SB 86-FN - AS AMENDED BY THE SENATE
03/16/2023 0857s
2023 SESSION
23-1000
05/04
SENATE BILL 86-FN
AN ACT relative to health care workforce development and making appropriations therefor.
SPONSORS: Sen. Rosenwald, Dist 13
COMMITTEE: Health and Human Services
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AMENDED ANALYSIS
This bill makes an appropriation to the department of health and human services for Medicaid provider rate increases and directs the department to submit periodic reports to the fiscal committee on the rate increases and to provide a report relative to rural health and primary care personnel. The bill also directs the office of professional licensure and certification, in consultation with the department of health and human services, to submit a report relative to community health worker certification and scope of practice.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
03/16/2023 0857s 23-1000
05/04
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Three
AN ACT relative to health care workforce development and making appropriations therefor.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Purpose and Findings. The general court finds that:
I. New Hampshire’s health care workforce is the foundation of our health care safety net, and the foundation is in crisis due to a lack of consistent investments prior to the pandemic and the COVID-19 compounded the structural deficits. As a result, residents of New Hampshire will go without care until the cracks in the foundation are repaired. Recently, the state worked to stabilize the system using federal funds including direct aid to hospitals, community providers, and long-term care facilities; however, there remains a strong need to invest in programs to foster a future health care workforce within the Granite State.
II. The state of New Hampshire shall address the health care workforce shortage through programs designed to incentivize students to seek employment in health care and remain in New Hampshire upon graduation; remove career-advancement barriers for our dedicated direct care providers; and equip health care organizations with the tools necessary to secure skilled clinicians.
2 Department of Health and Human Services; Medicaid Rate Increases.
I. Department of Health and Human Services; Rate Increases. There is hereby appropriated to the department of health and human services the sums of $40,000,0000 for the state fiscal year ending June 30, 2024, and $40,000,000 for the state fiscal year ending June 30, 2025, for the purpose of increasing Medicaid provider rates. The funds shall be nonlapsing until June 30, 2025. The department will utilize said funds to increase rates pursuant to section 1902 (a)(30)(A) of the Social Security Act, to promote efficiency, economy, and quality of care within New Hampshire’s Medicaid program, no later than January 1, 2024. The department may accept and expend matching federal funds without prior approval of the fiscal committee. The governor is authorized to draw a warrant for said sums out of any money in the treasury not otherwise appropriated.
II. The department of health and human services shall, beginning on October 1, 2023 and every 3 months thereafter, provide an informational report to the fiscal committee of the general court on the status of the rate increases described in paragraph I. Such reports shall include, but not be limited to, year-to-date expenditures compiled by funding source and provider type.
3 Office of Professional Licensure and Certification; Community Health Worker Certification; Report. On or before July 1, 2024, the office of professional licensure and certification, in collaboration with the department of health and human services, shall submit a report to the chair of the senate health and human services committee, the chair of the house health, human services and elderly affairs committee, and the governor relative to certified community health workers. Such report shall include findings and recommendations for certification procedures and processes, duties and scope of practice for community health workers, and legislation necessary to implement the recommendations.
4 Department of Health and Human Services; Rural Health and Primary Care; Report. On or before July 1, 2024, the department of health and human services shall submit a report with its findings and legislative recommendations to the chair of the senate health and human services committee, the chair of the house health, human services and elderly affairs committee, and the governor relative to implementing area health education centers and advanced training programs for rural health and primary care personnel including, but not be limited to, a rural residency program for family medicine physicians.
5 Effective Date. This act shall take effect July 1, 2023.
23-1000
1/17/23
SB 86-FN- FISCAL NOTE
AS INTRODUCED
AN ACT relative to health care workforce development and making appropriations therefor.
FISCAL IMPACT:
Due to time constraints, the Office of Legislative Budget Assistant is unable to provide a fiscal note for this bill, as introduced, at this time. When completed, the fiscal note will be forwarded to the Senate Clerk's Office.
AGENCIES CONTACTED:
Department of Health and Human Services and Office of Professional Licensure and Certification
| Date | Amendment |
|---|---|
| March 8, 2023 | 2023-0857s |
| Date | Body | Type |
|---|---|---|
| Feb. 1, 2023 | Senate | Hearing |
| March 16, 2023 | Senate | Floor Vote |
| March 30, 2023 | Senate | Floor Vote |
Dec. 20, 2023: Inexpedient to Legislate, Senate Rule 3-23, Adjournment 10/26/2023; SJ 21
March 30, 2023: Pending Motion OT3rdg; 03/30/2023; SJ 12
March 30, 2023: Sen. Gray Moved Laid on Table, MA, VV; 03/30/2023; SJ 12
March 30, 2023: Ought to Pass: MA, VV; 03/30/2023; SJ 12
March 22, 2023: Committee Report: Ought to Pass, 03/30/2023; SC 15
March 16, 2023: Ought to Pass with Amendment 2023-0857s, MA, VV; Refer to Finance Rule 4-5; 03/16/2023; SJ 10
March 16, 2023: Committee Amendment # 2023-0857s, AA, VV; 03/16/2023; SJ 10
March 8, 2023: Committee Report: Ought to Pass with Amendment # 2023-0857s, 03/16/2023; SC 13
Jan. 24, 2023: Hearing: 02/01/2023, Room 101, LOB, 09:00 am; SC 8
Jan. 18, 2023: Introduced 01/05/2023 and Referred to Health and Human Services; SJ 4