if the parents want that child back after we have gone through guardianship, then it’s up to that parent to be able to prove that they are worthy of having their child back. ”

The bill also has the backing of New Futures, a nonprofit organization that focuses on the opioid crisis and its effects on children. They support it because “it provides support for children in crisis and families suffering from the opioid epidemic, encouraging healthy early childhood development.”

While this is a first step in understanding the relationship of grandparents, parents, and children who are impacted by the opioid epidemic, the New Hampshire Legislature is also looking to establish a study commission to really get the full picture.

Senate Bill 148 would establish a commission to study “grandfamilies ” in the state and would gather families, legislators, and advocacy groups to review what data exists for them, what challenges exist, and what solutions can be carried out at the policy level.

“When this happens, grandparents face specific challenges such as getting children into schools, securing the appropriate legal status as a guardian, and providing the child all they need to thrive,” said bill sponsor Sen. Martha Hennessey, D-Hanover, in February before the Senate approved the measure.

“[It] can also place a financial burden on the grandparents who are often on a fixed income,” she added, “This commission would ensure there are resources in place to help these families and to make sure the children have the care they require to thrive.”

SB 148 also passed the House earlier this month and now waits for Sununu’s signature.

Follow Kyle on Twitter.

Sign up for NH Journal’s must-read morning political newsletter.

There’s a new political organization in New Hampshire, and it’s hoping to show that the Republican Party is inclusive of all people. It’s often a talking point for the left that the GOP is not welcoming, but the newly-founded NH Log Cabin Republicans wants to change that.

“We want to show that the Republican Party is inclusive and not this monster that we’ve been painted as across the country,” said Adam Lord, chairman of the NH Log Cabin Republicans. “We wanted to show the country this is how we do things in New Hampshire.”

The group held their official launch party on Friday in Portsmouth, which saw more than 100 people attend, including top Republican leaders in the state, including Gov. Chris Sununu, House Speaker Shawn Jasper, and Senate President Chuck Morse.

The New Hampshire and Indiana chapters launched around the same time, bringing the national organization’s total to 51 chapters in 27 states and the District of Columbia.

“With new strongholds in the ‘First in the Nation’ state and the home of our country’s sitting Vice President, Log Cabin Republicans continues to expand our presence throughout the United States,” said Log Cabin Republicans national president Gregory Angelo in a statement.

“The leadership teams of our newly minted New Hampshire and Indiana Chapters are organizing dynamos with keen political instincts,” he added. “I expect big things are in store for Hoosiers and Granite Staters alike as, together, we continue to make the case for common-sense conservative principles and LGBT inclusion in the GOP.”

Sununu was the keynote speaker for the New Hampshire launch and his message focused on how the mission of the Log Cabin Republicans aligns with the goals of the state Republican Party.

“When you talk about things like the LGBT community, or talk about diversity…let’s remember: when we stay together, we have that momentum,” he said. “When we’re talking about what we’re doing here tonight, what the Log Cabin Republicans represent for the state of New Hampshire — frankly, represent for the entire country — is a team effort, staying together.”

That message is crucial for Republicans in the State House. Throughout the legislative session, there has been a very public display of the division in the GOP. The state budget debate in the House largely failed due to conservatives siding with Democrats to go against the House leadership’s wishes. The New Hampshire Democratic Party (NHDP) hopes to capitalize on the divided caucus in the 2018 elections in order to take back the Corner Office and get majorities in the legislature.

“We want to help Republicans win elections and create an outlet for LGBT candidates to go to the party and say these are the values we stand on,” Lord said. “A lot of the higher Republican officials said ‘we are ready to talk about this.'”

A major criticism from the NHDP is that the Log Cabin Republicans identify with a platform that is anti-same sex marriage.

@NHLogCabin So you concede that Sununu, Morse & Jasper are LGBT opponents who need educating.. Our party already fully supports what you push GOP toward

— NH Democratic Party (@NHDems) May 12, 2017

The NHGOP platform states that the party recognizes “marriage as the legal and sacred union between one man and one woman as ordained by God, encouraged by the State, and traditional to humankind.”

In her parting speech in January, former NHGOP Chair Jennifer Horn called for the NHGOP to drop its opposition to gay marriage.

