New Hampshire
New Hampshire to end Medicaid coverage for weight loss drugs – Valley News
Starting Jan. 1, New Hampshire’s Medicaid program will stop covering GLP-1 drugs — Wegovy, Zepbound, and others — for weight loss.
“We looked at the way that the state was supporting coverage for GLP-1 medicines and found that this was a fairly significant cost driver,” Gov. Kelly Ayotte told reporters on Wednesday. “And so we looked at the medically necessary reasons for it in terms of those who had pre-existing conditions and made the decision working with Health and Human Services to come up with a modified policy that will still allow medications in those circumstances, but then really make sure it is cost sustainable going forward.”
The Alliance for Women’s Health and Prevention wrote a letter to Ayotte Tuesday urging her to reconsider the decision. The organization noted that approximately 30% of women in New Hampshire — and a disproportionately large number of women of color — experience obesity and that obesity is associated with over 200 health complications, citing the American Medical Association and KFF.
Ayotte said Wednesday she would not reconsider the decision.
There are roughly 186,000 enrolled in Medicaid in New Hampshire, according to the Centers for Medicare and Medicaid Services. About 54% of them are women.
“When we’re talking about 180,000 enrollees, children and adults, that’s over 90,000 women who are Medicaid beneficiaries who may be living with obesity and could take advantage of receiving the obesity management medications basically to stem those comorbidities that are associated with living with obesity,” Millicent Gorham, CEO of the Alliance for Women’s Health and Prevention, said in a phone interview with the Bulletin Thursday. “We’re talking about diabetes and high blood pressure and cardiovascular disease and cancer. So if we can stem those diseases, then hopefully we can have more healthier people living in New Hampshire.”
Gorham said the change, announced by the Department of Health and Human Services in October, may provide short-term cost savings but will be more expensive in the long run.
“People are going to be living longer with obesity, which is going to lend to any number of the other 200 comorbidities that are aligned with living with obesity,” she said. “And clearly, when you’re talking about things like diabetes and cardiovascular disease and high blood pressure and cancer and fertility issues that are specific to women, they’re going to end up with higher costs specifically related to those diseases and also specifically related to higher hospitalization costs.”
Gorham pointed to the stigma surrounding obesity and weight loss drugs.
“People really may not understand that people living with obesity is not just about an alternative lifestyle,” she said. “It really is a chronic disease. That’s the first thing that they need to understand: It is a chronic disease, no different than high blood pressure, no different than diabetes, and we need to treat it like that. No other disease has to take on the kind of scrutiny that obesity takes on.”
The Alliance for Women’s Health and Prevention has launched a nationwide effort with a coalition of other health advocacy groups called Everybody Covered to push policymakers to improve coverage of GLP-1 drugs and other obesity treatments.
As of October, 16 states cover GLP-1 drugs, according to KFF. In addition to New Hampshire, California and South Carolina plan to end coverage of the drugs in January. North Carolina ended coverage last month while Michigan plans to limit coverage to people who are “morbidly obese.” The states say they can’t afford the drugs.
The Alliance for Women’s Health and Prevention has been lobbying several states to maintain coverage of the drugs. Gorham said New Hampshire’s response has been “pretty much kinda the same” as other states.
GLP-1 drugs have been shown to be effective for weight loss, though they come with a number of side effects for some patients, including nausea, vomiting, headaches, diarrhea, and constipation, according to Harvard Medical School and the Cleveland Clinic. While some experts and researchers have concerns about the drugs’ long-term impact and safety, many argue the benefits outweigh the known risks.
New Hampshire
Hillary Clinton to return to New Hampshire | Fox News Video
Hillary Clinton is set to return to New Hampshire for a Democratic Party fundraiser while a progressive leader criticizes the party for being ‘tone-deaf’ by inviting her.
Hillary Clinton is returning to New Hampshire next month to headline the state’s Democratic Party’s annual spring fundraising dinner. A progressive leader criticizes the party as ‘tone-deaf’ for inviting Clinton, stating she’s ‘yesterday’s news.’ Fox News contributor Joe Concha weighs in on Clinton’s perceived comeback tour and discusses President Trump’s recent remarks about John F. Kennedy Jr.’s political ambitions.
