Copy
View this email in your browser
May 13, 2022
In This Update
Legislative Update
New Hampshire Updates
Member Spotlight
COVID-19 Developments
Webinars & Learning Sessions
Federal Resources
Emergency Preparedness
Bi-State's Meeting Schedule
Vaccine Confidence Resources

What happened this week at the State House: 
Legislators voted this week to send many bills to Committees of Conference, one of the last steps before they become law. House Representatives and Senators in the Committees of Conference are hashing out the final details. Some bills, though, skip Conference Committees and go straight to the Governor’s desk. In great news, the NH Senate voted to kill the conscientious objection exemption to vaccines. Thank you to you, your staff, and your board members for all of your emails and phone calls to your legislators. It means so much! 

What's going on next week: 
Thursday, May 26th is the last day to act on committee of conference reports. The House and Senate will be meeting in their respective chambers on May 26th beginning at 10:00 am to vote on the reports. Committee of Conference meetings and reports can be found on the General Court website here.

Heading to the Committee of Conference for consideration:

  • HB 103 (Bi-State supports): This bill improves the health of Granite Staters by extending the state’s Medicaid program to cover dental services for individuals in need. Please know: HB 103 is identical to SB 422, which is headed to the Governor's desk for signature.

Here is a list of bills headed to the Governor's desk:

  • HB 1131 (Bi-State opposes): This bill prohibits school boards and other public education agencies from adopting, enforcing, or implementing a policy that requires students or members of the public to wear a facial covering. Yesterday, the House concurred with the Senate’s amendments. We are concerned about the impact this bill will have on the State’s ability to respond to COVID, future public health emergencies, and children with disabilities. Click here to read Bi-State's sign-on letter asking the Governor to veto HB 1131.
  • HB 1606 (Bi-State opposes): This bill weakens NH’s vaccine registry by forcing individuals to opt-in to participate rather than allowing them to opt-out, as is the case under current law. 
  • HB 503 (Bi-State supports): This bill increases access to substance use treatment over telehealth by eliminating the requirement for in-person consultation prior to prescription of Medication-Assisted Treatment. 
  • SB 444 (Bi-State supports): This bill expands access to child-parent psychotherapy services and creates a program for young children who have experienced adverse childhood events and other emotional trauma. 
  • HB 1526 (Bi-State supports): This bill increases access to health care by expanding income limits for participation in NH’s “In & Out” Medical Assistance” program.
  • SB 422 (Bi-State supports): This bill promotes the health of Granite Staters by extending the state’s Medicaid program to cover dental services for individuals in need. In great news, the House and Senate gave final approval to SB 422. The new benefits would have no cap on benefits or copays for preventive services. Coverage for dentures would be provided only for Medicaid recipients with developmental disabilities, acquired brain disorders, and those in the Choices for Independence program, which includes the elderly and people with chronic illness or disabilities. Read NH Bulletin article.
  • HB 1609 (Bi-State supports): This bill would repeal the ultrasound mandate and add a fatal fetal exception to the abortion ban.
  • HB 1625 (Bi-State opposes): This bill would repeal NH's patient safety zone law. Read PPNNE's 5/13 recap of ongoing actions on federal and state reproductive health bills.  
New Hampshire Updates
Question from One of Your Peers: Texting Patients
Texting patients is growing in popularity as a means of communication. Please let us know if you have any pros and cons to share with your peers on CHC policies/procedures, experience with companies you've used, or guidance on this topic. Email Erica Haase at ehaase@midstatehealth.org with any tips. 

Question from One of Your Peers: Please take <1 minute poll
Please complete this very brief poll to share if you've worked with or if you currently work with Patriot Health Partners (an MSO), and what your experience was with them, if applicable.
DHHS Announces Plans for Long-Term Stabilization of NH Child Care System
On May 11th, NH DHHS announced its plan to use an additional $29 million in discretionary funding through ARPA to support child care providers, families, and businesses impacted by the COVID-19 pandemic. With this funding, more than $142 million will have been invested to strengthen and support NH's child care sector since the beginning of the pandemic. 

NHFPI Updates
Click here for new issue briefs, including a blog post published May 4th on the worsening housing shortage.

