Gov. Chris Sununu signed a bill this week to make permanent the emergency changes expanding telemedicine services. The restrictions on telemedicine were not primarily to protect patients. They were to protect medical providers from competition. When the state makes it illegal to see a Boston doctor via video, patients have to see their local physicians. 

Prohibitions on the practice of telemedicine are an extension of occupational licensing laws. Everyone knows you have to have a state medical license to practice medicine. But licensing laws also have prevented people from consulting online with doctors who are licensed in other states, even though technology makes this easy.

The percentage of occupations that require a state license has exploded, going from about 5% in the early 1950s to about 20% today. Economists have suspected that the growth in state occupational licensing laws has contributed to the decline in American mobility. If you’re licensed in one state, moving to another state can mean starting the licensing process all over again, as many states don’t recognize other state licenses. 

A study published this week by the National Bureau of Economic Research supports that theory, concluding that licensing could account for about 8 percent of the decline in mobility. 

Researchers Morris Kleiner of the University of Minnesota and Ming Xu of Queens University studied occupational license requirements in U.S. states from the 1980s through 2016. They found that “licensed workers are 24% less likely to switch occupations and 3% less likely to become unemployed in the following year.”

As they wrote, “occupational licensing has a strong and negative effect on worker labor market flows, but is associated with higher wage growth, whether a worker is staying in a licensed occupation or switching into a licensed occupation.”

The connection to higher wages has been well established. When the state erects a large barrier to entry for an occupation, thus restricting the supply of practitioners, compensation for that occupation rises. Who pays for that? Consumers do. And the costs outweigh the benefits.

“Existing studies have yet to find a definitive link between licensing restrictions and their stated purpose of improving service quality,” Utah State University researchers concluded in 2018. 

Though improved quality is not evident, the barrier to entry created by licensing laws is significant. Kleiner and Xu find that “occupational licensing represents a barrier to entry for both unemployed workers (1.2% lower entrance rate) and workers who enter from other occupations (24.1% lower entrance rate).”

So not only are occupational licensing laws increasing consumer costs without demonstrating improvements in service quality, they’re also harming the broader economy by reducing economic mobility. 

This hurts New Hampshire, which relies on migration for economic and population growth. New Hampshire has the second-lowest fertility rate in the nation (behind only Vermont). A UNH Carsey Institute analysis of Census data earlier this year showed that New Hampshire would have lost population in recent years were it not for people moving here from other states. 

Occupational licensing laws, both in New Hampshire and elsewhere, make it harder for people to move here and to find work if they do. That has a negative effect on our economic growth. 

We can add this to the long list of reasons why lawmakers should reform the state’s occupational licensing laws. 

Cigarette smokers and flavored tobacco scavengers from Massachusetts produced a surge of New Hampshire tobacco tax revenue that almost single-handedly prevented a business tax increase, preliminary, unaudited state figures suggest.

State tobacco tax collections rose significantly in March, April and June, putting tobacco tax revenue $14.5 million (7.3%) higher than budgeted and $13.7 million (6.9%) higher than last year, according to the Department of Administrative Services’ June revenue report. 

Revenue from the federal tobacco settlement was $2.9 million above plan, for a total tobacco-related increase over budget projections of $17.4 million. Preliminary, cash figures suggest that the state missed triggering an automatic business tax hike by $15.35 million. 

In the last state budget, lawmakers included a provision that would trigger automatic business tax hikes if state general and education fund revenue fell at least 6% below projections. Based on June’s cash figures, revenues appear to have fallen 5.4% below projections. These are preliminary figures, however, and are subject to revision when adjustments are made based on the state’s later, more thorough accounting of the year’s revenues.

If these figures hold, business owners could reasonably thank smokers and Massachusetts lawmakers for helping to prevent those automatic tax hikes. Tobacco tax revenue was 34.6% above budget in June, 34.9% above budget in April, and 10% above budget in March.

Department of Revenue Administration staff say those increases are most likely caused by smokers stocking up for the first lockdown and in anticipation of a second lockdown, combined with Massachusetts residents crossing the border to buy flavored tobacco. 

