Amendment vs bill Amendment: #2026-0297s vs Introduced

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HB 751-FN - AS INTRODUCED SESSION 25-0268 05/11 HOUSE BILL 751-FN AN ACT relative to certification of alcohol and other substance misuse treatment facilities.
SPONSORS:
Rep.
McLean, Hills.
15;
Rep.
Newell, Ches.
4;
Rep.
Paquette, Hills.
25;
Rep.
Prudhomme-O'Brien, Rock.
13;
Long, Dist 20 COMMITTEE:
Lang, Dist 2 January 26, 2026 2026-0297s 07/05 Floor Amendment to HB 751-FN Amend the title of the bill by replacing it with the following:
Health, Human Services and Elderly Affairs ───────────────────────────────────────────────────────────────── ANALYSIS This bill provides for certification of substance use treatment programs by the department of health and human services.
3 AN ACT establishing a committee to study licensure of outpatient substance use disorder treatment facilities, authorizing parents to enroll their children in any public school in the state, and creating a limited exemption from parental consent required for certain recordings under the parental bill of rights.
The bill also directs the department to establish within the office of the ombudsman, a behavioral health specialist dedicated to complaint investigations regarding substance use and mental health treatment programs.
8 Amend the bill by replacing all after section 5 with the following:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Explanation:
6 Duty of Parent;
Matter added to current law appears in bold italics.
Compulsory Attendance by Pupil.
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 Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
Amend the introductory paragraph of RSA 193:1, I to read as follows:
HB 751-FN - AS INTRODUCED 25-0268 05/11 STATE OF NEW HAMPSHIRE In the Year of Our Lord Two Thousand Twenty Five AN ACT relative to certification of alcohol and other substance misuse treatment facilities.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Purpose and Findings.
New Hampshire has invested heavily to build a substance use treatment system capable of meeting the needs of individuals and families.
A parent of any child at least 6 years of age and under 18 years of age shall cause such child to attend [the] a public school [to which the child is assigned in the child's resident district].
Still, parts of the system remain largely unknown, and state health officers have no oversight or regulatory authority to ensure high quality services and protect patients within parts of the system.
Such child shall attend full time when such school is in session unless:
II.
7 School Attendance;
New Hampshire requires licensure both for individuals clinicians and residential treatment facilities.
Legal Residence Required.
However, there is no licensure or certification requirement or other regulatory standards for out-patient treatment organizations.
Amend RSA 193:12, III to read as follows:
In many cases, this leaves the state uncertain who is operating where, and what quality of services they provide.
III.
This leaves patients at risk of substandard service, abuse and misconduct, and undermines the effectiveness of New Hampshire's overall substance use treatment system.
For the purposes of this title, "legal resident" of a school district means a natural person who is domiciled in the [school district] state and who, if temporarily absent, demonstrates an intent to maintain a principal dwelling place in the school district indefinitely and to return there, coupled with an act or acts consistent with that intent.
2 New Hampshire Substance Use Disorder Services System.
A married person may have a domicile independent of the domicile of his or her spouse.
Amend RSA 172:1, IX-a to read as follows:
[If a person removes to another town with the intention of remaining there indefinitely, that person shall be considered to have lost residence in the town in which the person originally resided even though the person intends to return at some future time.] A person may have only one legal residence at a given time.
IX-a.
8 School Attendance;
"Client" means a person who voluntarily seeks substance abuse treatment [as provided by the office of alcohol and drug abuse prevention through its agents or substance abuse treatment contractors].
Legal Residence Required.
3 New Hampshire Substance Use Disorder Services System.
Amend RSA 193:12, VI(a) to read as follows:
Amend RSA 172:1, XXIV to read as follows:
(a) The commissioner of the department of education, or designee, shall decide residency issues for all pupils, excluding homeless children and youths, in accordance with this section.
XXIV.
[If more than one school district is involved in a residency dispute, or the parents who live apart cannot agree on the residence of a minor child, the respective superintendents shall jointly make such decision.
"Certified substance abuse treatment facility" means a facility [funded in part or in whole by the office of alcohol and drug abuse prevention, and] certified or licensed by the department of health and human services under rules adopted pursuant to RSA 541-A.
In those instances when an agreement cannot be reached, the commissioner of the department of education, or designee, shall make a determination within 30 days of notice of the residency dispute and such determination shall be final.
4 New Hampshire Substance Use Disorder Services System.
If the unresolved residency dispute has resulted in an interruption of educational or related services, or such an interruption is likely to occur if the determination cannot be made before the expiration of 30 days, the determination shall Floor Amendment to HB 751-FN - Page 2 - be made within 14 days.
