(Opinion) Even in challenging times, NH’s mental health centers continue to deliver

Debate over heath care funding underscores the importance of their mission

BY PATRICIA CARTY

Amid a challenging federal budget environment and an ongoing national debate over health care funding, New Hampshire’s 10 community mental health centers (CMHCs) remain steadfast in their mission: to ensure that individuals and families across the state have access to the mental health and substance use services they need.

While news coverage of the current federal government shutdown has primarily focused on insurance subsidies and budget negotiations, what often goes unrecognized is the extraordinary resilience of the state’s health and human service providers — especially those that care for our most vulnerable neighbors. Even as national and state policies shift, our CMHCs continue to provide consistent, compassionate and effective care for more than 54,000 Granite Staters every year.

Government at its best is more than politics — it is the foundation of our collective well-being. Public programs such as Medicaid, SNAP, LIHEAP and WIC play a vital role in ensuring that all residents can meet their basic needs and thrive. When disruptions occur, they remind us why strong public systems — and the organizations that partner with them — are essential to healthy, vibrant communities.

In New Hampshire, recent policy changes will soon affect how many residents access Medicaid. While new work requirements and co-pay provisions present challenges, the CMHCs are proactively collaborating with state agencies and community partners to minimize barriers and keep people connected to care. Our shared goal remains clear: a system where no one loses coverage simply because of paperwork hurdles or financial strain.

We know that most adults on Medicaid are already working — often in multiple jobs or in positions without benefits. The CMHCs are committed to helping these individuals maintain their coverage while addressing the social and economic factors that influence their health. Likewise, we remain focused on ensuring that any cost-sharing expectations are implemented thoughtfully, without creating undue hardship for families.

Despite financial pressures — CMHCs rely on Medicaid for up to 80% of their revenue — our centers continue to innovate. Across New Hampshire, CMHCs are advancing initiatives such as Mission Zero, and are working to ensure that the mental health system is transformed to a “whole health” approach which integrates mental health, physical health and social supports through Certified Community Behavioral Health Clinics and the Rural Health Transformation program.

The dedication of CMHC staff and boards of directors is the backbone of this success. Their tireless work, often behind the scenes, has not only sustained essential services but also secured significant policy wins, including a 3% Medicaid rate increase and the preservation of funding for uncompensated care in the most recent state budget. These outcomes were achieved through collaboration, education and direct engagement with policymakers.

Even as we navigate uncertain times, one thing remains constant: the strength, compassion and resilience of New Hampshire’s mental health community.

We have weathered policy shifts and fiscal challenges before, and we will do so again — always with our focus firmly on the people we serve.

The CMHCs’ message is one of hope and determination: No matter the external circumstances, New Hampshire’s community mental health system will continue to deliver the care and support that our residents deserve.

Patricia Carty is CEO of the Mental Health Center of Greater Manchester. She lives in Manchester.