Brought to you in part by: Dartmouth-Hitchcock

The Federal government announced today that New Hampshire’s application for a partnership health care exchange has been approved. Exchanges are the new marketplaces where individuals and small businesses will shop for health insurance starting in October of this year. 

The partnership means the N.H. Insurance Department will continue to regulate plans sold in the state. The Federal government will pay for and control the new marketplace website and the '1-800 call center'.

Todd Bookman / NHPR

    The public had its chance today to weigh in on the state’s decision regarding Medicaid expansion.

Nearly two dozen people, all in favor of expansion, testified in front of a committee of state lawmakers.

That included Susan Bruce, who lost her husband, and then her health insurance in 2009. Her part-time job offers no coverage.  

Bruce: "It is an odd position to be in. I don’t make enough money to afford to live, really, but I make too much money to qualify for Medicaid as it currently exists."

Soothing Cancer With The Arts

Mar 7, 2013
Liz Faiella/NHPR

A creative arts program at Dartmouth-Hitchcock Medical Center in Lebanon is helping cancer patients and their families deal with life-changing illness.

A top executive with one of New Hampshire's largest healthcare providers told a gathering of businessmen and women that they have a significant stake in how the state cares for low-income and uninsured residents.

Todd Bookman / NHPR

 Earlier today, public health advocates gathered inside the State House cafeteria--as good a place as any--to update lawmakers on initiatives aimed at combating obesity.

Healthy Eating Active Living, or HEAL NH, organized the forum. Community projects set up displays touting successes like playground gardens and improved sidewalks.

New Hampshire consistently ranks as one of the healthiest state in the nation, but Jeanie Holt with the NH Public Health Association says more investment is necessary.

Kindergarteners Learn ABCs, Adjust To MS

Mar 4, 2013
Todd Bookman / NHPR

Pam Sumner, blonde with a quick smile, was diagnosed ten years ago with multiple sclerosis. She’s reliant on a cane and easily fatigued. 

The 46-years old sends her husband to the grocery store, and when her son toured military colleges last spring, she found herself falling behind the group of parents and teenagers. But inside her kindergarten classroom at Rindge Memorial School, Sumner has no trouble keeping up with the 5 and 6 year olds.  

Todd Bookman / NHPR

New Hampshire consistently ranks as one of the healthiest states in the nation. But advocates say that masks an alarming rate of substance abuse, specifically among young adults.

And so, the Governor’s Commission on Alcohol and Drug Abuse is launching a new campaign to highlight the need for more resources.

Specifically, they want to see a greater percent of sales from state-owned liquor stores be allocated for counseling services.

For the past decade, lawmakers have instead used those funds to help balance the budget.

Hepatitis C Outbreak Prompts Legislation

Feb 21, 2013

State lawmakers are working on a measure to create a Registry Board for Medical Technicians. The action comes in the wake of last summer’s outbreak of Hepatitis C at Exeter Hospital that left 32 patients infected.

David Kwiatkowski, a traveling medical technician, allegedly injected himself with painkillers before reusing syringes on patients, transmitting the Hepatitis C virus.

Representative Tim Copeland is proposing a bill to create an oversight board for all med techs in the state.

Mental Health Math Doesn't Add Up For Hospitals

Feb 21, 2013
Todd Bookman / NHPR

In the 1950s, the state psychiatric hospital in Concord was home to about 2,500 adults. The manicured campus had it all, including a golf course, barber shop, skating rink.

“For some folks, they talk about those days like some of us talk about going to college," says Ken Norton, Director of National Alliance on Mental Illness in New Hampshire (NAMI-NH).

“There was bowling and movie theaters and different events at night. They had their friends there and they were very used to the way that the hospital functioned.”

Green MPs / Flick/Creative Commons

The new practitioners would be something between a dentist and hygienist. They’d be certified to clean, do fillings, pull baby teeth and a host of other procedures.

Hygienists would need an extra year of training, and the supervision of a dentist to practice.

