CONCORD, NH — The New Hampshire Department of Health and Human Services is warning communities of the potential for an increase in people suffering from drug withdrawal symptoms after the closure of a chain of facilities dispensing controlled substances.

The state said Wednesday the “unexpected closure” of New England Medicine and Counseling Associates had left many patients scrambling to find “alternate health care arrangements.” The company provided both medical marijuana certification as well as addiction medicine treatment.

It is unknown when the company closed its four locations in New Hampshire and two in Vermont. The company’s website is down, and a water shut-off notice was posted on the door of the Manchester location on South Willow Street. The company also had locations in Grantham, Newport, and Rochester, as well as Rutland and Colchester, VT.

“When patients who have been treated with medications like buprenorphine suddenly lose access to their medication, they are at increased risk of an opioid overdose and may have significant withdrawal symptoms if care is not reestablished quickly,” DHHS Chief Medical Officer Dr. Jonathan Ballard said. “The risks of using non-prescribed medications have never been higher due to the increasing presence of substances like fentanyl, and it is important for persons with an opioid use disorder to continue treatment.”

Emergency departments may see an increase in patients experiencing withdrawal symptoms, or who may be requesting buprenorphine, a medication for the treatment of opioid use disorder, until they can establish with another medical provider, the department said.

Patients of New England Medicine and Counseling were advised not to attempt to access “the illicit drug market” to obtain drugs. They are often not what they appear and may contain contaminants or other highly potent substances, such as fentanyl, that significantly increase the risk of overdose and death, the department said.

Families or residents concerned about the risk of overdose were advised to obtain naloxone at all New Hampshire Doorway locations or pharmacies.

Anyone needing assistance finding a new medical provider can call 211 in New Hampshire or VTHelplink (802-565-LINK) in Vermont.

Do you have a news tip? Please email it to tony.schinella@patch.com. View videos on Tony Schinella’s YouTube.com channel or Rumble.com channel. Follow the NH politics Twitter account @NHPatchPolitics for all our campaign coverage.

WASHINGTON – As part of its ongoing effort to replace diesel-fueled school buses, the Biden administration on Wednesday said it will provide approximately 530 school districts across nearly all states with almost $1 billion to help them purchase clean school buses.

The initiative, part of the U.S. Environmental Protection Agency’s Clean School Bus Program rebate competition, will give funds to school districts in 47 states and the District of Columbia to help them buy over 3,400 clean school buses. Alaska, Hawaii, and Nevada are not part of this round of funding.

In New Hampshire, nine districts will get funding for the buses, according to the White House. They are (with the number of buses in parentheses): Concord (3), Derry (25), Hanover (3), Hudson (16), Lisbon (1), Litchfield (8), Moultonborough (7), Nashua (22), and Pembroke (25).

Nearly all of the clean school buses purchased will be electric, at 92 percent, according to the administration.

“This announcement is not just about clean school buses, it’s about the bigger picture,” EPA Administrator Michael S. Regan said during a call with reporters on Tuesday, prior to the announcement. “We are improving air quality for our children, reducing greenhouse gas pollution, and expanding our nation’s leadership in developing the clean vehicles of the future.”

Low-income, rural, and tribal communities – accounting for approximately 45 percent of the selected projects – are slated to receive roughly 67 percent of the total funding, per the administration.

Regan noted how “low-income communities and communities of color have long felt the disproportionate impacts of air pollution leading to severe health outcomes that continue to impact these populations.”

As for business and economic opportunities, Regan pointed to the development of new, well-paying manufacturing jobs and investment in local businesses stemming from the increasing demand for these clean school buses.

“As more and more schools make the switch to electric buses, there will be a need for American-made batteries, charging stations, and service providers to maintain the buses supercharging and reinvigorating local economies,” he added.

The Clean School Bus Program has now collectively awarded nearly $3 billion to fund approximately 8,500 electric and alternative fuel buses for over 1,000 communities across the United States, according to the administration.

The program started through the Bipartisan Infrastructure Law passed by Congress and signed by President Joe Biden, which includes $5 billion over five years to transform the country’s existing school buses with “zero-emission and low-emission models,” per the EPA.

Among many negative health and environmental effects, especially for communities of color, diesel exhaust exposure can lead to major health conditions such as asthma and respiratory illnesses, according to the EPA.

Exposure to diesel exhaust can also “worsen existing heart and lung disease, especially in children and the elderly,” the agency said.

