Revision: March 12, 2020, 2:46 p.m.
SB 726-FN - AS AMENDED BY THE SENATE
03/12/2020 1042s
03/12/2020 1209s
2020 SESSION
20-2793
01/10
SENATE BILL 726-FN
SPONSORS: Sen. Morgan, Dist 23; Sen. Sherman, Dist 24; Sen. Bradley, Dist 3; Sen. Birdsell, Dist 19; Sen. D'Allesandro, Dist 20; Sen. Rosenwald, Dist 13; Sen. Fuller Clark, Dist 21; Sen. Cavanaugh, Dist 16; Sen. Carson, Dist 14; Sen. Chandley, Dist 11; Sen. Morse, Dist 22; Sen. Soucy, Dist 18; Rep. Woodcock, Carr. 2; Rep. Allard, Merr. 21
COMMITTEE: Education and Workforce Development
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AMENDED ANALYSIS
This bill
I. Requires the commissioner of the department of health and human services to develop and operate a veteran health navigator training program for the existing veterans service officers under the department of military affairs and veterans services to provide veterans and their families with increased access to health care and mental health services.
II. Requires the commissioner of the department of employment security to publish a monthly workforce needs assessment report for veterans.
III. Requires the adjutant general to take steps to increase veterans' awareness of the military skills test waiver program; increase acceptance of military training and experience towards the licensing requirements in certain occupations and professions; and establish an end veterans homelessness program.
IV. Requires the university system and community college system of New Hampshire to award college credit for military training courses completed and to increase flexibility in application and course registration procedures for veterans.
V. Requires the adjutant general to review expanded training and apprenticeship programs for providing job training for veterans and to submit a report detailing the findings.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
03/12/2020 1042s
03/12/2020 1209s 20-2793
01/10
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Name of Act. This act shall be known as the Veterans Bill of Rights.
2 New Subdivision; Access to Health Care and Mental Health Services for Veterans. Amend RSA 126-A by inserting after section 80 the following new subdivision:
Access to Health Care and Mental Health Services for Veterans
126-A:81 Access to Health Care for Veterans; Navigator Training Program.
I. In this subdivision, "veteran" means veteran as defined in 38 U.S.C. section 101(2).
II. The commissioner, in coordination with the adjutant general, shall develop and operate a veteran health navigator training program to increase access to health care coverage and services for veterans. The commissioner shall identify, train, and deploy veteran health navigators who have direct knowledge of the veteran communities they serve. For the purposes of the training program, the commissioner shall use the veterans service officers currently employed by the department of military affairs and veterans services. The veteran health navigators shall help identify all federal and other health benefits, coverage, and services available to veterans and their families. Veteran health navigators shall coordinate with relevant departments, health care providers, and health insurance programs to help veterans and their beneficiaries apply for coverage under such programs, including helping veterans overcome barriers within the health care system to ensure enrollment in health plans and effective delivery and coordination of health services. The activities under this program shall use existing resources and structures where veterans and their families are likely to be found.
III. Using the veteran health navigator training program under paragraph I as a source of information about the needs, coverage, and treatment gaps faced by veterans and their families, the commissioner shall examine all existing programs designed to increase access to affordable quality health care and to evaluate whether the needs of veterans and their families are met by those programs or whether further coordination with the veteran health navigators or other steps would better meet such needs. The commissioner shall execute any necessary steps identified under this paragraph.
126-A:82 Access to Mental Health Services for Veterans.
I. The veteran health navigators shall identify all federal and other mental health benefits, coverage, and services available to veterans and their families, including for post-traumatic stress disorder, depression, and suicide prevention.
II.(a) In coordination with local, state, and federal governmental agencies, in consultation with nonprofit corporations, service providers including Veterans Affairs Medical Centers, the United States Department of Veterans Affairs, localities, and cities that have an effective prevention and treatment system for mental health, the commissioner shall develop and implement a strategy to reduce barriers to access to mental health services and treatment for veterans and their families by:
(1) Identifying structural and logistical barriers to accessing treatment, including perceived stigma, long out of state travel distances to receive care, and any other barriers.
