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NH hospitals, Gov. Sununu, lawmakers in standoff with healthcare system at stake

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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. 

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“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.

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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.

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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. 

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“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.

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“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.



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2 transgender girls drop NH lawsuit after Supreme Court ruling, personal hardships

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2 transgender girls drop NH lawsuit after Supreme Court ruling, personal hardships


Two transgender girls who were the first to challenge President Donald Trump’s executive order, “Keeping Men Out of Women’s Sports,” have withdrawn their lawsuit in New Hampshire based on a recent U.S. Supreme Court ruling that upheld state bans on transgender athletes in girls’ sports and their own personal hardships, their lawyer said.

“This case was always about two courageous young girls who simply wanted the same opportunities as their peers to participate in school life,” their lawyer, Chris Erchull of GLAD Law, said in a statement Thursday. “Their willingness to stand up to extraordinary hostility made clear the human cost of laws that target transgender youth.”

The teenagers, Parker Tirrell and Iris Turmelle, took on Trump’s executive order last year, amending their 2024 complaint against New Hampshire’s law on banning transgender girls from school sports. A federal judge had granted a court order allowing them to play as the case proceeded.

For Tirrell, it meant being able to keep playing on her high school girls’ soccer team. For Turmelle, it was having a chance to try out for different sports.

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Both sides agreed to pause the case and wait for a ruling from the Supreme Court as it considered similar state laws barring transgender girls and women from playing on school and college athletic teams in Idaho and West Virginia. Last month, the court upheld the laws. It also said that barring transgender girls and women doesn’t run afoul of the federal law known as Title IX, which prohibits sex discrimination in education.

Several key rulings came out of the U.S. Supreme Court on Tuesday, including a block on the president’s executive order ending birthright citizenship.

One teen and her family decided to move from New Hampshire

Turmelle and her family moved out of New Hampshire last summer following proposed legislation against transgender people. One measure signed into law by Republican Gov. Kelly Ayotte last year prohibits medical professionals from providing puberty blockers and hormone replacement therapy to new transgender patients under age 18.

“Though there may be a carve-out for people already receiving gender-affirming care, that is way too close a call for us to risk staying,” Turmelle’s mother, Amy Manzetti, wrote in an op-ed piece at the time. “Other New Hampshire laws also seek to erase her.”

Most Republican-controlled states in the past five years have adopted laws or policies limiting gender-affirming care for transgender minors and limiting which school bathrooms transgender people can use, as well as sports restrictions. The Williams Institute at UCLA estimates that about 3% of youth ages 13 to 17 identify as transgender.

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“The challenges with relocation are significant and burdensome — this includes having to find new employment, buying and selling homes, packing and moving possessions, integrating kids with a new school system, losing access to longstanding family and friends, and potential loss of income,” Corinne Goodwin, the executive director of Eastern PA Trans Equality Project in Pennsylvania, said in an email.

The Supreme Court ruled 6-3 against two transgender students who sued to overturn their states’ bans against playing on girls’ and women’s teams.

“But these families do so because they love their kids and know that supporting them with the care and opportunities they need is critical to their long-term success and happiness.”

The other teen gave up playing soccer at high school

Tirrell, 17, began her junior year last fall on the girls’ junior varsity soccer team. Things were fine at first, and each time she scored a goal, she got a round of ice cream from her parents. But a few weeks into the season, she decided to stop playing.

“With all of the political stuff going on, soccer wasn’t just about the game anymore,” her mother, Sara Tirrell, told The Associated Press in an interview.

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It became more about preparing for the possibility of conflict.

“Were there any local Facebook groups where they were sort of agitating about potential protests and how do we prepare, and what are we walking into, and we never kind of knew,” she said. “We were on a lot of pins and needles, especially after the previous season.”

She was referring to a controversy at an away game where two dads from an opposing team were banned from school grounds for wearing pink wristbands marked “XX” to represent female chromosomes. They sued the school district and a judge ruled against them. They have appealed their case.

Last fall, there was an increased presence of school administrators at the games and bus drivers pulled in closer to the field so the students weren’t in the parking lot, she said.

