New Hampshire
NH hospitals, Gov. Sununu, lawmakers in standoff with healthcare system at stake
New Hampshire’s 26 hospitals stand to lose millions in state payments for uncompensated care with the collapse Thursday of negotiations between the governor, lawmakers, and the hospitals. With a deadline fast approaching and a legislative fix seemingly off the table, a frustrated Gov. Chris Sununu has ordered the Department of Health and Human Services to arrange even deeper cuts to the hospitals than he initially offered.
By one estimate, the loss to hospitals could reach $35 million a year.
Steve Ahnen, president of the New Hampshire Hospital Association, called Sununu’s plan a “direct threat” to the hospitals.
“The governor scuttled a bipartisan solution on (Medicaid tax payments) in favor of massive, arbitrary and punitive cuts to hospitals,” he said in a statement Thursday evening. “In doing so, the governor is effectively raising the tax paid by hospitals, driving costs up for patients, and destabilizing our entire health care system.”
Ahnen did not say how hospitals intend to respond or whether they will take the state to court as they have twice before.
Senate President Jeb Bradley, who shepherded the now-failed compromise through the Senate, warned the same. “The viability of hospitals is at stake,” he told his House counterparts Thursday. “At the end of the day, our health care system, I think, is at stake.”
At issue is the nearly $320 million hospitals pay the state in Medicaid Enhancement Taxes (MET) annually. The state receives a federal match on that money and returns 91 percent of it to hospitals to help them cover primarily uncompensated medical care costs. This money is separate from the Medicaid reimbursements they get that cover part of their treatment costs.
The current arrangement, which was reached in 2018 as part of a lawsuit filed by the hospitals, expires at the end of June. Hoping to avoid another lawsuit from the hospitals, Bradley began negotiating late last year with hospitals, the governor, and other stakeholders on a legislative fix. Those negotiations took far longer than expected, Bradley said, so much so that the Senate passed its legislation just two weeks ago without time to let the House review it and hold its own public hearing.
Had that legislation succeeded, it appeared unlikely Sununu would have signed it.
Sununu said he was willing to continue returning 91 percent of the MET revenue to hospitals but wanted to distribute it differently. Those changes would have allowed the state to get a more generous match from the federal government, money Sununu wanted to give to non-hospital providers who care for Medicaid patients but do not pay the tax, including community mental health centers and substance use disorder clinics.
But Sununu’s plan would have left some hospitals with more money and some with less. For example, under one proposal, Lakes Regional General Hospital would have lost $2.5 million a year while Elliot Hospital would have gained nearly $2.9 million.
The hospitals objected to Sununu’s proposal and reached a compromise with the Senate. Under that deal, they would continue getting the 91 percent and an additional $14.3 million to make up for the lost revenue. About $5.7 million of that would have been state dollars, the rest federal.
Sununu said in a statement this week he was “fundamentally opposed” to using state money to boost the hospitals’ payments.
That deal fell apart Thursday when House and Senate negotiators decided they could not reach an agreement before they meet a final time next week. For House members, it was largely because the Senate’s legislation, tacked onto House Bill 1593, reached them so late.
“Everybody knew this deadline was coming,” Deputy House Speaker Steve Smith, a Charlestown Republican, said Thursday during negotiations. “Why didn’t you start working earlier so that it could have gone through the proper process and maybe I’d be sitting here with a smile and a yes today. But that’s not what happened.”
Like Sununu, Smith said the House could support much of the bill but not the measure giving hospitals an additional $5.7 million in state money.
Bradley acknowledged Smith’s complaint about the late hour but implored his House counterparts to sign on, warning them it would cost the state far more if the hospitals take it back to court.
“It’s really nobody’s fault that we are here on June 6 at the deadline (for negotiations),” Bradley said. “This is complicated. It’s contentious. It’s been subject to litigation. A lot of money is at stake.”
Sununu weighed in on the Senate’s proposal indirectly Wednesday in a letter to DHHS Commissioner Lori Weaver, which he shared publicly. He directed Weaver to tell federal Medicaid officials that the state would be returning only 80 percent of the MET revenue to hospitals.
He did so, he wrote, in anticipation of legislation failing. And as he has done consistently, Sununu blamed the hospitals for insisting on a deal that he said would prevent the state from giving non-hospital providers Medicaid funding and leveraging a higher financial match from the federal government.
“The hospitals have remained insistent upon an arrangement which crowds out other providers and greatly diminishes general fund savings.”
Ahnen responded in a statement late Wednesday.
“The proposal put forward by the governor results in an effective tax increase to those New Hampshire hospitals losing money over the current agreement, at a time when they are struggling financially,” he said.
This story was originally published by the New Hampshire Bulletin.
New Hampshire
Let’s Talk Nature: The Value of Conserved Land
Join us for a community conversation exploring how land conservation supports thriving communities, healthy ecosystems, and local economies. Recent research from Maine highlights the growing economic value of conserved lands — from supporting recreation, forestry, agriculture, and tourism to protecting clean water, storing carbon, and strengthening climate resilience. The findings reveal something important: protecting natural landscapes is not only good for the environment, but also for the people and communities that depend on them.
Together, we’ll explore what this research means both regionally and here at home. How do conserved lands shape our quality of life, local economy, and sense of place? How can communities balance growth, conservation, and long-term sustainability? And what role can each of us play in protecting the landscapes that support both nature and people?
At each “Let’s Talk Nature” gathering, we share a short article in advance and come together for an informal, welcoming discussion. Each session stands on its own, and everyone is welcome. No expertise needed. Bring your curiosity and a willingness to listen and share. Drinks and cookies provided.
