HB 187 - AS AMENDED BY THE SENATE
HOUSE BILL 187
SPONSORS: Rep. Marsh, Carr. 8; Rep. Lang, Belk. 4; Rep. Baldasaro, Rock. 5; Rep. Edwards, Rock. 4; Rep. Craig, Coos 4; Rep. Prout, Hills. 37; Rep. J. Osborne, Rock. 4; Rep. Salloway, Straf. 5; Rep. Blasek, Hills. 21
COMMITTEE: Health, Human Services and Elderly Affairs
This bill makes various changes to the powers of the commissioner of the department of health and human services during a public health emergency; authorizes the joint legislative oversight committee on health and human services to review, and rescind by a 2/3 vote, emergency orders issued by the commissioner; gives a person subject to a treatment order for a communicable disease a right to a hearing on the order; and amends the membership and duties of the ethics oversight advisory committee. The bill also amends the membership on the health and human services oversight committee.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
05/20/2021 1444s 21-0173
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty One
Be it Enacted by the Senate and House of Representatives in General Court convened:
21-P:53 Public Health Powers and Duties. During the existence of a state of emergency under this chapter, the commissioner of health and human services shall have the following powers and duties, subject to the direction and control of the governor, which are in addition to those set forth in RSA 141-C; provided that such powers and duties shall be limited to the specific nature of the emergency, its geographic limits, and the conditions that brought it about, as specified in the declaration of the state of emergency:
I. The commissioner shall have the responsibility and authority to carry out all public health activities within the state in cooperation and collaboration with the division of homeland security and emergency management.
II. The commissioner may, without the approval of the [governor's] executive council or the legislative fiscal committee, and notwithstanding the provisions of RSA 4:45, 9:13-d, and 9:19, [and any other law to the contrary,] purchase and distribute anti-toxins, serums, vaccines, immunizing agents, antibiotics, and other pharmaceutical agents that the commissioner deems to be in the interest of public health.
III. If there is a statewide or regional shortage or threatened shortage of any anti-toxins, serums, vaccines, immunizing agents, antibiotics, and other pharmaceutical agents, the commissioner may control, [restrict] prioritize, and ration the use, sale, dispensing, distribution, or transportation of such products as necessary to best protect the health, safety, and welfare of the people of this state. In making rationing or other supply and distribution decisions, the commissioner shall determine high risk or critical need groups that shall receive priority for such products.
III-a. The commissioner shall have no power to restrict the ability of a licensed practitioner to prescribe pursuant to RSA 329 and RSA 326-B.
III-b. If during a public health emergency, a treatment or vaccination becomes available which is anticipated to be in limited supply, the commissioner shall develop, in consultation with the ethics oversight advisory committee, established in RSA 141-C:27, a plan for its distribution.
IV. The commissioner may investigate any incident or imminent threat of any disease or health condition that may be caused by a natural disaster, radiation or chemical exposure, or the release of any microorganism, infectious substance, or naturally occurring or manufactured biological product, that poses a risk of a significant number of human fatalities or incidents of permanent or long-term disability. Such investigations may include requiring information from any health care provider or other person affected by, or having information related to, the incident or threat, inspections of buildings and conveyances and their contents, laboratory analysis of samples collected during the course of such inspections, and requiring a physical examination and the provision of specimens of body secretions, excretions, fluids, and discharges for laboratory examination of any person having a disease or health condition that necessitates an investigation under this paragraph.
V. The commissioner may order a person to undergo such medical care as may be necessary to treat or prevent an incident or threat of disease or other health condition prompting an investigation pursuant to paragraph IV. Such care may include immunization of individuals as necessary to prevent the spread of contagious disease, except that an individual may refuse treatment or immunization pursuant to the provisions of [RSA 141-C:15, VI] RSA 141-C:16 and RSA 141-C:20-c.
VI. Any order compelling an investigation, physical examination, the provision of specimens, medical treatment or care, or immunization, and any other order of the commissioner under this chapter, shall be subject to the due process requirements of RSA 141-C:14-a.
VII. The department of health and human services shall acquire and retain only the minimum amount of information, specimens, and samples relating to individuals necessary to carry out its obligations under this section. Any genetic testing of specimens and samples shall be limited to the viruses, bacteria, fungi, or other microorganisms therein. Personally identifiable information shall not be acquired or retained unless necessary for the department to carry out its responsibilities under this section, RSA 141-C, or any other provision of law. Such information shall not be retained beyond the duration of the state of emergency without the approval of the governor and executive council, which information shall be subject to the confidentiality provisions of RSA 141-C:10.