WASHINGTON – Closing arguments in the first-ever criminal trial of a former U.S. president concluded Tuesday, leaving the jury to now decide if Donald Trump is guilty of faking reimbursement to his personal lawyer for hush money paid to a porn star just before the 2016 presidential election.

Just outside the Lower Manhattan courthouse during summations, the campaign to reelect President Joe Biden held a press conference featuring actor Robert DeNiro and two former U.S. Capitol Police officers who were overwhelmed by the angry mob of Trump supporters who stormed the building on Jan. 6, 2021.

DeNiro bickered with a heckler and the Trump campaign then followed with its own press conference.

The trial’s final day of arguments wrapped up after nearly eight hours of closing arguments, during which the defense portrayed Trump’s former lawyer Michael Cohen as the “M.V.P. of liars” and Trump as a victim of extortion and too busy a leader in 2017 to understand the payments to Cohen.

Meanwhile, the prosecution walked jurors through excruciating details of events and witness testimony to show that Trump’s objective, along with those in his orbit, was to “hoodwink the American voter” leading up to the 2016 election, according to reporters at the courthouse.

New York does not allow recording in the courtroom but provides public transcripts of the proceedings. States Newsroom covered the trial in person on May 20.

Trump, the presumed 2024 Republican presidential nominee, is charged with 34 felonies, one for each of the 11 invoices, 11 checks, and 12 ledger entries that New York state prosecutors allege were cooked-up as routine “legal expenses,” hiding what were really reimbursements to Cohen for paying off adult film actress Stormy Daniels.

Trump denies any wrongdoing

Daniels, also an adult film director, testified in early May to a 2006 sexual encounter at a Lake Tahoe golf tournament with Trump, which he maintains never happened.

Cohen, the prosecution’s key witness, later told the jurors that he wired Daniels $130,000 to secure her signature on a nondisclosure agreement in late October 2016, and that Trump was aware.

Cohen’s payment swiftly followed the release of the “Access Hollywood” tape, in which Trump was recorded telling a TV host that his fame allows him to grab women by the genitals.

The revelation spun Trump’s campaign into a frenzy over possibly losing women voters, additional witnesses testified.

Further, Cohen testified that Trump was present during conversations to hatch a plan with the Trump Organization’s longtime chief financial officer, Allen Weisselberg, to repay Cohen under the guise of “legal expenses.” Cohen would eventually receive a grossed-up sum of $420,000 to account for a bonus and taxes.

The hush money trial, which began in mid-April, is likely the only one to occur prior to the November election. Three other criminal cases against the former president, two federal and one in Georgia, remain stalled.

Throughout the six-week trial, jurors heard from nearly two dozen witnesses called by the prosecution to establish Trump’s history of working to suppress negative stories.

David Pecker, former National Enquirer publisher, testified to coordinating with Trump and Cohen earlier in 2016 to pay off former Playboy model Karen McDougal and bury her story of an alleged affair with Trump.

The G.L.O.A.T.

In his closing statements, Trump attorney Todd Blanche addressed the jury for nearly three hours, arguing that Trump made no such effort to influence the 2016 election by “unlawful means.”

Blanche told the jurors to put the idea of a conspiracy aside, emphasizing that the existence of a nondisclosure agreement is “not a crime.” Working with editors to buy sources’ silence and bury stories was routine, Blanche said.

“Every campaign in this country is a conspiracy,” he told the jurors, according to reporters at the courthouse.

While no hard contract existed between Trump and Cohen at the time, Blanche argued that the two had entered into an “oral” retainer agreement, and that Cohen was lying about how much work he was actually doing for Trump.

By the time Trump reached the Oval Office and personally signed nine of the 11 checks for Cohen, the then-president was too busy “running the country” to realize what he was signing, Blanche said.

As for the classification of the payments on the ledger, Blanche argued that the Trump Organization’s software featured limited dropdown menu categories, and that “legal expenses” was one of the options.

Blanche’s closing statements were largely dominated by his effort to persuade jurors that Cohen’s testimony could not be trusted.

“There is no way that you can find that President Trump knew about this payment at the time it was made without believing the words of Michael Cohen – period,” Blanche told the jurors, according to reporters in the courtroom.

Cohen pleaded guilty in 2018 for lying to Congress.

Using another sports metaphor, Blanche told jurors that Cohen is the “G.L.O.A.T.”

“He’s literally the greatest liar of all time,” Blanche said.

He closed by urging the jurors to not send Trump “to prison” based on Cohen’s testimony.