Missed Vaccine Doses Resource
The Avalere Infographic that was originally released in the Fall of 2021 has been updated with most recent data published by Avalere Health. This infographic depicts data which shows 37.1 million estimated vaccine doses missed in Jan 2020 – July 2021 compared to 2019. More specifically, it illustrates 10.1 million potential adolescent vaccinations missed and over 27 million potential adult vaccinations missed. Click here to view graphic.
NH Updated Medicaid Numbers & End of PHE Presentation
Here is NH DHHS's presentation at the May 9th Medicaid Care Advisory Committee (MCAC) meeting on Medicaid Coverage and the end of the Public Health Emergency. See updated Medicaid & Medicaid Expansion numbers provided by DHHS below. 
Manchester Community Action Coalition Vaccine Clinic (Saturday, 5/14)
Help us spread the word about tomorrow's vaccine clinic. Visit MCAC's Facebook Page for more info!

Medicaid Redetermination Event (5/18)
Join Well Sense Health Plan, Health Market Connect, and NH DHHS to complete your Medicaid redetermination, and pick up a free bag of groceries from NH Food Bank’s mobile food pantry. Please help spread the word about this event, May 18th from 4:00-6:00 pm at Broken Ground School, 51 S. Curtisville Road, Concord, NH. Here is a flyer to share
NH DPHS Calls - New Schedule
Health Care Call

2nd Thursday/month, 12:00-1:00 pm (next call is 5/12)
Website
Zoom Link; passcode: 353809
5/12 slides

Education Call
1st Wednesday/month, 3:30-4:30 pm
(last call was 5/4)
Website
Zoom link; passcode: 197445
5/4 slides
The 5/12 NH DPHS Health Care Call Slides include important updates: 
  • When Will COVID-19 Vaccine Be Available For Children Under 5 Years of Age?
  • Will Children 5-11 Years of Age Be Eligible for Vaccine Booster Doses?
  • Will Another COVID-19 Vaccine Booster Be Needed for Everybody This Fall or Winter?
  • Will a Fall/Winter Booster Vaccine Formulation Need to be Updated to Cover Emerging Variants?
  • COVID-19 & Mortality
  • COVID-19 & Grief
  • Indirect COVID-19 Impacts
Member Spotlight
Ammonoosuc Community Health Services
Ed had the pleasure and privilege to spend time with Nobel Peace Prize winner, Lech Walesa, former President of Poland. 
COVID-19 Developments
Webinars & Learning Sessions
NH Telehealth Alliance Webinar (5/23)
This is a critical moment for the future of telehealth as the state and federal governments construct more permanent policies and regulations surrounding the use and access of telehealth. Join this webinar on May 23rd from 11:00 am-12:00 pm to learn more about this new phase of telehealth policies. Register here.
Virtual Film Screening of Someone You Love: The HPV Epidemic (5/11 or 5/26)
Join us for a free virtual film screening of Someone You Love: The HPV Epidemic followed by discussions with experts in the fields of pediatrics and public health. Choose one of the two breakout session options: 5/11, 7:30-9:30 am or 5/26, 2:00-4:00 pm. Registration if required, and space is limited! We welcome clinicians, health center staff, school nurses, and anyone else interested in attending. The events are open to all, regardless of where you live or your profession. CE credits will be available. If you have any questions, please reach out to Kristen at Kbigelow@bistatepca.org. This event is sponsored by Bi-State Primary Care Association, the Norris Cotton Cancer Center, the American Cancer Society, Southern NH Area Health Education Center, and the Vermont Department of Health. Please share the flyer widely! 
GoTruth New Hampshire Virtual Vaccine Panel (6/7)
Bi-State and our GoTruth New Hampshire partners are planning a virtual panel discussion on Tuesday, June 7th from 4:00-5:00 pm to help guide conversations on the safety and effectiveness of vaccines. Please share the flyer (PDF and PNG image) with your staff and patients! Visit the GoTruth New Hampshire website to register today!

