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After Years of Losing Opioid Fight, NH Now Among Lowest States for Drug Use

One of Donald Trump’s first political successes was his embrace of the opioid addiction issue in New Hampshire during the 2016 campaign. Long overlooked, the scourge of addiction was hitting working-class Americans hard, with the Granite State suffering more than 300 drug overdose deaths in 2015.

In 2018, the data analysts at WalletHub ranked New Hampshire as having the third-highest drug use rate in the U.S.

But a decade after Trump came down the golden escalator and helped raise the profile of the opioid issue, New Hampshire’s fortunes have reversed. The latest WalletHub report, released Wednesday, ranks New Hampshire 11th best overall in terms of its drug problem. The report looks at factors like recovery availability, law enforcement efforts, and rates of addiction. Hawaii, Utah, and Nebraska were in the top three for states doing well, while New Mexico, West Virginia, and Nevada have the most dire drug addiction problems according to the report. 

“I think we’re doing significantly better,” said Chris Stawasz, regional director with ambulance company American Medical Response.

Only one New England state, Connecticut, has a lower rate of drug abuse than New Hampshire. Massachusetts and Maine rank 26th and 27th, respectively; Rhode Island comes in at 28th, and Vermont is last in the region at number 32.

Stawasz, who has been collecting and publishing overdose data from the cities of Manchester and Nashua for years, said data from this year is already showing a major improvement.

“Nashua and Manchester are at half of where we were a year ago, and statewide it’s down as well,” Stawasz said. 

Part of the credit goes to state government, where Gov. Chris Sununu led a bipartisan effort to make treatment more readily available to Granite Staters. Mental health and confronting addiction have been among a handful of issues where, despite some differences in approach, support for solutions has been strong on both sides of the aisle.

As a result, New Hampshire ranks 48th among states with adults whose drug-treatment needs are unmet, WalletHub reports.

In Manchester, which has been ground zero for the Granite State’s battle with addiction, Mayor Jay Ruais — who has struggled with his own addiction issues — says the battle has been hard fought. But, he told NHJournal, the results are undeniable as the number of fentanyl overdoses and deaths continues to decline.

“Trend lines have been extraordinarily clear,” Ruais said. 

Stawasz will release numbers for the first quarter of 2025 within the next few days, but he said Manchester and Nashua have seen at least a 50 percent reduction from the first quarter of 2024. The projections for the total 2025 number of overdoses and deaths could be their lowest in at least a decade. 

Getting from the worst of the opioid crisis to the recovery being seen today takes a combination of different people and agencies working on different aspects of the problem, Stawasz said.

“I can’t point to one specific item. There’s a lot of effort going into the recovery, prevention, and law enforcement.”

Focusing police agencies on busting fentanyl dealers and stopping the traffic of drugs coming up from Massachusetts has been a big part of the recent success, Stawasz said. Ruais said police are a major component of Manchester’s success in combating the epidemic, along with the city’s Rapid Overdose Assessment and Response (ROAR) Team, assembled to deal with different aspects of addiction.

“This is an entirely collaborative effort,” Ruais said. 

Now, the ROAR team can redouble efforts and hopefully get ahead before there is a next wave, Ruais said. The city can start looking more at prevention, targeting efforts to schools and youth in the city to keep them away from drugs. 

“We can further reduce these numbers so that a person never gets into an addiction,” he said. 

March Numbers Bring More Good News in Manchester’s Opioid Fight

While every death is tragic, the fact that there was only one fatal opioid overdose in the city of Manchester last month is good news for a city that has long struggled to address the drug crisis. It’s the latest data point in a positive trend in the Queen City since Mayor Jay Ruais took office in January 2024.

“If these results continue, Manchester is on pace to realize the lowest numbers in suspected overdoses and deaths since the beginning of the opioid epidemic more than 10 years ago,” Ruais said Wednesday. “This is an incredible accomplishment. We’re saving lives, and getting people in need help.”

The one death out of the 33 suspected opioid overdoses last month brings the total fatalities up to seven for the year, compared to 47 deaths out of 527 suspected overdoses the year before.

