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Governor and Executive Council Agenda item PDF - 2026-03-04 - agenda 7, 7C

Document type: Other
Status: imported
Citation: Governor and Executive Council Agenda item PDF - 2026-03-04 - agenda 7, 7C
Date: March 4, 2026

Serving Councilors

Linked by service date; this is not an individual vote unless the official source says so.

Joseph Kenney District 1 Serving councilor
Karen Liot Hill District 2 Serving councilor
Janet L. Stevens District 3 Serving councilor
John Stephen District 4 Serving councilor
David K. Wheeler District 5 Serving councilor

Meeting Date: 2026-03-04
Attachment Kind Label: Agenda item PDF
Attachment Relation: primary_meeting_attachment
Agenda Numbers: 7, 7C
Agency Names: Governor’S Office Of New Opportunities & Rural Transformational Health
Parent Meeting Title: Governor and Executive Council meeting - 2026-03-04

Docusign Envelope ID: E2DB3DEB-D1BB-4775-BB35-7D756B381C1A

State of New HampshireT

G©-NORTHGovernor's Office of New Opportunities & Rural Transformational Health

ICMAR 0 A 2026

February 24, 2026

Her Excellency, Governor Kelly A. Ayotte

ond the Honoroble Executive Council

Stote House

Concord, New Hompshire 03301

REQUESTED ACTION

Authorize the Governor's Ottice of New Opportunities & Rurol Tronstormotionol

Heolth (GO-NORTH) to enter into o Sole Source controct with the University System of New

Hompshire (VC#315187), Durhom, NH, in the omount of $96,929,726, to strengthen New

Hampshire's rurol heolthcore workforce by building rurol heolthcore coreer pothwoys ond

coreer lodders from high school to groduote progroms, effective upon Governor ond

Council opprovol through September 30, 2031. 100% Federol Funds.

Funds ore ovoiloble in the following occount for Stote Fiscol Yeor 2026 ond 2027,

ond ore onticipoted to be ovoiloble upon the ovoilobility ond continued occeptonce of

funds by the Fiscol Committee of the Generol Court ond the Governor ond Executive

Council, with the outhority to odjust budget line items within the price limitotion ond

encumbronces between stote fiscol yeors through the Budget Office, if needed ond

justified.

01-02-02-020310-60840000 General Government, Executive Department, Executive

Department, GO-NORTH, GO-NORTH

Stote Fiscol

Yeor

Gloss / Account Closs Title Amount

2026 74-500585 Gronts for Public Relief $15,684,232

2027 74-500585 Gronts for Public Relief $19,587,120

2028 74-500585 Gronts for Public Relief $19,927,058

2029 74-500585 Gronts tor Public Relief $20,554,520

2030 74-500585 Gronts for Public Relief $21,176,796

Total $96,929,726

EXPLANATION

The Centers tor Medicore & Medicoid Services (CMS) estoblished the Rurol Heolth

Tronstormotion Progrom to support stotes ond rurol communities in strengthening rurol heolthcore

delivery ond occess, improving outcomes ond equity, odvoncing prevention ond populotion

heolth, enhoncing core coordinotion ond oftordobility, ond building sustoinoble rurol heolth

system copocity through investments in infrastructure, workforce, ond doto/technology. CMS

opproved New Hompshire's Rurol Heolth Tronstormotion Plon (RHTP) ond oworded the first of five

yeors of federol funds to implement RHTP octivities. A core initiotive is coordinoted rurol workforce

development—oligning heolthcore coreer ond technicol educotion progroms, post-secondory

institutions, ond rurol employers to expond rurol heolthcore troining ond coreer progression.

This request is sole source becouse CMS opproved New Hompshire's use of o sole source

ogreement with the Controctor to leod development ond exponsion of rurol heolthcore coreer

pothwoys ond lodders through (1) o Governor's Heolth Scholors Aword Progrom: and (2) o rurol

heolth tronstormotion "common compus" thot expends occess to clinicol educotion ond troining.

Docusign Envelope ID: E2DB3DEB-D1BB-4775-BB35-7D756B381C1A

Her Excellency, Governor Kelly A. Ayotte

and the Honorable Executive Council

Rage 2 of 2

As the State's university system, the Contractor is uniquely positioned to deliver these activities

through its statewide academic programs, clinical training infrastructure, faculty and student

pipeline, and clinical placement systems.

The Govemor's Health Scholars Award Program will provide targeted awards to individuals

completing healthcare professional degree programs in New Hampshire, including associate,

undergraduate, graduate, and doctoral residency programs. Awards will focus on critical, high-

need fields (e.g., behavioral health, nursing, dental, and primary care) and will require post

graduate practice in rural New Hampshire consistent with CMS requirements, including a five-year

rural service obligation. The Contractor will partner with rural healthcare employers so the program

can support employer-based recruitment and retention by helping employees advance

credentials and careers.

The rural health transformation common campus will expand rural access to hands-on

training by creating an interoperable clinical simulation network linking the university system, the

Community College System of New Hampshire, other secondary/post-secondary institutions, and

rural healthcare employers. Training will be delivered through fixed simulation hubs and mobile

simulation units, supporting areas such as maternal health, behavioral health, substance use,

emergency services, dental health, and primary care. This approach will help rural providers

reduce training and turnover costs by enabling upskilling and cross-training with minimal disruption

to service delivery and by strengthening "grow-your-own" workforce strategies—supporting a

larger locally trained talent pipeline and reducing vacancy and traveler/agency staffing reliance.

Together, these activities will reduce barriers to healthcare education by minimizing travel,

increasing access to clinical learning opportunities, and easing clinical placement bottlenecks

that can delay entry into the workforce.

GO-NORTH will oversee performance through quarterly and annual progress reports

documenting activities, participation, and outcomes, along with regular check-ins to review

deliverables, resolve implementation issues, and confirm compliance with contract requirements.

Key performance measures will include pipeline growth, completion of simulation-based training,

and impacts on rural workforce capacity and access to core.

Approval of this is essential to implement New Hampshire's Rural Health Transformation Plan

workforce initiatives, address rural provider shortages, expand clinical training capacity, build

durable rural career pathways and ladders, and support the ability to achieve the CMS milestones

tied to continued federal funding.

Area served: Statewide

Source of Federal Funds: Assistance Listing Number #93.798, FAIN # RHTCMS332050

Respectfully submitted,

^ Signed by:

-73EDD38F65334ED...

Donnalee Lozeau, Director

Governor's Office of New Opportunities &

Rural Transformational Health

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

COOPERATIVE PROJECT AGREEMENT

between the

STATE OF NEW HAMPSHIRE,

and the

UNIVERSITY SYSTEM OF NEW HAMPSHIRE

A. This Cooperative Project Agreement (hereinafter "Project Agreement") is entered into by the State of

New Hampshire, Governor's Office of New Opportunities & Rural Transformational Health ("GO

NORTH"), (hereinafter "State"), and the University System of New Hampshire, acting through

University of New Hampshire, (hereinafter "Campus"), for the purpose of undertaking a project of

mutual interest. This Cooperative Project shall be carried out under the terms and conditions of the

Master Agreement for Cooperative Projects between the State of New Hampshire and the University

System of New Hampshire dated November 13, 2002, except as may be modified herein.

B. This Project Agreement and all obligations of the parties hereunder shall become effective on the date

the Governor and Executive Council of the State of New Hampshire approve this Project Agreement

("Effective date") and shall end on September 30,2031. If the provision of services by Campus precedes

the Effective date, all services performed by Campus shall be performed at the sole risk of Campus and

in the event that this Project Agreement does not become effective. State shall be under no obligation

to pay Campus for costs incurred or services performed; however, if this Project Agreement becomes

effective, all costs incurred prior to the Effective date that would otherwise be allowable shall be paid

under the terms of this Project Agreement.

C. The work to be performed under the terms of this Project Agreement is described in the proposal

identified below and attached to this document as Exhibit A, the content of which is incorporated herein

as a part of this Project Agreement.

Project Title: Statewide Rural Health Workforce Efforts

D. The Following Individuals are designated as Project Administrators. These Project Administrators shall

be responsible for the business aspects of this Project Agreement and all invoices, payments, project

amendments and related correspondence shall be directed to the individuals so designated.

State Project Administrator Campus Project Administrator

Name: TRD Name: Susan Snsa

Address: Address: University of New Hampshire

GO-NORTH

Name: Donnalee Lozeau

Title: Director

Signature and Date:

— Signed by:

2/25/2026

"By^X^n Xulftiorized Official of: the New

Hampshire Governor & Executive Council

Name: Robvn Guarino

Title:

Signature and Date:

/■—DocuSigned by:

748734844941460...