(2) Resolving all barriers identified in subparagraph (1) that can be resolved without legislative or budgetary action, including through increased coordination between departments, nonprofit providers, and the federal government, application for and use of private and federal grants, and other actions.
(b) The commissioner shall submit an annual report containing additional legislative or budgetary steps that would resolve the barriers under subparagraphs (a)(1) and (2) to the president of the senate, the speaker of the house of representatives, the governor, and the chairpersons of the house and senate committees having jurisdiction over public health issues on or before each November 1, commencing on November 1, 2021. The report shall also be posted on the department's Internet website.
III. The commissioner shall in coordination with local, state, and federal government agencies, and in consultation with nonprofits corporations, service providers including Veterans Affairs Medical Centers, the United States Department of Veterans Affairs, localities, and cities that have effective prevention and treatment systems for mental health, enhance and strengthen suicide prevention programs in keeping with proven best practices and research, by:
(a) Identifying and applying for federal and private grants focused on veteran suicide prevention;
(b) Coordinating local, state, federal, and nonprofit programs that include community-based approaches for at-risk veterans and veterans at large;
(c) Providing technical assistance to communities to develop strategic plans to reduce veteran suicide, including through coordination and participation by local leaders, faith communities, schools, workplaces, and other stakeholders; and
(d) Evaluating community strategic plans within the state and disseminating learnings and best practices to optimize the impact of efforts by all partners and stakeholders.
IV.(a) The commissioner shall create a centralized provider database, identifying by region mental health providers with expertise and ability to assist veterans and their families, including highlighting providers with training or experience in the prevention and treatment of veteran suicide.
(b) Using existing resources, and incorporating best practices and research from the United States Department of Veterans Affairs, and state and nonprofit services providers in New Hampshire, the commissioner shall develop a continuing education course for mental health providers in New Hampshire to obtain expertise in veteran suicide assessment, prevention, treatment, and risk management and make that program available for free to providers in regions of New Hampshire identified in subparagraph (a) as lacking sufficient trained providers.
(c) From existing or appropriated resources, the commissioner shall identify evidence-based best practices to increase awareness of any veteran suicide prevention hotline in New Hampshire or nationally, and other crisis resources with proven effectiveness to reduce veteran suicide.
3 Report Required. On or before April 1, 2021, the commissioner of the department of health and human services shall produce a report of the findings, including the impact that Medicaid expansion has had to date for the veterans and their families, recommendations and any additional legislative action or budget actions required relative to RSA 126-A:81, II as inserted by section 2 of this act to the president of the senate, the speaker of the house of representatives, the governor, and the chairpersons of the senate and house committees having jurisdiction over public health issues. For the purposes of this section, "veterans" means veterans as defined in 38 U.S.C. section 101(2).
4 Business Finance Authority; Capital Access Program. Amend RSA 162-A:12, II to read as follows:
II. The amount of the authority's contribution to a CAP fund shall not exceed 10 percent of the principal amount of the CAP loans to be secured by the CAP fund. As a condition of the authority making a contribution to a CAP fund, the authority may require the borrower or the participating state bank or state credit union to make a contribution to the CAP fund and may impose such other conditions or requirements as the authority may deem necessary or desirable; provided that no veteran-owned business borrower shall be required to pay a fee or contribution into the CAP fund. All moneys contributed to a CAP fund shall be held in the name of the authority. Investment earnings on the CAP fund shall be credited to the fund, and such earnings shall be periodically paid to the authority unless the CAP participation agreement otherwise provides. For the purposes of this paragraph, "veteran" means veteran as defined in 38 U.S.C. section 101(2).
