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County nursing homes urge caution on prescriptive staffing mandate in HB 11‑79

House Committee on Health, Human Services and Elderly Affairs · January 21, 2026
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Summary

Representative Linda Haskins proposed raising minimum direct care hours per resident day to 4.1 in HB 11‑79 after constituent complaints of neglect. County nursing home administrators and associations opposed the bill as an unfunded, prescriptive mandate that doesn’t account for resident acuity, paperwork burdens on RNs, or Medicaid funding shortfalls; they recommended funding, workforce housing, and targeted supports instead.

Representative Linda Haskins introduced HB 11‑79 following constituent complaints about neglect at a private nursing home. Haskins said New Hampshire’s minimum staffing is lower than other New England states and proposed raising hours per resident day to 4.1 (she noted a pending federal rule of roughly 3.48 hours as a comparison…

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