2/25/2026

Name:

Title:

Signature and Date:

Campus Authorized Official,

Date

2/257702F

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

EXHIBIT A

A. Project Title: Statewide Rural Health Workforce Efforts

B. Project Period: This Agreement is effective upon Governor and Executive Council approval through

September 30, 2031 for all services. Following the Completion Date of the Agreement, the Contractor

must, as applicable, for funds used to recruit or retain clinical workforce talent to Rural Areas (defined

below), continue to track and ensure compliance with the five (5) year commitment to serve a Rural

Area through the date the last individual, to whom the five (5) year commitment to serve a Rural Area

applies, completes their five (5) year commitment or otherwise discontinues their clinical service in a

Rural Area of New Hampshire. Rural Area is defined as either (i) a healthcare clinical facility located in

a in rural regions of New Hampshire as defined by HRSA (https://data.hrsa.gov/topics/rural-health/rural-

health-eligibility); or (ii) a healthcare facility meeting the definition of a rural health facility under the

CMS Rural Health Transformation Program as authorized by the One Big Beautiful Bill Act (Section

71401 of Public Law 119-21)This provision shall survive the termination of this Agreement.

C. Objectives: See Exhibit A-1, Scope of Services

D. Scope of Work: See Exhibit A-1, Scope of Services and Exhibit A-2, Federal Requirements.

E. Deliverables Schedule: See Exhibit A-1 Scope of Services

F. Budget and Invoicing Instructions: See Exhibit A, Item F-1 Budget and Exhibit A, Item F-2

Payment Terms.

Campus Authorized Oflicial,

Date

2/2577U7F

Docusign Envelope ID; D848000E-BA81-4A14-B364-C647ECF05B07

EXHIBIT B

This Project Agreement is funded under a Grant/Contract/Cooperative Agreement to State from the Federal

sponsor specified in Project Agreement article F. All applicable requirements, regulations, provisions, terms

and conditions of this Federal Grant/Contract/Cooperative Agreement are hereby adopted in full force and

effect to the relationship between State and Campus, except that wherever such requirements, regulations,

provisions and terms and conditions differ for INSTITUTIONS OF HIGHER EDUCATION, the

appropriate requirements should be substituted (e.g., OMB Circulars A-21 and A-110, rather than 0MB

Circulars A-87 and A-102). References to Contractor or Recipient in the Federal language will be taken to

mean Campus; references to the Government or Federal Awarding Agency will be taken to mean

Government/Federal Awarding Agency or State or both, as appropriate.

Special Federal provisions are listed here: ^None or

Campus Authorized OfficiaN

Date

2/257707^

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

Scope of Services

Purpose

WHEREAS, the Centers for Medicare & Medicaid Services ("CMS") has established

the Rural Health Transformation Program ("CMS RHTP"), a competitive federal funding

initiative intended to support states and rural communities in strengthening rural health

care delivery and access, improving health outcomes and equity, advancing prevention

and population health strategies, enhancing care coordination and affordability, and

building sustainable rural health system capacity through targeted investments in

infrastructure, workforce, and data/technology-enabled improvements.

WHEREAS, CMS approved New Hampshire's Rural Health Transformation Plan

("NHRHTP") and awarded the State funding to implement NHRHTP initiatives.

WHEREAS, strengthening New Hampshire's rural healthcare workforce through

coordinated collaboration among, rural NH's career technical education ("CTEs")

programs, the University of New Hampshire ("UNH" or "Contractor"), and rural healthcare

employers to create and expand rural healthcare career pathways from high school to

graduate level degrees is a main strategic goal of NH RHTP.

WHEREAS, The Contractor is a component institution of the University System of New

Hampshire ("USNH"), which is established under state law to operate the State's

university system and plays an integral role in developing New Hampshire's healthcare

workforce through education and training.

WHEREAS, the purpose of this contract is to implement the workforce initiative in

NHRHTP to create rural health care career pathway and career ladders, from high

school to graduate level degrees, to address high-need rural health care workforce in

partnership with rural health care employers through a Governors Health Award

Program, Common Campus, and expansion of simulation training.

WHEREAS, Contractor and the Governor's Office of New Opportunities & Rural

Transformational Health ("GO-NORTH") will work in collaboration to implement

NHRHTP.

1. Statement of Work - Governors Health Awards Program

1.1. The Contractor will coordinate with the Community College System of New

Hampshire ("CCSNH") to establish a stakeholder advisory committee

("Workforce Stakeholder Advisory Committee") to make recommendations on

the implementation of the NHRHTP workforce initiative, to plan for the long-

term sustainability of these NHRHTP workforce initiatives, and to establish

partnerships between education partners and rural health care employers.

Members on the Workforce Stakeholder Advisory Committee will include a

representative from Contractor, USNH, the high school CTE centers, GO-

NORTH, representatives of rural health care employers, such other

representatives identified by Contractor in collaboration with GO-NORTH, and— OS

„ 2/25/2026University System of New Hampsfiire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

such other representatives as identified by GO-NORTH. The Contractor, in

collaboration with USNH, will provide GO-NORTH with a Workforce

Stakeholder Advisory Committee structure and plan within thirty (30) days of

the effective date of this Contract.

1.2. The Contractor will administer the Governor's Health Awards Program

("GHAP"), a federal-funded, university-administered program designed to

increase the number of healthcare professionals working in rural New

Hampshire (and particularly in high need/demand healthcare fields) and

strengthen New Hampshire's rural healthcare services workforce by providing

awards to individuals to pursue a health-related undergraduate or graduate

degree program necessary for clinical practice at a New Hampshire university

or college, including the New Hampshire Community Colleges. Contractor, in

collaboration with GO-NORTH, shall determine the degree programs and

healthcare related fields to be prioritized for GHAP and such priority shall be

reflected, and updated from time to time, in the Work Plan (defined below).

Contractor shall ensure individuals who receive a GHAP award shall, unless

waived by GO-NORTH in writing, complete five (5) years of healthcare clinical

service in rural New Hampshire (as further set forth below). In administering

GHAP, Contractor will partner with rural healthcare employers to enable rural

healthcare employers to use GHAP as a tool to retain, recruit, and advance the

careers of their employees. Contractor shall administer GHAP to reduce

barriers that prevent individuals from completing healthcare career pathways

and entering into the rural New Hampshire clinical healthcare workforce,

including, but not limited to (i) tuition support for up to 2.5 years (five academic

terms): (ii) wraparound supports to reduce the cost of transportation, books and

other clinical education needs; (iii) housing and transportation to complete

clinical education placements; (iv) service-learning and mentorship; (v)

partnerships with rural healthcare employers to connect graduates with rural

healthcare employment opportunities; (vi) apprenticeship degree programs;

and (vii) such other matters identified by GO-NORTH and Contractor.

1.3. The Contractor will ensure that activities are implemented to predominantly

benefit and support (i) rural regions as defined by HRSA

(https://data.hrsa.qov/topics/rural-health/rural-health-eliqibilitv and (ii) specific

service providers in non-rural regions as allowed in the CMS Rural Health

Transformation Program as authorized by the One Big Beautiful Bill Act

(Section 71401 of Public Law 119-21).

1.4. Subject to waiver as provided in Section 1.2, above, the Contractor will operate

GHAP in compliance with the five (5) year service requirement in accordance

with the CMS Rural Health Transformation grant, which requires individuals

receiving an award to pursue a degree or credential or an award to work at a

rural healthcare provider (e.g. recruitment or retention bonus) to commit to five

(5) years of serving rural New Hampshire in a clinical healthcare related^field.

SS-2026-DMS-02-STATEW-01 Contractor Initials l ^

University System of New Hampshire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

Contractor and GO-NORTH shall work in collaboration to develop protocols to

establish controls to ensure the five (5) year service commitment, as applicable,

is met in accordance with CMS guidance.

1.5. The Contractor will ensure the GHAP advances the following goals:

1.5.1. Strengthen, expanding, and creating (where applicable) New

Hampshire's health workforce pipeline by recruiting, preparing, and

retaining students in high-need healthcare disciplines in rural areas,

to include additional skills training for New Hampshire healthcare

professionals.

1.5.2. Expanding accessibility and alignment of healthcare workforce needs

with healthcare workforce pathways to serve rural New Hampshire

communities.

1.5.3. Designing a program that increases the number and skills of

healthcare professionals working in rural New Hampshire

communities.

1.5.4. Fostering collaboration across New Hampshire high schools, USNH

universities, the CCSNH, and participating private colleges.

1.5.5. Partnering with rural healthcare employers to allow the employer to

use GHAP funded awards as a retention and recruitment tool for the

rural healthcare employer's employees to advance their career with

the employer through completion of healthcare degree program.

1.5.6. In implementing and maintaining GHAP, the Contractor shall consider

and incorporate, as applicable, recommendations of the Workforce

Stakeholder Advisory Committee.

1.6. The Contractor will provide GO-NORTH, as part of its Work Plan (defined

below) a plan to implement GHAP. The Work Plan will include:

1.6.1. A review of existing rural healthcare needs assessments and the plan

for collaboration with rural healthcare employers to identify high-need

healthcare workforce needs.