Some advocates say the new role is necessary to expand care to rural and poorer populations.

Update: Wednesday, February 13, 2013:

Rather than wait until the Friday deadline, Governor Hassan sent a letter today to the Federal government declaring the state's intent to enter into a partnership exchange. 

In a statement, the Governor said, "I do not believe it is in the best interest of our people to allow the federal government to impose a one-size-fits-all exchange on New Hampshire."


The Governor today affirmed that it’s her office that gets to make the final call regarding the type of health insurance exchange New Hampshire operates.

Public Has Its Say On Medicaid Expansion Bill

Feb 5, 2013
Todd Bookman / NHPR


New Hampshire’s Medicaid program currently insures poor children, the disabled and low income pregnant women.

But after a U.S. Supreme Court ruling on the Affordable Care Act, the state must decide if it wants to expand the program to adults that earn less than $15,000 a year: roughly 58,000 people in New Hampshire.

According to Representative Bill O’Brien, the state just can’t afford to cover those extra people.

N.H. Health Exchange Remains In Limbo

Feb 4, 2013

With a February 15th deadline looming, a group of lawmakers met today to discuss the direction of the state’s health insurance exchange. But the committee meeting produced more questions than answers.

The state needs to decide, and soon, if it will partner with the Federal government to run a new insurance exchange. For his part, Insurance Commissioner Roger Sevigny told a legislative oversight committee that he supports the partnership option.

Todd Bookman / NHPR

Nursing homes around the country are under pressure from the Federal government to reduce their use of antipsychotics. 

J. Ronald Lee / Flickr Creative Commons


  A study finds excessive alcohol consumption is costing the state just over $1.1 billion annually due to factors such as lost worker productivity and medical costs.

The statewide nonprofit advocacy group New Futures put together the study, which also contains several policy recommendations.

Chief among them is incorporating alcohol treatment into Medicaid expansion. But Tricia Lucas with New Futures says that is dependent on lawmakers moving forward with expansion, something they will consider this session.

State Gets Failing Marks On Tobacco Report Card

Jan 16, 2013
Justin Shearer / Flick/Creative Commons

A new report out from the American Lung Association gives New Hampshire a failing grade on smoking prevention efforts. 

The state received a 'D' on smoke-free zones in public spaces, an 'F' on tobacco prevention spending, and a 'C' on cessation efforts.

Lee Gilman, Senior Director with the Association, says the state also needs to rethink its low tobacco tax.

A University of New Hampshire study finds that while poverty rates stabilized after the recession, recipients of the Supplement Nutrition Assistance Program, or SNAP, continued to rise.

The study was conducted by researchers at the Carsey Institute.

In 2011, 13 percent of American households relied on SNAP, a program formerly known as food stamps. That’s compared to roughly 8 percent in 2007.

Mental Health Advocates Push For $37M In Funding

Jan 15, 2013

Advocates for the state’s mental health centers say the state hasn’t lived up to its own plan to improve services in the state. And this week, they’re calling for more than $37 million in increased funding to support a stretched system.

The state’s 10-year plan, called ‘A Strategy For Restoration,’ came out in 2008. It called for major investments in the state’s mental health system, and was hailed as a great step forward. But 5 years into the initiative, advocates say the state has actually slid backwards.

Lawrence Jackson / via Wikimedia COmmons

Supporters of the Violence Against Women Act (VAWA) like to point out that since its passage in 1994, incidents of domestic violence are down by more than 50% nationwide.

But they also say this isn’t about stats, this is about people like Carrie Ann, who requested that her last name not be used.

"The abuse that I encountered was physical, mental, and sexual," she says. "It was constant, day-in-day out. By the end, I was virtually a prisoner. I wasn’t allowed to control my own finances. I couldn’t leave without fear that something truly horrific was going to happen."

Study: Childhood Obesity Rates Decline In N.H.