Chris Stawasz with Global Medical Response, Inc., says Manchester is on pace for 357 opioid overdoses and 28 deaths in 2025. Global Medical Response tracks overdoses and fatalities in Manchester and Nashua, two cities hard hit by the opioid crisis in the last decade. Both cities are seeing a turnaround, according to Stawasz.

“March continued the trend of significantly lower overall opioid overdose totals in both communities, 14 percent below the rolling 12-month average,” Stawasz said.

However, while Nashua had far fewer suspected overdoses (16), five of those were fatal, a significantly higher single-month number than is typical. Nashua has already seen 12 deaths and could see as many as 49 if Stawasz’s projections hold for the rest of the year.

In Manchester, where 79 people died in 2022 out of 701 overdoses, Ruais says the lower death toll is welcome evidence that the city’s holistic approach is working. Since winning election, the Republican mayor has focused on empowering police, getting people in crisis access to medical care, and pursuing an effective strategy to get homeless people housed.

The opioid epidemic has been most acute among the city’s homeless population, and 25 of the March suspected overdose victims in Manchester were homeless. Stawasz said three of the overdoses took place in shelters.

Ruais has changed Manchester’s direction in dealing with homelessness, too. His emphasis is to build a collaborative network with city, state, and nonprofit organizations to get people off the streets and into shelters, address why they ended up homeless, and get them into permanent housing. 

This week, Manchester announced its partnership with HarborCare, the Veterans Administration, and city landlords has resulted in housing for 40 homeless veterans thus far.

“The level of success we’ve reached in finding sustainable housing for our homeless veterans since our initiative kicked off last September has exceeded my highest hopes,” Ruais said.

Manchester’s Public Health Director, Anna Thomas, said Manchester is thankful for the help it has received from the Centers for Disease Control, as well as the combined efforts come from a community of health providers, city officials like Director of Overdose Prevention Andrew Warner, the Manchester Police Department, and ambulance company American Medical Response. 

“All life is precious and every one saved is worth fighting for,” Thomas said.

The crisis isn’t over, Stawasz cautioned. Data from the Office of the Chief Medical Examiner indicates the drugs xylazine and carfentanil are showing up in the street fentanyl being used by addicts. Xylazine is worrisome, Stawasz said, and it does not respond to Narcan.

Increasingly now mixed with illicit fentanyl, xylazine’s powerful sedative properties complicate EMS providers’ treatment of suspected opioid overdoses. It is undetectable to medics and Narcan does not reverse its effect,” Stawasz said. “When present, it requires a significant additional and prolonged effort to maintain an effective respiratory status on a victim.”

Ayotte, Ruais Tout Success as NH Opioid Deaths Fall to 2020 Levels

The city of Manchester suffered the fewest opioid overdose fatalities in February since 2020, part of a statewide trend of fewer deaths and fewer ODs.

Mayor Jay Ruais (R-Manchester) is celebrating the good news but, along with fellow Republican Gov. Kelly Ayotte, says there is still more work to do.

“The significant decline in fatal opioid overdoses across the state and here in Manchester is the positive news we have been working so hard toward,” Ruais said.

Manchester recorded just three opioid overdose fatalities in February, the lowest one-month tally since November 2020. Chris Stawasz, with ambulance company Global Medical Response, Inc., said Manchester’s fatalities are now 12 percent lower than the previous 12-month rolling average.

And Manchester isn’t the only bright spot for a state that’s struggled to address the opioid epidemic for years. The state Office of the Chief Medical Examiner’s latest report shows a 35 percent drop in opioid overdose deaths from 2023 to 2024.

Ayotte said the numbers show New Hampshire is on the right track.

“Thanks to our state’s coordinated approach to fighting the drug crisis, New Hampshire is a model for the nation in bringing down fatal overdose deaths,” Ayotte said.

New Hampshire has focused on making recovery programs more accessible, getting life-saving naloxone to people who need it, and making sure people with substance abuse can get medical care and employment. 

In Manchester, Ruais has focused on getting people experiencing homelessness into housing instead of temporary shelters where overdoses run rampant. This week, the city’s Board of Aldermen voted to spend $201,000 to pay for a mobile crisis unit and case manager to reach out to people in the grip of addiction. At the same time, the city will spend $250,000 from its Affordable Housing Trust fund to create up to 30 transitional housing beds to get people off the streets.