“The next time we gather to review our platform, we must preserve our voice as the party of equal rights for all and remove the language that opposes the right to marriage for all people,” Horn said before the state committee voted for Jeanie Forrester to succeed her as chairman.

“But we cannot be the party of individual rights, limited government interference, and personal responsibility while at the same time advocating to deny rights to any individual just because they are gay,” she added. “Here in New Hampshire, our party has hired gay staff, nominated gay candidates, and elected gay party leaders. Let us make this right, not because it is politically correct, but because it is the conservative thing to do, and it is the right thing to do.”

Lord agreed that there are aspects of the platform they would like to change, including its definition of marriage, but the NH Log Cabin Republicans recognize that it could take some time before substantial change is made. His goals for the group include being officially recognized by the NHGOP’s state committee and to get the word out across the state, by going to various town GOP committee meetings, that the organization is open for business.

“You don’t have to be gay to be part of our organization. We are still conservative,” he said. “Just because we don’t identify with one aspect of it [the platform], we can still be a socially liberal, fiscally conservative part of the Republican Party.”

Follow Kyle on Twitter.

Sign up for NH Journal’s must-read morning political newsletter.

The latest stop in Tom Price’s opioid crisis listening tour brought the health and human services secretary to the New Hampshire State House on Wednesday. He wasn’t alone, though. Always near him was Kellyanne Conway, counselor to President Donald Trump. They were joined by Gov. Chris Sununu, state Health and Human Services Commissioner Jeffrey Meyers, and Democratic U.S. Rep. Annie Kuster of New Hampshire, among other treatment providers, law enforcement, first responders, and families who have been impacted by the substance abuse crisis.

The meeting in Concord only lasted about an hour and members of the press were not allowed to be in the Executive Council chambers where the listening session took place. Afterwards, Price and Conway went to Manchester Fire Department to learn about the city’s Safe Station program. Press were also kicked out at first, but were then invited back in.

At a press conference after the listening session, Price said solving the opioid crisis is a priority for the Trump administration and his visit was a chance to see how states are dealing with it at the ground level.

“The Department is all in, the President is all in,” he said. “He has such passion for this issue, because he knows the misery and the suffering that has occurred across this land, and wants to help, help solve it.”

Price points to the recent $3.1 million in funds — with more money on the way — being sent to New Hampshire as evidence of the administration’s commitment to getting more resources out into the field.

Yet, more funds are needed for the Granite State, which has the second-highest overdose deaths per capita in the country. Nearly 500 people have overdosed on drugs in 2016. New Futures, a nonprofit focused on the opioid crisis, released a report Monday that found substance misuse costs the state’s economy about $2.36 billion each year.

Sununu praised the White House for its “tremendous” effort in reaching out to the states to see what they think of certain policies and solutions to combat opioid misuse.

“This administration has provided a great philosophy in that they want to set a foundation and a platform for good policy out of Washington but they look to the states to implement it,” he said. “Unlike the previous administration where Washington was going to implement and control everything, they want the states to be the implementers.”

However, Democrats are blasting the U.S. House of Representatives’ passage of the American Health Care Act, which would make major changes to Medicaid expansion. Democrats argue that the bill would weaken funding for federal programs to battle the drug epidemic.

Just before Price and Conway’s arrival, protesters staged a “die-in,” laying on the floor in the hallways of the State House, holding up signs that said, “Trump lied, I died” and “I died for a billionaire’s caviar.”

Protestors at the #DieIn today ready to welcome @HHSGov Sec Tom Price & reject the #AHCA #nhpolitics #thisisnotnormal #handsoffourhealthcare pic.twitter.com/Gy6w1cYe7c

— Ashley Marcoux (@ashmarx9) May 10, 2017

Democrats held their own press conference while Price and Conway met with New Hampshire leaders, criticizing Sununu for holding a closed-door meeting.

“New Hampshire won’t stand for a plan where premiums skyrocket, benefits shrink, and thousands are booted off [health care] coverage,” said Senate Minority Leader Jeff Woodburn.

Price said Trump is committed “to make certain that every individual has access to the kind of coverage that they want for themselves and for their family.”