5 New Sections; Department of Employment Security; Workforce Needs Projections for Veterans; Training and Apprentice Programs. Amend RSA 282-A by inserting after section 117-a the following new sections:
282-A:117-b Workforce Needs Projections for Veterans; Report. The commissioner shall produce a monthly, written report, which shall also be published on the department's public Internet site, detailing the state's workforce needs projections, by industry, job type, geography, and needed credential. The report shall include comparisons of projected workforce needs with existing workforce needs and availability of in-demand fields in this state and shall highlight, on a county-by-county basis, the industries, job types, and credentials which are most in demand in the state. The report shall also identify and map, on a county-by-county basis, those in-demand positions and credentials that are best suited to the skills, experience, and credentials possessed by veterans. The commissioner shall forward the report every month to all appropriate military placement offices, recruitment centers, education centers, nonprofit programs, and any other state or local agency working to connect veterans with jobs. For the purposes of this section, "veterans" means veterans as defined in 38 U.S.C. section 101(2).
282-A:117-c Training and Apprentice Programs for Veterans; Report. The adjutant general in cooperation with the commissioners of the departments of labor and employment security shall annually review and submit a report detailing all apprentice, training, and other vocational programs in this state focused on providing job training and placement to returning military service members and veterans. The annual report shall evaluate the costs and results of such programs and propose legislation to expand or revise such programs, an estimate of the benefits to the state to be gained from program expansion, and recommendations for sources of funding. The initial report shall be submitted to the president of the senate, the speaker of the house of representatives, the chairpersons of the senate and house committees with jurisdiction in veterans issues and in professional licensing issues, the senate clerk, the house clerk, and the governor within 60 days of the effective date of this section. For the purposes of this section, "veterans" means veterans as defined in 38 U.S.C. section 101(2).
6 New Sections; Department of Military Affairs and Veterans Services; Programs and Report Added. Amend RSA 110-B by inserting after section 73 the following new sections:
110-B:73-a Military Skills Test Waiver Program. The adjutant general shall take necessary steps to increase veterans' awareness of and participation in the Federal Motor Carrier Safety Administration's Military Skills Test Waiver Program. The adjutant general shall include information about the program and a link to the program's website on department's public Internet site and shall coordinate with military placement and training programs to disseminate information on the program to veterans with relevant experience newly locating in New Hampshire. For the purposes of this section, "veterans" means veterans as defined in 38 U.S.C. section 101(2).
110-B:73-b Acceptance of Military Training and Experience in Professional Licensing; Report. The adjutant general and the executive director of the office of professional licensure and certification shall jointly conduct a review of all state licenses for which military veterans may have relevant training or experience and identify any steps that can be taken without further legislation; develop recommendations and proposed legislation designed to increase the acceptance of military training and experience toward professional licensing; and submit a report to the president of the senate, the speaker of the house of representatives, the chairpersons of the senate and house committees with jurisdiction in veterans issues and in professional licensing issues, the senate clerk, the house clerk, and the governor within one year of the effective date of this section, and annually thereafter. For the purposes of this section, "veterans" means veterans as defined in 38 U.S.C. section 101(2).
110-B:73-c End Veterans Homelessness Program.
I. The adjutant general, in conjuction with providers of services for veterans experiencing homelessness in New Hampshire, shall establish a program to end veterans homelessness in 3 years. The term "end veterans homelessness" shall have the same meaning as in the most recently released report by the United States Interagency Council on Homelessness. For the purposes of this section, "veterans" means veterans as defined in 38 U.S.C. section 101(2).
II. In coordination with local, state, and federal government agencies and nonprofits, and in consultation with states and cities that have achieved an end to veterans homelessness in accordance with the above criteria, the adjutant general shall develop and implement strategies including but not limited to:
(a) Coordinating a community outreach and a common assessment tool to identify veterans experiencing homelessness and assessing the types and severity of risk and vulnerability being faced by veterans experiencing homelessness.
(b) Developing a comprehensive listing of the names of veterans who are experiencing homelessness, prioritized based on degree of vulnerability.
