New Hampshire
New Hampshire Becomes Latest State to Restrict Sex-Change Surgeries for Minors
Granite State also to restrict access to female athletic competitions in certain grades to only biological girls.
New Hampshire Gov. Chris Sununu signed into law a bill that restricts sex-change surgeries on minors, along with a bill that restricts access to female athletic competitions in certain grades to only biological girls.
“As the debate over [these bills] has played out in Concord and throughout the state, charged political statements have muddled the conversation and distracted from the two primary factors that any parent must consider: safety and fairness for their children,” Sununu said in a statement.
“These two factors have been my primary consideration in reviewing these bills,” the governor added.
Sununu vetoed a third bill related to transgender policies.
The vetoed legislation would have ended the state’s anti-discrimination protections for people who identify as transgender. This would have permitted public and private entities to restrict bathroom and locker room access based on biological sex rather than self-asserted gender identity.
House Bill 619, which goes into effect on Jan. 1, 2025, prohibits doctors from performing “genital gender-reassignment surgery” on anyone under the age of 18.
This includes a ban on internal and external gender transition surgeries. For boys, this ban includes removal of genitals and surgical interventions to make the genitals appear similar to a female. For girls, this ban includes the removal of ovaries or other surgeries that alter the genitals and make the genitals appear similar to a male.
“This bill focuses on protecting the health and safety of New Hampshire’s children and has earned bipartisan support,” Sununu said. “There is a reason that countries across the world — from Sweden to Norway, France and the United Kingdom — have taken steps to pause these procedures and policies.”
However, New Hampshire’s restrictions do not go as far as many other Republican states. The law still allows other transgender surgeries, such as the removal of healthy breasts in girls and the addition of prosthetic breasts in boys to facilitate a sex change. The state will also continue to allow doctors to prescribe puberty-blocking drugs and hormone therapy to facilitate a sex change in minors.
The ban on genital surgery is enforced through licensing agencies. Minors or parents will also be permitted to sue doctors who perform banned surgery on minors.
House Bill 1205 ensures that only biological girls will be allowed to participate in female sports competitions in grades 5 through 12. The legislation does not affect lower grades or college sports.
The legislation requires that sports competitions for those grades be classified as either “male,” “female” or “coed.” Only biological males can participate in “male” competitions, only biological females can participate in “female” competitions, and both can participate in “coed” competitions.
Per the legislation, a biological male who identifies as transgender could not participate in a sports competition reserved for girls.
“[This legislation] ensures fairness and safety in women’s sports by maintaining integrity and competitive balance in athletic competitions,” Sununu said. “With this widely supported step, New Hampshire joins nearly half of all U.S. states in taking this measure.”
Any student who is deprived of an athletic opportunity based on a violation of the law or who faces retaliation for reporting a violation will be allowed to sue the school for damages.
This bill goes into effect 30 days following the governor’s signature.
New Hampshire
Man killed in NH snowmobile crash
An Alton man is dead after a snowmobile crash in New Hampshire’s North Country Thursday afternoon.
The New Hampshire Department of Fish and Game says 63-year-old Bradford Jones was attempting to negotiate a left hand turn on Corridor Trail 5 in Colebrook when he lost control of his snowmobile, struck multiple trees off the side of the trail and was thrown from the vehicle shortly before 3:30 p.m.
Jones was riding with another snowmobiler, who was in the lead at the time of the crash, according to the agency. Once the other man realized Jones was no longer behind him, he turned around and traveled back where he found Jones significantly injured, lying off the trail beside his damaged snowmobile.
The man immediately rendered aid to Jones and called 911 for assistance, NH Fish and Game said. The Colebrook Fire Department used their rescue tracked all terrain vehicle and a specialized off road machine to transport first responders across about a mile of trail to the crash scene.
Once there, a conservation officer and 45th Parallel EMS staff attempted lifesaving measures for approximately an hour, but Jones ultimately died from his injuries at the scene of the crash, officials said.
The crash remains under investigation, but conservation officers are considering speed for the existing trail conditions to have been a primary factor in this deadly incident.
