New Hampshire
New Hampshire’s child mental health bill stalled by House – Valley News
Despite strong support from Gov. Kelly Ayotte, New Hampshire lawmakers rejected a bill that would have required private insurers to cover a state-run mental health program for children.
On Thursday, the House of Representatives voted to send Senate Bill 498 to interim study, delaying action on legislation that would have required private insurers to help fund the state’s Families and Systems Together (FAST) Forward program.
It’s a wraparound care model that provides personalized services such as peer support, crisis planning, and family-focused care for patients aged 5 to 21.
Ayotte, in a statement, said she is disappointed to see “elected representatives choose subsidizing insurance companies over kids’ mental health care.”
“I’m not giving up on this, and I’ll continue working to ensure our children — and their families — get the care and support they need,” she said.
The decision leaves the state and taxpayers on the hook to cover roughly $2 million annually for commercially insured children who rely on the program but do not qualify for Medicaid.
After the House voted down the bill, John Hunt, the chair of the House commerce committee, said Republicans agree with Ayotte that children’s mental health coverage is a serious issue, but said the bill is not the right solution and should not be addressed through a “hasty, last-second Hail Mary.”
“We look forward to studying this issue and devising a sensible and measured approach that satisfies all parties and prioritizes patient care and quality,” he wrote in a statement. “I warmly invite Governor Ayotte to join us this fall as we work on the issue. Together, Republicans, Democrats and the corner office have the opportunity to come together and deliver a reasonable solution for the people of New Hampshire.”
The bill was sent to an interim study in a 188-164 vote.
Insurers push back
The FAST Forward program coordinates services tailored to each child’s needs, helping families access mental health care, crisis support, care coordination, and other resources aimed at improving long-term outcomes.
The program’s effectiveness comes from its wraparound approach, which bundles services together.
But private insurers typically cover only some services rather than the full scope of services provided.
Ayotte has directed much of her criticism at Anthem Blue Cross and Blue Shield, which insures the largest share of children enrolled in the FAST Forward program.
Jim Turner, a spokesperson for the insurance company, called Ayotte’s criticisms of the insurance industry on this issue “inaccurate and misleading.”
“Over the past two years, Anthem has taken significant steps to increase access to mental healthcare for children and adults and to reduce barriers to that access – including being the first insurer to eliminate copayments and other forms of cost share for all children and teens for these services,” he wrote in a statement.
For families who do not qualify for a Medicaid waiver, the state spends roughly $2 million annually in taxpayer dollars to cover the program for commercially-insured children.
While opponents of the bill characterized it as a tax on insurance companies, state Rep. Julie Miles pushed back on that framing.
She said the bill is about affordability, healthcare access, and holding large insurance companies responsible for the coverage paid for by their customers.
“If insurance companies collect the premiums, they should help provide the care,” she said.
State’s burden
In recent weeks, there have been negotiations between the insurance companies, particularly Anthem Blue Cross Blue Shield, to address the issue, but no solution has been reached.
“Despite the recent unwarranted attacks, we will continue working in good faith with the state and care providers on this issue.
Mental health advocates view the FAST Forward program as a way to prevent children from deteriorating to the point of requiring costly inpatient psychiatric hospitalization.
Recent data from the state Department of Health and Human Services show that, over a 12-month period, New Hampshire’s general fund paid for wraparound services for about 89 commercially insured children, with Anthem Blue Cross and Blue Shield covering the largest share of children enrolled in the FAST Forward program at 25.
Morissa Henn, deputy commissioner at DHHS, said New Hampshire has spent five years studying the issue and that taxpayers need not continue covering services that should be paid for by private insurers.
“The need is urgent and the status quo is not sustainable,” she said. “Families with commercial insurance coverage cannot keep waiting, and taxpayers cannot continue absorbing the cost of clinically necessary services for our children that should be covered by private insurance.”
While the annual cost for a child in FAST Forward ranges from roughly $45,000 to $65,000, an inpatient psychiatric stay, such as at Hampstead Hospital, can cost about $1,500 per night.
Hunt said on the House floor that, although the program is effective, some of its services extend beyond traditional mental health care, including respite care for caregivers and assigning a case worker.
Hunt said he believes the program would be more appropriately funded through Medicaid.
“Personally, I think the FAST Forward program should be funded by Medicaid,” he said. “If it’s good enough for kids who are on Medicaid, it should be good enough for kids who have health insurance.”