“We are making real progress addressing homelessness and reducing drug overdoses, so now is not the time to take our eye off the ball,” Ruais said.

Ayotte wants to see more done to stop drugs before they hit the streets.

Last month, she held a joint press conference with the mayor of Lawrence, Mass. — a notorious hub for illegal drugs in the region — to announce a joint effort to stem the flow of fentanyl and other opioids.

“We will build on this progress and continue to be vigilant by strengthening our drug interdiction efforts through Operation Granite Shield and Northern Shield while supporting those in recovery with investments in our Community Mental Health Centers and Recovery Friendly Workplaces,” Ayotte said.

On Tuesday, Acting U.S. Attorney Jay McCormack announced the arrest of three illegal immigrants from the Dominican Republic, charged with selling cocaine in Nashua. The arrests were carried out by the Drug Enforcement Agency with the help of the Nashua police.

Elizardo Escaria Delison, 32, Belisario Luis Delison, 49, and Rayddy Delison De Aza, 28, were each charged with one count of conspiracy to distribute and possession with the intent to distribute controlled substances.

 Their arrests were part of Operation Take Back America, an initiative that, in part, targets overseas drug cartels operating in the United States. 

For all the positive signs, Stawasz cautions people to be ready in case things start going south again.

“Please keep in mind that due to the nature of the opioid epidemic and its clear history of unpredictability, it is always possible that the trend of lower numbers could quickly change,” Stawasz said.

Bipartisan Group of Mayors Back Ayotte’s Bail Reform Push

Mayors from across the Granite State, as well as the entire Manchester Board of Aldermen, are joining in a bipartisan push and are backing Gov. Kelly Ayotte’s call to reform bail. 

“This is not a partisan issue, it’s a safety issue, and the safety of our cities is non-negotiable,” Manchester Mayor Jay Ruais said.

Rochester Mayor Paul Callaghan, Claremont Mayor Dale Girard, Dover Mayor Robert Carrier, Keene Mayor Jay Kahn, Berlin Mayor Robert Cone, Franklin Mayor Desiree McLaughlin, and Concord Mayor Byron Champlin joined Ruais in a letter to House Speaker Sherman Packard (R-Londonderry) and Senate President Sharon Carson (R-Londonderry) urging action on bail reform.

“Our citizens, businesses and tourists deserve our best efforts when it comes to keeping our streets safe,” the mayors wrote.

Ayotte has made fixing the bail system a top priority since taking office. She wants to see the 2018 attempt at bail reform, which made it easier for suspects to get released without posting cash bail, rolled back.

“Our current system is a joke to criminals. Too often, offenders are back on the street before officers who arrested them have even finished filing their paperwork. Our law enforcement officers and the public deserve better than this. The safest state in the nation deserves better than this,” Ayotte said.

In an op-ed for NHJournal, Ayotte pledged that, if the current bail reform proposal doesn’t make it to her desk, she will get it done anyway. The governor is putting bail reform into House Bill 2, the state budget trailer, to make sure it passes.

Manchester’s Board of Aldermen says the 2018 law reforming bail has had disastrous consequences for the city. In 2024, Manchester Police arrested 2,971 adults in 4,551 incidents. That’s because 27 percent of people arrested in Manchester last year were arrested more than once. Of the individuals arrested, 24 percent of them, or 715 people, were already out on bail at the time of their arrest.

“We understand the good intentions behind the previous changes to our bail laws. However, those good intentions have been replaced by criminal acts … When individuals are not held accountable for their actions, it encourages more bad behavior,” the Aldermen said in a statement.

Manchester became ground zero for the bail reform debate last month when Kyle Bisson, 25, was released on personal recognizance bail after he repeatedly stabbed another man in an Elm Street confrontation. Bisson has a criminal record, including a prior assault conviction, but he was not out on bail when he was arrested for the Feb. 7 fight. Manchester’s Police prosecutor did not request cash bail at Bisson’s initial bail hearing.

Cities and towns throughout New Hampshire are already struggling to hire police officers, leaving those they do have overworked. The revolving door bail system is only making the staffing and morale problems worse, the mayors said in their letter.