1.6.2. Details on how GHAP will address those workforce needs, the

timeline to address those needs, and commitment to expand (and

create as needed) New Hampshire's rural healthcare workforce in the

immediate term (within 12-months), medium term (within 2-3 years)

and long-term (4+ years).

1.6.3. Partnerships with rural healthcare employers to (i) pursue further

health care professional education as a recruitment and retention tool

for the employer: (ii) retain employees by providing career ladder

r""

SS-2026-DMS-02-STATEW-01 Contractor Initials I.

University System of New Hampshire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

awards through GHAP; and (ill) place awardees at rural healthcare

employers to fulfill the 5-year service commitment; and

1.6.4. The criteria to select GHAP scholars, the process through which

individuals can apply to become a GHAP scholar, and the criteria and

standards a GHAP scholar must maintain to remain eligible for GHAP.

1.7. Subject to CMS RHTP requirements and guidance, the Contractor will ensure

students who apply to GHAP understand and are willing to commit to five (5)

years of service (i) at a healthcare facility in a rural New Hampshire region or

healthcare employer with a service area that is predominantly rural or with a

healthcare employer that has a clinic that is located in a rural region of New

Hampshire (to determined what is rural versus non-rural, the rural region as

defined by HRSA (https://data.hrsa.qov/topics/rural-health/rural-health-

eliqibilitv shall be used) and/or (ii) with specific service providers in non-rural

regions as allowed in the CMS Rural Health Transformation Program as

authorized by the One Big Beautiful Bill Act (Section 71401 of Public Law 119-

21). The Contractor will:

1.7.1. Explain the service commitment requirement and ensure candidates

understand any applicable repayment agreement should they not

meet the service requirement;

1.7.2. Ensure that GHAP students receive additional support to place

graduates for employment with rural healthcare employers;

1.7.3. Fon/vard the original agreement to GO-NORTH, retaining a copy for

their records; and

1.8. The Contractor shall be responsible for maintaining complete

and accurate documentation of all costs incurred to implement GHAP in full

compliance with applicable Uniform Guidance, and CMS RHTP requirements

(if a CMS RHTP requirement is not publicly posted or available, GO-NORTH

shall provide Contractor with notice of such non-public CMS RHTP

requirement). GO-NORTH shall have the right to access, inspect, monitor, and

audit such records upon reasonable request. No duplicative documentation,

parallel reporting, or redundant record-keeping processes shall be required

beyond those necessary to meet applicable compliance and audit standards.

1.8.1. The Contractor will align the submissions of applications and

selection of GHAP scholars with the academic calendar and financial

disbursements cycles.

1.9. In collaboration with GO-NORTH, the Contractor will develop and disseminate

statewide communications materials, including marketing and recruitment

outreach to:

1.9.1. Participating colleges and universities.

SS-2026-DMS-02-STATEW-01 Contractor Initials

University System of New Hampshire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

1.9.2. High school counselors.

1.9.3. Rural healthcare employers.

1.9.4. Bi-State Primary Care Association.

1.9.5. Other partners and stakeholders complementary to creating and

expanding the clinical rural healthcare workforce.

1.10. The Contractor will support information sessions, technical assistance, and

recruitment events as part of the statewide communications plan.

1.11. The Contractor will develop and maintain a reporting and tracking system to

track GHAP applications, employment placement, the five (5) year service

commitment, such other elements to show the impact on the rural clinical

healthcare workforce and to support continuous GHAP improvement.

1.12. The Contractor, in accordance with the CMS RHTP five (5) year service

commitment, and with prior approval of GO-NORTH, will develop, and facilitate,

a repayment model to recoup GHAP awards from GHAP awardees who do not

meet the five (5) year commitment to serve in rural healthcare in New

Hampshire.

1.13. In an effort to streamline the placements for apprenticeships, clinical education

or preceptorship, and employment, GO-NORTH will initiate and lead

collaboration among healthcare workforce development stakeholders, to

problem-solve and trouble-shoot bottlenecks that emerge in developing the

workforce pipelines. For example, an initiative to create a standard set of

required onboarding and compliance steps (e.g. background checks,

immunizations, health screenings, and licensure prerequisites) necessary to

participate in an apprenticeship or clinical education rotation or employment

with a partnering healthcare employer, or to otherwise minimize regulatory or

other barriers. The Contractor shall participate and collaborate in such

initiatives as reasonably requested by GO-NORTH.

1.14. Sustainability

1.14.1. The Contractor and GO-NORTH agree sustainability is a core goal of

CMS RHTP. In developing and implementing GHAP, Contractor will lead

and develop, in collaboration with GO-NORTH, a multi-year

sustainability plan that provides for continued operation of the GHAP

beyond CMS RHTP funding. As part of the Work Plan, Contractor shall

maintain and update the sustainability plan and shall collaborate with

GO-NORTH on such plan.

1.15. Staffing

1.15.1. The Contractor will provide the following key personnel to implement and

maintain GHAP, at minimum, on the PTE basis set forth. Any changes to

key personel must be reported to GO-NORTH as soon as practicable or

SS-2026-DMS-02-STATEW-01 Contractor Initials

University System of New Hampshire Date

Docusign Envelope ID; D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

fifteen (15) days prior to sucti change if possible:

** - Denotes a key personnel that is responsible for oversight across

GHAP and The Common Campus of NH - RHT, as described in

Section 2.

UNH Principal Investigator**

Executive Director **

2. Statementof Work-The Common Campus of NH-RHT: Launching a Cooperative

Simulation Learning Infrastructure for Rural Health Workforce Development

2.1. The Contractor will implement a statewide initiative designed to reduce rural

provider shortages, improve clinical workforce capacity, improve retention of

clinical providers in rural areas, and expand workforce pipelines across all rural

areas of New Hampshire through the establishment and expansion of clinical

simulation-based education. To implement this initiative the Contractor will

establish federated statewide network that links the Contractor's college

campus, the CCSNH, other New Hampshire secondary education institutions,

and rural health care providers (collectively the "Common Campus of NH -

RHT") to grow, develop, and retain rural healthcare workforce through

launching a cooperative simulation learning infrastructure connected to

workforce development. The Contractor will ensure the Common Campus of

NH - RHT promotes shared curriculum, standardized simulation practices,

regional hubs, mobile units, and workforce partnerships to produce a

coordinated clinical simulation learning infrastructure aligned with rural

healthcare needs.

2.2. The goal of the Common Campus of NH- RHT is to align education, simulation

clinical learning technology, and workforce systems under one coordinated

framework. The Common Campus of New Hampshire - RHT will help rural

hospitals, federally qualified health centers ("FQHCs"), community mental

health centers, and other rural providers reduce recruitment, onboarding, and

turnover costs while increasing the workforce pipeline, upskilling the rural

healthcare workforce to support top providers practicing at the top of license or

credentials, and support stability and sustainability of New Hampshire's rural

clinical healthcare workforce. Simulation-based education in high-demand

areas such as maternal health, behavioral health, dental or oral health,

substance use, and emergency response, reduces need for costly

travel and temporary staffing, and mitigates bottlenecks in clinical training

through reduced reliance on traditional clinical placements. The expansion of

regional simulation hubs and mobile units ensures that rural providers can

upskill existing staff and cross-train teams without disrupting service

delivery and produce, "grow your own" pathways and retention strategies. As

a result, providers and the communities they serve will benefit from a larger,, OS

\ASS-2026-DMS-02-STATEW-01 Contractor Initials I

University System of New Hampshire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

locally trained talent pipeline, lower vacancy rates, and fewer agency staffing

expenses.

2.3. The Contractor shall procure, develop, and establish healthcare related

simulation equipment to provide access to clinical simulation on Contractor's

campuses, through regional hubs, and mobile sites to ensure access to clinical

simulation throughout rural New Hampshire. Contractor will prioritize

geographic areas based on needs and in collaboration with GO-NORTH.

2.4. The Contractor will design a Common Campus of NH-RHT implementation

plan, which will include a (i) central node, UNH Health Sciences Simulation

Center (HSSC), which shall serve as the statewide hub for simulation

innovation, training standards, and curriculum development; (ii) regional nodes

at Plymouth State University, Keene State College, CCSNH colleges, and other

partners, to serve as regional training center hubs, equipped with high-fidelity

simulation and faculty expertise; (iii) mobile simulation laboratories that deliver

interprofessional, hands-on training directly embedded in rural and

underserved communities, ensuring equitable access across all counties; and

(v) a Common Campus of NH- RHT advisory committee of Contractor, CCSNH,

other education partners, and rural healthcare employers to coordinate and

collaborate across higher education, workforce agencies and healthcare

providers.

2.5. The Contractor will submit to GO-NORTH as part of its Work Plan (defined

below) Contractor's plan to implement the Common Campus of NH- RHT. The

plan will provide for:

2.5.1. simulation labs that include appropriate technology, equipment, and

instructional tools such as mannequins, medical devices, and

scenario-based training platforms.