VIII. Except as provided in paragraph IX, an emergency order issued under this section shall be subject to review by the joint legislative oversight committee on health and human services, established in RSA 126-A:13. The commissioner shall notify the ethics oversight advisory committee established in RSA 141-C:27 of any emergency order issued under this section, and the joint legislative oversight committee shall consider the input of the ethics committee, if provided, in any decision. If the emergency precludes either committee from meeting in person, they shall be authorized, notwithstanding any other provision of law, to meet remotely for this purpose.
IX. An emergency order issued under paragraph V or VI shall be subject to legislative oversight by the ethics oversight advisory committee pursuant to RSA 141-C:27, II(b).
141-C:27 Ethics Oversight Advisory Committee.
I. There is hereby established an ethics oversight advisory committee to offer advice to the commissioner relative to the ethical issues that may be identified in the course of planning for, and responding to, outbreaks of communicable disease that threaten to become epidemic or pandemic and to review and provide recommendations for investigations, orders, and treatment ordered by the commissioner.
II. The committee shall:
(a) Consider the ethical implications of any of the powers that may be exercised by the commissioner under the provisions of this chapter including, but not limited to, the confiscation, distribution, and rationing of anti-toxins, serums, vaccines, immunizing agents, antibiotics, and other pharmaceutical agents, and mechanical equipment; the issuance and enforcement of orders of isolation, quarantine, medical examination, and medical treatment; issues relative to information sharing and confidentiality; and the provisions for due process for orders issued pursuant to this chapter.
(b) Review, at least annually, a report of investigations conducted pursuant to RSA 141-C:9 and orders issued under RSA 21-P:53, V and VI, and provide recommendations to the department. Any information furnished to the committee shall be aggregated and de-identified. The department shall not share any confidential information with the committee.
(c) Consider the competing rights of disabled persons who might be unable to comply with certain orders, health care workers who are entitled to a safe workplace, and the need to protect the public from communicable disease, and may recommend modification of orders to address specific concerns.
(d) Consider both the need to protect the most vulnerable members of society as well as the need for the most efficacious means to control a public health emergency when consulting with the commissioner pursuant to RSA 21-P:53, III-b in developing a plan for the distribution of a new treatment or vaccination.
III. The members of the committee shall be as follows:
(a) Two members of the house or representatives, one of whom shall be from the minority party, appointed by the speaker of the house of representatives.
(b) One member of the senate, appointed by the senate president.
(c) The director of the department of health and human services, division of public health services.
[(b)] (d) The state epidemiologist.
[(c)] (e) The attorney general, or designee.
[(d)] (f) A representative of a public health network, appointed by the commissioner.
[(e)] (g) A representative from a college or university public health program, appointed by the commissioner.
[(f)] (h) A chief of police or a police officer of a local police department, appointed by the New Hampshire Association of Chiefs of Police.
[(g)] (i) A chief of a local fire department, appointed by the New Hampshire Association of Fire Chiefs.
[(h)] (j) A physician, licensed under RSA 329, appointed by the New Hampshire Medical Society.
[(i)] (k) The commissioner of the department of safety, or designee.
[(j)] (l) A member of a fire department with a minimum of EMT-B certification, appointed by the Professional Firefighters of New Hampshire.
[(k)](m) A representative of a hospital, appointed by the New Hampshire Hospital Association.
[(l) A county representative, appointed by the New Hampshire Association of Counties.]
(n) The commissioner of the department of labor, or designee.
(o) A representative of the Disability Rights Center of New Hampshire, appointed by the center.
IV. [The commissioner shall appoint a member of the committee to act as chairperson.] The committee shall elect one of the legislative members as chairperson. Legislative members of the committee shall receive mileage at the legislative rate when attending to the duties of the committee. The committee shall meet initially within 30 days of the effective date of this section and then as regularly as the chairperson shall direct.
V. The commissioner may at any time direct questions to the committee or request guidance on ethical issues.
VI. The committee [shall be solely advisory in nature and any guidance, guidelines, or protocols issued by the committee shall not be binding on the commissioner] may provide advisory opinions, including draft guidance, guidelines, or protocols, which shall not be binding on the commissioner or any member of the public.