“This problem compounds itself when criminals cycle through a process of arrest and release, only to be arrested again,” the mayors said.

People just want safe cities again, Ruais added. 

“We need to focus on making sure violent and repeat offenders are taken off our streets,” Ruais said. “We are counting on the legislature to do the right thing, which will go a long way to making all Granite Staters safer, regardless of where they live.”

Judge Refuses to Revoke Alleged Stabber’s PR Release

The alleged stabber at the center of the bail reform firestorm remains free after a Hillsborough Superior Court judge refused to revoke his personal recognizance bail.

Judge Michael Klass denied Hillsborough County Attorney John Coughlin’s motion to have Kyle Bisson, 25, locked up pending trial on assault charges, saying video evidence shows the alleged victim was an aggressor in the violent Feb. 7 fracas.

“The video reflects that (the victim) and the defendant both played a role in this incident,” Klass said. “They both appeared to be aggressors at times.”

Bisson’s initial no-cash bail for the alleged violent assault, coupled with his prior domestic violence conviction, led to renewed calls for bail reform from Gov. Kelly Ayotte, Mayor Jay Ruais, and the Manchester Police Department.

Ayotte’s office did not respond to a request for comment on Wednesday. Ruais said he’s disappointed in Klass’ ruling but remains determined to see the bail system changed.

“From the beginning, this case has demonstrated the urgent need for Bail Reform and I am disappointed the defendant’s PR Bail was not revoked. This incident brought real violence to our downtown, threatening citizens and business owners, which is unacceptable,” Ruais said. “Despite today’s decision, I remain confident that legislators in Concord are listening and will get behind the necessary changes to our bail laws. Violent and repeat offenders need to stay behind bars,” Ruais said.

Court records show Bisson was released on personal recognizance bail after the police department’s prosecutor did not request cash bail during the initial arraignment. With calls for sanctioning the original Bail Magistrate Stephanie Johnson coming from Concord, Coughlin’s office filed a motion to have Bisson’s bail revoked.

But Klass said Wednesday the prosecutor does not have evidence to justify holding Bisson in jail before he’s convicted of a crime. While state law allows for defendants to be held pre-trial, that is typically reserved for people deemed a danger to the community.

Klass said the evidence in the case shows the alleged victim, Michael Perry, 42, instigated the confrontation that took place outside Bunny’s Convenience Store in Manchester. Perry reportedly used a racial slur to insult Bisson, and took the first swing, according to court records.

While Perry reportedly claimed to have a knife, but did not, Bisson actually had a knife when the fight began. Bisson stabbed Perry several times before Perry ran away and the knife wielding Bisson chased him, according to court records. 

When the fight was over, Bisson threw away his knife and jacket before calling 911 to report that he had been stabbed. Bisson did have a single stab wound to his chest, an injury that was likely self-inflicted by accident during the fight, according to the police report.

Ayotte used Bisson’s arrest and release as an illustration of the need for bail reform during a speech in the House chamber last week, saying it is unacceptable for people like him to walk free after a violent attack.

“What happened in Manchester last Friday night is completely unbelievable, when an individual accused of repeatedly stabbing a complete stranger, and who has a prior conviction for domestic violence, is allowed to walk free by a magistrate. I cannot emphasize this enough,” Ayotte told lawmakers. “Send me legislation to fix this once and for all.” 

If the current push for bail reform is successful, it will be the third time New Hampshire has tinkered with the system since Gov. Chris Sununu signed a bail reform bill in 2018.

That reform was supposed to eliminate cash bail for non-violent suspects. But the law’s detractors say it simply enabled repeat offenders to get out of jail and continue their criminal activity. A reform of the reform bill signed last year put a stop to the release of people re-arrested while already out on bail, as well as causing certain violent offenders to be only allowed bail after review by a judge or magistrate.

It appears the Bisson case fell within the framework of last year’s law. Bisson was not out on bail when he was arrested for the Feb. 7 fight. And he did get a bail hearing in front of a magistrate where the prosecutor did not seek cash bail. 

State Approves HCA’s $110 Million CMC Acquisition

The New Hampshire Attorney General’s Office gave its blessing Monday to the takeover of Manchester’s Catholic Medical Center by for-profit HCA Healthcare, Inc.

