I'm an employee of the DHHS, asking you to *oppose this bill.
HB1671
House · 2026 sessionRepublicanInterim studyProtecting vaccine exemptions in Medicaid funding
AIProhibits state Medicaid payments to health care facilities that discriminate against employees, students, or trainees for exercising a lawful medical or religious vaccine exemption, and allows suspension from Medicaid as a penalty.
relative to prohibiting state Medicaid payments to facilities that discriminate against employees, students, or trainees for exercising lawful medical or religious vaccine exemptions.
Status
Referred to interim study (House) · February 19, 2026- ✓Introduced
- ✕House
- Senate
- Governor
- Law
Division of testimony
814 submissionsArgument digest · AI-generated
from 171 of 171 written submissionsHB1671 would cut off state Medicaid payments to health care facilities found to discriminate against employees, students, or trainees who claim a lawful medical or religious exemption from vaccination. Most submitters oppose the bill, arguing it would endanger medically vulnerable patients by discouraging vaccination requirements in health care settings and could financially destabilize facilities that depend on Medicaid, particularly nursing homes. A smaller group of submitters support the bill as a matter of medical freedom and bodily autonomy and as a way to stop what they describe as discrimination against health care workers and students who decline vaccination.
- Vaccine mandates violate bodily autonomy and informed consentSupport13 of 171 reviewed
Supporters frame vaccination requirements tied to employment or education as coercive, arguing that medical decisions should be free from government or employer pressure and that true informed consent is incompatible with mandates.
“Medical freedom and bodily autonomy are a basic fundamental civil liberty and should not jeopardize employment, training or education opportunities for exercising this authority over one's own body.”
— Laura Mercier, Dover · #608544 — read full submission →
“Forcing individuals into medical decisions to participate in society is unAmerican. Bodily Autonomy is not a privilege, it is a right.”
— Leslie Nuchow, Portsmouth · #603923 — read full submission →
- Facilities should not discriminate against exemption holdersSupport10 of 171 reviewed
Supporters argue that employees, students, and trainees with lawful medical or religious exemptions should not be barred from work or training opportunities in health care because of their vaccination status.
“When medical facilities do not recognize legitimate vaccine exemptions, it discriminates against anyone with an exemption from being employed in the medical field.”
— Susan Homola, Hollis · #593368 — read full submission →
“Help protect medical freedom and personal choice in NH by passing this bill and ending discrimination against people for their medical choices”
— Jacqueline Garcia, Meredith · #609524 — read full submission →
- Personal accounts of employment or training discriminationSupport5 of 171 reviewed
Several submitters describe specific instances in which they, a family member, or colleagues faced job loss or professional discrimination for declining vaccination on medical or religious grounds.
“The University started imposing annual COVID-19 vaccines on ANY employee of any hospital in their network, including the cafeteria staff, and including the employees that never have any direct contact with patients.”
— Catharine Matteo, Hopkinton · #591753 — read full submission →
“It was commonplace for medical providers who objected to the vaccine for religious reasons to be discriminated against.”
— Terrance Hanlon MD, Sanbornton · #605901 — read full submission →
- State should withhold Medicaid from facilities rejecting exemptionsSupport5 of 171 reviewed
Several submitters explicitly call for the state to withhold Medicaid payments from any medical facility that does not accept religious and medical exemptions for its employees or students in training, describing this as the appropriate policy mechanism.
“Withhold Medicaid payments from any medical facility who does not accept religious and medical exemptions for employees or students training at the facility.”
— Erica Druke, Concord · #601689 — read full submission →
“I support this bill requiring the state to withhold Medicaid payments from any medical facility who does not accept religious and medical exemptions for employees or students training at the facility.”
— Tina Hood, New Ipswich · #594895 — read full submission →
- Vaccine safety and testing claims are not trustworthySupport2 of 171 reviewed
A small number of submitters express distrust of vaccine safety and efficacy data, framing support for the bill around skepticism of pharmaceutical industry claims.
- Facilities should not discriminate against patients who decline treatmentSupport1 of 171 reviewed
One submitter extends the anti-discrimination argument beyond employees to patients, arguing that facilities should not penalize patients who decline particular procedures or treatments.
- Vaccination requirements protect vulnerable patientsOppose78 of 171 reviewed
Most opponents argue that health care facilities need the ability to require vaccination of staff, students, and trainees to protect infants, the elderly, and immunocompromised patients from preventable disease transmission, and that this bill would undermine that protection.
“Healthcare settings serve populations that are disproportionately vulnerable to infectious disease, including infants, the elderly, people with disabilities, and immunocompromised patients.”
— Keith Mellett, North Woodstock · #604916 — read full submission →
“No patient or nursing home resident should have to worry that receiving care, having a meal delivered, or having their room cleaned could result in their illness or death because the person providing the service doesn't want to be vaccinated.”
