Maria Boylan

Dear Chairman MacDonald and members of the Health, Human Services, and Elderly Affairs Committee: My name is Maria Boylan and I’m a practicing family physician, and a dedicated advocate for the health and well-being of all New Hampshire residents. I am writing in strong opposition of HB 392. I am deeply concerned about the proposed dissolution of the Office of Health Equity (DHE) and its potential to undermine the progress we have made toward addressing health disparities in our state. In addition, the provision that it will prohibit the re-establishment of the OHE is particularly dangerous, as we should not legislate the future of healthcare. As a family practice physician I care for nearly 2,000 patients of varying backgrounds, genders, races, sexual orientations, religions, and disabilities. The Office of Health Equity has been instrumental in addressing the systemic barriers to care that disproportionately affect marginalized communities which also include the elderly, veterans, and mentally challenged patients. As a physician, I see firsthand how these disparities manifest in our clinics and hospitals. From higher rates of chronic diseases such as diabetes and hypertension in communities of color, to lower access to prenatal care among low-income populations, the impacts of inequity are pervasive and harmful. The OHE has provided critical support in tackling these issues by fostering initiatives to ensure that health services reach everyone. Health disparities are real. New Hampshire, like many other states, has seen widening health disparities over the years. According to recent data, there are significant gaps in health outcomes, access to care, and quality of treatment between different populations. These disparities are not only a moral issue; they are a public health concern that impacts all residents. When a segment of the population is consistently underserved, the overall health of the state suffers. The Office of Health Equity has worked to address these issues by engaging with community leaders, healthcare providers, and local organizations to craft solutions that are culturally relevant and accessible. Without the OHE, we risk losing the infrastructure needed to continue this work. Additionally, it would reduce the state’s ability to respond effectively to public health crises, such as the ongoing opioid epidemic, and to future challenges that disproportionately impact marginalized communities. The dissolution of this department would send the message that the state is no longer prioritizing the health of its most vulnerable citizens. There is overwhelming evidence that health equity is not just a social justice issue, but also an economic and public health imperative. Studies show that addressing health disparities leads to better health outcomes, reduced healthcare costs, and a stronger economy. When people are healthy, they are more productive and able to contribute to the community in meaningful ways. Conversely, when people are forced to navigate a fragmented and inequitable healthcare system, the costs of care escalate, and the overall health of the state declines. I strongly urge this committee to oppose HB 392. We must continue to prioritize health equity in New Hampshire—not just as a moral obligation, but as a strategic approach to improving the overall health and well-being of all residents. The work of the OHE is vital in ensuring that no one is left behind, and its role in shaping the future of healthcare in our state cannot be overstated. As a physician, I am committed to providing the best care for all of my patients, and I believe that a health system that values equity and inclusion is one that will ultimately benefit everyone. The Office of Health Equity is a cornerstone of that system. I respectfully request that you vote to preserve the OHE and continue its important work in building a healthier, more equitable New Hampshire. Thank you for your time and consideration. Sincerely, Dr. Maria Boylan, DO Board Certified Family Physician