Attorney General John Formella announced his office reached an agreement with HCA and CMC to make sure the new ownership will continue CMC’s mission to provide healthcare and serve the community. 

“This settlement represents a thoughtful approach that both addresses the insurmountable financial challenges CMC is facing and ensures that the healthcare needs of New Hampshire residents continue to be met,” Formella said.

The deal has been in the works for years as CMC sought financial salvation. The nonprofit hospital has been losing up to $3 million a year. The Attorney General’s Office review was the last step in finalizing the deal with HCA.

“CMC’s decision to sell the hospital is largely the result of financial distress that has brought CMC to the brink of bankruptcy,” Formella reported in his role as the state’s Director of Charitable Trusts. “On top of large losses over the last several years, CMC has projected losses of $41.5 million for its 2024 fiscal year, and its debt totals around $160 million. In April 2024, CMC laid off 142 employees attempting to reduce its losses, but providers and patients continue to leave the hospital, reducing revenues at a greater rate than any reduction in expenses.”

The purchase, which the report notes is “not an affiliation or partnership,” will provide financial stability the hospital has long sought.

In a statement, the Diocese of Manchester said maintaining the hospital’s Catholic identity “was essential to the CMC Board of Trustees and Bishop Peter Libasci in deciding a future course of action for the hospital. CMC was created in a close relationship with the Diocese of Manchester including that the Bishop of Manchester approves certain activities of the hospital and the assets of CMC transfer to the Diocese upon the sale of CMC. Going forward, these assets will be held and used exclusively by a foundation that will continue the legacy of CMC’s commitment to provide Catholic health care in the community.”

As part of the deal, HCA first got Vatican approval to take over CMC by signing an agreement to operate within the Catholic Church’s ethical standards for medical care.  

Formella’s agreement with HCA will see that the key funding is in place for hospital expansion and as well as continuing charity care for the Manchester community. 

“As part of HCA Healthcare, CMC and our new colleagues will have access to much-needed resources that will pave the way for financial stability and continued growth. We are committed to making significant capital investments and enhancing key service lines that will benefit not only Manchester patients but patients across New Hampshire with expanded choice and ensure they have the highest-quality care available close to home,”  said Dr. William Lunn, president of HCA Healthcare’s Capital Division.

HCA will contribute $2 million over the next three years to local community health initiatives like Healthcare for the Homeless and Poisson Dental Clinic. 

“With HCA Healthcare, CMC’s legacy of excellence will not only endure but flourish — expanding access to care, enhancing services, and remaining deeply rooted in our Catholic mission,” Alex Walker, president and CEO of CMC said.

Mayor Jay Ruais called Monday’s announcement a pivotal moment for the city.

“CMC’s partnership with HCA Healthcare ensures immediate access to the financial and operational resources necessary to sustain its more than 130-year legacy of providing high-quality Catholic healthcare to our region,” Ruais said. “I am pleased that vital and beloved community programs, such as Healthcare for the Homeless and Poisson Dental, will also continue to serve our community for years to come.”

HCA is a Tennessee-based for-profit company that operates 180 hospitals throughout the U.S., including three in New Hampshire. Critics oppose HCA’s acquisition of CMC, pointing to its actions at Frisbee Memorial Hospital, where the company shut down the labor and delivery department after promising to keep it open. 

HCA’s proposed deal with CMC was hounded last year by nurses from HCA’s North Carolina Mission Hospital in Asheville who said HCA operated in an unsafe manner that put their lives and the lives of patients at risk. The nurses came to New Hampshire to stage protests, publish newspaper ads, and talk to the media, all in an effort to stop the sale.

“The community needs to know what happened to our hospital, because the same thing will happen to their hospital,” Kelly Coward, a nurse and union representative at Mission Hospital in Asheville, told NHPR last year.

Those nurses, all members of the National Nurse United union, stopped their protest a day before the Oct. 23 attorney general’s public hearing at CMC. The union kept silent through the fall and had no statement Monday about the deal’s approval. 

On Oct. 22, National Nurse United announced it had reached a contract deal with HCA for 17 hospitals in 6 states, including the Mission Hospital in Asheville. 