2.5.2. a mobile lab deployment schedule ensuring access across rural

counties, with documented hours of operation, training cohorts

served, and regions covered.

2.5.3. Alignment of all mobile labs activities with accrediting body

requirements, licensing standards and clinical simulation best

practices.

2.5.4. a needs assessments to determine equipment, space, and

technology requirements for each program and campus.

2.5.5. Ongoing professional development for each Common Campus of

New Hampshire - RHT "hub" staff on topics including but not limited

to:

2.5.5.1. Career advising and pathway mapping;

2.5.5.2. Education and training strategies;

SS-2026-DMS-02-STATEW-01 Contractor Initials.

University System of New Hampshire Date^^^^^^^^^, OS

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

2.5.5.3. Data reporting and system use.

2.6. The Contractor will procure, equip, and deploy simulation labs, including mobile

simulation labs, in rural areas. Contractor will not be responsible for the daily

operation of simulation labs except for those located on USNH campuses or

mobile units under its control, but shall ensure that all of the simulation labs are

equipped with the technology, equipment, and functionality required to provide

the clinical training. Specifically, Contractor shall ensure the:

2.6.1. High-fidelity human simulators are fully operational.

2.6.2. AV systems support livestreaming, subject to broadband availability,

and remote instruction based on needs assessment.

2.6.3. Mobile units are piloted in at least three (3) rural or underserved rural

regions during the pilot phase in collaboration with a local healthcare

facility and then expanded throughout rural New Hampshire.

2.6.4. Simulation labs are equipped with all necessary equipment and

supplies to provide clinical education, training, and upskilling.

2.7. The Contractor shall procure, equip, and provide at least two (2) mobile

simulation labs to CCSNH.

2.8. The Contractor shall provide staff to ensure the simulation labs are fully

functional to provide clinical simulation services; provided that the staff for

ongoing clinical training provided at a simulation lab that is not located on

Contractor's campus will be provided by the healthcare employer or other third

party site operator where the simulation lab is located. Contractor shall facilitate

such training by a third party through the simulation lab and shall collaborate

with rural healthcare stakeholders to identify clinical simulation training

instructors to provide simulated clinical education.

2.9. The Contractor will develop and refine CMS-aligned and Society for Simulation

in Healthcare (SSH) simulation curricula by:

2.9.1. Conducting initial simulation sessions in areas including maternal

health, behavioral health, emergency response, chronic disease,

substance use disorder, and prevention and primary care.

2.9.2. Testing faculty training modules for instructors and SIM technicians.

2.9.3. Finalizing statewide standardized simulation lesson plans.

2.10. The Contractor will collaborate with participating institutions and rural

healthcare employers to align simulation standards, and stackable credentials

across programs including but not limited to medical assisting, EMS, CHW,

dental assisting, behavioral health, and maternal health.

2.11. The Contractor will ensure simulation learning is integrated with New^ OS

SS-2026-DMS-02-STATEW-01 Contractor Initials _l

University System of New Hampshire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

Hampshire rural healthcare employer-identified clinical workforce needs and

pathways, including recruitment pipelines, clinical placement agreements, and

alignment with safety-net provider needs. The Contractor will ensure simulation

modules reinforce competencies required for rural health practice,

interdisciplinary team-based care, and expand access to training and upskilling

for rural communities and rural healthcare provider workforce.

2.12. The Contractor will utilize funding provided under this Agreement to support

simulation equipment procurement, mobile unit outfitting, AIA/R/AR platforms,

workforce training, technical assistance, faculty development, regional hub

operations. Cooperative Extension staff deployment, and other activities

consistent with the Common Campus of NH- RHT Work Plan and purposes

described herein. Funds may also be used to support curriculum development,

data dashboard development, statewide outreach, and county-level needs

assessments. To the extent practicable. Contractor shall utilize existing rural

healthcare needs assessments to guide implementation of the Common

Campus of NH - RHT. Contractor will prioritize, in collaboration with the

Workforce Stakeholder Advisory Committee, clinical simulation education,

training, and upskilling for high-need rural healthcare workforce.

2.13. The Contractor will provide simulation equipment on site at each agreed hub

location. Mobile van(s) will be equipped with an audio-visual system that will

allow for live online streaming, where applicable, for online students to observe

a live simulation and debriefing with an instructor who may be located

anywhere across the state.

2.14. The Contractor will ensure each SIM hub and mobile van is equipped with

appropriate platforms that simulate virtual patients, such as artificial

intelligence-powered and virtual reality supported clinical simulation and as

further set forth in Contractor's Work Plan.

2.15. The Contractor will ensure guided instructors and students will engage with the

virtual humans in various simulations that align with the current curriculum.

2.16. The Contractor will ensure the learning platform can be used as a computer-

based version- to be accessed at home or via hubs or mobile sites - to allow

for flexibility within an online learning environment.

2.17. The Contractor will ensure that appropriate technology will be utilized by faculty

and learners when carrying out the simulations and for debriefings.

2.18. The Contractor will work with rural healthcare employers to identify appropriate

ways to embed simulation learning within employers existing system and within

the scope of services.

2.19. The Contractor will ensure the Common Campus of NH - RHT operates as a

collaborative system supported by shared guidance and a coordinated

outreach infrastructure and shared data and web portal to track learner

SS-2026-DMS-02-STATEW-01 Contractor Initials I

University System of New Hampstiire Date 2/25/2026

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

outcomes, workforce placement and best practices while enabling real-time

data sharing and performance reporting

2.19.1. In collaboration with GO-NORTH, Contractor (primarily through UNH

Cooperative Extension) will provide staff coverage for all counties to

conduct needs assessment and program implementation. Additional

staff may be engaged as needed, as agreed by Contractor and GO-

NORTH. To the extent practicable. Contractor shall utilize existing

rural healthcare needs assessments to guide implementation of the

Common Campus of NH - RHT.

2.20. Sustainability

2.20.1. The Contractor and GO-NORTH agree sustainability is a core goal of

CMS RHTP. In developing and implementing the Common Campus

NH - RHT, Contractor will lead and develop, in collaboration with GO-

NORTH, a multi-year sustainability plan that provides for continued

operation of the Common Campus of NH- RHT network beyond

federal RHTP funding. As part of the Work Plan, Contractor shall

maintain and update the sustainability plan and shall collaborate with

GO-NORTH on such plan. The plan will include:

2.20.1.1. A permanent consortium governance structure under

USNH.

2.20.1.2. Fee-for-service simulation training models.

2.20.1.3. Employer funded/supported strategies.

2.20.1.4. Long-term operational and financial plans for hubs, mobile

units, and shared technology systems.

2.20.1.5. Annual sustainability benchmarks and evaluation.

2.21. Staffing

2.21.1. The Contractor will provide the following key personnel to implement

and maintain the Common Campus NH- RHT, at minimum, on the

PTE basis set forth. Any changes to key personel will be reported to

GO-NORTH as soon as practicable or fifteen (15) days prior to such

change:

** - Denotes a key personnel that is responsible for oversight across

The Common Campus of NH - RHT and GHAP as described in

Section 1.

UNH Principal Investigator**

Executive Director **

2.22. Within thirty (30) days after the Effective Date, the Contractor will submit to GO-r_Ds

SS-202e-DMS-02-STATEW-01 Contractor Initials I ^

University System of New Hampshire

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

NORTH for review and approval a preliminary Work Plan that will describe, in

reasonable detail, the tasks, deliverables, spending targets, the implementation

plan of the activities the Contractor will perform under this Contract, and the

sustainability plan of the activities the Contractor will perform under this

Contract (the "Work Plan"). The Contractor agrees continued funding under this

Contract is conditioned upon GO-NORTH's approval of the Work Plan, which

approval shall not be unreasonably withheld and will be provided within 15 days

after submission (subject to extension by mutual agreement of the parties as

needed). If GO-NORTH does not approve the Work Plan, it shall provide the

Contractor with a written Notice of Deficiency, that will: (a) describe in

reasonable detail the nature of the deficiency; (b) reference the specific

provision(s) of the Contract that GO-NORTH believes have not been met; and

Contractor shall have thirty (30) calendar days from receipt of the Notice of

Deficiency to cure the identified deficiency to the satisfaction of GO-NORTH.

GO-NORTH, in its discretion, may extend the cure period. In the event GO-

NORTH does not approve the Work Plan and funding is consequently not

granted. Contractor will be relieved of all obligations under this Contract and

will be reimbursed for all otherwise allowable expenses actually incurred.