(c) Sharing data between all relevant veterans' service providers, state agencies, nonprofit organizations, and VA medical centers.
(d) Increasing coordination and streamlining processes for appropriate veterans' housing placements.
(e) Connecting veterans experiencing homelessness to health, mental health, employment, entrepreneurship, and training resources through the services described under RSA 126-A:81, RSA 126-A:82, RSA 162-A:9-b, RSA 282-A:117-b, RSA 282-A:117-c, RSA 110-B:73-a, RSA 110-B:73-b, RSA 153-A:20, XXV, RSA 187-A:20-d, RSA 188-F:16-b, RSA 326-B:9, XIII, and RSA 328-D:10, I(j).
(f) A commitment to the principles of Housing First, as developed by the United States Interagency Council on Homelessness.
(g) Identifying and applying for funding, as needed from private, foundation, and other partners.
7 New Paragraph; Emergency Medical Care Providers; Rulemaking. Amend RSA 153-A:20 by inserting after paragraph XXIV the following new paragraph:
XXV. Implementing strategies and procedures necessary to increase the acceptance of military training and experience towards licensure for military veterans seeking to be licensed as an emergency medical care provider. For the purposes of this subparagraph, "veterans" means veterans as defined in 38 U.S.C. section 101(2).
8 New Section; State College and University System; Credit for Military Experience and Training. Amend RSA 187-A by inserting after section 20-c the following new section:
187-A:20-d Academic Credit and Course Registration for Veterans.
I. A veteran who enrolls as a student at an institution within the university system shall be granted maximum credits allowed by the institution's required accreditation standards or state licensure requirements towards his or her degree for the completion of courses that were part of such veteran's military training or service if the such courses meet the standards of the American Council on Education, or its equivalent, for the awarding of academic credits. No fee, tuition, or other charge shall be assessed against a veteran who qualifies for such credit pursuant to this section. For the purposes of this section, "veteran" means veteran as defined in 38 U.S.C. section 101)(2).
II.(a) Institutions within the state university system that offer an early course registration period shall also offer early course registration to students who are veterans or national guard members.
(b) A student who is called to active duty in the armed forces of the United States, after having attended regularly for 85 percent of the length of the course as determined by the academic calendar of class or having completed 85 percent of the term's work, shall be given an opportunity to complete necessary course work within 12 months utilizing the Internet or United States Postal Service correspondence or other available communication methods for each course in which such student is earning a grade of C or better in the term the student is called to active duty service.
(c) Students called to active duty in the armed forces of the United States shall have their tuition refunded or credited, whichever is deemed appropriate by the institution based on how the term was paid for, without credits awarded.
(d) A veteran with no previous college experience shall be permitted to file an admission application and enroll in the current open registration period pending completion of their application and provision of supporting documents.
(e) Within 12 months of return from active duty, a veteran may register for courses after normal registration period ends without late fees or other penalties until the latest allowable registration date.
III. The board of trustees shall establish policies necessary to implement this section.
9 New Section; Community College System of New Hampshire; Academic Credit and Course Registration for Veterans. Amend RSA 188-F by inserting after section 16-a the following new section:
188-F:16-b Academic Credit and Course Registration for Veterans and Active Duty Services Members.
I. A veteran who enrolls as a student at an institution within the community college system shall be granted academic credit for the completion of courses that were part of such veteran's military training or service if the such courses meet the standards of the American Council on Education, or its equivalent, for the awarding of academic credits and are applicable to the veteran's program of study. No fee, tuition, or other charge shall be assessed against a veteran who qualifies for such credit pursuant to this section. Nothing in this paragraph shall be construed to alter established curriculum, program, or degree requirements. For the purposes of this section, "veteran" means veteran as defined in 38 U.S.C. section 101(2).
II.(a) Institutions within the community college system that offer an early course registration period shall also offer early course registration to students who are veterans or national guard members.