New Hampshire
NH lawmakers approve bill that would make judges’ job evaluations public
A bill that would add elements to judicial performance evaluations for all state judges and make those evaluation reports public, cleared the New Hampshire House along party lines Thursday.
The bill’s backers, including Rep. Bob Lynn of Windham, former Chief Justice of New Hampshire Supreme Court, promoted the new requirements as a way to “invigorate” judicial performance, and said fully disclosing the reports is crucial.
“I have to emphasize this provision in the bill as well as the other provisions of the bill were adopted in consultation with the Chief Justice of the Supreme Court,” Lynn said
Under the bill, which was written with input from Supreme Court Chief Justice Gordon MacDonald, all judges – including part-time judges and retired judges who sometimes hear cases – would undergo evaluation at least every three years. Evaluations would include courtroom observations and analyses of how efficiently they process cases. Right now, judicial performance reviews remain confidential unless a judge receives two consecutive subpar evaluations.
The proposal comes at a time of tension between the judicial branch and lawmakers, spurred by recent court rulings finding the state isn’t meeting school funding obligations, and by judicial branch spending and management practices.
Democrats who criticized the new judicial evaluation bill say it goes too far and that the legislature should resist the urge to meddle in court operations.
“Many of us have been frustrated by recent activities coming out of the judicial branch – this is probably a bipartisan sentiment,” said Rep. Mark Paige of Exeter. “But to the extent that this bill appeals as a means to scratch your judicial frustration itch, consider other available remedies.”
Democrats also argued that making judicial reviews public could pose safety risks in an era of increased political violence including against judges.
“Publication would do real harm, inviting harassment of judges as violent threats against U.S judges have surged 327 percent since last year,” said Rep. Catherine Rombeau of Bedford, citing research from the Global Project Against Hate and Extremism.
But Republicans disputed such arguments, and said public reviews are also one of the few tools lawmakers have to make sure judges are performing their duties effectively.
“Judges are appointed once and serve until the age of 70,” said Rep. Ken Weyler of Kingston.
“All employees, including judges, benefit from constructive evaluation.”
New Hampshire
AI posts, selfies, and dank memes: The very online politics of NH’s Joe Sweeney
The New Hampshire State House, where tradition often reigns supreme, is scarcely more technologically savvy than a couple of still cameras streaming hearings to YouTube.
But like a lot of places these days, political power — and attention — there is increasingly shaped by what’s happening online.
And while plenty of New Hampshire lawmakers maintain busy Facebook feeds and X accounts, perhaps no public official better exemplifies the high speed, high volume, digital-ready approach to politics than Republican Rep. Joe Sweeney.
As the House’s deputy majority leader, Sweeney’s job is to make sure fellow Republicans show up in Concord and support caucus priorities. In many ways, it’s about as old-fashioned as political work gets in 2026. And to see Sweeney in action is to observe a politician who still embraces plenty of his party’s traditional priorities.
“Let the voters see that we oppose income taxes now and forever,” Sweeney proclaimed from the House floor earlier this month.
But Sweeney didn’t stop at merely pledging to oppose income taxes inside the walls of the State House. Soon after, he also posted the video of himself doing so to social media. Sweeney isn’t the first — or only — state politician bent on cultivating an online presence. But his position of power in the Republican Party means he is well-positioned to amplify what he chooses. It could be AI-generated graphics promoting nuclear power, photoshopped images supporting ICE, or Sweeney himself talking straight into a camera.
According to Sweeney, to succeed on social media in politics, it’s best to keep messages short, sharp — and sometimes trollish.
“It’s kind of this perverse incentive to present that sort of profile online, because that’s what’s going to get people engaged,” Sweeney said in an interview last week.
