Revision: Jan. 16, 2020, 9:11 a.m.
SB 718-FN-A - AS INTRODUCED
2020 SESSION
20-3076
01/04
SENATE BILL 718-FN-A
AN ACT relative to the New Hampshire state health improvement plan and making an appropriation therefor.
SPONSORS: Sen. Sherman, Dist 24; Sen. Fuller Clark, Dist 21; Rep. Campion, Graf. 12; Rep. Marsh, Carr. 8; Rep. McMahon, Rock. 7; Rep. Salloway, Straf. 5
COMMITTEE: Health and Human Services
-----------------------------------------------------------------
ANALYSIS
This bill requires the commissioner of the department of health and human services to develop a state health assessment and a state health improvement plan. This bill establishes the state health assessment and state health improvement plan advisory council to assist the commissioner in this endeavor. This bill makes an appropriation for the purposes of the bill.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
20-3076
01/04
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty
AN ACT relative to the New Hampshire state health improvement plan and making an appropriation therefor.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Purpose Statement; Intent. The general court hereby recognizes the health and wellness priorities set forth by the state health assessment and state health improvement plan advisory council which was charged with developing the New Hampshire state health improvement plan. Established in 2019 by the commissioner of the department of health and human services, the council seeks to develop a plan to attain equitable opportunity for all New Hampshire families and individuals, regardless of age, to flourish and achieve optimal mental, physical, social, and emotional wellness in their communities, where they live, learn, work, play and age. The purpose of the state health improvement plan is to improve health outcomes, reduce disparities and strengthen public health and human services delivery systems with a focus on the social determinants of health. Bringing both their experience and dedication, it is also the legislative intent that current members serving on the ad hoc state health assessment and state health improvement plan advisory council shall continue their membership and be appointed to serve on the newly established council coterminous with their remaining term.
2 New Subdivision; State Health Improvement Plan. Amend RSA 126-A by inserting after section 80 the following new subdivision:
State Health Improvement Plan
126-A:81 State Health Improvement Plan.
I. The commissioner of the department of health and human services shall, in consultation with the state health assessment and state health improvement plan advisory council established in RSA 126-A:82, develop a state health assessment and a state health improvement plan.
II. The state health assessment shall:
(a) Describe the status of health and well-being in New Hampshire.
(b) Utilize input from state and local level stakeholders obtained through public forums.
(c) Identify disparities in health outcomes.
(d) Map health care service delivery, utilization, inter-entity collaboration, and identification of gaps or redundancies.
(e) Utilize existing data for statewide and local planning.
(f) Identify priorities for the state health improvement plan.
III. The state health improvement plan shall guide the department in assessing, planning, implementing, and monitoring improvement in the health and well-being of New Hampshire’s population.
IV. The state health improvement plan shall focus on strategies to:
(a) Improve health outcomes and reduce inequities; and
(b) Strengthen public health and human service delivery systems.
V. The state health improvement plan shall identify priorities and evidence-based practices, integrate services, and leverage resources across the state.
VI. The department shall make publicly available through an Internet website an analysis pertaining to state health assessment indicators, identification of state health priorities, goals, and the development of the state health improvement plan.
VII. The information made available shall be maintained as a public resource for decision making and policy analysis by state and local health and human service entities, housing developers, municipalities, policy makers, the public, and other entities as they consider health improvement planning and health in all policies.
VIII. The information shall also be used by the department to align planning, integrate services, and leverage resources across the department.
IX. The commissioner, in consultation with the state health assessment and state health improvement plan advisory council, shall release to the public, the state health assessment no later than 12 months and the state health improvement plan no later than 24 months after the effective date of this section. The plan shall be reviewed annually and updated every 5 years, or earlier if determined necessary to carry out the charge of the plan.
126-A:82 State Health Assessment and State Health Improvement Plan Advisory Council Established.
I. There is hereby established a state health assessment and state health improvement plan advisory council. The membership of the council shall be diverse with respect to race, ethnicity, geography, and age as follows:
(a) Two members of the house of representatives, appointed by the speaker of the house of representatives.
(b) One member of the senate, appointed by the senate president.
(c) The commissioner of the department of health and human services, or designee.
(d) The commissioner of the department of education or designee.
(e) The commissioner of the department of insurance or designee.
(f) The commissioner of the department of safety or designee.
(g) The commissioner of the department of corrections, or designee.
(h) The New Hampshire attorney general or designee.
(i) The director of the division of public health services, department of health and human services, or designee.
(j) The chairperson of state commission on aging, or designee.
(k) The director of the Manchester health department, or designee.
(l) A representative from the New Hampshire Public Health Association, appointed by the association.