(b) A student who is called to active duty in the armed forces of the United States, after having completed 85 percent of the term's work, shall be given a reasonable opportunity to attain full credit for each course in which he or she has attained a grade of C or better prior to being called to active duty. A reasonable opportunity may include the opportunity to accelerate completion of course work prior to reporting for active duty or complete coursework within a reasonable time after return from active duty.
(c) Students called to active duty in the armed forces of the United States shall have their tuition refunded or credited, whichever is deemed appropriate by the institution based on how the term was paid for, without credits awarded.
(d) A veteran shall be permitted to file an admission application up to the end of the regular course registration period, and shall be permitted to begin classes pending completion of their application and provision of supporting documents. Nothing in this subparagraph shall be construed to alter established admissions, course prerequisites, curriculum, programs or degree requirements.
(e) Within 12 months of return from active duty, a veteran may register for courses after normal registration period ends without late fees or other penalties. This subparagraph shall not be construed to require extension of registration period beyond the normal add/drop deadline.
III. The board of trustees shall establish policies necessary to implement this section.
10 New Paragraph; Nurse Practice Act; Rulemaking. Amend RSA 326-B:9 by inserting after paragraph XII the following new paragraph:
XIII. The implementation of strategies and procedures necessary to increase the acceptance of military training and experience towards licensure for military veterans seeking to be licensed as a nurse. For the purposes of this subparagraph, "veterans" means veterans as defined in 38 U.S.C. section 101(2).
11 Physician Assistant; Rulemaking. Amend RSA 328-D:10, I(j) to read as follows:
(j) The implementation of strategies and procedures necessary to increase the acceptance of military training and experience towards licensure for military veterans seeking to be licensed as a physician assistant. For the purposes of this subparagraph, "veterans" means veterans as defined in 38 U.S.C. section 101(2).
(k) Except as provided in paragraph II, any other matter which is consistent with the legislative intent of this chapter and which is necessary to the administration of this chapter.
12 Recognition of Military Training and Experience; Reports. The adjutant general, the commissioner of the department of safety, the executive director of the office of professional licensure and certification, and the licensing authorities for nursing under RSA 326-B, physician assistants under RSA 328-D, and emergency medical care providers under RSA 153-A:11, shall jointly conduct a review of all licensing procedures for each profession listed in this section and develop recommendations and proposed legislation designed to increase the recognition of military training and experience toward licensing in such professions, and shall submit a report to the president of the senate, the speaker of the house of representatives, the chairpersons of the senate and house committees with jurisdiction in veterans issues and in professional licensing issues, the senate clerk, the house clerk, and the governor within one year of the effective date of this section. For the purposes of this subparagraph, "veterans" means veterans as defined in 38 U.S.C. section 101(2).
13 Applicability. Sections 2, 3 and 6 of this act shall take effect when the department of military affairs and veterans services receives sufficient funding for 3 positions required to carry out the purposes of those sections as certified by the adjutant general to the director of legislative services and the secretary of state.
I. Sections 2, 3, and 6 of this act shall take effect as provided in section 13 of this act.
II. The remainder of this act shall take effect 60 days after its passage.
20-2793
1/9/20
SB 726-FN- FISCAL NOTE
AS INTRODUCED
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
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| Estimated Increase / (Decrease) | |||
STATE: | FY 2020 | FY 2021 | FY 2022 | FY 2023 |
Appropriation | $0 | $0 | $0 | $0 |
Revenue | $0 | $0 | $0 | $0 |
Expenditures | $0 | Indeterminable Increase | Indeterminable Increase | Indeterminable Increase |
Funding Source: | [ X ] General [ ] Education [ ] Highway [ X ] Other - USNH, CCSNH operating expenses. | |||
The Department of Employment Security was contacted for a fiscal note worksheet on December 6, 2019, which they have not provided as of January 9, 2020.