Politics as personal
At 32, Sweeney came of age in politics and on the internet. He started earning paychecks for political work in 2012, on the campaign of former Congressman Charlie Bass. Sweeney was a University of New Hampshire student at the time, and won election to the New Hampshire House that same year. Back then, he courted voters on social media with an earnestness that seems far removed from the politics of 2026, welcoming voters of all stripes to reach out and support his candidacy.
“I am running as a Republican, but I promise to represent all of my Salem constituents when elected,” a baby-faced Sweeney said in a YouTube video from that race.
A lot has changed for Sweeney since then. He’s now a top Republican lawmaker in Concord, vice chair of Salem’s town council, and also operates Granite Solutions, a political advocacy and fundraising group.
According to filings with the state, Granite Solutions’ purpose is “Electing Fiscal Conservatives in New Hampshire.” It essentially operates as Sweeney’s personal PAC, raising money, running ads, pushing policies, and urging lawmakers to sign pledges.
As New Hampshire PACs go, Granite Solutions is not exactly flush with cash: It’s reported raising about $60,000 over the past few years. Notable receipts include a $10,000 donation from a trust connected to Joe Faro, the developer of Salem’s Tuscan Village; a contribution from Churchill Downs, which owns the casino at the Rockingham Park Mall; and a smattering of Concord lobbyists.
A state lawmaker running what amounts to a one-man political advocacy organization is unusual, to say the least. But Granite Solutions also serves to boost Sweeney’s personal brand.
Last week, after Sweeney debated tax policy on WMUR’s political talk show, he sent an email to the Granite Solutions’ mailing list, urging people to stream the debate and donate to Granite Solutions.
Sweeney says he sees the work of his personal political committee as an extension of his public service: “I view Granite Solutions as supporting the economic agenda of Republicans in the state.”
‘Until the voters don’t want me’
The GOP fiscal agenda — from tax cuts to eliminating red tape for development projects — is a steady focus for Sweeney.
On other political issues, his social media-forward approach can serve to capture attention, more than enact measurable change. When lawmakers debated higher education funding last year, Sweeney strenuously alleged that undocumented students were depriving eligible Granite Staters from admission to UNH. After university officials released data that undercut his claims, Sweeney moved on.
Last fall, Sweeney told reporters to expect him and other Republicans to target specific state judges for misconduct. But such plans never materialized.
There was also Sweeney’s push to impeach Democratic Executive Councilor Karen Liot Hill over her use of a state email account to assist a legal challenge to a voter registration law — even though the New Hampshire Attorney General had cleared Liot Hill of any wrongdoing. Just hours before a public hearing on Sweeney’s impeachment effort, he scuttled the bill without bothering to show up for the hearing.
To hear Sweeney tell it, when his political ideas lose traction, he’s willing to let them slide.
“Some things can start off with a lot of fire and passion and then as it goes through the system it just sort of dies out,” he said.
But as Sweeney’s shown in Concord, and as a town councilor, he can also push policies that others see as provocative or radical — or even theatrical. When Salem’s town council and budget committees were at odds over the town budget, Sweeney proposed eliminating the budget committee altogether.
“I thought it was the most ridiculous proposal I’ve ever heard. It was a bad idea, said Steve Goddu, a Republican who sits on Salem’s budget committee, and generally considers Sweeney a political ally. “It was a bad idea, and sometimes we make bad ideas and suggestions, and I think this was just his folly on this one.”
But not everybody who’s been on the receiving end of Sweeney’s politics, folly or otherwise, is as forgiving. Liot Hill says she had to waste time and money to prepare for potential impeachment proceedings that she always saw as frivolous, and believes Sweeney’s style of politics is destructive.
“There is a price to our politics when politics becomes more focused on spectacle than on substance and really it’s really the public that pays,” Liot Hill said.
Sweeney, for his part, says he sees himself pursuing his approach to politics — in real life and online — for the foreseeable future.
“I have an ability to create solutions for folks. I have an ability to sort of understand things and kind of communicate with people on it, Sweeney said. “I feel this responsibility to continue to be involved until the voters don’t want me to be involved anymore.”
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