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The weight of caregiving in NH. Why we need SB 608: Sirrine

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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)

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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.

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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)

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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.



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As hoops betting spikes, it’s New Hampshire and other states vs. prediction markets

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As hoops betting spikes, it’s New Hampshire and other states vs. prediction markets


The state of New Hampshire receives revenue from sports wagers made with DraftKings, but officials are worried that people will switch to new prediction market platforms.

Zoey Knox/NHPR


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Zoey Knox/NHPR

Two things have New Hampshire state Sen. Tim Lang feeling blue.

“I do have a bracket. It broke pretty hard,” says Lang, a Republican, on the sorry state of his NCAA men’s basketball tournament predictions.

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He says he’s also concerned about the outlook for state revenues. New Hampshire legalized sports wagering in 2019, the year after the U.S. Supreme Court cleared the way for states to legalize and regulate sports gambling. Since then, the state has raked in more than $170 million through a partnership with the wagering company DraftKings. Big money in a small state.

The rise of Kalshi and Polymarket — major players in the fast-growing world of prediction markets — could put a dent in those revenues, Lang fears. He says he plans to introduce legislation as early as this week that would clear the way for New Hampshire to join states around the U.S. in suing the prediction market companies.

“We have a revenue model for our sports betting that allows us to pay for education and other state services that Kalshi is completely going around by avoiding our gaming laws,” he says. “They should not be able to skirt our state laws.”

States are suing to regulate prediction markets 

Prediction companies let customers buy “yes” or “no” futures contracts on the outcomes of world events, elections and, crucially for states, sports. Because the companies contend they’re operating as a financial market and not a sportsbook, the states don’t get a cut of the proceeds.

States including Connecticut, Michigan and Washington are in court battles with the prediction market companies. Arizona went so far as to charge Kalshi in criminal court for offering illegal sports wagers.

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Kalsi and Polymarket didn’t respond to a request for comment for this story. In legal filings, Kalshi has argued that it’s already regulated by the federal Commodity Futures Trading Commission and that having to operate in 50 different ways to appease 50 different states isn’t possible. The Trump administration, so far, backs that view.

Courts so far have handed down mixed rulings, leaving a messy situation on the ground, especially about what’s considered sports gambling.

The law is unsettled so far

“Is sports betting and prediction market synonymous, or are they sufficiently distinct that there should be different treatment under the law? I mean, that’s an open-ended question,” says Michael McCann, director of the University of New Hampshire’s Sports and Entertainment Law Institute.

Even with the prospect of lost state revenues, not everyone in New Hampshire is eager to clamp down on prediction markets. John Stephen, an elected Republican member of the council that oversees state contracts, likes the competition that prediction markets bring.

“Companies that are trying to make money, and this entrepreneurial spirit that we have in this country, I value that,” he says.

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Todd Bookman is a general assignment reporter for New Hampshire Public Radio.



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‘Bob’s Burgers’ actor Eugene Mirman rescued from fiery crash by New Hampshire governor’s detail

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‘Bob’s Burgers’ actor Eugene Mirman rescued from fiery crash by New Hampshire governor’s detail


BEDFORD, N.H. (AP) — “Bob’s Burgers” voice actor and comedian Eugene Mirman suffered serious injuries after crashing his car into a toll plaza and being pulled from the fiery wreckage by a state trooper assigned to protect the governor of New Hampshire.

The crash happened just before noon Tuesday when a northbound electric vehicle struck the Bedford Toll Plaza and caught fire, New Hampshire State Police said. Republican Gov. Kelly Ayotte and her security detail came upon the crash soon after, and a trooper and two others pulled Mirman from the burning car through a window, said State Police Col. Mark Hall. The governor, who left her vehicle and retrieved a fire extinguisher, was not in any danger, he said.

“Eugene was in a very scary car accident,” Mirman’s agent Jay Glassner confirmed in a statement Wednesday. “He wants to thank the bystanders, state police, first responders and hospital staff who saved him. He is grateful to be on the mend. At this time, we kindly ask for privacy for Eugene and his family as he focuses on recovering from his injuries.”

Hall called the actions of the rescuers “heroic.”

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“Without hesitation, they put themselves in danger to render aid to someone who was in need of it,” Hall said.

State police identified the driver as Yevgeny Mirman, 51, of Massachusetts. Mirman, who was born in Moscow and grew up in Massachusetts, is known for voicing musical middle child Gene Belcher in more than 300 episodes of the animated comedy “Bob’s Burgers” and its movie, in addition to roles on “Flight of the Conchords,” “Delocated” and “Archer.”

Ayotte said she and her husband were praying for the driver’s recovery.

“I want to thank the Trooper on my security detail and the bystanders who stepped up to help at the scene of the crash for their brave lifesaving efforts,” she said in a statement.

The crash remains under investigation. No charges have been filed.

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UNH Navigates DEI Commitments Amid State and Federal Pushback

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UNH Navigates DEI Commitments Amid State and Federal Pushback


As diversity, equity, and inclusion (DEI) initiatives face increasing scrutiny and legal challenges at the state and federal levels, the University of New Hampshire is reassessing how it maintains its institutional values while remaining compliant with the law.