New Hampshire
Going with the flow in New Hampshire’s Lakes Region – The Boston Globe
As the famous saying goes: “The best laid plans of mice and men often go awry.” And as all frequent travelers know: Things never go according to plan.
We thought our timing was perfect for an early summer family getaway to Lake Winnipesaukee in New Hampshire’s Lakes Region. We had three kids in tow, ages 11, 8, and 6, who were unexpectedly out of school one week earlier than most other school districts in New England. What a coup! We’d have the Lakes Region practically to ourselves before the summer crowds and family vacationers arrived.
Located about two hours from Boston, just south of the White Mountains, this picturesque region is dotted with more than 270 bodies of water and surrounded by rolling hills and rural farmlands. Lake Winnipesaukee is its hub and centerpiece. From bustling Meredith on the west side of the lake to quaint Wolfeboro on the eastern edge, there are plenty of activities for a great family vacation around this sparkly blue, 72-square-acre lake, affectionately known as Lake Winni. We thought of picnics on the beach, nature walks, boat rides, maybe a visit to the giant Funspot arcade and a round of mini golf, and, of course, an uncrowded, unhurried visit to Weirs Beach and its lakefront boardwalk. We packed our swimsuits, swimming clogs, and hiking boots, and hit the road.
“Wow, there are a lot of motorcycles on the road,” the 11-year-old said from the backseat. “It’s so loud!” shouted the 6-year-old, as a large group of motorcyclists rumbled past us. Hmm. There were a lot of motorcyclists heading in the same direction that we were. Surprise! It was Laconia Motorcycle Week, the world’s oldest motorcycle rally, celebrating its 103rd anniversary. The eight-day event, centered around the Lakes Region, typically attracts up to 300,000 people. Well, this would change things.
The saving grace turned out to be our choice of lodging, The Steele Hill Resort in Sanbornton, a former dairy farm spread across 500 acres, overlooking Lake Winnisquam with distant views of Lake Winnipesaukee (summer starting room rates $220). Initially, we were a little wary of the location, a bit away from the center of Lake Winni action, about a 30-minute drive to Weirs Beach and the town of Meredith. But we were enticed by the resort’s ultra family-friendly amenities. First, were the accommodations, featuring modern two-bedroom suites, with full kitchens, separate living areas, in-room laundry facilities, and private balconies. Second, were the resort’s extensive facilities, including two outdoor pools with hot tubs and large poolside lounging areas, and two indoor pools including one 30,000-square-foot complex with a large pool and water slide, kiddie pools, and hot tubs. There were playgrounds, outdoor grills and picnic areas, a nine-hole golf course, a fishing pond, laser tag, sports courts, bike rentals, walking trails, and a slew of daily activities that included nature scavenger hunts, arts and crafts, ice cream socials, s’mores, and more. There were also a restaurant and lounge on-site. The fact that the resort was tucked away from the most popular centers turned out to be a lucky choice given that it was Bike Week. It became our welcome oasis during our three-night, four-day getaway.
The days worked into an easy cadence. We’d have breakfast in the suite, spend a couple hours at the pool, and head out for a daily excursion, returning in the afternoon for more pool time, games, and dinner. We deviated one day for breakfast at the quirky and old-fashioned Heritage Farm Pancake House in Winnisquam. It’s a rustic, working sugarhouse and petting farm with pancakes and their own wood-fired maple syrup, fresh eggs, bacon, and sausage served family-style from large platters.
Of course, we went to Weirs Beach early one morning. The Main Street, closed to cars during Bike Week, was clogged with hundreds of motorcycles, and lined with vendors selling T-shirts and biker gear. It made for great people watching, and interesting comments from the kids. Out of the mouths of babes: “There are a lot of people with a lot of tattoos!” “And a lot of old men with beards!” We grabbed fresh squeezed lemonades and walked to the beach, which was blissfully uncrowded.
Bike Week or not, Weirs Beach is known for its honky-tonk, party atmosphere, filled with souvenir shops and casual bars and restaurants. It has a scenic boardwalk with views of Lake Winnipesaukee and is the starting point for a one-hour train ride along Paugus Bay to Lakeport and back. This is also where you can board the historic M/S Mount Washington for a narrated cruise of Lake Winni. It’s a nice way to get on the lake, with lots of history and local lore thrown in.