— Diana Weiner, Concord · #605036 — read full submission →
- Withholding Medicaid would financially destabilize facilitiesOppose21 of 171 reviewed
Opponents warn that cutting off Medicaid payments could force nursing homes and other facilities to close or reduce services, shifting costs to local taxpayers and reducing access to care for the very patients the bill claims to protect.
“if your county nursing home loses Medicaid coverage, there are two options--it might close, or the county taxpayers which are already paying half the Medicaid bill will have to pick up the other half as well.”
— Kristina Tindle, Exeter · #609172 — read full submission →
“Withholding Medicaid payments risks facility closures, reduced services, and higher costs shifted to taxpayers.”
— Robyn Kozierok, Concord · #604976 — read full submission →
- Facilities, not the state, should set their own safety standardsOppose7 of 171 reviewed
Opponents argue that health care providers have the clinical expertise and incentive to determine appropriate vaccination and safety policies, and that the legislature should not substitute political judgment for medical and institutional autonomy.
“Medical treatment should follow science based guidelines; people that can’t follow established guidelines should not be working for public institutions; everyone should follow best practices that serve the common good, not partisan or sectarian interests!”
— Robert Martin, New London · #608360 — read full submission →
“The health care providers have the knowledge and incentive to make decisions that are in the interests of their providers, patients, and communities.”
— Holly Cooper, Concord · #605194 — read full submission →
- Better ways exist to address discrimination than defundingOppose6 of 171 reviewed
Some opponents argue that even if discrimination occurs, cutting Medicaid funding punishes an entire facility's patient population rather than the individuals responsible, and that existing labor and civil rights processes are better suited to resolve such disputes.
“In the unlikely event that a facility discriminates against employees, students, or trainees for exercising lawful medical or religious vaccine exemptions, the entire population of that facility should not be punished by ending Medicaid payments to that facility.”
— Miranda Spencer, Alstead · #611195 — read full submission →
“Employment and discrimination concerns are better addressed through established labor and civil rights processes, rather than through Medicaid payment restrictions.”
— Janna Biggs, Hampton · #606755 — read full submission →
- Bill weaponizes Medicaid funding to enforce ideologyOppose4 of 171 reviewed
Opponents characterize the bill as using Medicaid funding as political leverage to force health care providers to adopt policies favored by the legislature rather than evidence-based medical practice.
“This bill weaponizes Medicaid to enforce ideology. Medicaid exists to provide patient care—not to coerce healthcare providers into adopting the legislature’s preferred employment policies.”
— BONNIE BRUNO, HOLLIS · #601875 — read full submission →
“This bill does not protect “medical freedom.” Instead, it weaponizes Medicaid funding to coerce providers into abandoning evidence-based infection control practices.”
— David Preece, Manchester · #605149 — read full submission →
- Religious exemptions are often pretextual, not genuineOppose3 of 171 reviewed
Some opponents argue that claimed religious objections to vaccination are frequently not based on genuine religious doctrine, making the exemptions this bill would protect a loophole rather than a legitimate religious accommodation.
“Vaccines are one of the most effective medical innovations. They have saved millions of lives. Protect our children! Religious exemptions are a scam.”
— Daniel Hooberman, Laconia · #604886 — read full submission →
“No medical records, no prior history, no real reason. All that's required is a belief that Jesus will protect you from measles.”
— James Burke, Merrimack · #605802 — read full submission →
- Bill's key terms are vague, inviting litigation and confusionOppose3 of 171 reviewed
Some opponents argue that terms such as "discriminate against" and "exercising lawful medical or religious vaccine exemptions" are not clearly defined, creating a risk of confusion, inconsistent application, and costly litigation.
- Bill is an unnecessary, costly use of state resourcesOppose3 of 171 reviewed
Some opponents argue the bill would impose new administrative costs, such as a compliance officer position, and represents an unnecessary use of legislative time and state funds.
Generated by claude-sonnet-5 (claude code agent) on Jul 20, 2026. Quotes are verbatim excerpts, verified against the cited submission before publication. Summaries are AI interpretation of the record, not part of it.
I'm an NH voter asking that you please *oppose* this bill. Thank you.
This Bill respects the rights of the individual. Healthcare is not one-size fits all, and must be respectful of the patient. Vaccine mandates do not respect the individual health, values and goals of the patient.
I oppose this bill on the grounds that stripping medicaid payments to facilities for their internal policies around vaccination is a gross overreach of authority and an attempt to end-run around those institutions' rights to set their own standards to protect their staff and patients. In essence you punish those who would rely on those facilities to try to control the facility itself, when in fact the legislature has no business telling hospitals what's medically necessary to keep patients and staff safe from disease. I urge you to reject this bill.