Jan 14, 2013

For the first time in recent years, obesity rates have gone down in New Hampshire children. The Centers for Disease Control’s first national study on childhood obesity finds that 14.2 percent of preschool-age children in the state are obese, down from 15.6 percent in 2003.

José Montero, Director of Public Health Services at the New Hampshire Department Of Health and Human Services, sees the decline as modest, but encouraging.

To Expand (Medicaid) Or Not To Expand

Jan 11, 2013

Lawmakers will decide this spring whether to expand the state’s Medicaid program to include childless adults making less than roughly $15,000. To make sure they have all the information they need, the Department of Health and Human Services commissioned a study to look at the effects.

We poured over the 61-page report, and boiled it down to these 5 takeaways.

istock photo

A last minute deal to avert the fiscal cliff contained bad news for the future of health co-ops.

The Affordable Care Act set aside $6 billion to be used as loans for new non-profit, customer-owned insurance plans. The idea was that each state would have a health co-op that could compete with traditional insurers, in theory, driving down prices.

Advocates for mental health services say the state’s plan to re-open 12 beds at New Hampshire Hospital doesn’t go far enough to improve care. Representatives from more than a dozen organizations gathered today in Concord, and described a system stretched beyond its limits.

And they want New Hampshire lawmakers to know that no other medical condition gets treated this way.

The Alzheimer's Café: Unforgettable Therapy

Jan 3, 2013
Todd Bookman / NHPR

Once a month, it’s a decidedly older demographic meeting here at the Children’s Museum in Dover.

A dozen or so seniors gather inside a brightly painted conference room. There’s coffee, cake and, this month, some live entertainment from 'The Sea Reeds,' a quartet of local clarinetists.

For Rhea Pereira, the music is a chance to sing along with friends. She and her husband John moved here from Florida three years ago, when Rhea began experiencing memory problems. 

Whooping Cough Hits N.H.

Dec 26, 2012

Pertussis starts like a cold, but after a week or so, it leads to severe coughing fits that can take weeks to shake.  It’s also called ‘whooping cough’ because patients make a high-pitched whoop sound as they suck in air.

There are 222 confirmed cases in the state this year, the highest levels since 2006.

Can Penalties Help Keep Patients Healthy?

Dec 20, 2012
Studio Tempura / Flick/Creative Commons

If you’ve just gotten released from Concord hospital, Carriane Wood may be giving you a call.

“Do you have any questions or anything?” she asks a patient.

“It’s at 9:30 on Thursday.”

Wood is a medical assistant, and she’s working her way through a list of recently discharged patients, calling each one to confirm follow-up appointments, and making sure they understand any new prescriptions.

These phone calls are part of a larger movement at hospitals throughout the state and country to reduce hospital readmissions.

Todd Bookman / NHPR

About 20 years ago, Bob Vecchiotti developed something called foot neuropathy. It’s a neurological condition that left his feet numb. Sometimes they would tingle or burn.

“But then the pain was getting to the point that I was losing concentration and sleep, and I decided we need to do more,” says Vecchiotti. “That’s when my primary care physician, working with a compound pharmacist, was able to come up with something that worked.”

Vecchiotti is a business consultant in Peterborough. He was somewhat skeptical of compounding.

N.H. Ranks Third In Overall Health

Dec 11, 2012

A new report from the Minnesota-based United Health Foundation ranks New Hampshire the third healthiest state in the nation.  That’s down a spot from last year. The report weights a variety of factors, including infant mortality, obesity, high school graduation rate and levels of violent crime.  Vermont ranked first in the nation for the sixth straight year.

Report: State Ranks Last In Anti-Smoking Efforts

Dec 7, 2012
Justin Shearer / Flick/Creative Commons

A new report ranks New Hampshire last in the nation when it comes to funding anti-smoking programs.

The Campaign for Tobacco-Free Kids annual release says that New Hampshire allocated zero state funds for tobacco prevention efforts this fiscal year.

That’s despite the fact that the state collected more than $250 million dollars in tobacco tax revenue combined with the state’s portion of a 1998 settlement agreement.