There was mini-golf (Pirate’s Cove is the best option with courses in Winnisquam and Meredith), a hike up West Rattlesnake Mountain, an easy 1.7-mile or so out and back trek with great views from the top, and a visit to Funspot, holding the Guinness Book of Records title as the largest arcade in the world by number of games, more than 600 at last count. We all had a blast.
“Can we go to the pool?” the kids pleaded on our last day, as we were checking out. We did, and we also stopped for one last vacation activity, a visit to Squam Lakes Natural Science Center, which we thought might be a nice contrast to the arcade, mini-golf, and Weirs Beach activities. We took the self-guided tour along the Live Animal Exhibit Trail, an easy ¾-mile walk through meadows, forests, and marshlands, with hands-on exhibits about local flora and fauna, and views of rescued and rehabilitated black bears, bobcats, river otters, raptors, and more. And it was blissfully quiet and uncrowded.
Our timing wasn’t perfect, but sometimes you just gotta go with the flow and fall into a little luck (looking at you Steele Hill.)
“Look! More motorcycles!” the kids screamed from the back seat. Yep, they were all heading north while we traveled south, heading home. For more information, visit www.lakesregion.org.
Diane Bair and Pamela Wright can be reached at bairwright@gmail.com
New Hampshire
Charges dropped against former Olympian Bode Miller
Gold medalist Bode Miller of the United States celebrates after the Alpine Skiing Men’s Super Combined Slalom on day 10 of the Vancouver 2010 Winter Olympics at Whistler Creekside on February 21, 2010 in Whistler, Canada. (Photo by Clive Mason/Getty Images)
New Hampshire
A mom is thankful for Dismas Home – which is expanding recovery services to Rochester
On Tuesday morning a ribbon-cutting ceremony and tours ushered in what will be a new recovery home in Rochester.
Dismas Home started operating out of Manchester, but they’ve expanded their services to Rochester, soon offering 28 beds between the two cities. Cheryll Andrews, executive director of Dismas Home of New Hampshire, said the goal is to one day put a home in every county in the state.
“Our founder, Julie McCarthy Brown wants a home in every county before she passes away,” Andrews said.
Dismas Home offers women who have been involved with the criminal justice system evidence-based substance use treatment programs and helps them establish independent living. Women who participate in Dismas Home can stay up to 15 months. The home is also staffed 24/7 and offers mental, behavioral, and physical health support.
Andrews said there’s already a waitlist to get in. The home gets referrals from court systems, county and state jails, and defense attorneys. They require people fill out an application, where they are vetted before becoming accepted into the program.
Andrews said Dismas Home differs from other treatment facilities that may work only with women with children by allowing women who don’t have children or aren’t with them to attend their program.
“We don’t serve women with children, we serve [women] who want them back,” Andrews said.
Andrews said about 67% of the women who enter the program complete it and 90% of those that do stay sober for the long term.
Alacia Linville graduated from Dismas Home’s program in Manchester. She was homeless when she went to jail in Belknap County in 2019. She said she had been to jail before for short periods of time but this time she was in for eight months for the sale of methamphetamine.
“After about my third month in, I started to think I need an aftercare plan,” Linville said. “I had gone to treatments numerous times and none of them had worked.”
Linville said a case manager referred her to Dismas Home in Manchester where she ended up staying over 15 months, starting in 2020.
She said she was hesitant at first. Manchester was the city she was using in, she hadn’t tried an aftercare program before and she thought it would end up being more of a transactional situation but she said she was surprised to find they gave her the help she needed.
“The support, that was different this time,” Linville said. “I was used to going into programs, getting the support, getting out – I was homeless again.”
Linville moved to Hampton after her time at Dismas Home and stayed at Magnolia House as she addressed other charges she had from Rockingham court. She said Dismas Home helped her navigate dealing with them.
She said it feels good to say she’s been sober. She said she has been since 2023 but found recovery in 2019. It was a year into her sobriety that she said she felt she knew she could continue to do it.
She now lives with her 2-year-old daughter Jocelyn and fiance in Newmarket.
“I look at my family today and I just can’t imagine, like ever moving backwards,” Linville said.
Dismas Home in Rochester is expected to start housing women in early August. The home still needs to be licensed, furnishings need to be placed and some construction is still undergoing.
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