Former state Sen. Lou D’Allesandro, who represented Manchester for decades, backs the HCA deal.

“CMC must be saved, and we must make sure that all contingencies are met,” D’Allesandro told NHJournal Monday. “I am a strong supporter and will continue to work on behalf of all the citizens of Manchester to have quality medical care continue to be provided.”

Bishop Libasci says he’s pleased with the result.

“We may look forward now to a strong, vigorous, Catholic hospital on Manchester’s West Side and Catholic healthcare throughout the state of New Hampshire,” Libasci said.

 

EDITOR’S NOTE: An earlier version of this article erroneously reported that the Diocese of Manchester owns CMC. NHJournal regrets the error.

Manchester Mayor Ruais Wants City Auditor Brought Back

Manchester has been operating without an independent auditor for years, despite a city charter requirement, and Mayor Jay Ruais said that needs to change.

“It’s been six years since the city had a charter-required independent auditor,” Ruais told NHJournal. 

The position has been vacant since Kevin Buckley, the last independent city auditor, retired in 2018 during Mayor Joyce Craig’s administration. After Buckley left, the job was never filled, leaving a gap in Manchester’s fiscal oversight system.

“I want to make sure we’re providing the oversight,” Ruais said.

Manchester does get an annual audit from the Melanson Marcum firm, but that’s a process that is supposed to be managed by the auditor under the city charter. The auditor’s position is assigned to work in the City Solicitor’s Office per charter rules.

The auditor is also tasked with regular analysis of all city departments as well as the operations of the ski area, golf course, civic center, MTA, MCTV, and baseball stadium to make sure the finances are transparent, and that the services provided using taxpayer funds are done efficiently.

The auditor is also to perform any particular investigations or research into aspects of city government as requested by committees and the Board of Aldermen.

“The city auditor can examine individual contracts and departments as needed,” Ruais said. 

Ruais doesn’t know why Craig left the position open, but he said Manchester voters and business owners deserve to have a city auditor on staff making sure their taxes are being used correctly, and that their city is running as it should.  

“I don’t know why Mayor Craig never hired for the role, but it’s certainly a priority for me. And with increased inflation and taxpayers fighting different headwinds, it is the kind of accountability we need to provide,” he said.

The city tried to hire a new auditor twice since Buckley’s retirement, but two different hiring committees came up short finding a candidate to take the job. 

Ruais wants to include $135,000 in the upcoming city budget starting July 1, 2025 to cover the $90,000 salary and benefits for the auditor’s position. The proposal so far won approval with the Committee on Community Improvement. Under his proposal, the first year for the position would be paid for with American Rescue Plan Act funds, with the city taking over the costs starting the following year.

In 2023, the Illinois-based nonprofit Truth In Accounting gave Manchester a “D” for its city budgeting practices, reporting the city didn’t disclose the level of debt taxpayers were carrying.

“We really believe that our representative forms of government are being harmed because citizens are making decisions on tax policy, spending policy, and who they even vote for based on misleading or wrong financial information,” said Sheila Weinberg, co-founder and president of Truth in Accounting.

“We have worked for years to recast government’s financial reports to show a truer picture of their financial condition, bringing business accounting to these financial statements instead of the political math that is used by the governments,” she said.

Manchester’s Ruais Cracks Down on Syringe Handouts

Manchester is trying to stop the tide of used drug syringes washing over the city with a new ordinance aimed at reigning in the groups handing them out.

Mayor Jay Ruais said Manchester is now the first municipality in the state to assert oversight of Syringe Service Programs (SSPs), thanks to an ordinance passed this week.

“On a fundamental, basic level, we can’t allow the unregulated flow of needles into our city,” Ruais told NHJournal. 

Used syringes littering city streets and parks has become an increasing problem since 2017, when the state legislature passed a bill allowing SSPs to operate with little to no oversight. In the last seven years as Manchester’s opioid epidemic and homeless crisis raged, the city didn’t even know how many groups were handing out syringes in the city.

“Before this ordinance, there wasn’t any insight into how many of these programs were operating. There was no transparency or accountability,” Ruais said.