Amend RSA 172:2-a to read as follows:
With the agreement of the school districts involved and of the minor child's parent or legal representative, the time for determination of the residency dispute may be extended.
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172:2-a State Substance Use Disorder Services System Established.
Residency disputes may be submitted to the commissioner for determination by a school district involved in a dispute.
In cases where the failure to resolve a residency dispute has resulted in or is likely to result in the interruption of educational or related services, a minor child's parent or legal representative may submit a residency dispute for determination to the commissioner.
In all cases, all parties with an interest in the dispute shall be notified of the pendency of the proceedings, shall have an opportunity to review all information provided to the commissioner, and shall have an opportunity to present facts and legal arguments to the commissioner.] When addressing residency issues, the only question the commissioner shall consider is whether the child is a resident of the state.
The commissioner's decision, including a written explanation for that decision, shall be provided to the parties of record and a copy of such explanation shall be kept on file by the department of education.
No school district shall deny a pupil attendance or implementation of an existing individualized education program.
9 Open Enrollment Schools;
Definitions;
Open Enrollment Public School.
Amend RSA 194-D:1, I to read as follows:
The commissioner shall provide for the scientific care, treatment, and rehabilitation of individuals with substance use disorders and their families, and work towards the prevention of, and assist in the control of, alcohol and drug misuse within the state through education, treatment, community organization, and research.
"Open enrollment public school" or "open enrollment school" means any public school [which, in addition to providing educational services to pupils] that is currently enrolling pupils both residing within its attendance area or district, [chooses to accept] and pupils from other attendance areas within its district and from outside its district.
The department shall establish, maintain, implement, and coordinate a system of substance use disorder treatment services under this chapter.
10 Open Enrollment Schools;
This system shall be supervised by the commissioner.
Definitions;
[With the exception of a youth drug treatment center required to be operated by a non-governmental entity at the Sununu youth services center, at the HB 751-FN - AS INTRODUCED - Page 2 - discretion of the commissioner,] The department may directly operate and administer any program or facility which provides, or which may be established to provide, services to persons with substance use disorders or may enter into a contract with any individual, partnership, association, public or private, for profit or nonprofit, agency or corporation for the operation and administration of any such program or facility.
Teacher.
Amend RSA 194-D:1, IX to read as follows:
IX.
"Teacher" means any individual providing or capable of providing direct instructional services to pupils, and who meets requirements prescribed in the [Elementary and Secondary Education Act] Every Student Succeeds Act (ESSA) of 2015 and the Individuals With Disabilities Education Act.
11 Open Enrollment Schools;
Establishment;
Parental Choice;
Admission.
Amend RSA 194-D:2 to read as follows:
194-D:2 Establishment;
Parental Choice;
Admission.
I.
[Any school district legislative body may vote to designate one or more of its schools as an open enrollment school.] Each district legislative body shall establish an open enrollment policy to allow pupils to transfer among schools within the district, from another district in the state, or in any state that has an interstate compact with New Hampshire that does not require nonresident pupils to pay an application fee or tuition.
Subject to available funding, the commissioner shall establish, pursuant to rules adopted under RSA 541-A, a certification process for substance use treatment programs and facilities operating in the state of New Hampshire.
[Open enrollment schools shall operate under the same laws, rules, and policies as any other public school, except as provided in this chapter.] Each school district shall determine for each school in the district the capacity of each school and each grade level.
Programs and facilities required to be certified shall include those providing one or more outpatient services, including medically managed outpatient, intensive outpatient, high-intensity outpatient, partial hospitalization, and medically managed intensive outpatient.
A school district shall post the total capacity of each individual school in the district, the capacity Floor Amendment to HB 751-FN - Page 3 - of each grade level, and the number of vacancies in each individual school in the district on the district website by the first of each month.
Nonclinical recovery support services, including but not limited to individual and group recovery coaching and 12-Step Programs, independent practitioners, facilities licensed under RSA 151, the programs and facilities in the system of mental health services established by RSA 135-C:3, and other providers identified by the commissioner, shall be exempt from certification.
Each school district in the state shall report annually to the state commissioner of education the number of transfer applications, acceptances, denials and the reason for each denial.
The department of education shall publish the data annually on its web site and provide reports to the senate and house education committees, and the state board of education.
The commissioner shall adopt rules under RSA 541-A, relative to:
[No public school, except a chartered public school, shall be required to be an open enrollment school.] A parent may apply to any school or district within the state on behalf of a pupil.
(a) Certification procedures, requirements, and exemptions for substance use treatment programs and facilities.
[IV.