I. There shall be an oversight committee on health and human services consisting of  the following members [as follows]:
(a) [Two] Three members of the senate, at least one of whom shall be a member of the senate health and human services committee and one of whom shall be a member of the senate finance committee, appointed by the president of the senate[; and].
(b)(1) [Three] Five members of the house of representatives,  3 of whom shall be from the health, human services and elderly affairs committee, and one of whom shall be from the house finance committee division responsible for the department of health and human services, appointed by the speaker of the house of representatives.
(2) Two members of the house of representatives, one of whom shall be appointed by the speaker of the house of representatives, and one of whom shall be appointed by the leader of the minority party of the house of representatives, shall be available to serve, at the request of the committee chairperson, as an alternate member for an absent committee member. An alternate member shall have full voting authority while serving for an absent committee member.
|Feb. 1, 2021||House||Hearing|
|March 15, 2021||House||Hearing|
|May 5, 2021||Senate||Hearing|
|May 5, 2021||Senate||Hearing|
|May 20, 2021||Senate||Floor Vote|
June 14, 2021: Conference Committee Meeting: 06/14/2021 09:00 am LOB 301-303
June 14, 2021: Conference Committee Meeting: 06/14/2021 09:00 am LOB 301-303
June 10, 2021: President Appoints: Senators Gray, Bradley, Sherman; 06/10/2021; SJ 19
June 10, 2021: Sen. Bradley Accedes to House Request for Committee of Conference, MA, VV; 06/10/2021; SJ 19
June 4, 2021: Conferee Change: Rep. S. Pearson Replaces Rep. McGuire 06/04/2021
June 4, 2021: Conferee Change: Rep. Weber Replaces Rep. P. Schmidt 06/04/2021
June 4, 2021: House Non-Concurs with Senate Amendment 2021-1444s and Requests CofC (Reps. M. Pearson, Acton, McGuire, P. Schmidt): MA VV 06/04/2021
May 20, 2021: Ought to Pass with Amendment 2021-1444s, MA, VV; OT3rdg; 05/20/2021; SJ 16
May 20, 2021: Committee Amendment # 2021-1444s, AA, VV; 05/20/2021; SJ 16
May 20, 2021: Committee Report: Ought to Pass with Amendment # 2021-1444s, 05/20/2021; Vote 5-0; CC; SC 24
May 5, 2021: Remote Hearing: 05/05/2021, 09:30 am, on proposed amendment # 2021-1242s; Links to join the hearing can be found in the Senate Calendar; SC 22
May 5, 2021: Remote Hearing: 05/05/2021, 09:15 am; Links to join the hearing can be found in the Senate Calendar; SC 22
April 1, 2021: Introduced 04/01/2021 and Referred to Health and Human Services; SJ 11
April 7, 2021: Reconsider (Rep. Osborne): MF VV 04/07/2021 HJ 5 P. 50
April 7, 2021: Ought to Pass with Amendment 2021-0952h: MA VV 04/07/2021 HJ 5 P. 22
April 7, 2021: Amendment # 2021-0952h: AA VV 04/07/2021 HJ 5 P. 22
: Committee Report: Ought to Pass with Amendment # 2021-0952h (Vote 17-1; CC) HC 18 P. 12
March 15, 2021: Public Hearing: 03/15/2021 10:00 am Please click the link below to join the webinar: https://zoom.us/j/94033090497 Executive session on pending legislation may be held throughout the day (time permitting) from the time the committee is initially convened.
Feb. 24, 2021: Referred to Executive Departments and Administration 02/24/2021 HJ 3 P. 65
Feb. 24, 2021: Ought to Pass with Amendment : MA RC 333-6 02/24/2021 HJ 3 P. 65
: Ought to Pass with Amendment MA RC 333-6 02/24/2021
Feb. 24, 2021: Amendment # 2021-0161h: AA VV 02/24/2021 HJ 3 P. 65
: Committee Report: Ought to Pass with Amendment # 2021-0161h (Vote 19-2; RC) HC 12 P. 21
Feb. 1, 2021: Public Hearing: 02/01/2021 09:45 am Members of the public may attend using the following link: To join the webinar: https://www.zoom.us/j/96551569054 / Executive session on pending legislation may be held throughout the day (time permitting) from the time the committee is initially convened.
Jan. 6, 2020: To Be Introduced 01/06/2020 and referred to Health, Human Services and Elderly Affairs
Jan. 6, 2021: Introduced (in recess of) 01/06/2021 and referred to Health, Human Services and Elderly Affairs HJ 2 P. 38