That lack of accountability and transparency contributed to making the city’s drug problem worse, Ruias said. It also put police, firefighters, and EMTs who encountered used needles during their jobs in danger. The situation is also a danger for every resident who might encounter the used syringes just about anywhere.

The tale of Manchester slipping into a crises of crime, addiction and homelessness on former Mayor Joyce Craig’s six-year watch has become part of the campaign for governor. While she’s denied the claim that she left Manchester in a mess, the fact is little was done to get control of the SSPs during her tenure.

Though the city passed an ordinance three years ago banning needle handouts from city parks, nothing else was done to manage the problem. In the meantime, syringes kept getting passed out by the SSPs, and the used syringes kept ending up in parks, city streets, outside schools, and all over.

“We hear concerns from families when they see them in parks or in the streets,” Ruais said. “It’s been a problem that’s been brought up to us on a far too frequent basis.”

The new ordinance requires all SSPs to register with the city, to provide data on their programs —  such as how many needles are passed out — and to take back at least some used syringes in an effort to keep them off the streets. The programs must also hand out information on disease prevention and drug treatment to the people seeking the syringes. The ordinances also codify location restrictions such as city parks, school zones, and state-licensed daycares. 

The original ordinance would have required the SSPs to engage in a one-for-one exchange, meaning they had to collect one used syringe for every new one handed out. But after talking to some of the groups handing out the syringes, Ruais backed a change that does not tie the programs to the one-for-one rate.

“We mandate that an exchange takes place, but not a one-for-one,” Ruais said.

The aim of these programs is to help stop the spread of infectious diseases. Ruais insisted the city is not trying to get in the way of that important effort. A strict one for one exchange may have hindered people from getting help. Ruais also wanted to give Manchester the flexibility to make changes as the city gets more data from the programs about the handouts.

“It’s a good first step,” he said. “Now we’re going to get the data back and see what it tells us.”

Manchester Police Face Uphill Battle Without Bail Reform, Ruais Says

Manchester’s neighborhoods are struggling to keep up with the revolving door criminal justice system that’s releasing violent suspects even before their arrest reports are complete.

Mayor Jay Ruais said Monday city residents are fed up with a system that allows people charged with violent crimes to get out with no cash or personal recognizance bail within hours. In many cases, those same people are arrested again on new charges.

“The safety of our city is non-negotiable, and the men and women of the Manchester Police Department are heroes, full stop. Unfortunately, the state’s current bail system is undermining their efforts to make Manchester safe. When 40 percent of those arrested are ending up back on our streets, and 27 percent of those arrested are already out on bail, our police are fighting an uphill battle,” Ruais said.

Since the start of the year, Manchester Police have arrested 1,646 people, and at least 40 percent — more than 650 of those suspects — were released almost immediately on PR bail. The state needs to finally step in and fix the bail system that’s fueling the problem in Manchester, Ruais insists.

“There is not a single thing that would have a more transformative impact on the quality of life in our city than passing bail reform. It’s crucial for our legislators to take action to ensure the safety of our community and prevent repeat offenders from cycling through arrest, release and rearrest,” Ruais said.

Republican gubernatorial candidate Kelly Ayotte got a look at the problem up close during her recent ride-along with Manchester police. The officer she rode with had just returned to work after a violent encounter with a suspect who was out on bail, she said.

“Last week, I did a ride along with the Manchester Police Department, and the officer I accompanied had previously been injured by a criminal let out on bail, resulting in him being out of work for six months. Our state’s failed ‘bail reform’ experiment has created a revolving door that allows violent criminals back into our communities, putting officers at risk and undermining their efforts to protect Granite Staters,” Ayotte said.

Ruais is focused on seeing bail reform happen. On his first day as mayor, he traveled to Concord to lobby state lawmakers to the cause. It’s a more direct approach than that of his predecessor, Democrat Joyce Craig, who advocated for the lower standards for bail that have released so many repeat offenders on the the streets.

Craig did not respond to a request for comment about her current view of bail reform. Executive Councilor Cinde Warmington, the other Democratic gubernatorial hopeful, also declined to comment.

A proposal to change the bail system is currently under debate in the legislature. After the House passed a bill to tighten up the bail system and create a new bail magistrate position, the Senate weighed in with amendments to require that people charged with certain violent crimes have a hearing before a judge before being allowed out on PR bail. Reforming bail is now splitting Democratic unity in the Senate.

