CONCORD, N. H. – When lawmakers return to work in Congress after their Fourth of July break, there is already a move to cancel the August recess in order to pass the GOP health-care plan.

Republicans in the U.S. Senate are having trouble cobbling together enough votes to pass the plan, in no small part because of Republican governors such as New Hampshire's Chris Sununu, who have stood in opposition.

According to Lisa Beaudoin with ABLE New Hampshire, Sununu has played an important role in blocking what she believes is an ill-conceived plan. She said up to 90,000 children in the Granite State would have been on the losing end of the deal.

"We are delighted that Gov. Sununu took a clear and unequivocal stand," said Beaudoin, "that he sent a very clear and strong message to Senate leadership that he cannot support the current version of the Better Care Reconciliation Act."

Frustrated over the lack of progress, President Donald Trump tweeted on Friday that lawmakers should forget about replacing Obamacare and simply repeal it. Nearly a dozen GOP senators also have called for cancelling the August recess if no health-care plan is agreed upon.

Beaudoin pointed out that, while her group thinks Sununu deserves plenty of credit, there are several issues that need clarification. It sent a letter to the governor outlining these concerns.

"We would like to know a clear and detailed summary of what current health-care programs and consumer protections our fine governor is going to defend when it comes to the health-care debate," she stated.

Beaudoin cited estimates that at least 20,000 people with disabilities and senior citizens in New Hampshire would lose vital coverage in the BCRA. She said lawmakers need to understand that Medicaid is more than a health issue; it also is a matter of civil and human rights.

"Medicaid is about equity, inclusion and opportunity for people who experience disabilities, and seniors, in addition to providing health care," she said.

Beaudoin added that health-care advocates deserve a seat at the table, so they can participate in a collaborative conversation with Sununu on how to deliver quality health care to all.



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New Mexico saw record enrollment numbers for the Affordable Care Act this year and is now setting its sights on lowering out-of-pocket costs - those not reimbursed by insurance. More than 56,000 New Mexicans are enrolled in a medical health insurance plan on the state exchange - an increase of 12,000 people overall.

Colin Baillio, deputy superintendent with the state's Office of Insurance, said the state has boosted its outreach and made efforts to improve the overall consumer experience.

"We saw a 40% year-over-year increase, and New Mexico saw the biggest percentage increase during the open-enrollment period among all of the state-based marketplaces," he explained

Part of the enrollment increase is due to what's called the "unwinding" - a federal directive that required all states to redetermine Medicaid eligibility following a three-year pause on checks during the COVID pandemic. He said by using expanded tools made available by the federal and state government, 8% of New Mexico's population is now uninsured - down from 23% in 2010.

Following approval by lawmakers in the 2024 legislative session, the New Mexico governor signed seven health care-related bills into law - one of which requires annual reporting of prescription drug pricing. Baililo said the Affordable Care Act built the foundation that has allowed the state to pursue additional affordability initiatives.

"I'm really glad to see that there's so much interest in the next step of health reform, really leaning into these out-of-pocket cost issues and making it easier for people to afford to stay covered and see their doctors," he continued.

Two years ago, the state also passed a one-of-a-kind law that did away with behavioral health co-pays for people in certain insurance plans.

New York's medical aid-in-dying bill is gaining further support. The Medical Society of the State of New York is supporting the bill. New York's bill allows terminally ill people with only six months to live to use this option, with safeguards requiring two physicians' approval.

The bill's Assembly sponsor Amy Paulin, D-Westchester, said despite the growing support, other hurdles lie ahead.

"Now we have what I believe, if it came to the floor, a majority. There's still a hesitation on the part of leadership. You know, we need members to assure leadership that they no longer have reservations," she said.

Other newly resolved concerns center on making sure insurance companies and doctors who don't support this aren't held liable. She's optimistic the bill will pass after nine years in the Legislature. New York would be the 11th state along with Washington, D.C. to have medical aid in dying legislation.

Corinne Carey, senior New York campaign director with Compassion and Choices finds the pandemic drew a vivid picture of a person's end-of-life experience. There were images of people dying on ventilators, apart from loved ones, and unable to communicate. She said people began thinking about a "good death."

"And, what is a good death is being surrounded by loved ones, having some measure of control, experiencing the touch of your loved ones, and being the one in the driver's seat," she explained.

Now people have different options for end-of-life care, each of which presents various challenges. Polls show medical aid in dying has garnered considerable support since being introduced in 2015. A 2022 Compassion and Choices poll finds 57% of nurses support medical aid in dying professionally, although fewer support it personally.

The California State Assembly is considering a bill to require schools to have a cardiac arrest response plan. Assembly Bill 2887 would make sure schools update their safety plans to include CPR training and an automatic external defibrillator or AED onsite.

Dr. Stephen Sanko, a professor of clinical emergency medicine at USC, and a founding member of the Cardiac Arrest Survivor Alliance, is a volunteer expert for the American Heart Association. He said having a plan in place is critical.

"The American Heart Association is promoting that schools have a cardiac arrest response plan. A written protocol for what to do in order to decrease the likelihood that if somebody collapses, that they die," he said.

Two years ago, 15-year-old Cash Hennessy collapsed on the football field due to a previously unknown heart defect. Two off-duty medics in the stands gave him CPR. The school brought out its AED - but it was useless, because the batteries were dead.

Hennessy said the experience was traumatic.

"I feel blessed that I had people there for me, that could give me C-P-R. But I think about if those people weren't there and that was another kid, who knows what would have happened? Because there wouldn't have been an AED to save them," he explained.

An AED walks people through the steps to deliver a life-saving shock to a person's heart until an ambulance arrives. Studies show that 70% of kids who suffer sudden cardiac arrest at school recover if an AED is deployed correctly - whereas the survival rate for kids and adults not in the hospital is less than 12%.