(b) Certification and renewal fees.
A school district may predetermine the number of pupils residing outside an open enrollment school's district or attendance area it deems appropriate to accept.] [V.] IV.
(c) The scope and content of training requirements for substance use treatment programs and providers.
Applications may be made on behalf of eligible pupils to more than one [open enrollment] school within the state.
(d) The scope and content of education materials for providers and clients to understand complaint procedures.
[VI.] V.
(e) Public access to findings of investigatory and monitoring reports, and final decisions made relative to certification.
Every [open enrollment] school shall make available information about its curriculum and policies to all persons, and parents and pupils considering enrollment in that school.
[VII.] VI.
There shall be no application fee for pupil admission to any [open enrollment] school.
[VIII.
A pupil who meets the admission requirements of an open enrollment school, and who is a resident of the district where the school is located or is a dependent child of active duty military personnel whose move resulted from military orders, shall be given absolute admission preference over a nonresident pupil.
Once admitted and unless expelled, open enrollment school pupils need not reapply for admission for subsequent years.] VII.
A school district may deny a transfer application only for the following reasons:
(a) The student was expelled by the student's previous district;
(b) The student has a documented history of significant disciplinary issues;
(c) The student has a documented history of chronic absenteeism;
(d) The receiving district does not have available capacity pursuant to this section.
VIII.
No receiving school or district shall accept or reject an applicant based upon grade or age levels, pupil needs, areas of academic focus, aptitude, academic or athletic achievement.
IX.
Attendance at [an open enrollment] a public school for the purposes of transportation shall not constitute assignment under the provisions of RSA 189:6 and RSA 189:8.
Pupils who reside in the school district in which the [open enrollment] school is located shall be provided transportation to that school by the district on the same terms and conditions as provided for in RSA 189:6 and RSA 189:8 and that transportation is provided to pupils attending other public schools Floor Amendment to HB 751-FN - Page 4 - within that district.
However, any added costs for such transportation services shall be borne by the [open enrollment] school.
For the purposes of open enrollment, neither the sending nor the receiving school district shall be obligated to provide transportation services for pupils attending [an open enrollment] a school outside the pupil's resident district.
The parent may provide transportation to a specific bus stop on an existing route of the receiving school or district.
The district shall provide the parents with information regarding transportation options.
X.
Upon approval by each of the district's legislative bodies and after a public hearing, 2 or more school districts may consolidate otherwise eligible resident pupils into one applicant pool for the purposes of an admissions lottery for designated open enrollment schools.
[XI.
Military-connected students as defined in RSA 110-E:1 who are the dependent children of a member of the active uniformed military services of the United States on full-time active duty status and students who are the dependent children of a member of the military reserve on active duty orders shall be eligible for admission to the school district of their choice.
Students shall be eligible if:
(a) At least one parent of the student has a Department of Defense-issued identification card;
and (b) At least one parent can provide evidence that he or she will be on active duty status or active duty orders, meaning the parent will be temporarily transferred in compliance with official orders to another location in support of combat, contingency operation or a natural disaster requiring the use of orders for more than 30 consecutive days.
XII.
A school district of residence shall not prohibit the transfer of a pupil who is a child of an active military duty parent to a school in any school district, if the school district to which the parent of the pupil applies approves the application for transfer.] 12 Open Enrollment Schools;
Funding.
Amend RSA 194-D:5 to read as follows:
194-D:5 Funding.
I.
There shall be no tuition charge for any pupil attending an open enrollment school located in that pupil's resident district.
For an open enrollment school authorized by a receiving school district, the pupil's sending district shall pay the receiving district an amount equal to not less than 80 percent and not greater than 100 percent of the sending district's average cost per pupil as determined by the department of education using the most recent available data as reported by the sending district to the department, pursuant to RSA 189:75, I(c), in addition to special education expenses.
Sending districts may pay less than 100 percent of the sending district’s average cost per pupil provided that the sending district demonstrates the need for a lower tuition rate relative to fixed costs.
If the transferring student's resident district average cost per pupil is less than the receiving district's average cost per pupil, such difference shall be charged as tuition and paid by the pupil's parents or guardians to the receiving district prior to the start of each semester.
Floor Amendment to HB 751-FN - Page 5 - II.
In accordance with current department of education standards, the funding and educational decision-making process for children with disabilities [attending] transferring to a [chartered public or open enrollment] school shall be the responsibility of the resident school district and shall retain all current options available to the parent and to the school district.
III.
[Any federal or other funding available in any year to a sending district shall, to the extent and in a manner acceptable to the funding source, be directed to an open enrollment school in a receiving district on an eligible per pupil basis.] Students transferring from their resident district pursuant to this chapter shall be calculated in the ADMR of their resident school district under RSA 189:1-d, IV.