Within sixty (60) days, or such other time determined by GO-NORTH and

Contractor, of submission of Contractor's preliminary Work Plan, the Contractor

shall submit an updated Work Plan with an updated staffing and

implementation timeline based on Contractor's hiring and onboarding of staff

to implement the activities set forth in this Contract. Any material changes

requested by GO-NORTH that are beyond the scope of this Contract and result

in increased costs shall be subject to a mutually agreed-upon amendment to

the budget. The Work Plan will describe, in reasonable detail, the tasks,

deliverables, spending targets, and activities the Contractor will perform under

this Contract during each of the CMS RHTP periods in which an annual award

may be spent (each, a "Budget Period"). The Contractor will maintain and

update the Work Plan from time to time and at a minimum will submit to GO-

NORTH an updated Work Plan sixty (60) days prior to the end of each Budget

Period. For each Budget Period, the Work Plan will, at a minimum: (a) identify

the planned activities and deliverables; (b) specify the milestones to be

achieved, including milestone due dates and measurable completion criteria;

and (c) set forth the planned expenditures and use of funds by initiative. The

Contractor will update the Work Plan as reasonably requested by GO-NORTH

and in connection with any approved changes to scope, schedule, budget, or

award amount issued to the State and the Contractor will not materially deviate

from the approved Work Plan without the GO-NORTH's prior written approval.

For purposes of this section, "material change" means a change that materially

alters this Contract's scope of services, key deliverables, approved milestones,

or total Contract budget, and does not include minor, administrative, or

Jj£_SS-2026-DMS-02-STATEW-01 Contractor Initials.

„, 2/25/2026

University System of New Hampshire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

operational adjustments. A change shall not be deemed "material" if it is

administrative in nature, does not affect substantive performance obligations,

and would not require a bilateral modification under 2 CFR 200.308 standards.

2.23. As part of GO-NORTH's review and approval of Contractor's Work Plan, GO-

NORTH will, within each Budget Period and in collaboration with Contractor,

determine expenditure targets and deadlines for such expenditure targets. For

purposes of this provision, only, expenditure means monies spent on carrying

out CMS RHTP permissible uses of funds and expenditures shall not include

funds obligated, encumbered, or otherwise subject to a liability but not disposed

of or expended by Contractor. If Contractor does not meet an established

expenditure target by the applicable deadline, GO-NORTH shall provide

Contractor with written notice and a reasonable opportunity to explain the

circumstances (such as the expenditure timing of encumbered funds not yet

expended) and, if appropriate, propose a corrective action plan. Subject to

applicable federal and CMS requirements, GO-NORTH may thereafter, upon

thirty (30) days prior notice to Contractor, reallocate unexpended funds for the

applicable Budget Period to other RHTP initiatives, or direct Contractor to

expend the funds not expended. Contractor and GO-NORTH may mutually

agree on revised expenditure timelines or activities, provided that any such

action does not adversely affect compliance with CMS RHTP grant

requirements, budget periods, or spending deadlines. The Parties

acknowledge and agree that this Agreement is subject to compliance with the

terms and conditions of the CMS RHTP, and understand and agree that failure

to meet expenditure targets and milestones may impact CMS RHTP funding.

2.24. Performance Metrics

2.24.1. The Contractor will monitor the scope of services outlined in this

Agreement by reporting CMS required metrics, and such other

reasonable performance metrics requested by GO-NORTH, to GO-

NORTH. All performance metrics, and the reporting cadence, will be

in accordance with CMS requirements and such other cadence as

established by GO-NORTH in consultation with Contractor and

documented in a written guidance. Such performance reporting

metrics will include any CMS required reporting metrics and such

other performance reporting metrics determined by GO-NORTH or

GNEC (defined below) to ensure the performance of the activities set

forth in this Contract are aligned with the State's RHTP initiatives,

outcomes, and goals. Such performance metrics shall be

documented through written guidance and are incorporated into this

Contract by reference and shall be aligned with the activities set forth

in this Exhibit A-1 and with the State's RHTP initiatives.

f—OS

SS-2026-DI\/IS-02-STATEW-01 Contractor Initials

2/25/2026

University System of New Hampshire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

2.24.2. The Contractor, GO-NORTH, and GO-NORTH's Evaluation

Contractor (GNEC) will participate in evaluation, performance

management, and implementation science activities to support

evaluation, learning, performance monitoring, and CMS reporting

requirements. To the extent reasonably requested by GNEC or GO-

NORTH, Contractor agrees to collaborate and cooperated with

GNEC. The Parties assume a shared commitment to ensure CMS

compliance while also streamlining and minimizing administrative

burden for which such funds are not allocated. The Contractor will

comply with all CMS required reporting and shall comply with other

reasonable reporting, and due dates, as mutually agreed to by

Contractor, GO-NORTH and GNEC for GNEC evaluation activities

and to ensure timely analysis, review, and submission of CMS

required requirements

2.24.2.1. Contractor shall maintain financial management systems

capable of tracking and reporting expenditures including,

but not limited to, CMS RHTP permissible use of funds.

Quarterlv and annual progress reporting

2.25. Contractor will submit quarterly progress reports to GO-NORTH detailing the

progress made during the applicable reporting period and including, but not

limited to, spending data broken down by CMS RHTP permissible use of fund

and initiative, milestone progress, technical assistance requests, and any

additional information reasonably requested by GO-NORTH or required by

CMS under the terms and conditions of the RHTP program. See the table below

for quarterly progress report time periods and due dates.

Report Reporting period

start date

Reporting

period end date

Due date

Quarterly

Report #1

August 1 October 30 November 7

Quarterly

Report #2

October 31 January 30 February 7

Quarterly

Report #3

January 31 April 30 May 7

*Note: To reduce reporting burden on Contractor, and the timing of the annual

report, there is no quarterly report due for the time period of May 1 to July 31.

SS-2026-DMS-02-STATEW-01

University System of New Hampshire

Contractor Initials

Date

2/25/2026

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

*lf the reporting due date falls on a weekend or State recognized holiday the

report shall be due the next business day following the reporting date

2.26. The Contractor must submit annual progress reports to GO-NORTH detailing

the progress made during the applicable reporting period and including, but not

limited to, qualitative progress updates on milestones and implementation,

quantitative updates on metrics that Contractor is tracking as part of the

Contractor's approved GO-NORTH workplan, quantitative description of funds

expended by CMS RHTP permissible use of fund and initiative, milestone

progress, technical assistance requests, and any additional information

reasonably requested by GO-NORTH or required by CMS under the terms and

conditions of the CMS RHTP program. Annual progress report time periods and

due dates are as follows:

2.26.1. Annual progress report #1: December 29, 2025 through July 30,

2026 and due August 7, 2026.

2.26.2. Annual progress report #2: August 1, 2026 through July 30, 2027,

and due August 7, 2027.

2.26.3. Annual progress report #3: August 1, 2027 through July 30, 2028,

and due August 7, 2028.

2.26.4. Annual progress report #4: August 1, 2028 through July 30, 2029,

and due August 7, 2029.

2.26.5. Annual progress report #5: August 1, 2029 through July 30, 2030,

and due August 7, 2030.

2.26.6. Final report: December 29, 2025 through October 30, 2030 and due

December 15, 2030.

*lf the reporting due date falls on a weekend or State recognized holiday the

report shall be due the next business day following the reporting date

2.27. The Contractor will submit annual and quarterly reports, on a format as

determined by GO-NORTH in collaboration with the Contractor.

2.28. Contractor shall participate in GO-NORTH hosted forums, such as an annual

summit, related to RHTP.

2.29. The Contractor must participate in on-site reviews conducted by GO-NORTH

on a semi-annual basis, or as otherwise requested by GO-NORTH.

2.29.1. The Contractor will collaborate with GO-NORTH to support alignment

of all NH RHTP initiatives.

2.30. Confidential Data

^ OS

SS-2026-DMS-02-STATEW-01 Contractor Initials I

University System of New Hampshire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

2.30.1. All parties to this agreement who have access to State Confidential

Information (as defined herein) shall ensure that it is held in strict

confidence and is only disclosed, when allowed by applicable law

and for the purpose of carrying out the activities and services under

this Contract. State Confidential Information means any and all non-

public information, data, records, documents, materials, and

communications (in any form or media) that are disclosed or made

available by, on behalf of, or at the direction of the State of New

Hampshire, the office of the Governor, GO-NORTH, and/or its

agencies, departments, commissions, boards, instrumentalities,

officers, employees, or contractors to Contractor, or that Contractor

accesses, receives, creates, generates, compiles, derives, or learns

in connection with this Contract that should be reasonably

understood as confidential or marked or specifically identified in

writing as confidential ("State Confidential Information"). State

Confidential Information includes, without limitation: Confidential

information (a) relating to the State's operations, programs, policies,

contracts, budgets, finances, pricing, procurement, investigations,

audits, security measures, systems, technology, or plans; (b)

concerning individuals or entities interacting with the State,

including residents, applicants, beneficiaries, enrollees, providers,

vendors, or employees, including personally identifiable information,

protected health information, tax information, education records,

criminal justice information, or any other information protected or

regulated under applicable federal or state law; and (c) any data

sets, extracts, reports, analyses, compilations, models, notes,

summaries, or work product that contain, reflect, or are based on

any of the foregoing. State Confidential Information does not include

information that Contractor can demonstrate, by contemporaneous

written records and without breach of this Agreement, (i) was

publicly available at the time of disclosure or becomes publicly

available through no act or omission of Contractor, (ii) was lawfully

in Contractor's possession without restriction prior to receipt from

the State, or (iii) was independently developed by Contractor without

use of or reference to State Confidential Information; provided,

however, that information shall not be deemed excluded merely

because it is included within more general public information or

because individual elements are publicly known.