Massachusetts banned the sale of flavored tobacco products, including flavored snuff and chewing tobacco, effective June 1. In addition to a cigarette sales surge, state tobacco tax data show a large increase in smokeless tobacco sales, particularly snuff, in June. 

Sales of what the state classifies as “other tobacco products,” meaning everything excluding cigarettes and premium cigars, have spiked in recent months, surpassing 7% of all tobacco sales in June. 

A sizable portion of that is likely related to the Massachusetts ban on flavored tobacco products. In addition to flavored smokeless tobacco, the ban also includes menthol and other flavored cigarettes as well as flavored vaping products. 

New Hampshire budget writers expected to supplement state revenues this year by applying the tobacco tax to electronic cigarettes. Last year, legislators expanded the tobacco tax to cover e-cigarettes, even though there is no tobacco in e-cigarettes. 

The tax went into effect on January 1, but it has produced less revenue than expected. By the end of the state’s 2020 fiscal year on June 30, taxes on e-cigarettes had generated just $1.2 million. 

Legislators budgeted $5.7 million in revenue from e-cigarette sales for Fiscal Year 2021, which began on July 1. Based on the first six months of collections this year (covering the final half of Fiscal Year 2020), that projection seems unrealistic. Collections so far suggest that the state could expect to bring in less than half what it projected to take from e-cigarette sales in FY 2021.  

On June 30, 2020, the U.S. Supreme Court ruled in Espinoza v. Montana Department of Revenue that states cannot exclude religious institutions from participating in school choice programs. New Hampshire has a similar scholarship program and a similar constitutional provision to the ones that were under discussion in the Espinoza case.

On July 8, the Josiah Bartlett Center for Public Policy presented an online discussion of the case and its impact on New Hampshire, featuring two experts on the question of religious liberty and alternative education.

Tim Keller, senior attorney for the Institute for Justice, was a co-counsel for the plaintiff in the case.

Kate Baker is executive director of the Children’s Scholarship Fund N.H., which administers a New Hampshire tax-credit scholarship program.

In a webinar for the Josiah Bartlett Center, they explained the Espinoza ruling and its effect on New Hampshire.

We posted the video of that discussion on our newly resurrected YouTube channel here.

 

On Monday, the Josiah Bartlett Center reported on our website (which you should read religiously because you’re smart and you want to drop impressive knowledge on unsuspecting strangers at cocktail parties, whenever we can have those again) that preliminary state revenue figures suggest there won’t be automatic business tax hikes for the 2021 fiscal year. 

The key word there is “suggest.” A business tax increase is still a possibility, if a remote one.

Last year’s state budget contained a provision that would trigger a Business Profits Tax increase of 2.6% and a Business Enterprise Tax increase of $12.5 percent if state General and Education Fund revenue fell at least 6% below projections. 

State collections for June, the final month of the fiscal year, show that General and Education Fund revenues fell below plan for the year by 5.4%. But the June report is based on cash collections as of the end of June. The numbers are always adjusted later, and the totals are not final and official until the audited financial report is released in December. 

We looked back at state revenue reports through 2007 (the last year for which reports are posted online) and found five years between 2007 and 2019 in which there was at least a $20 million difference between the June cash report and the final audited revenue figures.

The differences are as follows:

2008: $20.4 million

2010: $78.5 million

2012: $27.2 million

2016: $67 million

2019: $-25.1 million

Only in 2019 was the audited figure lower than the June cash figure, and most of that change (more than $16 million) was attributable to business tax refunds. But there was a drop of about $9 million not related to tax refunds. 

If the final, audited General and Education Fund revenues for FY 2020 are lower than June’s reported revenues by $15.35 million, the tax increases would be triggered. 

That would be an unusually large drop, but it’s not unprecedented. Businesses face the prospect of spending the next six months in tax-rate limbo, which can affect hiring and other spending plans. 

If you’re uncertain whether your taxes are going to go up, you’re more likely to save cash and avoid hiring, especially since payroll makes up the largest share of the Business Enterprise Tax, which is scheduled to rise by 12.5% if the revenue trigger is met. 