(m) A representative of the New Hampshire Alliance for Healthy Aging, appointed by the alliance.
(n) A representative of the North Country Health Consortium, appointed by the consortium.
(o) A representative of the New Hampshire Fiscal Policy Institute, appointed by the institute.
(p) Two representatives from housing entities, appointed by the commissioner of the department of health and human services.
(q) Two representatives of hospitals located in New Hampshire, appointed by the New Hampshire Hospital Association.
(r) A representative of a federally qualified community health center, appointed by the Bi-State Primary Care Association.
(s) A psychiatrist or psychologist licensed in New Hampshire, appointed by the commissioner of the department of health and human services.
(t) A physician, appointed by the New Hampshire Medical Society.
(u) An advanced practice nurse practitioner licensed in New Hampshire, appointed by the New Hampshire Nurses Association.
(v) A representative of municipal government, appointed by the New Hampshire Municipal Association.
(w) A school superintendent, appointed by the New Hampshire school Administrators Association.
(x) A representative of a peer recovery program, appointed by the commissioner of the department of health and human services.
(y) An environmental health researcher from a New Hampshire college or university, appointed by the commissioner of the department of health and human services.
(z) A representative of a philanthropic organization, appointed by the commissioner of the department of health and human services.
(aa) A substance use disorder treatment provider, appointed by the New Hampshire Providers' Association.
(bb) A community action program representative, appointed by the New Hampshire Community Action Partnership.
II. The council may solicit information and participation from any person or entity determined necessary by the council in the performance of its duties. The council shall be administratively attached to the department.
III. Members of the council appointed under subparagraphs II(a) through (j) in this section shall serve a term coterminous with their term in office. The members appointed pursuant to subparagraphs II(k) through (bb) in this section shall serve 6-year terms provided that initial appointments shall be for staggered terms of one to 6 years. Legislative members shall receive mileage at the legislative rate when attending to the duties of the council. The first-named senate member of the senate shall convene the organizational meeting of the council within 45 days of the effective date of this section for the purpose of electing officers. The chairperson shall be elected upon majority vote of the council. Sixteen members shall constitute a quorum.
IV. The chairperson may establish subcommittees upon majority vote of the council. Membership of the subcommittees shall be established by the chairperson upon majority vote of the council. If any member of the council is absent without previously being excused by the chairperson for 3 or more regular meetings, the member may be removed upon a majority vote of the council.
V. The commissioner, in collaboration with the council, shall submit an annual report to the president of the senate, the speaker of the house of representatives, the governor, the chairpersons of the house and senate committees having jurisdiction over finance and health and human services, and chairperson of the oversight committee on health and human services, established under RSA 126-A:13, by November 1 of each year, commencing on November 1, 2021, on its activities and including recommendations for legislation.
3 Appropriation; Department of Health and Human Services. The sum of $300,000 is hereby appropriated to the department of health and human services for the biennium ending June 30, 2021 for the purposes of this act. The governor is authorized to draw a warrant for said sum out of any money in the treasury not otherwise appropriated.
4 Applicability. To the extent possible, the members currently serving on the commissioners of the department of health and human services' ad hoc state health assessment and state health improvement advisory council shall continue their membership on the council established by RSA 126-A:82 in section 2 of this act.
5 Effective Date. This act shall take effect upon its passage.
20-3076
1/7/20
SB 718-FN-A- FISCAL NOTE
AS INTRODUCED
AN ACT relative to the New Hampshire state health improvement plan and making an appropriation therefor.
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
|
| |||
| Estimated Increase / (Decrease) | |||
STATE: | FY 2020 | FY 2021 | FY 2022 | FY 2023 |
Appropriation | $0 | $300,000 | $0 | $0 |
Revenue | $0 | $0 | $0 | $0 |
Expenditures | $0 | $300,000 | $0 | $0 |
Funding Source: | [ X ] General [ ] Education [ ] Highway [ ] Other | |||
METHODOLOGY:
This bill requires the commissioner of the Department of Health and Human Services to develop a state health assessment (SHA). One of the goals of the assessment shall be to, in consultation with the newly-established state health improvement plan council, develop a state health improvement plan (SHIP) to guide the Department in assessing, planning, implementing, and monitoring improvement in the health and well-being of the state population. The Department shall, via a website, make available analyses related to the SHA indicators, identification of state health priorities, and the goals and development of the SHIP. Per the bill, the SHIP will be reviewed annually and updated every five years, or earlier if needed. The bill appropriates $300,000 in the FY 2020/21 biennium for these purposes, and the Department has not identified any additional costs or funding that would be needed in later years. The Department has identified the $300,000 appropriation contained in the bill will all be expended FY 2021.
AGENCIES CONTACTED:
Department of Health and Human Services