2.30.2. The Parties each acknowledge and agree that it, and its

subcontractors, awardees, affiliates and other persons engaged to

carry out the activities of this Contract, may be required to share

data and exchange information with third parties to accomplish the

services set forth in this Contract. The Contractor must ensure that

SS-2026-DMS-02-STATEW-01 Contractor Initials

University System of New Hampshire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

any subcontracts, awards, affiliates or other persons engaged to

carryout the activities of this contract comply with these same

confidentiality provisions and comply with all state and federal laws

or regulations applicable to data sharing, privacy, security and

confidentiality.

2.30.3. The Parties each acknowledge it, or its subcontractors, affiliates or

related parties may need to access information of a third party to

carry out the activities of this Contract. If requested by a third-party,

each Party and or its subcontractors, affiliates or related parties

shall enter into any reasonable and necessary Data Sharing

Agreement(s) with third parties as required to provide services

under this Contract.

2.30.4. The Parties acknowledge and agree that activities under this

Agreement are not contemplated to implicate responsibilities under

the Health Insurance Portability and Accountability Act of 1996 and

its implementing regulations, as amended ("HIPAA"). Nonetheless,

to the extent any activities do render any of the Parties or their

Controlled Entities (as defined below) a Covered Entity subject to

HIPAA, such Party shall comply, and/or shall cause its affiliates,

subcontractors, agents, and any other persons or entities under

their direction or control who create, receive, maintain, or transmit

Protected Health Information ("PHI") in connection with the services

or activities herein (collectively, "Controlled Parties") to comply, with,

all applicable requirements of the Health Insurance Portability and

Accountability Act of 1996 and its implementing regulations, as

amended ("HIPAA"), including without limitation the HIPAA Privacy

Rule, Security Rule, and Breach Notification Rule (45 C.F.R. Parts

160 and 164). To the extent that HIPAA is applicable, the Parties

shall ensure that each of their Controlled Parties is bound by written

terms, including a business associate agreement if applicable, that

are no less protective than HIPAA and this Contract with respect to

PHI and that require such Controlled Party to implement appropriate

safeguards and use and disclose PHI only as permitted by HIPAA

and as necessary to perform the services set forth in this Contract.

Each Party remains responsible for the acts and omissions of its

Controlled Parties to the same extent as for their own acts and

omissions with respect to HIPAA compliance and the protection of

PHI.

2.30.5. The Parties and their subcontractors will submit annual attestation of

compliance with Sections 2.30.1. - 2.30.4.

SS-2026-DMS-02-STATEW-01 Contractor Initials ' ^

University System of New Hampshire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

2.30.6. The Contractor shall regularly collaborate and communicate with

GO-NORTH on the implementation of the RHTP workforce Initiative

and the scope of services described In this Contract. To facilitate

such communication and collaboration, Contractor and GO-NORTH

shall designate a single point of contact who Is responsible for

communicating with the other, facilitating Contractor's collaboration

with GO-NORTH, and managing the Implementation of the RHTP

workforce Initiative activities under this Contract. Contractor and

GO-NORTH shall Identify these Individuals In writing to each other

and shall provide timely prior notice of any anticipated changes to

this single point of contact. In addition, and as reasonably requested

by the other party, both GO-NORTH and the Contractor shall

participate In meetings with each other. Such meetings may include,

but are not limited to:

2.30.6.1. Monthly check-In meetings focused on Implementation

and milestone progress.

2.30.6.2. Quarterly and annual program performance reviews.

2.30.6.3. Ad hoc technical assistance sessions as mutually agreed

upon by the parties.

2.30.7. Contract End-of-Llfe Transition Services

2.30.8. General Requirements

2.30.8.1. If applicable, upon early termination or expiration of the

Contract the parties agree to cooperate In good faith to

effectuate the transition of the services ("Transition

Services") from the Contractor to GO-NORTH and. If

applicable, the new Contractor ("Recipient") engaged

by GO-NORTH to assume the services. Ninety (90) days

prior to the end-of this Contract or unless otherwise

reasonably requested by GO-NORTH, the Contractor will

begin working with GO-NORTH and If applicable, the

Recipient to develop a Data Transition Plan (DTP). GO-

NORTH shall provide the DTP template to the Contractor.

Any transition services or data transition activities beyond

Contractor's existing obligations under this Contract shall

be subject to mutual agreement and. If applicable, an

amendment to the Contract budget.

2.30.8.2. The Contractor will cooperate and collaborate with GO-

NORTH In connection with the Transition Services during

the applicable transition period. Such cooperation may

Include, to the extent applicable and within Contractor's

(SS-2026-DMS-02-STATEW-01 Contractor Initials

University System of New Hampshire Date^^£2^32££_

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

possession or control, reasonable assistance with the

secure transfer of records (electronic and hard copy),

transition of historical data (electronic and hard copy), and

the orderly transition of activities performed under this

Contract, or the transition of any State Confidential

Information, hardware, software, network and

telecommunications equipment and internet-necessary to

carryout the activities under this Contract..Contractor

shall not be required to transfer Contractor's proprietary

systems, internal information technology infrastructure, or

Internal IT Systems, except as expressly agreed in writing

by the Parties. Any assistance provided to GO-NORTH or

to third-party consultants engaged by GO-NORTH in

connection with the Transition Services shall be limited in

scope and duration needed to accomplish the Transition

Services.

2.30.8.3. If a system, database, hardware, software, and/or

software licenses (Tools) was purchased or created

exclusively for the purpose to manage, track, and/or

store GO-NORTH data in relationship to this contract said

Tools will be inventoried and returned to GO-NORTH,

along with the inventory document, once transition of GO-

NORTH data is complete.

2.30.8.4. The internal planning of the Transition Services by the

Contractor shall be provided to GO-NORTH and if

applicable GO-NORTH's designee in a timely manner.

Any such Transition Services shall be deemed to be

Services for purposes of this Agreement.

2.30.8.5. If the Contractor will maintain any State Confidential

Information on its systems (or its sub-contractor

systems), the Contractor will maintain a documented

process for securely disposing of such data upon request

or contract termination; and will obtain written certification

for any State Confidential Information destroyed by the

Contractor or any subcontractors as a part of ongoing,

emergency, and or disaster recovery operations. When

no longer in use, electronic media containing State

Confidential Information shall be rendered unrecoverable

via a secure wipe program in accordance with industry-

accepted standards for secure deletion and media

sanitization, or otherwise physically destroying the media

(for example, degaussing) as described in NIST Special

SS-2026-DMS-02-STATEW-01 Contractor Initials [ ^

University System of New Hampsfiire Date^^^^^^^^^

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

Publication 800-88, Rev 1, Guidelines for Media

Sanitization, National Institute of Standards and

Technology, U. 8. Department of Commerce. The

Contractor will document and certify in writing at time of

the data destruction, and will provide written certification

to the Department upon request. The written certification

will include all details necessary to demonstrate data has

been properly destroyed and validated. Where

applicable, regulatory and professional standards for

retention requirements will be jointly evaluated by the

State and Contractor prior to destruction.

2.30.8.6. Unless otherwise specified, within one-hundred and

twenty (120) days of the termination of this Contract, the

Parties agree to destroy all hard copies of State

Confidential Data using a secure method such as

shredding.

2.30.8.7. Unless otherwise specified, within one-hundred and

twenty (120) days of the termination of this Contract, the

Partiesr agree to completely destroy all electronic State

Confidential Data by means of data erasure, also known

as secure data wiping.

2.30.8.8. In the event Contractor has comingled any State

Confidential Information with its own, and the destruction

or transition of said data is not feasible, the Parties will

jointly evaluate regulatory and professional standards for

retention requirements prior to destruction and in

accordance with 2 CFR 200.334, Records retention

requirements.

2.30.9. Completion of Transitional Services

2.30.9.1. Each service or transition phase shall be deemed

completed (and the transition process finalized) at the

end of forty-five (45) business days after the product,

resulting from the service, is delivered to the GO-

NORTH and/or the Recipient in accordance with the

mutually agreed upon Transition Plan, unless within said

forty-five (45) business day term GO-NORTH notifies

the Contractor of an issue requiring additional time to

complete said product.