Legislators had the chance to remove this uncertainty and repeal the tax-hike trigger. But, hoping for a tax increase, they refused. 

We’ll have a better idea of the situation in a few weeks, when the state releases June preliminary accrual report. That’s a follow-up report to the June cash report. It includes a fuller financial picture and tends to be much closer to the final, audited report released in December.

For now, business owners and managers should keep the celebrations on hold.  

New Hampshire businesses will not suffer automatic tax hikes early next year, new figures released by the Department of Revenue Administration suggest.

A provision in last year’s state budget would have triggered automatic business tax increases if general and education fund revenue fell at least 6% below projections for the 2020 fiscal year. The newly released numbers for the end of the 2020 fiscal year show a 5.4% decline.

Had revenue fallen another $15.35 million, the tax hikes would have been triggered. But higher-than-anticipated collections from the tobacco tax ($14.5 million), insurance taxes ($9 million, the lottery ($2.9 million) and the tobacco settlement ($2.9 million) slowed the decline and kept revenue from hitting the -6% trigger. 

Though interest and dividends revenue for the year was 6.8% less than projected, an $11.7 million increase this June vs. last June helped slow the overall revenue slide.

The numbers are not final until audited at the end of the calendar year. Still, these official but unaudited numbers offer some much-needed good news for New Hampshire employers.

“If this holds true after the audited figures have been released, every business in New Hampshire will have dodged a bullet.” Jim Roche, president of the Business and Industry Association, New Hampshire’s statewide chamber of commerce, told the Josiah Bartlett Center. “With all the struggles businesses are experiencing as they come back from the COVID-19 pandemic, higher taxes are the last thing they need.”

“Legislators should have taken this tax-hike trigger off the books when employers asked,” Andrew Cline, president of the Josiah Bartlett Center for Public Policy, said. “Instead, legislators gambled with the livelihoods of many small business owners and their employees. Though employers seem to have gotten lucky, they should’ve been able to rely on their legislators, not Lady Luck.” 

The numbers are contained in the Department of Revenue Administration’s June Monthly Revenue Focus report, which tallies the state’s revenue for June and for the entire fiscal year, which ended June 30th. 

The report shows business tax revenue to be 14.6% lower than projected. The Business Profits Tax was down 14.7% and the Business Enterprise Tax 14.3%. 

The Meals and Rentals Tax was 11.6% below projections, and the Interest and Dividends Tax 6.8% below. 

The Tobacco Tax posted a 7.3% gain over projections, and the Insurance Tax a 7.2% gain.

A surge in Tobacco Tax revenue is particularly notable. The June report notes a 56% increase in tobacco stamp sales (which means cigarettes) in June 2020 vs. June 2019. The state saw a similar spike, of 50%, in March. 

When compared to the 2019 fiscal year, 2020 general and education fund revenues fell by 7 percent, with business taxes leading the decline.

The state experienced a 19.3 percent drop in business tax revenue from 2019, with Business Profits Tax revenue falling by 16.5% and Business Enterprise Tax revenue falling by 23.6%. 

Meals and Rentals Tax revenue was down 6.5% from 2019, and proceeds from the Interest and Dividends tax were down 4.6%. 

The Tobacco Tax posted the biggest increase year-over-year, showing a 6.9% gain.

Amid all of the gloomy figures, the monthly numbers for June offer some encouraging news. June revenues — led by tobacco, interest & dividends, liquor, utility property and business profits — were higher than last June’s by a total of $1.4 million.

Independence Day, 2020, will come without parades or fireworks shows in many communities. They are canceled for the coronavirus. Some Americans seem to want them canceled for good. They’re ashamed of the flag and the nation it represents. 

Six years from America’s 250th birthday, her citizens should be preparing for the party to end all parties. Instead, many of us are questioning the idea that the country is worth celebrating at all.

It is. Joyfully and unashamedly. 

As all other nations before it, ours was founded and built by flawed human beings, many of whom did terrible things. As James Madison observed, men are not angels. If they were, there would be no need of government. 