“Parker didn’t talk about it a lot, but I think she could see that stress for everybody — for her, for her teammates, for her coaches,” Sara Tirrell said. “She felt kind of bad about pulling them all into that circus again. And so she ultimately said, ‘This isn’t fun anymore and I don’t want to do it.’”

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Parker’s father described the atmosphere as “palpable tension.”

Even playing on her own turf, “there would typically be a couple of police officers at the home games where there weren’t previously,” Zach Tirrell said.

In the past, Parker also played soccer in a recreation league and could still do so.

“But I think it all kind of still sort of weighs on her,” her mother said. “It’s the same group of kids that she plays with who, honestly, have been very supportive and love to have her on the team and have expressed that to her many times over. But I think she still has that worry in her brain around, ‘What are other people going to say and do if I show up at a game?’”

Parker’s parents hope she’ll return to playing soccer some day. In the meantime, “she plans to be around and use her voice to continue standing up to discrimination,” her mother said. “In some ways she’s had to grow up a lot faster than some of her peers.”

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Associated Press reporter Geoff Mulvihill in Haddonfield, New Jersey, contributed to this article.

Two students challenging New Hampshire’s ban on transgender athletes on girls sports teams will also fight President Donald Trump’s executive order, “Keeping Men Out of Women’s Sports,” after a judge approved their request Wednesday.

It’s believed to be the first time that the constitutionality of the executive order signed by Trump last week is being challenged in court, according to Boston-based GLBTQ Legal Advocates & Defenders, also known as GLAD Law, one of the groups representing the teens.

“The systematic targeting of transgender people across American institutions is chilling, but targeting young people in schools, denying them support and essential opportunities during their most vulnerable years, is especially cruel,” said Chris Erchull, a GLAD attorney.

Last fall, a federal judge in New Hampshire ruled that the two students can try out for and play on girls school sports teams while the teens challenge the state ban.

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A federal judge in New Hampshire ruled that two trans student athletes are temporarily allowed to play girls sports while their case plays out in court.

The families of Parker Tirrell, 15, and Iris Turmelle, 14, sued in August, seeking to overturn the Fairness in Women’s Sports Act that former Republican Gov. Chris Sununu signed into law in July.

Tirrell is a 10th-grade student who plays on her high school soccer team and Turmelle is a ninth-grade student who plans to try out for tennis in the spring.

“I love playing soccer and we had a great season last fall,” Tirrell said in a statement. “I just want to go to school like other kids and keep playing the game I love.”

Trump’s order last week gives federal agencies wide latitude to ensure entities that receive federal funding abide by Title IX in alignment with the Trump administration’s view, which interprets “sex” as the gender someone was assigned at birth.

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GLAD and ACLU of New Hampshire asked the judge for permission to add Trump, the U.S. Department of Justice, Attorney General Pamela Bondi, the U.S. Department of Education and acting Secretary Denise Carter as defendants.

An email seeking comment was sent to the White House Press Office.

In a brief order, U.S. District Judge Landya McCafferty said she “finds good cause” for the lawyers to amend the lawsuit.

The lawyers say Trump’s executive order, along with parts of a Jan. 20 executive order that forbids federal money from being used to “promote gender ideology,” subjects the teens and all transgender girls to discrimination in violation of federal equal protection guarantees and their rights under Title IX.

The lawyers also say the executive orders unlawfully subject the teens’ schools to the threat of losing federal funding for allowing them to play sports.

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Townsend man arrested in connection with two armed robberies in New Hampshire and New Jersey, authorities say – The Boston Globe

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Townsend man arrested in connection with two armed robberies in New Hampshire and New Jersey, authorities say – The Boston Globe


Authorities allege Joseph Sawyer brandished what appeared to be a handgun during a robbery at St. Mary’s Bank in Nashua, N.H., on June 12.Boston FBI

A Townsend man was arrested Wednesday night in connection with two armed bank robberies in New Hampshire and New Jersey last month, federal authorities said.

Joseph Sawyer, 52, was arrested by FBI Albany’s SWAT team after the bureau’s Boston office and Nashua, N.H., police learned he might be in upstate New York, FBI Boston said in a statement Thursday.

Investigators said the alleged robberies happened at St. Mary’s Bank on Northwest Boulevard in Nashua on June 12 and at a Chase Bank in Boonton, N.J., on June 27.