One of the three contenders in the Democratic primary for U.S. Rep. Annie Kuster’s seat in Congress, state Sen. Becky Whiteley (D-Hopkinton), opposes pretrial detention, saying it increases the odds an innocent person will plead guilty to a crime they did not commit. 

“Do we want that?” Whitley said during a recent Senate debate. “That’s really troubling.”

But Senate Minority Leader Donna Soucy (D-Manchester) said lawmakers must act as the problem is only getting worse.

“Doing nothing can’t happen,” Soucy said. “We’re never going to get it perfect. We have to get it as close to right as we can.”

Ayotte said as governor she’d protect police officers and citizens by keeping violent offenders in jail.

“As governor I will shut and lock the revolving door to keep our officers – and our communities – safe. I thank Mayor Ruais for fighting on this issue for the people of Manchester and the brave men and women of the Manchester Police Department,” Ayotte said.

Ruais Unveils New Initiative to End Homelessness

Mayor Jay Ruais is moving to address Manchester’s homeless crisis, announcing a new initiative Tuesday to connect homeless residents with the help they need to get into stable housing and improve their lives.

“We got to make sure we’re getting people what they need,” Ruais said. “The ultimate goal is getting them out of this and breaking the cycle.”

While Ruais’ clashes with Adrienne Beloin, former director of the city’s Housing Stability program, dominated headlines in recent weeks, the mayor has been focused on rolling out his pragmatic plans to alleviate homelessness.

Ruais’ proposal for new Resource Fairs at the Beech Street Engagement Center will feature dozens of partner agencies sending representatives to meet with homeless people, connecting them to healthcare and recovery services, as well as education and employment opportunities. 

Ruais has 10 organizations like Hope for NH Recovery, Anthem, Amoskage Health and Workpath joining the new effort, along with long-time partners like Catholic Medical Center, Easter Seals, and the Farm Center. Those providers will be at the weekly Resource Fairs, meeting with people who need help. 

The fairs will be held Thursdays from 9 to 11 a.m. Ruais hopes to expand the times and days. There will also be a new database of contact information that people can access outside of the fairs to get connected with participating agencies.

The city is focused on addressing homelessness as a solvable problem where people can have hope to get into a better life. Ruais said that requires addressing the reason why people ended up on the streets, and working with them to find realistic solutions.

“Homelessness should be rare, brief, and one time,” Ruais said. “A stay at a shelter should be temporary.”

Beloin took a $57,000 payout to leave her job last month after she publicly fought with Ruais and members of the Board of Aldermen. Beloin accused them of interfering with her job when they raised questions about her effectiveness, while she advocated a slow approach to getting people off the streets. 

Beloin was a holdover from Mayor Joyce Craig’s administration which saw the city’s homeless crisis worsen. After a number of homeless people died in December 2022, Craig called on Gov. Chris Sununu (R) to send in National Guardsmen to fix the city’s problem. 

Sununu declined.

Ruais won the mayor’s race by defeating Craig’s handpicked successor, Kevin Cavanaugh. Ruais made addressing the homeless crisis a top priority. He said Tuesday the drive has been to quickly enact policies that will help people and lift the quality of life for the whole city.

The resource fair announced Tuesday is just part of Ruais’ response. A major barrier for some homeless people seeking services or employment is the lack of a driver’s license or state ID. The city is addressing that by partnering with Catholic Charities and Members First Credit Union. Ruais said 19 people have already been able to get copies of their birth certificates and then state IDs.

The macro-economic challenge facing the homeless is the lack of affordable housing — a problem that impacts the entire state.

To promote the creation of more affordable housing in the city, the Board of Aldermen is set to declare 15 parcels zoned in residential and mixed-use areas as surplus, meaning that property can be auctioned off. Ruais plans to use the auction proceeds to fund affordable housing initiatives in the city. 

He’s also pushing for changes in Manchester’s zoning ordinances to make it easier for people to add so-called in-law apartment units and build multi-family homes. More housing stock would help drive down rental costs and make it easier for people to get their lives on track, he said.