Unlike all other nations before it, however, ours was dedicated to a principle so radical that it transformed human culture on a global scale. 

Throughout human history, inequality based on strictly enforced social rank was universally accepted. From East to West, cultures were based upon the unchallenged belief that there were “better” and “worse” classes of people. 

This system accepted slavery as merely the lowest of the many rigid and brutally enforced social ranks. Slavery was an accepted and thoroughly entrenched part of societies around the world, including ancient Athens and Egypt, medieval Ghana, 19th-century Brazil, and China and India throughout most of recorded history. 

Everywhere humans settled, they tended to build societies with largely unchangeable social and economic strata. The pre-1776 world, aristocratic and rigidly hierarchical, would be unrecognizable to today’s Americans, whose vocabulary of human rights would sound insane to most people throughout human history. 

Whether they know it or not, today’s young Americans are the direct intellectual descendants of the American colonists who, after enjoying more than a century of self-government, started to question their assigned status within the British colonial system. 

The Americans openly questioned their social superiors, including the king. If they were to be taxed, then they demanded representation in Parliament, a dramatic elevation of their social status. When the king and Parliament told them to shut up and submit to the rightful rule of their superiors, they loaded their muskets. 

The American Founders were not saints. But most of what they are reviled for today was the cultural residue of the aristocratic age they destroyed. Their insistence that they had the right to govern themselves, and that “all men” enjoyed the same right by virtue of being “created equal” flipped the global human social order upside down. 

Legend has it that General Cornwallis ordered the band to play “The World Turned Upside Down” during his surrender ceremony at Yorktown. It would’ve been a fitting tune, for the American Revolution rendered the old world order obsolete and invented a new one in which any individual, no matter the circumstances of his or her birth, was presumed to have the same value, the same rights, and the same claim to self-government as any other. 

In his Pulitzer-winning book “The Radicalism of the American Revolution,” historian Gordon Wood explained that “the Revolution suddenly and effectively ended the cultural climate that had allowed black slavery, as well as other forms of bondage and unfreedom, to exist throughout the colonial period without serious challenge. With the revolutionary movement, black slavery became excruciatingly conspicuous in a way that it had not been in the older monarchical society with its many calibrations and degrees of unfreedom; and Americans in 1775-76 began attacking it with a vehemence that was inconceivable earlier.”  

The Society for the Relief of Free Negroes Unlawfully Held in Bondage, the first anti-slavery society, was founded in Philadelphia on April 14, 1775 — four days before the battles of Lexington and Concord. The revolutionary ideas engulfing the American colonies were sparking change before they sparked the war itself.

The Americans were coming to believe every person to be sovereign unto himself. When sovereignty is removed from the king and nestled inside each individual, any claim that one person, one group of persons or one class of persons has a right to rule the masses evaporates.

“Popular consent now became the exclusive justification for the exercise of authority by all parts of the government — not just the houses of representatives, but senates, governors, and even judges,” Wood wrote. 

Thomas Jefferson’s words, quoted above, did more than set patriotic hearts afire. They burned down the old order. Not instantly. Not easily. But permanently. 

Even Americans who think they loathe Washington, Jefferson and Madison do not attack them with the ideas that prevailed before the American Revolution. They attack America’s Founders with the Founders’ own words and ideas. That’s how thoroughly the American Revolution changed the world. 

For modern Western politics, 1776 is Year One. The ideas that prevailed before are but the ancient fragments of a defeated civilization. That civilization destroyed with an idea expressed in just five words. “All men are created equal.” 

Celebrate the United States of America? 

Without hesitation. Every year. Every day.  

Sometimes, the bills everyone is afraid to vote against are the ones we should worry about the most. The PFAS bill passed 23-1 in the Senate last week is a great example. 

If you haven’t followed the Saga of the State PFAS Standards,* well, you’re probably a normal human being with a happy life, and we’re sorry to bring it up. Just know that it’s less complicated than the plot of Twin Peaks, but more complicated than Bulgaria’s relationship with Turkish soap operas.