Justice Juan Merchan admonished Blanche for mentioning prison, pointing out that a guilty verdict does not necessarily mean prison time. Merchan told the jurors to disregard that “improper” comment, according to reporters at the courthouse.

‘The only one who’s paid the price’

For just under five hours, prosecutor Joshua Steinglass led jurors through his closing argument, clocking the longest day of the trial.

Steinglass started off by telling them the prosecution only needs to prove the following: There were false business records used as part of the conspiracy and that Trump knew about them.

Steinglass reviewed earlier evidence presented to the jury – phone records, handwritten notes, recorded phone conversations, and checks bearing Trump’s own signature. He also recalled the damning testimony of several Trump allies, including Pecker, the publisher.

“The conspiracy to unlawfully influence the 2016 election – you don’t need Michael Cohen to prove that one bit,” Steinglass said, according to reporters at the courthouse.

Steinglass leaned into Cohen’s seedy past, including his lying to Congress and his jail time for campaign finance violations related to hush money payments to women who alleged extramarital affairs with Trump.

These actions, he said, were taken on Trump’s behalf to defend and shield him; the irony, Steinglass said, is now they are being used against Cohen, again, to protect Trump.

Cohen transformed from a loyal Trump ally into a bitter foe who has published books titled “Disloyal” and “Revenge,” and produces a podcast called “Mea Culpa” on which he regularly lambastes Trump.

Cohen is “understandably angry that to date, he’s the only one who’s paid the price for his role in this conspiracy,” Blanche told the jurors, according to reporters, who noted Trump was shaking his head.

Steinglass attempted to humanize Cohen for the jurors, telling them one can “hardly blame” the former fixer – who now has a criminal record and no law license – for selling merchandise including T-shirts depicting Trump in an orange prison jumpsuit.

Steinglass also refuted the defense’s argument that Trump’s actions ahead of the 2016 were routine, describing the National Enquirer as “a covert arm” of the Trump campaign and “the very antithesis of a normal legitimate press function.”

“Everything Mr. Trump and his cohorts did in this case was cloaked in lies,” Steinglass said nearing the end of his closing statement. “The name of the game was concealment, and all roads lead to the man who benefited the most, Donald Trump.”

Biden deploys DeNiro

On the sidewalk just outside the New York County Supreme Court, the Biden campaign deployed DeNiro, the voice of the latest campaign ad, and former U.S. Capitol Police officers Harry Dunn and Michael Fanone. The officers are campaigning for Biden in battleground states, the campaign said in a press release.

The campaign’s Michael Tyler, communications director, introduced the trio and said they were not in Manhattan because of the trial proceedings, but rather because that’s where the media is concentrated.

Loud protesters, whom DeNiro called “crazy,” competed with the speakers.

“Donald Trump has created this,” DeNiro said, pointing to the demonstrators. “He wants to sow total chaos, which he’s succeeding in some areas … I love this city, and I don’t want to destroy it. Donald Trump wants to destroy, not only this city, but the country, and eventually he could destroy the world.”

“These guys are the true heroes,” De Niro said, pointing to Dunn and Fanone behind him. “They stood and put their lives on the line for these low lives, for Trump.”

A protester then interrupted DeNiro to call the officers “traitors.”

“I don’t even know how to deal with you, my friend,” DeNiro snapped back during the livestreamed event.

Both Dunn and Fanone testified two years ago before lawmakers investigating the violent mob that overran the U.S. Capitol on Jan. 6 as Congress gathered for a joint session to certify Biden’s 2020 presidential election victory. Trump still falsely claims he won the election.

Trump’s campaign immediately followed with its own press conference.

Jason Miller, senior adviser to Trump, held up Tuesday’s copy of the New York Post bearing the headline “Nothing to Bragg About,” a play on Manhattan District Attorney Alvin Bragg’s name.

“Everybody knows this case is complete garbage,” Miller said. “President Trump did nothing wrong. This is all politics.”

On Trump’s social media platform Truth Social, the former president posted “BORING!” in all capital letters during a break in the Steinglass summation.

Late Monday, Trump posted in all caps a complaint about the order in which closing arguments would occur – a routine, well-established series of remarks in trials.

“WHY IS THE CORRUPT GOVERNMENT ALLOWED TO MAKE THE FINAL ARGUMENT IN THE CASE AGAINST ME? WHY CAN’T THE DEFENSE GO LAST? BIG ADVANTAGE, VERY UNFAIR. WITCH HUNT!” he wrote.