METHODOLOGY:
This bill establishes a variety of provisions intended to improve veterans' access to health care, employment, entrepreneurship, and higher education. In particular, the bill:
With respect to (1), the Department of Health and Human Services states that it would be responsible for, among other things, creating a centralized provider database to identify mental health providers by region, submitting recommendations for additional legislative or budget actions to overcome barriers to enrollment in mental health and other services, and submitting a report on the impact of Medicaid expansion on veterans and their families. The Department is unable to estimate the costs associated with its various responsibilities, but notes that its existing Suicide Prevention Coordinator position may be able to fulfill many of the functions related to suicide prevention for veterans. The Department states that it may need to hire additional staff if it is expected to meet all of the obligations of the Veteran Health Navigator Program internally.
With respect to (2), the Business Finance Authority (BFA) states that the cost of developing a substantial direct lending program is indeterminable. Factors that would be involved include hiring an unknown number of specialized staff in the areas of credit analysis, loan servicing, finance department personnel, compliance officers, and outreach personnel. Additional costs would include information technology infrastructure and additional office space. Finally, the BFA states that it would need to obtain the capital necessary to fund loans administered under the program.
With respect to its various responsibilities included in items (1) and (4-7), the Department of Military Affairs and Veterans Services states that it would need three additional positions. One position (Program Specialist II) would administer the Military Skills Test Waiver Program and work to implement the strategies and procedure to increase the acceptance of military training toward licensure. One position (Program Specialist II) would administer the End Veterans Homelessness Program. One (Grant Program Coordinator) would work in cooperation with the Department of Health and Human Services to identify and apply for federal grants in support of veterans, as well as assist in the administration of the health navigator program. Costs for these positions are shown below.
| FY 2021 | FY 2022 | FY 2023 |
Program Specialist II (LG 21) |
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Salary | $43,100 | $44,800 | $46,800 |
Benefits | $27,700 | $29,100 | $30,500 |
Other | $4,000 | $4,000 | $4,000 |
Position Total | $74,800 | $77,900 | $81,300 |
x 2 Positions | $149,600 | $155,800 | $162,600 |
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|
|
|
Grants Program Coordinator (LG 23) |
|
|
|
Salary | $46,800 | $48,800 | $51,000 |
Benefits | $28,400 | $29,800 | $31,300 |
Other | $2,000 | $2,000 | $2,000 |
Position Total | $77,200 | $80,600 | $84,300 |
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|
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Total Position Costs: | $226,800 | $236,400 | $246,900 |
With respect to (8), the University System of New Hampshire states that all of its institutions currently award credit to enrolling veterans who, as part of the standard application process, provide an official Joint Services Transcript or Community College of the Air Force transcript which combine military education and experience with college credit recommendations developed by the American Council on Education (ACE). ACE-validated credits are generally accepted, with some limitations imposed by the institution in alignment with accreditation and federal aid requirements. The University System states that it interprets the bill to prevent any limitation from being imposed on the acceptance of ACE equivalent-validated military credit, and that this provision, among others, may potentially conflict with federal Title IV financial aid requirements, potentially resulting in a significant loss of revenue. For the purposes of its fiscal note estimate, the University System assumes that this conflict will be addressed as the bill progresses through the legislative process. Assuming the conflict is resolved, the University System assumes that the bill's provisions could be accommodated without significant additional expense. A potential fiscal impact may result from the full tuition/fee refund provision for students whose attendance is disrupted by a call to active duty and who are not eligible to complete their course work. The extent of any such expense is indeterminable.
The Community College System states that, with respect to (8), the bill may result in increased workload to ensure compliance and to provide training at campus offices. The System anticipates a need to hire a part-time academic counselor at one or more college, at a per-position cost of $52,000, including salary and benefits. The System also anticipates an expense related to the full tuition/fee refund provision cited by the University System above. Likewise, the Community College System also notes potential conflicts with federal Title IV financial aid requirements.
AGENCIES CONTACTED:
Department of Health and Human Services, NH Employment Security, Business Finance Authority, Department of Military Affairs and Veterans Services, University System of NH, and Community College System of NH