2.30.9.2. Once all parties agree the data has been migrated the

Contractor will have one-hundred and twenty (120) days, OS

[ \ASS-2026-DMS-02-STATEW-01 Contractor Initials.

University System of New Hampshire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

to destroy the data.

2.30.10. Disagreement over Transition Services Results

2.30.10.1. In the event GO-NORTH is not satisfied with the results

of the transition service, GO-NORTH shall notify the

Contractor, in writing, stating the reason for the lack of

satisfaction within fifteen (15) business days of the final

product or at any time during the data transition process.

The Parties shall discuss the actions to be taken to

resolve the disagreement or issue. If an agreement is not

reached, at any time GO-NORTH shall be entitled

to initiate actions in accordance with the Contract.

3. Exhibit Incorporated

3.1. The Contractor will comply with all Exhibit A-2 Federal Requirements, which

are attached hereto and incorporated by reference herein.

3.2. To the extent there are conflicting terms between the Master Agreement and

the Exhibit A-1 Scope of Services the Master Agreement applies, provided,

that, the terms do not conflict with CMS RHT requirements

4. Additional Terms

4.1. Impacts Resulting from Court Orders or Legislative Changes

4.1.1. The Contractor agrees that, to the extent future state or federal

legislation or court orders may have an impact on the Services

described herein, the State has the right to modify Service priorities

and expenditure requirements under this Agreement so as to achieve

compliance therewith, provided that the Contractor and other Parties

will agree to the terms of such modifications.

4.2. Federal Civil Rights Laws Compliance: Culturally and Linguistically

Appropriate Programs and Services

4.2.1. The Contractor will submit:

4.2.1.1. A detailed description of the language assistance

services, within ten (10) days of the Effective Date of the

Agreement, to be provided to ensure meaningful access

to programs and/or services to individuals with limited

English proficiency; individuals who are deaf or have

hearing loss; individuals who are blind or have low

vision; and individuals who have speech challenges.

4.2.1.2. A written attestation, within forty-five (45) days of the

Effective Date of the Agreement and annually. OS

SS-2026-DMS-02-STATEW-01 Contractor Initials I ^

University System of Ne\w Hampshire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

thereafter, that all managers or contract overseers

involved in the provision of services under this

Agreement have completed, within the last twelve (12)

months, the Contractor Required Training Video on Civil

Rights-related Provisions in DHHS Procurement

Processes, which is accessible on the DHHS's website

(https://www.dhhs.nh.gov/doing-business-dhhs/civil-

right-compiiance-dhhs-vendors); and

4.2.1.3. The DHHS Federal Civil Rights Compliance Checklist

within ten (10) days of the Effective Date of the

Agreement. The Federal Civil Rights Compliance

Checklist will have been completed within the last

twelve (12) months and is accessible on the DHHS's

website (https://www.dhhs.nh.qov/doinq-business-

dhhs/civil-riqht-compliance-dhhs-vendors).

4.3. Credits and Copyright Ownership

4.3.1. When issuing public statements resulting from activities supported by

this Agreement the Contractor_will include the following statement,

"This [project/publication/program/website, etc.] [is/was] supported by

the Centers for Medicare & Medicaid Services (CMS) of the U.S.

Department of Health and Human Services (HHS) as part of a

financial assistance award totaling $XX with 100 percent funded by

CMS/HHS [or as part of a financial assistance award totaling $XXwith

XX percentage funded by CMS/HHS and $XX amount and XX

percentage funded by non-government source(s)]. The contents are

those of the author(s) and do not necessarily represent the official

views of, nor an endorsement, by CMS/HHS, or the U.S.

Government."

4.3.2. The Contractor will submit the following to GO-NORTH for review and

comment at least forty-five (45) days prior to release.

4.3.2.1. Publications that report results from or describe

information obtained through the Contractor's use of

funds under this Agreement.

4.3.2.2. Any external formal presentation of any report or

statistical or analytical material based on information

obtained through the Contractor's use of funds under

this Agreement. Formal presentation includes papers,

articles, professional publication, speeches, and

testimony.

4.3.2.3. Any external presentation-related material, such as

SS-2026-DMS-02-STATEW-01 Contractor Initials 1 ^

University System of New Hampshire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

abstracts, power point presentations or other slide

decks, posters, and videos.

4.3.2.4. All public materials specific to the program including but

not limited to, brochures, recruitment materials,

informational materials, advertisements, website copy,

website pages, videos, and op-ed articles.

4.3.2.5. Notwithstanding the above, the Contractor may, in

accordance with CMS RHTP requirements, publish,

distribute, or otherwise use materials without obtaining

the prior written consent of GO-NORTH to the extent

such materials are comprised of content that is

substantially the same as materials that have previously

been approved in writing by GO-NORTH. Any

modifications to such previously approved materials

that are not substantially the same shall remain subject

to the applicable approval requirements under this

Agreement.

4.3.3. At least fourteen (14) days prior to release, the Contractor will submit

to GO-NORTH for GO-NORTH's review and comment:

4.3.3.1. Any press release or media advisory concerning the

outcome of activities supported through the Contractor's

use of funds under this Agreement

4.3.3.2. All media interviews, media requests, releases of

information, filming, and broadcasts.

4.3.4. For 1 year after completion of the project, the recipient shall continue

to submit for review and comment all publications, presentations, and

communications resulting from this award or based on information

obtained through the Contractor's use of funds under this Agreement,

including papers, articles, professional publications, power point

presentations, posters, speeches, announcements, and testimony in

any format, including digital technology.

4.3.5. Specifically excluded from the review and comment process are

internal presentations, information discussions, in general, class

lectures, and informal meetings and conversations with community

leaders. However, if such a presentation or slide deck is later re-

purposed for a public event, it will need to be submitted in advance

for GO-NORTH review and comment.

4.3.6. One copy of each publication, that requires prior review and comment

under this Agreement, will accompany the final progress report.

r~°'

SS-2026-DMS-02-STATEW-01 Contractor Initials I

University System of New Hampshire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

4.3.7. GO-NORTH shall collaborate with the Contractor to facilitate the

requirements under this section.

4.3.8. The Parties anticipate that there will be time-sensitive

communications and materials that will need to be "fast-tracked" in

order to achieve the objectives of CMS RHTP, since lengthy approval

timelines may adversely affect the ability to leverage time-sensitive

opportunities, The Contractor will notify GO-NORTH of such time

sensitive communications and GO-NORTH commits to assisting with

expedited approvals to the extent possible. Contractor understands

and agrees GO-NORTH cannot control CMS RHTP time periods to

review communications.

5. Records

5.1. The Contractor will keep records that include, but are not limited to:

5.1.1. Books, records, documents and other electronic or physical data

evidencing and reflecting all costs and other expenses incurred by the

Contractor in the performance of the Contract, and all income received

or collected by the Contractor in connection with the Contract.

5.1.2. Contractor shall maintain financial and programmatic records in

accordance with generally accepted accounting principles ("GAAP")

and applicable federal grant requirements, including 2 C.F.R. Part

200 (Uniform Administrative Requirements, Cost Principles, and

Audit Requirements for Federal Awards). Programmatic records not

subject to GAAP shall be maintained by Contractor in accordance

with CMS RHT grant requirements. All such records shall accurately

and adequately reflect all allowable costs and expenses incurred

under this Agreement.

5.1.3. Records shall include, without limitation, all ledgers, books, records, and

original evidence of costs such as purchase requisitions and orders,

vouchers, requisitions for materials, inventories, valuations of in-kind

contributions, labor time cards, payrolls, supporting documentation, and

other records reasonably requested or required by GO-NORTH to fulfill

CMS RHTP requirements, and to comply with 2 C.F.R. Part 200.

5.1.4. Records regarding the provision of services and all

invoices submitted to GO-NORTH to obtain payment for such services.

5.2. During the term of this Agreement and the period for retention GO-NORTH, the

United States Department of Health and Human Services, and any of their

designated representatives will have access to all reports and records

maintained pursuant to the Agreement for purposes of audit, examination,

excerpts and transcripts, in accordance with 2 CFR 200.334, Records retention

requirements.

SS-2026-DMS-02-STATEW-01 Contractor Initials I

^ 2/25/2026

University System of New Hampshire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

5.3. In accordance with applicable federal grant requirements, including 2 C.F.R.

Part 200, if GO-NORTH determines that certain costs claimed by Contractor

are unallowable under applicable federal, CMS, or CMS RHTP requirements

that are published or communicated to Contractor, GO-NORTH may disallow

such costs. GO-NORTH shall provide Contractor written notice of the basis for

any such determination and an opportunity to respond or provide additional

documentation, as permitted under applicable federal requirements. To the

extent finally determined to be unallowable, GO-NORTH may recover the

amount of such disallowed costs solely in the manner permitted under

applicable federal grant requirements, including by offset against future

payments or reimbursement by Contractor.