New Hampshire
The weight of caregiving in NH. Why we need SB 608: Sirrine
Recently, I met with a husband who had been caring for his wife since her Alzheimer’s diagnosis. Her needs were escalating quickly — appointments, medications, meals, personal care — and he was determined to keep her at home. But the cost to his own wellbeing was undeniable. He was sleep‑deprived, depressed, and beginning to experience cognitive decline himself.
As director of the Referral Education Assistance & Prevention (REAP) program at Seacoast Mental Health Center, which supports older adults and caregivers across New Hampshire in partnership with the CMHC’s across the state, I hear stories like his every week. And his experience is far from unique.
Across the country, 24% of adults are family caregivers. Here in New Hampshire, 281,000 adults provide this essential care, often with little preparation or support. Only 11% receive any formal training to manage personal care tasks — yet they are the backbone of our long‑term care system, helping aging parents, spouses, and loved ones remain safely at home. (AARP, 2025)
REAP provides short‑term counseling, education, and support for older adults, caregivers, and the professionals who support them. We address concerns around mental health, substance use and cognitive functioning. After 21 years working with caregivers, I have seen how inadequate support directly harms families. Caregiving takes a serious toll — emotionally, physically, socially and financially. Many experience depression, chronic stress, and increased risk of alcohol or medication misuse.
In REAP’s own data from 2024:
- 50% of caregivers reported moderate to severe depression
- 29% reported suicidal ideation in the past two weeks
- 25% screened positive for at‑risk drinking
Their responsibilities go far beyond tasks like medication management and meal preparation. They interpret moods, manage behavioral changes, ease emotional triggers, and create meaningful engagement for the person they love. Their world revolves around the care recipient — often leading to isolation, loss of identity, guilt, and ongoing grief.
The statistics reflect what I see every week. Nearly one in four caregivers feels socially isolated. Forty‑three percent experience moderate to high emotional stress. And 31% receive no outside help at all.
Compare that to healthcare workers, who work in teams, receive breaks, have coworkers who step in when overwhelmed, and are trained and compensated for their work. Even with these supports, burnout is common. Caregivers receive none of these protections yet are expected to shoulder the same level of responsibility — alone, unpaid, and unrecognized.
Senate Bill 608 in New Hampshire would finally begin to fill these gaps. The bill provides access to counseling, peer support, training, and caregiver assessment for family caregivers of individuals enrolled in two Medicaid waiver programs: Acquired Brain Disorder (ABD) and Choices for Independence (CFI). These services would address the very needs I see daily.
Professional counseling helps caregivers process the complex emotions of watching a loved one decline or manage the stress that comes with it. Peer support connects them with others navigating similar challenges. Caregiver assessment identifies individual needs before families reach crisis.
When caregivers receive the right support, everyone benefits. The care recipient receives safer, more compassionate care. The caregiver’s health stabilizes instead of deteriorating from chronic stress and neglect. And costly options, which many older adults want to avoid, are delayed or prevented.
There is a direct and measurable link between caregiver training and caregiver wellbeing. The spouse I mentioned earlier is proof. Through REAP, he received education about his wife’s diagnosis, guidance on communication and behavior, and strategies to manage his own stress. Within weeks, his depression decreased from moderate to mild without medication. He was sleeping through the night and thinking more clearly. His frustration with his wife dropped significantly because he finally understood what she was experiencing and how to respond compassionately.
The real question before lawmakers is not whether we can afford SB 608. It is whether we can afford to continue ignoring the needs of those who hold our care system together. In 1970, we had 31 caregivers for every one person needing care. By 2010, that ratio dropped to 7:1. By 2030, it is projected to be 4:1. Our caregiver supply is shrinking while needs continue to grow. Without meaningful support, our systems — healthcare, long‑term care, and community supports — cannot function. (AARP, 2013)
Caregivers don’t ask for much. They want to keep their loved ones safe, comfortable, and at home. They want to stay healthy enough to continue providing care. SB 608 gives them the tools to do exactly that.
I urge New Hampshire lawmakers to support SB 608 and stand with the 281,000 residents who are quietly holding our care system together. We cannot keep waiting until caregivers collapse to offer help. We must provide the support they need now — before the burden becomes too heavy to bear.
Anne Marie Sirrine, LICSW, CDP is a staff therapist and the director of the REAP (Referral Education Assistance & Prevention) program at Seacoast Mental Health Center.
New Hampshire
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