Read this session’s article: Conserved Land in Maine has Growing Economic Power
Grey Rocks Conservation Center
10:30 AM – 11:30 AM on Wed, 1 Jul 2026
Event Supported By
Newfound Lake Region Association
603-744-8689
info@NewfoundLake.org
New Hampshire
High winds, heavy rains lead to scattered NH outages
High winds and widespread rain contributed to more than 12,000 power outages Saturday as a low pressure system passes over New Hampshire.
A high wind advisory remains in effect for southeastern New Hampshire until midday.
There is a high surf advisory in effect for the Seacoast area until 8 p.m. Saturday, with large-breaking waves in the range of 6-9 feet, according to the National Weather Service.
The forecast warns of dangerous wintry winds for hikers and campers, with heavy wet snow likely at higher elevations and a foot of snow possible on summits in the White Mountains.
In southeastern New Hampshire, the wind advisory calls for steady winds of 15-25 mph, and potential wind gusts up to 50 mph.
Eversource reported over 10,000 outages as of 9:30 a.m. Unitil had about 1,400 outages at that time.
The Mount Washington Observatory has recorded winterlike weather over the past 24 hours. Weather observers there say over half a foot of snow and sleet has fallen at the summit.
New Hampshire
Opinion: The farm bill passed the House. Western New Hampshire got the bill. – Concord Monitor
In 1794, George Washington wrote that he knew of “no pursuit in which more zeal and important service can be rendered to any Country than by improving its agriculture.” Two hundred and thirty years later, the House just passed a farm bill that proves his successors stopped believing it.
Drive Route 12 through Walpole. Take Route 10 up through Haverhill. Cut across to Littleton, past the diner that has been feeding the town since 1930. The farms are there. Lush land that produces. People who work till their sweat and blood soak the ground they nurture. A region with every ingredient to feed itself.
What is not there is the processing facility that makes it worth raising the animal. The cold storage that keeps the crop from spoiling before it finds a buyer. The regional market that pays a price worth planting for. I want to believe Washington did not forget to build those things. Regardless, it built something else instead — a system that works beautifully for an operation running 10,000 acres in the Midwest and leaves the farmer on Route 12 doing the math at the kitchen table at midnight wondering if this is the last season.
And the 2026 Farm Bill just made that system more expensive to survive. Large commodity operations received a $54 billion subsidy increase over the next 10 years, with individual payment caps that can exceed $900,000 per operation. Is the farmer at your farmers market in position for this kind of payout?
The bill guarantees money, codified by law, for the people who need it least. Local food programs were reauthorized with zero mandatory funding, but plenty of empty words. They exist on paper and nowhere else. It means a farmer in Plainfield cannot count on them. It means Coos County, where one in seven people cannot reliably put food on the table, keeps waiting for help that has been promised and deferred so many times the promise itself has become an insult. Especially when supermarkets and superstores — just 15% of SNAP-accepting establishments — vacuum up nearly 74% of every food assistance dollar, while the local farm stand sees almost none of it.
And that is before the input costs.
Local farmers know this better than most. You buy fuel and fertilizer on global markets you have no vote in and no say over. Russia invaded Ukraine in 2022, causing record high prices for fertilizers globally, all because Russia is the world’s top exporter and suddenly it wasn’t exporting. And while that news cycle is long buried, remember that the Iran war has closed the Strait of Hormuz, through which a third of the world’s seaborne fertilizer travels. Diesel recently crossed $5 a gallon, which large trucks that move food and tractors rely on. Fertilizer went from $500 a ton to $850. One tractor cost $350 more than it did last year. You did not start either of those wars, yet you pay for both of them. And that is not even accounting for the sharp sting of tariffs on the inputs you depend on to plant next season.
Chapter 12 farm bankruptcies rose 55% in 2024. Then another 46% in 2025, and those numbers only count the farms that qualified for Chapter 12, which requires the majority of family income to come from farming. The ones that don’t qualify quietly disappear, not even a balance sheet to mark the years of struggle, labor and community these farmers gave. They just stop. Since 2018, this country has lost more than 158,000 farms, with every size category shrinking except operations over a million dollars in annual revenue. Those are still growing, and will do so as long as the policy is written to grow them. Another example of an unlevel playing field where the rich get richer.
To be clear about something: large-scale agriculture feeds a lot of people and nobody sat in a room and decided to destroy the small farm. But does intent matter when these are the results? The system produces what it was designed to produce. That is exactly the problem. It was not designed with you in mind, and after enough years of that, the results look intentional even when they are not.
I got involved locally here because I believe western New Hampshire has everything it needs to feed itself and then some. Four thousand farms, nearly half a million acres, led by a direct-sales culture that leads the entire country. What is missing is not the land or the people or the will. What is missing is a representative who walks into bill negotiations fighting for the farmer on Route 12 instead of the operation collecting a $900,000 subsidy check in a state they have never visited, and pretending it actually helps their constituents.
I have a specific plan for how existing federal dollars already flowing into this district get redirected toward processing, storage and regional market access that actually serves the farms here. No new appropriations. No new programs. A full breakdown is at livefreenh02.com/food-independence.
Daniel Webster, born thirty miles from where I am writing this, put it in the Capitol: “The farmers, therefore, are the founders of human civilization.” Washington and Webster were not just statesmen. They farmed. They understood what was at stake when the land stopped producing for the people who worked it. The authors of the 2026 farm bill apparently do not.
Robbie Mahrou is an independent candidate for U.S. Congress in New Hampshire’s Second District and a Walpole resident. She can be reached out robbie@livefreenh02.com.
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