“I think it’s important to step back and say is the Medicaid program the most appropriate program for every individual in that economic setting,” he added. “Is there a better way to provide coverage? Is there a better way to provide services? Whatever the answer to that is the president is committed and we’re committed to making certain every single American has a seamless transition.”

He vowed “that nobody falls through the cracks. That no rug is pulled out from anybody and that we make certain that the coverage and the care is available to every single American.”

Sununu said he had “some severe reservations” about the House’s health care bill, but he appreciates “the progress the House made.”

“We have to move that ball forward,” he said. I do have reservations in some areas when you look at the details. But people have to understand this is simply one part of the process. The Senate is going to go through their process. It shows that Congress isn’t stalled, not stagnated. They’re not going to do nothing. I think we’ve had eight years of a lot of do nothing. They’re doing something and they’re standing up for the American people.”

Conway said the opioid epidemic should be a bipartisan issue that Democrats and Republicans solve together.

“We look at this as a non-partisan issue in need of a bipartisan solution,” she said. “And we are working with people on both sides of the aisle in Washington and within each of the states to do exactly that.”

However, there are instances of disagreement between Republicans, especially on the American Health Care Act. It also appears that New Hampshire leaders and the White House aren’t always on the same page.

Several media outlets reported that the Trump administration was contemplating a 95 percent cut for the White House Office of National Drug Control Policy (ONDCP), which houses the agency’s high-intensity drug trafficking program and drug-free communities support program. Officials dismissed the claims and reaffirmed Trump’s support for ending the opioid crisis. Sununu called the reports “very disconcerting.”

Price and Conway did not mention the national drug czar’s office during their visit. While New Hampshire is one of the hardest hit states of the drug epidemic, it appears an official from the state has not been invited to sit on the President’s Commission on Combatting Drug Addiction and the Opioid Crisis, leaving many to question how committed Trump is to fulfilling his campaign promise.

New Jersey Gov. Chris Christie is chairing the commission, and it was announced Wednesday that Democratic Gov. Roy Cooper of North Carolina, Republican Gov. Charlie Baker of Massachusetts, and former Democratic Rep. Patrick Kennedy of Rhode Island will also serve on the commission. Bertha Madras, a former deputy director of the Office of National Drug Control Policy, will also work on the commission, but no one from the Granite State.

Follow Kyle on Twitter.

Sign up for NH Journal’s must-read morning political newsletter.

With the American Health Care Act moving to the U.S. Senate, some New Hampshire Republicans are cheering as the bill makes its way through the legislative process. Yet, for some Trump supporters in the Granite State, especially in the North Country, they might not be too happy with its current version.

Despite still having some concerns about the AHCA, Gov. Chris Sununu said on Thursday that he was glad the bill passed the Republican-led U.S. House of Representatives.

“Failure to reform our health care system is not an option,” he said. “It is critical that we keep this conversation moving forward. My concerns with the AHCA remain firm and I expect that the United States Senate will take those concerns into consideration as they work to improve our nation’s health care system.”

Before the House passed the bill on Thursday afternoon, Sununu and 15 other governors sent a letter to House Speaker Paul Ryan reiterating their support for the Obamacare replacement and asked for states to have more flexibility when it comes to Medicaid.

It’s a similar letter Sununu signed on to earlier this year when the U.S. House tried to repeal and replace the Affordable Care Act the first time. In a Friday interview with the Concord Monitor, he applauded the passage of AHCA, but said he still had issues with the current version.

“I love the idea that Congress is taking action, the president is taking action,” he said. “They’re listening to the American people and they’re moving the ball forward. In it’s current form, I still have a lot of concerns, there’s no doubt. But we are moving it forward, and more important than anything is the need to reform the health care system right now that has failed the American people.”

It’s a different tone than he had in March, when he said the first version of the bill didn’t give states flexibility and would hurt New Hampshire’s expanded Medicaid program, which had bipartisan support.

“The bill that’s been proposed in Congress gives us concerns on a lot of different levels, to be very blunt about it,” Sununu said at a March press conference. “What I’m seeing in Washington gives me a lot of pause for concern to be sure, not just on the Medicaid expansion front, because that would drastically affect New Hampshire, but just on the mandates that are coming out of it.”