Because we know you’re rushing out the door to enjoy in-person restaurant dining before Shutdown II: Corona Boogaloo starts, we’ll try to keep this as short as a Looney Toons episode with all the violence removed. 

The state Senate recently bundled into House Bill 1246 a bunch of PFAS-related bills for rapid passage in the coronavirus-shortened legislative session. We’ll focus on just one section of this bill: the part that writes PFAS maximum contamination levels (MCLs) into law.

The bill adopts the MCLs issued by the state Department of Environmental Services last year. These standards are, to be diplomatic, of questionable scientific legitimacy. 

The allowed parts per trillion (yes, trillion) are many times lower than the Environmental Protection Agency’s guideline levels and are based on animal tests and a questionable model adopted by one state (Minnesota).

Moreover, the costs are enormous and the benefits unknown — despite the fact that the department was required by law to conduct a cost-benefit analysis. 

The department estimated the costs at $190 million. That’s a gigantic sum. Though the point of a cost-benefit analysis is to determine whether the benefits are worth the costs, the department offered only a qualitative, not a quantitative, analysis of the benefits. That is, it couldn’t put a price tag on the benefits it claimed would result from these lower levels. 

“Any rational interpretation of the statute requires more,” a judge ruled last November in a lawsuit challenging the inadequacy of the cost-benefit analysis. That lawsuit is pending before the state Supreme Court. 

In the absence of a quality state analysis, the New England Ratepayers Association hired an economist to do one. It estimated the benefits to range between $2.6 million and $8.0 million per year, far lower than the estimated costs of $11.6 million to $23.2 million per year.

Usually, legislators will wait for a court ruling before moving forward with legislation in situations like this. Not this time. 

Writing these incredibly low and costly MCLs into law now, before the Supreme Court has determined whether their adoption was done legally, is foolhardy. 

Writing them into law without having any evidence that the benefits will outweigh the costs is reckless. 

Writing them into law without really knowing whether levels that low and that expensive are absolutely necessary to protect public health is sloppy.

These are only some of the problems with one section of this PFAS bill.

Given the poor state of municipal and business budgets this year, adding these additional costs now will only push local governments further into the red. There’s a very real possibility that the cleanup costs associated with these mandates will combine with other budget difficulties to trigger property tax increases. 

Waiting six months for the economy to recover further and the Supreme Court to act would be the prudent move. (But this is politics. If you want prudence, buy The White Album.) 

Legislation this foolhardy, reckless and sloppy usually meets more than token opposition. But this bill is expected to pass easily next week. 

Maybe, a few years after it passes and municipalities have spent tens of millions of dollars to meet its mandates, triggering property tax increases, we’ll finally get that complete and legally required cost-benefit analysis from the department.

*Rumored to be the title of Bob Dylan’s new 37-minute-long single. 

Institutions and those entrusted with their care have beclowned themselves so regularly over the years that Americans have lost faith in almost all sources of authority. In this environment, the New Hampshire Senate this week surveyed the cultural scene and said, “hold my beer.”

It’s hard to say what will be hurt most by the unemployment legislation the Senate’s Democratic majority passed on a party-line vote on Tuesday: New Hampshire businesses or the reputation of the New Hampshire Senate.

House Bill 1166, a hodgepodge of business mandates and impermissible exemptions to federal unemployment policy, is an absurdity that defies all attempts at reasonable explanation. In its totality, it is a stunning example of politicians choosing showmanship over the public official’s duty to govern.

On its face, the bill is a direct assault on New Hampshire businesses struggling to survive the coronavirus-caused recession. It would cost New Hampshire employers hundreds of millions of dollars, potentially triggering numerous business closures.

“I feel it kicks the businesses while they are down,” Wendy Hunt, president of the Greater Merrimack-Souhegan Valley Chamber of Commerce, wrote in testimony submitted to the Senate Commerce Committee. “It is the OPPOSITE of what the legislature should be doing for our business community.”

If it becomes law, the bill would burden employers with higher costs. But  some of the worst parts of the bill would have a limited effect because they are really a publicity stunt disguised as legislation. The very legislators who champion the bill as a necessary protection for New Hampshire workers inserted a provision to prevent many of those alleged protections from taking effect.