During both robberies, prosecutors allege Sawyer brandished what appeared to be a black semiautomatic handgun, ordered everyone inside the banks to get on the ground, and demanded their cell phones before stealing cash, according to a criminal complaint filed in New Hampshire federal court.

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The complaint alleges Sawyer stole $6,000 from the Nashua bank before fleeing in a Honda minivan. Investigators say he discarded a shopping bag containing the bank manager’s cell phone in a nearby parking lot before driving away.

Investigators linked the two robberies through surveillance footage and license plate reader data, according to court filings. Authorities allege the minivan was driven with stolen New Jersey plates during the Boonton robbery that were later replaced with Massachusetts plates registered to Sawyer’s late father.

Sawyer was charged with one count of bank robbery in New Hampshire, court records show. It was not immediately clear Thursday night if he is being represented by an attorney.

The case is being prosecuted by the United States Attorney’s office for the District of New Hampshire, the FBI said.


Breanne Kovatch can be reached at breanne.kovatch@globe.com. Follow her @breannekovatch.

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Trans athletes drop lawsuit to gain access to girls’ sports in New Hampshire after SCOTUS ruling

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Trans athletes drop lawsuit to gain access to girls’ sports in New Hampshire after SCOTUS ruling


A pair of trans athletes in New Hampshire have dismissed their lawsuit to challenge the state law that protects girls’ sports after the U.S. Supreme Court’s landmark Title IX ruling on June 30.

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The trans teenage plaintiffs, Parker Tirrell and Iris Turmelle, originally filed the lawsuit in 2024 to challenge a current New Hampshire state law prohibiting trans athletes from participating in girls’ sports. The lawsuit later expanded to add President Donald Trump’s administration to the defendants after Trump signed the “No Men in Women’s Sports” executive order on Feb. 5, 2025.

The lawyers for the trans athletes claimed Trump’s executive order, along with parts of a Jan. 20 executive order that forbids federal money from being used to “promote gender ideology,” subjects the teens and all transgender girls to discrimination in violation of federal equal protection guarantees and their rights under Title IX.

CLICK HERE FOR MORE SPORTS COVERAGE ON FOXNEWS.COM

A transgender athlete and the Supreme Court (Getty Images)

The U.S. District Court for the District of New Hampshire then ruled last year that female athletes represented by Alliance Defending Freedom (ADF) attorneys were permitted to intervene in the case to defend the state’s women’s sports law and the administration’s executive orders.

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Now, after the Supreme Court’s landmark ruling, which protects state laws that ensure only females compete in girls’ sports, there is no room for the trans teens to fight the law in New Hampshire.

“Women and girls deserve privacy, safety, and equal opportunities. That can’t happen when males are competing in women’s sports, taking spots on women’s athletic teams, and winning women’s championships,” ADF Senior Counsel and Vice President of Litigation Strategy Jonathan Scruggs said in a statement provided to Fox News Digital.

USA POWERLIFTING, ONCE IN TRANS ATHLETE LAWSUIT, SUPPORTS SCOTUS RULING: ‘LAW HAS CAUGHT UP WITH THE SCIENCE’

“President Trump’s executive orders and New Hampshire’s law recognize common sense and track Title IX, the federal law that ensures equal opportunities for women in athletics. We are grateful this case is coming to an end and that New Hampshire is free to protect its female athletes.”

Fox News Digital has reached out to Tirrell and Turmelle’s attorneys at GLBTQ Legal Advocates & Defenders (GLAD) for a response.

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A protester waves a transgender pride flag outside of the U.S. Supreme Court Building on June 18, 2025 in Washington, DC. Advocates organized a rally in response the U.S. Supreme Court’s ruling in US v. Skrmetti, in which the justices ruled to uphold state bans on gender-affirming medical care for transgender youth. (Anna Moneymaker/Getty Images)

The SCOTUS rulings in West Virginia v. B.P.J. and Little v. Hecox, the high court upheld state laws requiring student-athletes to compete on sports teams that correspond with their biological sex at birth rather than their gender identity, in a 6-3 decision.

However, there are still 23 states, including California, New York and Massachusetts, that don’t have any such laws, and some of those have laws to protect trans athletes in girls’ sports.

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