As expected, all of New Hampshire’s Democratic congressional delegation is opposed to the GOP-led plan. U.S. Reps. Carol Shea-Porter and Annie Kuster voted against the bill. Critics slammed the bill for potentially making millions lose health care and making it harder for people with some pre-existing conditions to find affordable insurance.

Some Granite State health care providers say more than 100,000 low-income New Hampshire residents could be at risk of losing health coverage under the AHCA plan. New Hampshire Hospital Association President Steve Ahnen said his organization was “deeply disappointed” that the U.S. House passed the health care bill.

“This bill is a significant step backwards on the commitment to ensure coverage and we cannot support it,” he said. “We will continue to work with Congress as this bill moves over to the Senate to ensure that any final legislation to repeal and replace the Affordable Care Act improves our health care system in a thoughtful and responsible way, rather than dismantling coverage for our most vulnerable residents.”

President Donald Trump campaigned aggressively on repealing Obamacare and lowering premiums. However, according to recent analysis, it appears premiums would significantly increase for older Granite Staters.

The Henry J. Kaiser Family Foundation, a nonprofit focused on health care, compared premium costs under the ACA and AHCA. For New Hampshire residents aged 60 or older who make $30,000, they could see their premium costs increase by 173 percent under AHCA. However, the same analysis also says younger residents in New Hampshire would pay less under the AHCA plan.

Many critics point out that the Trump-approved health care bill would negatively impact the people who voted for him. This holds up when using Coos County as an example.

Coos County overwhelmingly voted for Trump over Democrat Hillary Clinton by 52 to 43 percent, respectively. There is a large number of residents who are aged 65 and older in the North Country and the average household income is about $42,000, according to U.S. Census Bureau data. Those residents could fare worse under the AHCA plan than under the ACA.

In a Granite State Poll released Monday by the University of New Hampshire Survey Center, Trump’s approval rating in the state has remained steady at 43 percent. It’s the same rating he had in February. Republicans also still overwhelming approve of the president at 83 percent. Survey results from the North Country showed a statistically insignificant change.

It will be interesting to see over the next few months if residents in the North Country, especially those who voted for Trump, change their support. Nationally, it seems his base is sticking with him so far. Now, the U.S. Senate will now take over the AHCA bill and reports suggest the chamber will overhaul the legislation, making it different from the House version. The health care debate in Washington is far from over, leaving how it will ultimately impact New Hampshire a mystery for now.

Follow Kyle on Twitter.

Sign up for NH Journal’s must-read morning political newsletter.

In a win for Gov. Chris Sununu’s agenda, the New Hampshire House gave a preliminary vote of approval for full-day kindergarten. While some are calling it a bipartisan victory, the state Democratic Party is taking credit for the proposal getting passed.

Senate Bill 191 calls for providing $14.5 million during the next two fiscal years to help communities that want to implement full-day kindergarten.

In Sununu’s budget proposal, he provided $9 million a year to establish programs in the neediest communities of the Granite State. That original funding amount passed the Senate at the end of March on a 21-2 vote.

The House Education Committee changed the funding to the full $14.5 million to allow all communities, regardless of need, the opportunity to implement the program. About three-quarters of New Hampshire’s communities currently have full-day kindergarten, but the state only pays half the per-student amount for children in kindergarten. The House approved that funding on Thursday on a 247-116 vote.

“I applaud the House for taking this important step today to provide financial support to communities that choose to support and create full-day kindergarten programs,” Sununu said in a statement. “I believe strongly that this is the right thing to do and I look forward to continuing to work with the legislature as the measure moves forward.”

The roll call vote saw 87 Republicans join 160 Democrats in supporting the bill. Many education advocates cheered the bipartisan work of the House and Senate for getting the bill passed.

“With today’s vote, strong bipartisan majorities in the House and the Senate are on record supporting increased state funding for full-day kindergarten,” said Mark Shriver, president of Save the Children Action Network. “We are encouraged that lawmakers from both parties have made investing kids in the Granite State a priority.”