Huge costs and violations of federal labor policy 

At the Senate Commerce Committee on June 5, Deputy Employment Security Commissioner Richard Lavers explained how the bill’s excessively generous rewriting of state law on unemployment benefits would violate federal guidance, putting the state out of compliance with U.S. Department of Labor policy and causing the loss of federal money.

The bill lets an employee remain eligible for unemployment benefits if he or she “leaves employment due to a reasonable risk of exposure or infection, including self-quarantine, or to care for a family member, and either does not intend to return to the employer or the employer will not allow the individual to return.”

Federal guidance states that employees able and available to work are not eligible for benefits. The bill would let employees collect unemployment if they are able and available, and even if they do “not intend to return to work.”

“This one is not allowed,” Lavers told the committee. The eligibility provision “would also have what I assume is an unintended consequence of taking people that are now eligible for federally paid PUA and putting them on state UI that would have to be paid out of the state trust fund.”

That is, the bill moves people from federal Pandemic Unemployment Assistance to state-paid unemployment insurance benefits, causing a more rapid depletion of the state Unemployment Trust Fund, which is already expected to run out of funds by the end of November.

The bill also would make employees automatically eligible for unemployment benefits for certain COVID-19-related reasons, again in violation of U.S. Department of Labor guidance, and eliminate the one-week waiting period before benefits start.

“The main issue is that this provision, and I’m not speculating here at all, I’m not relying upon old guidance from the federal government, I’m relying on guidance issued one month ago today issued by the Department of Labor. This provision would make New Hampshire be out of compliance with U.S. Department of Labor, and we would be out of conformity with U.S. Department of Labor,” Lavers told the committee.

“That puts our federal grant funding in jeopardy.” he explained.

Going out of compliance with federal guidance “would mean that New Hampshire employers would no longer be eligible for their 90% reduction in their federal unemployment tax obligations,” Lavers said. “This would cost New Hampshire businesses over $200 million a year…. This is what they are telling states. They are cautioning states: Don’t do this.”

The committee’s response to these warnings was to insert a self-destruct button into the bill.

“In the event the United States Department of Labor provides a written notice to the New Hampshire department of employment security that any specific statutory change in this act will result in the loss of federal funding to New Hampshire then that specific statutory change, and that specific statutory change only, shall be inoperative,” an amendment introduced by Sen. Jon Morgan reads.

The “inoperative” clause is a case study in political cynicism. It could have one of only two outcomes. Either it makes those provisions instantly ineffective, in which case there’s zero point in passing them, or it makes them effective only for a brief period until an inevitable federal notice arrives, in which case there’s zero point in passing them.

No one seems to have checked with staff attorneys to find out how the provision would work. We did.

The language does not make the provisions Lavers warned about automatically inoperative based on guidance already issued by the Department of Labor. It would make them inoperative only after the U.S. Department of Labor issues additional written notice to the state, according to legislative staff.

So the self-destruct button would be triggered only after the bill had begun to damage the economy.

This is not governing. This is playing politics with New Hampshire’s economy.

Diverting $50 million from COVID-19 relief to a state department

The political games don’t end there.

The bill directs $50 million in federal CARES Act relief money to the Department of Employment Security for the purpose of upgrading its computer system. 

But the department does not need or want the money. Its system was already upgraded with federal funds.

“New Hampshire is one of 16 states with a modernized unemployment benefits system,” Lavers told the Senate Commerce Committee on June 5. 

The department replaced its computer system in 2009 and has enhanced it every year since with federal grant money, he said. 

“We were paying benefits under the CARES Act before the CARES Act existed because of our modernized system,” Lavers said. “We do not need money for this purpose from the limited amount of money that are left in the CARES funds.”

Why in the world would Senate Democrats divert $50 million in coronavirus relief money to upgrade a computer system the that was already upgraded with federal money?

It turns out that Sen. Dan Feltes, who co-sponsored the legislation, has made upgrading that computer system part of his gubernatorial campaign. He claimed in April, without evidence, that the governor failed to upgrade the system that the department says is fully upgraded. 

