New Hampshire GO-NORTH — Hub Contracts and Competitive RFP Framework

New Hampshire received over $204 million in Year 1 RHTP funding and is implementing through GO-NORTH (Governor's Office of New Opportunities & Rural Transformational Health), led by Director Donnalee Lozeau, with NH DHHS as co-lead. GO-NORTH is a dedicated Governor-created implementation office — an unusual structure nationally that signals executive-level prioritization outside the standard grant administration path.

New Hampshire's distribution model has two tiers. Tier 1 — Institutional Hub Contracts (executed March 17, 2026): The Executive Council unanimously approved four sole-source contracts totaling approximately $133 million on March 17, 2026. These are direct non-competitive awards to named institutional partners. A fifth hub (Community Behavioral Healthcare) is pending Executive Council approval. Individual providers cannot apply for hub contracts directly. Tier 2 — Competitive RFPs (forthcoming): GO-NORTH has signaled that future disbursements beyond the initial hub contracts will use competitive RFPs posted at gonorth.nh.gov. These are the open-competition pathways for organizations not already in the institutional hub network.

For most FQHCs, CAHs, rural clinics, EMS agencies, and county nursing homes, the near-term access route is through the Foundation for Healthy Communities ($66.5M hub) — a New Hampshire nonprofit that will administer sub-grants to rural health organizations under its hub contract.

The five hub categories: Foundation for Healthy Communities ($66.5M) supports FQHCs, CAHs, county nursing homes, home health agencies, and EMS units. Community Development Finance Authority (CDFA, $43.8M) covers rural capital improvement programs: nursing home renovations in Coos and Merrimack counties, and child care within health care settings. University System of New Hampshire ($15.6M) expands educational programs for rural employers and launches the Governor's Health Scholars Awards Program. Community College System of New Hampshire ($6.7M) develops healthcare career pathways from high school to post-graduate. NH Community Behavioral Health Association — $131.6 million five-year — pending Executive Council approval: behavioral health hub for rural behavioral health, SUD treatment, and crisis response.

New Hampshire has no federally recognized tribal nations. The Abenaki and other Indigenous communities in New Hampshire are not federally recognized under federal Indian law. No tribal provisions, tribal set-aside, or tribal-specific application track appears in any GO-NORTH or DHHS RHTP documentation.