The New Hampshire Democratic Party framed it another way. In their own press release, chairman Ray Buckley called Sununu’s original proposal of funding full-day kindergarten at $9 million a year a “half-baked plan.” He also highlighted that no Democrats opposed the bill and a majority of Republicans (115 of 202) voted against the legislation.

“Today, Democrats held him accountable for his broken promise by finally providing every child in the state full-day kindergarten instead of ceding to his half-baked budget proposal,” he said. “Democrats carried the bill across the finish line in the House, with every single Democratic House member voting for the legislation while a majority of Republican members voted against it. Sununu’s inability to lead almost cost us full-day kindergarten. Today was another example of why we need Democrats in the State House.”

Sounds like you're calling this a bipartisan victory for @GovChrisSununu | #nhpolitics @NHGOP @ChrisSununu https://t.co/aBDmfHonoP

— Drew Biemer (@DrewBiemer) May 5, 2017

House Republicans are pretty divided over whether the state should pay for full-day kindergarten.

On the House floor, Rep. Victoria Sullivan, R-Manchester, said she opposed the bill because it removes local control from the communities and removes parental choice.

“It was never intended that 5-year-olds would be sitting at a desk for six hours per day,” she said. “We must allow districts to keep decisions regarding early childhood education as a local control issue so that we can fix Kindergarten and restore it to its intended purpose, which is to foster the individual talents and abilities of each child through exploration, creativity and movement.”

Other Republicans say the bill doesn’t mandate that schools offer full-day kindergarten, but simply allows communities access to funds to help pay for it.

“If Kindergarten is important, why don’t we fund it for everyone?” said Rep. Terry Wolf, R-Bedford. “This bill helps offset the downshifting of costs from state to local communities. Funding education makes a statement that we value education and support our communities.”

SB 191 was one to watch on Thursday because House GOP leadership did not take an official position on the bill or whip any votes. House Speaker Shawn Jasper was presiding over the session, so he didn’t cast a vote, but House Majority Leader Dick Hinch voted in favor of the legislation.

Leaders of the two conservative House caucuses voted against the bill, showing there isn’t widespread support among those factions for full-day kindergarten. Rep. Laurie Sanborn, R-Bedford, who is a leader of the House Republican Alliance, and Rep. J.R. Hoell, R-Dunbarton, who is a leader of the House Freedom Caucus, opposed the bill.

SB 191 now heads to the House Finance Committee for representatives to look at the cost since the measure uses state revenues. In an earlier session, members of the committee refused to put any money for kindergarten in its version of the state budget.

After the committee makes a recommendation, the bill returns to the full House for another vote. If the House approves funding again at the $14.5 million-a-year level, then it will go to the Senate.

The Senate could then approve the bill at that funding level or the chamber could reject it in favor of their previous $9 million-a-year plan for targeted communities. If that happens, it’s likely a committee of conferences between the two chambers would be established to negotiate a compromise.

Regardless, the House’s approval of full-day kindergarten on Thursday is a good indication that a bill at some funding level will end up on Sununu’s desk, fulfilling one of his campaign promises.

Follow Kyle on Twitter.

Sign up for NH Journal’s must-read morning political newsletter.

In an unusual move, the New Hampshire House of Representatives voted to review controversial comments made online by two lawmakers. Yet, Republican leaders aren’t expecting the committee to find that they violated any House ethics codes.

It started as an inquiry into Rep. Robert Fisher, R-Laconia, and comments he made in an online forum that were construed as misogynistic, but Republicans successfully added Rep. Sherry Frost, D-Dover, in the inquiry for tweets she wrote earlier this year that some found “offensive.”

Before the House met in their regularly scheduled session on Thursday, it was anticipated that House Democratic Leader Steve Shurtleff would bring up a motion for a House committee to investigate Fisher’s comments.

“At any time any member says anything or does anything that holds this body in disrespect, it affects each and every one of us,” he said on the House floor.

Fisher was identified as the creator of a a Reddit forum called “The Red Pill” in a report from The Daily Beast last week. His posts on the message board garnered criticism for being disrespectful toward women and normalizing rape culture. He admitted to the comments, which were made as far back as 2008, but said they were taken out of context.

Republican Gov. Chris Sununu and New Hampshire Republican Party Chair Jeanie Forrester have called for his resignation, but Fisher insists he will not step down.