All fees received from certification under this section shall be kept in a nonlapsing fund known as the substance use treatment certification fund, which shall be kept separate and distinct from all other funds.
The commissioner of the department of education shall apply for all federal funding available to open enrollment schools under [the No Child Left Behind Act, Title I of the Elementary and Secondary Education Act, or other] any federal source of funds.
The fund shall be continually appropriated to the department of health and human services to fund to the certification process for substance use treatment programs and facilities operating in the state of New Hampshire.
The commissioner shall expend any such funds received in a manner acceptable to the funding source.
The commissioner may accept gifts, grants, donations, or other funding from any source and shall deposit all such revenue received into the fund.
The state treasurer shall invest the moneys deposited in the fund as provided by law.
Interest earned on moneys deposited in the fund shall be deposited into the fund.
The department shall maintain and regularly update on its website a publicly available listing of all programs and facilities certified under this chapter.
A sending district may provide funds, services, equipment, materials, or personnel to [an open enrollment] a school, in addition to the amounts specified in this section in accordance with the policies of the sending school district.
HB 751-FN - AS INTRODUCED - Page 3 - 5 New Subparagraph;
VI.
Dedicated Funds;
[An open enrollment] A school may accept pupils at tuition rates at less than the amounts established by this chapter.
Substance Use Treatment Certification Fund.
VII.
Amend RSA 6:12, I(b) by inserting after subparagraph (399) the following new subparagraph:
[An open enrollment] A school may receive financial aid, private gifts, grants, or revenue as if it were a school district.
(400) Moneys deposited in the substance use treatment certification fund under RSA 172:2-a.
13 Open Enrollment Schools;
6 New Hampshire Substance Use Disorder Services System.
State Board;
Amend RSA 172:2-c to read as follows:
Duties.
172:2-c Community Substance Use Disorder Treatment Programs.
Amend RSA 194-D:7 to read as follows:
194-D:7 State Board;
Duties.
Any city, county, town, or any individual, partnership, association, public or private, for profit or nonprofit, agency or corporation may establish and administer a community substance use disorder treatment program for the purpose of providing substance use disorder treatment services to individuals, families, and organizations in the area.
The state board shall adopt rules, pursuant to RSA 541-A, consistent with the provisions of this chapter relative to the administration of open enrollment in public schools across the state.
Every program shall, at a minimum, provide substance use disorder screening and evaluation, case management, and outpatient counseling services.
The department may contract with a community substance use disorder treatment program, pursuant to RSA 172:2-a, for the operation and administration of any services that are part of the state substance use disorder treatment system.
In the event that the commissioner decides to enter into a contract for the operation and administration of any services which are part of the state substance use disorder treatment system, the contract shall contain standards designed to measure the performance of the contractor in achieving positive consumer outcomes, maintaining fiscal integrity, and providing quality services.
The commissioner shall adopt rules, pursuant to RSA 172:8-b, to establish criteria for designating substance use disorder treatment programs under this chapter.
No person may establish, maintain, operate, or conduct any program or facility for substance use treatment without any certification required by the department under RSA 172:2-a.
The state board [shall] may convene one or more working committees to study and make recommendations regarding the implementation and effectiveness of open enrollment [schools] policies.
III.
The recommendations shall be provided to the legislative oversight committee in RSA [194-B:21] 193-C:8-a.
Every facility or program certified under RSA 172:2-a shall pay a certification fee to the commissioner for deposit in the fund established under RSA 172:2-a.
14 New Paragraph;
7 Department of Health and Human Services, Department Established;
Parental Bill of Rights;
Office of the Ombudsman.
Definitions Added.
Amend RSA 126-A:4, III to read as follows:
Amend RSA 189-B:2 by inserting after paragraph VI the following new paragraphs:
III.
VII.
The department shall establish an office of the ombudsman to provide assistance to clients of the department by investigating and resolving complaints regarding any matter within the jurisdiction of the department including services or assistance provided by the department or its contractors.
“Open to the general public” means an event that is generally open to parents, guardians, family, and members of the community, including events for which attendance may require registration, ticketing, or invitation for admission due to space, security, or other concerns.
The ombudsman's office may provide mediation or other means for informally resolving complaints.
VIII.
The records of the ombudsman's office shall be confidential and shall not be disclosed without the consent of the client on whose behalf the complaint is made, except as may be necessary to assist the service provider to resolve the complaint, or as required by law.
“Required assessment” means any standardized assessment that is required by state or federal statute or regulation.