More ignored warnings

The remainder of the bill is filled with provisions that senators were warned would hurt New Hampshire individuals and businesses.

Tyler Brannon, director of health economics at the N.H. Department of Insurance, told the Senate Commerce Committee that the provision mandating private insurance coverage for COVID-19 treatment and testing was unnecessary and would help unscrupulous companies at the expense of Granite Staters. 

Insurers already voluntarily cover COVID-19 testing and treatment at no cost, and the state’s emergency order mandates coverage for out-of-network providers if no in-network providers are available. 

The bill goes further to mandate coverage for out-of-network providers at any time and force insurers to cover “any out-of-network charges.”

“The requirement will allow for price gouging by out-of-network providers, and it’s likely to benefit opportunistic, out-of-state companies at the expense of New Hampshire premium payers more than it is going to benefit New Hampshire members,” Brannon explained.

His warning was ignored and the provision was left in.

Another provision extends the federal Family and Medical Leave Act to businesses with as few as 15 employees “for any employee in quarantine, or covered family member in quarantine, for coronavirus or COVID-19, or for a COVID-19 related reason, as directed by a medical provider or under government direction.” 

Not even Congress would force businesses smaller than 50 employees to bear the costs of the Family and Medical Leave Act. This provision could impose significant costs on small, mom-and-pop businesses that have only a few employees.

With a laundry list of additional costs being dumped on employers even before many are allowed to open at full capacity, the bill drew sharp criticism from business owners and groups. 

The bill “will cause a significant increase to unemployment insurance taxes right when businesses are stretched thin and face significant losses already,” Ashley Haseltine, president of the Derry Londonderry Chamber of Commerce wrote.

Chris Woods, president of Advantage Insurance in Merrimack, submitted written committee testimony that the bill “will cost NH businesses who are already struggling additional money while incenting individuals to not go back to work.”

The Senate’s only response to these warnings came Tuesday when two Democratic senators, Sen. Shannon Chandley and Sen. Jeanne Dietsch, voted with Republicans to strip a provision mandating an additional $100 a week in unemployment benefits. That provision would have cost N.H. employers $53 million through the end of 2020 alone, the Department of Employment Security estimated.

The exact costs of the bill are not clear. As with other amended bills rushed through on Tuesday, it contained no fiscal note. 

New Hampshire employers are struggling to survive an economically devastating 2020. They, and the employees they want to rehire, deserve lawmakers who take this moment seriously and who seek to help. Instead, senators are playing tricks with exploding bills and vanishing promises. 

A new Josiah Bartlett Center for Public Policy study finds that switching to an online reverse auction for the state’s pharmacy benefits management contract can save New Hampshire taxpayers save up to $22.2 million a year.

The study by Dr. Wayne Winegarden, director of the Center for Medical Economics and Innovation at the Pacific Research Institute, finds that New Hampshire can expect to save an estimated $17.8 million — $22.2 million a year by using an online reverse auction to generate more competitive bids for pharmacy benefits management. Over the three-year life of the state’s existing pharmacy benefits management contract, the savings would total an estimated $42.5 million — $53.1 million. (Under the contract, the annual costs are different from year to year.)

“At a time when budget savings are needed, New Hampshire could save millions of dollars annually by adopting an online reverse auction to purchase PBM services,” Dr. Winegarden said. 

Josiah Bartlett Center President Andrew Cline emphasized the value of always looking for cost savings through improved systems, not simply cutting budget line items.

“This study shows the importance of always looking for opportunities to increase taxpayer value by improving system operations,” Cline said. “Adopting a modern, internet-based bidding system for the state’s pharmacy benefits management is a great example of how taxpayers and public employees can save money without reducing services.” 

Pharmacy benefit managers (PBMs) administer prescription drug benefits for commercial and government health plans. PBMs negotiate prices with drug manufacturers, maintain the plan’s drug formulary (the list of approved drugs), and process claims. 