Frost posted tweets earlier this year that said more terrorism is perpetrated by “white men who claim Christianity than by Muslims in the USA.” She also tweeted, “The people (read; men) telling me to ‘calm down’ & ‘not take it so hard’ are making me homicidal.”

The NHGOP criticized her for the tweets, calling her a “radical” and “a threat to her colleagues.”

“All representatives should be held to the same standard,” said Rep. Victoria Sullivan, R-Manchester, who put forward the amendment to include Frost. “This body cannot pick and choose who they support and who they do not.”

The House voted 182-180 to include Frost in the inquiry and then approved of the investigation of both lawmakers by a 307-56 vote, with Fisher and Frost voting in favor of the review.

“I think the truth will be out at the hearing,” Fisher told the Concord Monitor. Frost said she has nothing to hide.

The Legislative Administration Committee’s reviews will be limited to comments made by the two lawmakers during the current legislative session, which means Fisher’s previous posts will not be included, but Frost’s tweets will be reviewed.

After that, the committee will make a recommendation to the full House for each lawmaker. The committee could recommend that no action should take place, or that the representatives should be reprimanded, censured, or expelled. The House will then vote on the recommendations.

“Referring this matter to the Legislative Administration Committee will allow for an investigation into Representative Fisher’s involvement with this forum since his election to the New Hampshire House,” Shurtleff said in a statement. “As elected officials it is our duty to act with honor both inside the State House and out, and I am confident that the Legislative Administration Committee will give this serious matter the consideration it deserves.”

His statement didn’t include any comments about Frost, though.

Some lawmakers criticized Republicans for including Frost in the inquiry, saying the two lawmaker’s comments do not equate to equal treatment. New Hampshire Democratic Party Chairman Ray Buckley took to Twitter to criticize the decision.

Misogyny rampant in @NHHouseGOP – voted to equate outspoken woman to a man praising rape. NH hangs its head in shame. #NHpolitics

— Ray Buckley (@ChairmanBuckley) May 4, 2017

Yet, House Speaker Shawn Jasper admitted that he doesn’t believe the committee will find that the lawmakers violated any ethics codes.

“I don’t think we’ve ever done anything quite like this,” he told the New Hampshire Union Leader. “Normally there would be something that falls under the ethics guidelines, and there’d be a complaint made by somebody and it would go to the ethics committee.”

Some lawmakers questioned why they spent time debating the issue.

@WMUR9 House votes to spend time investigating those who drop F-bombs on twitter. #nhpolitics don't we have more important things to do?

— Rep. JR Hoell (@NH_Braveheart) May 4, 2017

Rep. Keith Ammon, R-New Boston, motioned to table the matter, but it overwhelmingly failed.

“This is being used as a political football,” he said. “We need to have some more harmony in this body.”

Protesters lined the hallways of the State House and gathered outside on the plaza to protest Fisher’s comments. A protester’s sign said, “Rep. Fisher: This feminist says resign!” Another read, “Rape culture: He isn’t a symptom, he is a disease. Fisher must go.”

Fisher’s review hearing will begin on Tuesday, with Frost’s review to follow on Wednesday.

Follow Kyle on Twitter.

Sign up for NH Journal’s must-read morning political newsletter.

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.

Follow Kyle on Twitter.

Sign up for NH Journal’s must-read morning political newsletter.

New Hampshire became the latest state to have three residents die of overdoses from one of the most deadly opioid drugs in the world, adding to the growing list of communities nationwide trying to handle the crisis. Gov. Chris Sununu and public health officials announced last week that for the first time in the Granite State, the synthetic opioid carfentanil was found in the bloodstream of three people who died from overdoses in March.

Two of the deaths were in Manchester, and the third was in Meredith. The substance is so potent that it’s not intended for human consumption. It’s 100 times more potent than fentanyl and is commonly used to tranquilize elephants.

“Unfortunately, today is the first day that we’ve been able to confirm this,” Sununu said at a Tuesday press conference. “And worse yet, I think we all understand that it is likely not the last day that we talk about this issue.”