Subject to available funding, the department shall designate within the office of the ombudsman a person as the behavioral health specialist dedicated solely to investigate and resolve complaints to HB 751-FN - AS INTRODUCED - Page 4 - promote the health, safety, welfare, or civil or human rights of any person receiving the treatment or services of a substance use or mental health treatment facility.
15 Parental Rights;
8 Repeal.
Consent to Recording;
Limited Exemption for Required Assessments and Events Open to the General Public.
Amend RSA 189-B:4, I(p) to read as follows:
Floor Amendment to HB 751-FN - Page 6 - (p) To consent in writing before the state or any of its political subdivisions, including, without limitation, any school pursuant also to the provisions of RSA 189:68, III-V, makes a video or voice recording, unless such recording is made during or as part of a court proceeding or part of a forensic interview in a criminal or other investigation by the bureau of child protective services or it is to be used solely for the purpose of a safety demonstration, including the maintenance of order and discipline in the common areas of a school or on student transportation vehicles, or such recording is made as a component of the administration of a required assessment or is made during a school-sponsored event that is open to the general public.
16 Repeal.
RSA 172:1, XXV, relative to the definition of certified alcohol and drug abuse counselor.
RSA 194-D:3, relative to limitations on procedure for adoption and rescission.
RSA 171:2, XXIX, relative to the definition of designated drug counselor.
RSA 194-D:4, relative to pupil selection and enrollment.
9 Effective Date.
17 Effective Date.
LBA 25-0268 1/4/25 HB 751-FN- FISCAL NOTE AS INTRODUCED AN ACT relative to certification of alcohol and other substance misuse treatment facilities.
Floor Amendment to HB 751-FN - Page 7 - 2026-0297s AMENDED ANALYSIS This bill:
FISCAL IMPACT:
I.
This bill does not provide funding, nor does it authorize new positions.
Establishes a committee to study licensure of outpatient substance use disorder treatment facilities.
Estimated State Impact FY 2025 FY 2026 FY 2027 FY 2028 $50,000 to $50,000 to $50,000 to Revenue $0 $75,000 $75,000 $75,000 Revenue Fund(s) Substance use center certification fees Expenditures* $0 $872,000 $389,000 $399,000 Funding Source(s) General Fund Substance Use Treatment and Certification Fund Appropriations* $0 $0 $0 $0 Funding Source(s) None *Expenditure = Cost of bill *Appropriation = Authorized funding to cover cost of bill METHODOLOGY:
II.
This bill establishes a certification process for substance use treatment programs and facilities operating in the state of New Hampshire.
Allows parents to send their children to public schools outside of their resident district.
The Department of Health and Human Services would be required to maintain a publicly available listing of all certified programs and facilities, as well as all investigatory reports, monitoring reports, and final decisions made relative to certification.
III.
In addition, the bill establishes a new substance use treatment certification fund.
Creates a limited exemption from the consent requirement under the parental bill of rights for required assessments and school-sponsored events open to the general public.
All fees received from certification will be kept in the separate fund.
The Department notes that certification rates are intended to be based on the revenue needed to support operation of the program, but operational costs may be greater than reasonable fees will allow, resulting in a need for additional general funds.
Finally, the bill states that the Department shall designate an individual within its Ombudsman's office to investigate and resolve complaints to promote the health, safety, welfare, and civil or human rights of anyone receiving treatment at substance use or mental health treatment facilities.
The bill expressly notes that the Department's new responsibilities are subject to available funding.
The Department states that although the total number of substance use treatment agencies is unknown, there are 65 individual organizations enrolled with Medicaid as substance use disorder outpatient groups or programs, with a total of 106 separate sites.
There are also agencies that are not enrolled with Medicaid, as well as fluctuation in agencies opening and closing over time.
In addition, the bill includes residential facilities within its definition of treatment programs and facilities.
The Department estimates a total of 50-150 agencies in need of certification, requiring four additional staff:
three Licensing and Evaluation Coordinators and one Supervisor IV, at a total cost of $322,000 in FY25, $339,000 in FY26, and $349,000 in FY27.
In addition, the Department anticipates a one-time IT infrastructure cost of $500,000 in FY26.
The Department notes that although the program is intended to be self-funded through the substance use treatment and certification fund, the positions will need to be filled before any revenues are received, resulting in a general fund cost in the first year of implementation.
With respect to the responsibilities added to the Ombudsman's Office, the Department anticipates costs of up to $50,000 per year to cover training for existing Ombudsman personnel, as well as for certified providers.
AGENCIES CONTACTED:
Department of Health and Human Services