Speaker Panel
Dr. Lisa A. DiBrigida, Associate Medical Director of Pediatrics at Amoskeag Health
Dr. Benjamin Chan
Dr. Elizabeth Talbot
Dr. Gary Sobelson, Family Medicine Specialist at Concord Hospital
NHFPI Virtual Event on Leveraging COVID-19 Relief Funds to Support an Equitable and Inclusive Recovery (6/9)
Join NHFPI on June 9th at 11:00 am to explore the potential opportunities NH has to deploy flexible federal funds to support NH's workforce, residents, and economy through three key policy areas: housing, caregiving, and education. Register here

UNH Health Law & Policy Programs Hybrid Event on Equitable and Affordable Health Care (6/22)
Join speakers Lucy Hodder, Jo Porter, and Deborah Fournier for this hybrid event on June 22nd from 9:00-11:30 am, brought to you by UNH Health Law & Policy Programs. With rising health costs and problems with affordability impacting individuals and families and disrupting healthcare access, speakers will discuss what can be done to make health care equitable and affordable in NH. Register here.
2022 Telehealth Summit Save the Date (11/15, 8:00 am-1:00 pm)
The NH Telehealth Alliance is hosting the 2022 Annual Summit on November 15th. Mark your calendars for an in-person, half-day event featuring discussions around broadband deployment, emerging technologies, and the advantages of telehealth as a means of health care. Learn more about this event. Become a NH Telehealth Alliance member.
Federal Resources
Clinical Recommendations for Adenovirus Testing and Reporting of Children with Acute Hepatitis of Unknown Etiology
The Centers for Disease Control and Prevention (CDC) is investigating a cluster of children identified with hepatitis and adenovirus infection. CDC has recommended that U.S. clinicians who encounter pediatric patients with hepatitis of unknown etiology to consider adenovirus testing and to report such cases to state public health authorities and CDC. Click here to learn more and join the COCA Call Thursday, May 19th from 2:00-3:00 pm.

Click here to read CIDRAP article.
Emergency Preparedness
GSCC Weekly Newsletter
Click here to view the Granite State Health Care Coalition's Newsletter with emergency preparedness engagement opportunities.

Burn Surge Virtual Tabletop Exercise Invitation (5/19, 9:00 am-12:00 pm)
The GSHCC invites you to participate in the 2022 Burn Surge Annex Tabletop Exercise on May 19th. This includes an overview of the GSHCC Burn Surge Annex prior to formal exercise play and a hotwash period immediately following the exercise. This exercise will look at high level planning assumptions, identify potential resource gaps, and highlight areas for alignment in future planning, education, training, and response between individual agencies, the GSHCC, and NH ESF-8. To promote inclusion and engagement of other member and partners in GSHCC exercises, this exercise will be open to observers. Members and partners are encouraged to listen in on exercise discussions and contribute to the learning environment. This is a great opportunity for agencies with uncertain roles to consider how they may support response in the future. Register here no later than Tuesday, May 17th COB!  
Bi-State's Meeting & Event Schedule
Virtual Primary Care Conference (5/17, 8:30 am-2:30 pm)
To learn more about the day and register, visit our event page. If you have questions about the PCC, please email Colleen at cdowling@bistatepca.org or Clem at cnoone@bistatepca.orgWe can't wait to see you there! 
Regularly Scheduled Meetings 
NH CEO Meetings: First Tuesday of the month, 9:00-11:00 am
NH & VT CFO Meetings: Every other month, third Thursday, 1:30-2:30 pm
NH & VT CMO Meetings: Bi-Weekly, Wednesdays, 7:30-8:15 am - CMO calls are held the 1st & 3rd Wednesday of the month for 45 minutes.
Vaccine Confidence At Your Fingertips
Bi-State Google Drive
Bi-State is continuously updating a COVID-19 vaccine resource and vaccine confidence Google document with the most recent information at the top of each section.
Mittens is doing everything she can to stay cool in the sudden 80+ degree weather.
Questions for Bi-State?
New Hampshire
Please contact: Colleen Dowling
603-228-2830 Ext. 127
cdowling@bistatepca.org

Vermont
Please contact: Kaylana Blindow
802-229-0002 Ext. 226
kblindow@bistatepca.org
Twitter
Facebook
Website
Copyright © 2022 Bi-State PCA, All rights reserved.