New Hampshire is the first New England state to have confirmed deaths from carfentanil and its effects are being felt by many key players in the opioid crisis, including public health officials, first responders, and treatment and recovery providers.

While these are the first confirmed cases in New Hampshire, the rise in carfentanil overdoses has been happening throughout the United States over the last few months. At least 96 heroin users overdosed in one devastating week in August in just one Ohio county, with several of the overdoses linked to carfentanil. In September, the Drug Enforcement Administration issued a nationwide warning about the powerful opioid.

Tom Pifer, forensic lab director for the N.H. State Police, said the drug was developed in the mid-1970s by a pharmaceutical company, but was never made public due to its high potency.

It takes just two milligrams of carfentanil to knock out a 2,000-pound African elephant. When veterinarians or zookeepers do that, they wear gloves and face masks to prevent exposure to the drug because a dose the size of a grain of salt could kill a person. A dose may even be lethal when absorbed through the skin or potentially through inhalation. That’s why the state asked law enforcement and first responders to stop field testing drugs. The problem is that users might not know they are even taking the drug since dealers have been cutting heroin with fentanyl or carfentanil to give it a boost and stretch their supply further.

“You cannot tell the difference between heroin and fentanyl and certainly not fentanyl and carfentanil,” Pifer told New Hampshire Public Radio. “You are literally rolling the dice with any sort of dosage unit you’re purchasing on the street.”

It’s not only incredibly powerful, but it’s also incredibly resistant to naloxone — also known as Narcan, the opioid antidote that can save someone’s life from a heroin overdose. A typical overdose requires one or two shots to work, but when a dosage is laced with carfentanil, it could require six or more shots to be effective — if it works at all.

Even though there is an abundant supply of Narcan in states battling the opioid crisis, an increase in carfentanil overdoses could deplete the antidote supply fairly quickly and drain money from states who need to purchase more. With drug overdose deaths rising, state crime labs could also see a backlog of cases to investigate. In New Hampshire, there are thousands of cases dating back from 2015 that have yet to be investigated.

A criticism in New Hampshire of government officials is that funding from the state and federal government to tackle the crisis has been slow to come out.

Congress signed the 21st Century Act in December, which would provide more funding to states for the opioid crisis. In April, U.S. Sen. Jeanne Shaheen, D-N.H., said $485 million in grants would soon be administered to states. It’s not clear exactly when that would happen.

New Hampshire is ranked as the second hardest hit state in the opioid crisis based on per capita deaths. Yet, it’s only supposed to receive $3 million out of the $485 million promised to states since the formula is based on total mortality. Shaheen is urging Trump’s administration to revise the funding formula for next year.

The other Democratic senator from New Hampshire, Maggie Hassan, and Shaheen wrote in a letter last week to U.S. Health and Human Services Secretary Tom Price that the formula should be re-tooled. Officials have indicated that they will review the formula and the two senators were optimistic after their meeting with New Jersey Gov. Chris Christie, who is heading President Donald Trump’s national opioid commission.

In March, Trump created The President’s Commission on Combating Drug Addiction and the Opioid Crisis with Christie at its helm to start fulfilling his campaign promise to end the opioid crisis.

Trump promised the people of New Hampshire that he would build a wall between the U.S.-Mexico border to curb the opioid crisis and stop the flow of drugs into the area.

“New Hampshire has a tremendous drug epidemic,” he said in October. “I am going to create borders. No drugs are coming in. We’re going to build a wall. You know what I’m talking about. You have confidence in me. Believe me, I will solve the problem. They will stop coming to New Hampshire. They will stop coming to our country.”

While heroin supplies mostly come from Mexico, synthetic opioids, like fentanyl and carfentanil, are believed to originate in China. Even though it’s illegal there, secret labs in the country manufacture the drug before shipping it to the United States. People can order it online, and it’s shipped through the U.S. Postal Service before it makes its way into the local heroin supply.

It’s still not immediately clear how the drug made it into New Hampshire. It’s likely that either someone bought it online, or it was purchased in another state and then followed the traditional route of heroin and fentanyl into the Granite State, which is from major distribution centers like Philadelphia and New York and then through Massachusetts.

Follow Kyle on Twitter.

Sign up for NH Journal’s must-read morning political newsletter.