New Hampshire used a traditional Request for Proposal (RFP) process when it signed a three-year, $212.5 million PBM contract with Express Scripts in 2018. Using an online reverse auction rather than a traditional RFP process could have saved the state tens of millions of dollars over the life of the contract, this analysis shows.

In an online reverse auction, pre-qualified suppliers provide competing bids (typically over multiple rounds) to a single buyer. It is the reverse of the more familiar forward auction, in which buyers compete to purchase a product or service from a single seller. For PBM services, New Hampshire would be the single buyer inviting several PBMs (the multiple sellers) to bid on providing PBM services to the state over a defined time period.

Online reverse auctions have saved governments and private businesses billions of dollars and have become a standard procurement method for large organizations. New Hampshire should adopt them for its PBM contracting as well as any other services for which they could produce savings. 

The full study can be read here (pdf): JBC Reverse Auction For PBM services Study Winegarden

In the “Merv Griffin Show” episode of Seinfeld, George hits some pigeons with his car after they didn’t fly away at the last second. “It’s not my fault,” George complains to Jerry. “Don’t we have a deal with the pigeons?”

“Of course we have a deal,” Jerry says. “They get out of the way of our cars; we look the other way on the statue defecation.”

“Right,” George says. “And these pigeons broke the deal!”

The American people have a tacit deal with their government too. The people let the government think it’s in control, as long as it doesn’t get too pushy with the enforcement, and in turn government officials get to make laws and issue proclamations as long as they provide the bare minimum of basic services like roads and adequate schools. 

This deal was never better illustrated than during the coronavirus shutdown. Across the country, governors issued stay-home orders weeks after people began staying home, ordered businesses closed after most people stopped patronizing them, and took control of public health measures as best they could. 

But after a while, it became apparent that the governors and the public had different ideas about the terms of the deal.

The people were told that the emergency orders were necessary to “flatten the curve” and ensure that hospitals were not overwhelmed with critical COVID-19 patients. But after the curve was flattened, the orders remained. 

Governors switched to talking about the importance of reducing deaths and preventing a second wave, but people stopped paying attention to the stay-home orders, which had rarely been enforced anyway. They noticed that the goalposts had moved, and they weren’t OK with that. 

Then, on Memorial Day, a Minneapolis police officer was caught on video pressing the life out of George Floyd as other officers stood by. 

The nation erupted in protest. Rioters followed the protesters. Public spaces filled with thousands of tightly packed, shouting people doing everything state governors had told, and often ordered, Americans not do. 

The unspoken message of the protests (and the riots) was clear: You are not in control; we are. (The spoken message was a different one, though it incorporated the unspoken.) 

People on social media kept asking why protesters were allowed to congregate in the midst of a pandemic governed by stay-home orders and limits on crowd sizes. Those people misunderstood the deal. The government wasn’t allowing the protests. The people had been allowing the stay-home orders. 

Since May 25, the people have been letting their governments know that stay-home orders and crowd size mandates were no longer tenable and would no longer be obeyed.

Government in the United States has a lot of power, delegated to it by the people. But both constitutionally and culturally, the people are sovereign and the people are the ultimate source of the government’s power and legitimacy. When they en masse decide they’re no longer going to take orders or accept the legitimacy of a particular agency’s authority, there’s little the government can do. As much as government officials flatter themselves that they have power and authority, it’s nothing compared to the power and authority held by the people. 

This is why Black Lives Matter protesters press so urgently for others to join them. They understand the power of the majority. They understand that a small protest can be ignored, but a massive one will motivate elected representatives to action.

One might wonder, then, why businesses are not following their customers and opening up in defiance of state orders. That’s simple. Businesses are licensed and regulated by the state and local governments. Government holds tremendous power over them. Individuals have constitutionally protected rights to assemble, speak, and protest, but there is no corresponding right to run a restaurant or hotel. Licenses and permits are permission from the government to be open. Lose that, and you lose your livelihood. 

If one wants to see the effect government power can have on human behavior, one just has to observe the differences in individual vs. business responses to government shutdown orders. Businesses, over which governments exert tremendous control, have largely complied. Individuals, over whom government has less firm control, have been defiant.