You continue to ignore the science.
This is a link to a map of confirmed measles cases in the United States, Canada, and Mexico prepared by Johns Hopkin s Center for Health Security. https://www.arcgis.com/apps/dashboards/dd314001921f4d2eac160f89ded0b49a, States like Maine with mandatory vaccines immunization coverage of 95-100 percent have few cases of measles (with the exception of California). Texas is interesting, The areas with 95-100 percent immunization coverage have no cases. The other areas with lower immunization coverage have measles cases. NH is lucky that it is in the 90-95 percent immunization coverage range and it does not have any reported cases of measles. Approval of this bill will lower our immunization coverage percentage. A vote for this bill is a political choice not a health choice for NH.
Poor people need to have good and sufficient food.
A terrible bill! sincerely, Mark Meess, MD
Vaccines are an important part of public health!
Dear Representatives, I am absolutely against using Medicaid payments as punishment to facilities who are serving our most vulnerable citizens regarding a policy designed to protect those very vulnerable people.. The rules regarding vaccination for employees is for the benefit of all clients and patients served, as well as staff. It is proven science that vaccination saves lives. Withdrawing Medicaid payments would cause some of these facilities to close - clearly not the direction we want to go in NH when nursing home demand exceeds availability right now. Jane Shapiro
I strongly oppose this bill. Immunizations have been proven to work. Please don’t cause undo harm to this most vulnerable in our society.
This bill would have devastating consequences for the most vulnerable among us. We should be able to trust that health care workers who are in close contact with immunocompromised patients have taken every reasonable measure to protect themselves and their patients against preventable and potentially devastating diseases. The science supports vaccination, particularly in health care settings.
Education and other services must remain open to all, regardless of their personal medical choices. People have the right to make personal medical choices without coercion. It is unacceptable to try forcing individuals into medical decisions so that their may participate in society. Bodily autonomy is not a privilege, it is a God given right. We need to return to true informed consent.
Once again, here is a bill that's a solution seeking a problem. In the unlikely event that a facility discriminates against employees, students, or trainees for exercising lawful medical or religious vaccine exemptions, the entire population of that facility should not be punished by ending Medicaid payments to that facility. There are other ways to sanction the facility without hurting vulnerable elders, low-income people, etc. who had no role in the facility's decisions and may depend on its services.
I OPPOSE this bill (1671) as it is contrary to the public well-being.
This bill should pass. There is plenty of evidence to establish that vaccines have not been tested for safety and efficacy. If this bill is not passed, you support experimenting on our youth.
This bill could collapse facilities that rely on Medicaid payments, such as nursing homes. Vaccines keep everyone safe, it’s basic public health. If such a facility were to lose its Medicaid payments that would raise taxes for the public (taxes which are already outrageous and hurting people). This bill opens up ridiculous lawsuits that are a complete waste of time and do nothing but hurt the facility and hurt the people desperately seeking care. If someone is stupid enough to go against medical advice to choose to not be vaccinated, they are a dangerous threat to the health of those in any facility. The facility should not have to endanger everyone else for the sake of someone’s ignorance and selfishness. Vaccines save lives.
I support this bill
I am a retired Pediatrician who worked for Dartmouth Health for 25 years. I cannot state strongly enough how dangerous it would be to repeal statutory immunization requirements for children! We are already seeing the damage inflicted by decreasing vaccine rates in the Measles outbreaks happening around the country. Please contact me with questions. Thank you!
I oppose HB1671 because it risks undermining patient safety standards and interferes with healthcare providers’ ability to implement evidence-based infection control policies. Public health decisions should prioritize patient protection rather than impose funding penalties tied to exemption policies
I strongly oppose this absurd bill. So many bad ideas piled on each other.
I oppose this bill. Vaccines keep the public safe. It is not inappropriate for facilities open to the public to “discriminate” against unvaccinated people because they make it unsafe for the rest of the public.
It is critical that we ensure our health care providers are able to require that anybody who is involved in treating patients be vaccinated against certain illnesses. It should be a caretaker's number one priority to ensure the safety of their patients, and a health care provider cannot ensure this immunization statuses are not up to date. A caretaker can always find another place of employment, but a patient often has no choice but to receive care at certain facilities.
I oppose HB 1671. My mother, who has alzheimer's, receives good care at the Merrimack County Nursing Home with the support of Medicaid. If Medicaid no longer paid the bill, and multiply this by the number of residents who depend on Medicaid, I fear that MCNH would either have to close, or the state would have to increase taxes previously covered by the federal government. My voice is just one of hundreds of people who have loved ones in a county nursing home. Please vote no on HB 1671.
Please do not pass this bill that removes protections for many citizens.