Earlier this year, New Hampshire lawmakers passed House Bill 2, a sweeping budget bill that includes provisions limiting DEI-related programs at public institutions. The law has since prompted a lawsuit from the American Civil Liberties Union (ACLU) and advocacy groups representing LGBTQ+ students and educators, arguing that the restrictions could harm marginalized communities and limit educational opportunities.

According to the New Hampshire Bulletin, the legislation broadly restricts DEI initiatives in public institutions, creating uncertainty across schools and universities as leaders try to interpret what is and is not allowed.

Despite this shifting landscape, UNH administrators say the university remains committed to student success, inclusion, and academic freedom.

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“Diversity, equity, and inclusion at New Hampshire public institutions, and at some privates, are in flux because at the state and federal levels, these practices are being challenged,” said Dr. Nadine Petty, associate vice president for community, equity, and diversity at UNH. “Through this process, what is most central to UNH’s mission is to ensure academic freedom is protected, that student success and well-being remain at the forefront of decision making, and that all related initiatives continue to foster an inclusive campus where all employees and students, regardless of their backgrounds and identities, can thrive.”

Petty described HB2 as “vague and convoluted,” noting that some interpretations of the law appear to conflict with existing federal civil rights and equal employment laws.

“One interpretation leads us to assume the state wants us to take action that would violate existing federal Equal Opportunity in Employment laws, Civil Rights laws, and other laws on both federal and state levels,” Petty said. “Since we do not think the state wants us to violate any existing laws, UNH’s interpretation is tied to the spirit of what we believe the state is getting at, which is to uphold the anti-discrimination laws that have been on the books for decades now.”

In a December 2025 blog update, UNH leadership similarly emphasized that the university is reviewing programs to ensure compliance while maintaining its commitment to inclusion, academic freedom, and student success. The university noted that it would continue to evaluate initiatives carefully as legal challenges and guidance evolve.


According to Petty, UNH has focused on ensuring programs remain inclusive and non-discriminatory, rather than targeting specific demographic groups for state-funded services.

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“What’s interesting to note here is that without programs that address diversity, equity, and inclusion that educate people and build awareness, we likely would only promote the success of white, heterosexual, cisgender men over the success of others,” Petty said. “That is what higher education was founded on.”

Petty added that eliminating DEI-related services would disproportionately affect students from marginalized backgrounds, students she emphasized are also paying customers of the institution.

“It makes no sense to take their money and then decide we will not serve their needs,” Petty said.

At the federal level, Petty said recent rhetoric and policy shifts demonstrate what she sees as a widespread misunderstanding of DEI work.

“There is little to no understanding that diversity, equity, and inclusion covers a wide swath of demographic groups,” Petty said, pointing to veterans, students with disabilities, first-generation college students, and low-income families. “Yet that is exactly what has occurred with this administration’s anti-DEI rhetoric, whether intentionally or through a trickle-down effect.”

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Petty also pushed back against the idea that DEI prioritizes identity over merit.

“This is an icky and dangerous belief and far from the truth,” Petty said, citing her experience on hiring committees. “Candidates of color are often weeded out of the search process or are not chosen for hire for ‘concerns’ that are overlooked in their white counterparts.”

From a legal standpoint, Chad Pimentel, UNH’s general counsel, said the impact of recent DEI-related legislation has varied across institutions.

“New Hampshire has a long-standing law prohibiting preferential treatment based on membership in a number of groups,” Pimentel said. “That meant that some recent federal law changes, like the Supreme Court’s Students for Fair Admissions decision banning race-conscious admissions, changed nothing for UNH even though they prompted a lot of attention and changes at other institutions.”

According to Pimentel, the most significant effect has been the need for careful program review to ensure compliance with state and federal law, particularly given the lack of clarity surrounding what qualifies as “DEI-related.”

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“One of the trickiest areas is determining exactly what folks mean when they say that something is ‘DEI-related,” Pimentel said. “Programs that do not have ‘DEI’ in the title could still be affected by changes in the law.”

Pimentel added that ongoing legal challenges to the state law have left the university in a “wait-and-see mode.”

“The biggest challenge is the uncertainty of it all,” Pimentel said. “Once the dust settles, UNH and other public institutions will do what they have always done, support their students within the confines of the law.”

Petty said UNH has already made limited adjustments to program language and training content in response to the legislation. One example involved revising implicit bias training to emphasize that bias is a shared human condition rather than something tied to a specific group.

“The content was clear to begin with, but we thought it was important to be even clearer,” Petty said.

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Still, Petty stressed that laws cannot dictate how individuals treat one another on campus.

“The government may be able to legislate the words we use, the services we provide, and how we go about our work, but they can’t legislate how we engage with each other,” Petty said. “Our actions should be our testament, not some words on a webpage somewhere.”

Looking ahead, Petty said DEI at UNH will continue to be shaped by external forces, but the university’s core mission remains unchanged.

“We could not call ourselves a public institution if we did not work to meet the needs of all students,” Petty said. “We would find a way to reach our end goal, even if how we went about doing it needed to shift.”

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