6. Procurements

6.1. The Contractor is a public institution of higher education subject to

comprehensive state and University of New Hampshire System procurement

policies ("Contractor's Procurement Policies") and procedures designed to

ensure open competition, transparency, fiscal accountability, and compliance

with applicable federal and state requirements. Contractor represents and

warrants that Contractor's Procurement Policies are in compliance with Federal

Acquisition Regulations (FAR) and applicable Code of Federal Regulations.

6.2. All procurements undertaken in connection with this Contract shall be conducted

in accordance with Contractor's Procurement Policies, as amended from time

to time, and in compliance with FAR and other applicable regulatory

requirements including competitive bidding and sole-source justification

requirements where applicable.

6.3. The Contractor represents and warrants that these policies meet or exceed

generally accepted public sector procurement standards and shall maintain

documentation sufficient to demonstrate compliance upon reasonable request.

6.4. In collaboration with GO-NORTH, Contractor shall include, as applicable, those

CMS RHTP procurement requirements that NH RHTP is obligated to include in

its subawards.

6.5. Prior to entering into an agreement with a contractor, subcontractor, consulting,

or subrecipient, the Contractor must submit a prior approval request to GO-

NORTH. Such request must be made in writing and include a description of how

the selected contractor, subcontractor or subrecipient meets the requirements

of this Contract and the CMS RHTP requirements. This additional prior

approval requirement will not apply to Contractor's procurements of equipment

or supplies, such as clinical simulation mannequins or supplies, ("Equipment

and Supplies Procurements") to carry out activities under this Contract,

provided, that Contractor complies with Contractor's Procurement Policies.

SS-2026-DMS-02-STATEW-01 Contractor Initials ' ^

University System of New Hampsfiire Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health

(GO-NORTH)

Statewide Rural Health Workforce Efforts

EXHIBIT A-1

6.6. All competitive procurements, including, but not limited to requests for proposal,

bids, quotes, or applications issued by the Contractor related to this Contract

must be posted on the GO-NORTH website. The Contractor shall provide written

notice to GO-NORTH of the competitive procurement and the time period in

which bids or applications will be accepted. For Equipment and Supplies

Procurements, after providing written notice to GO-NORTH, the Contractor will

then immediately post the procurement on the public USNH bid portal. For all

other procurements. Contractor will provide GO-NORTH with fifteen (15)

calendar days notice, prior to posting the procurement on the public USNH bid

portal. The USNH bid portal will also detail how to apply, and the time period in

which bids or applications will be accepted. GO-NORTH will promptly link

Contractor's procurement posting to the GO-NORTH website.

6.7. Contractor's procurement process will require all vendors contracting directly

with Contractor, who would be subject to the requirements ofRSA5:18-a if such

vendor was contracting directly with the State of New Hampshire, to certify to

Contractor that they are in good standing with the New Hampshire Secretary of

State. For procurements other than Equipment and Supplies Procurements,

Contractor will provide a list of the vendor's board of directors, if applicable. If

reasonably requested by GO-NORTH, Contractor will provide a list of the board

of directors, if applicable, of any vendor procured to provide Equipment or

Supplies to carry out the activities of this Contract.

6.8. The Contractor shall conduct procurements under this Contract using full and

open competition to the maximum extent practicable, consistent with the

principles of competition set forth in 2 CFR 200.320. The Contractor may award

a contract on a sole source (noncompetitive) basis without prior written approval

where the procurement circumstances are consistent with the exceptions

described in 2 CFR 200.320(c). Any noncompetitive procurement that does not

meet 2 CFR 200.320(c) exceptions shall require GO-NORTH's prior written

approval.,

SS-2026-DMS-02-STATEW-01 Contractor Initials.

^ 2/25/2026University System of New Hampshire Date

Docusign Envelope ID; D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health (GO-NORTH)

Statewide Rural Health Workforce Efforts

Exhibit A Item F-2

Payment Terms

1. This Agreement is funded by:

1.1. 100% Federal funds, Rural Health Transformation Program, as awarded

on December 29, 2025, by the Centers for Medicare & Medicaid

Services, Department of Health and Human Services, ALN # 93.798,

FAIN # RHTCMS332050.

2. For the purposes of this Agreement GO-NORTH has identified:

2.1. The Contractor as a Subrecipient, in accordance with 2 CFR 200.331.

2.2. The Agreement as NON-R&D, in accordance with 2 CFR §200.332.

2.3. Unless waived by GO-NORTH in writing, the Contractor's, inclusive of

any subcontractors, subrecipients or subawardees of Contractor,

indirect costs and administrative costs must not exceed 10% of the

Contractor's total funding under this Contract. The Contractor

acknowledges and agrees that all administrative costs and indirect

costs, inclusive of the recipients, subcontractors, subrecipeints, and

subawardee's, under the State's RHT award are capped at 10% of the

State's total RHT award. The Contractor must track all administrative

costs and indirect costs under this Agreement and report such costs to

GO-NORTH. Administrative costs and indirect costs are defined as set

forth in 2 CFR Part 200 Uniform Administrative Requirements, Costs

Principles, and Audit Requirements for Federal Awards.

3. Payment shall be on a cost reimbursement basis for actual expenditures

incurred in the fulfillment of this Agreement, and shall be in accordance with the

approved line item, as specified in Exhibit A, Item F-1.

4. The Contractor shall submit an invoice to GO-NORTH monthly following the

month in which the allowable expenses were incurred and in accordance with

the Contactor's usual and customary business practices and 2 CFR 200. The

Contractor shall ensure each invoice:

4.1. Includes the Contractor's Vendor Number issued upon registering with

New Hampshire Department of Administrative Services.

4.2. Is submitted in a form that is provided by or otherwise acceptable to GO-

NORTH.

4.3. Identifies and requests payment for allowable expenses for the previous

month, in accordance with 2 CFR 200.403 or other applicable Federal

or State laws or regulations.

4.4. Includes supporting documentation, as requested by GO-NORTH, of

allowable costs, which may include, but is not limited to, payroll records

to support salaries and wages charged to the award, and proof of

expenditures, as follows:

SS-2026-DMS-02-STATEW-01 University System of New Hampstiire Contractor Initials

2/25/2026C-1.3 Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health (GO-NORTH)

Statewide Rural Health Workforce Efforts

Exhibit A Item F-2

4.4.1. With the first invoice for services provided under this

Agreement.

4.4.2. With subsequent invoices, upon request by GO-NORTH.

4.5. Is completed, dated and returned to GO-NORTH or allowable expenses

to initiate payment.

4.6. Is assigned an electronic signature and is emailed to Michele.Z.Thibault-

G(ggofe rr.nh.gov

5. GO-NORTH shall make payment to the Contractor within thirty (30) days of

receipt of each invoice, subsequent to approval of the submitted invoice, and if

sufficient funds are available.

6. The final invoice shall be due to GO-NORTH no later than sixty (60), or sooner

if available, days after the contract completion date.

7. The Contractor must provide the services in Exhibit A-1, Scope of Services, in

compliance with funding requirements.

8. The Contractor must maintain financial management systems capable of

tracking and reporting expenditures including, by, but not limited to, RHTP

permissible use of funds.

9. If, upon further review, GO-NORTH must disallow any expenses claimed by the

Contractor as costs hereunder, GO-NORTH retains the right, at its discretion, to

deduct the amount of such expenses as are disallowed or to recover such sums

from the Contractor. The Contractor may appeal GO-NORTH's decision within

30 days, and GO-NORTH has 30 days to respond.

10. Changes limited to adjusting direct and indirect cost amounts within the price

limitation between budget class lines, as well as adjusting encumbrances

between State Fiscal Years through the Budget Office, may be made by written

agreement of both parties, without obtaining approval of the Governor and

Executive Council, if needed and justified.

11. Funding for this Agreement is based upon and subject to availability of the Grant

Award to support this project. If the funding for this Agreement is not available

at the proposed levels, the Agreement will be amended accordingly., ^SS-2026-DMS-02-STATEW-01 University System of New Hampstiire Contractor Initials

2/25/2026

C-1.3 Date

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Exhibit A, Item F-1 Budget

Governor's Office on New Opportunities for Rural Transformational Health (GO-NORTH)

Contractor Name: University System of New Hampshire

Budget Request for:Rural Health Transformation

Budget Period:G&C Approval - 9/30/31

ndlrect Cost Rate (If applicable)10.00%

Line Item

Program Cost - Funded

by GO-NORTH - Budget

Period 1

Program Cost - Funded

by GO-NORTH - Budget

Period 2

Program Cost - Funded by

GO-NORTH - Budget

Period 3

Program Cost - Funded

by GO-NORTH - Budget

Period 4

Program Cost - Funded t>y

GO-NORTH - Budget

Period S

1 Salary & Wages $3,202,223 $4,302,550 $4,388,601 $4,476,373 $4,565,900

2. Fringe Benefits $1,290,496 $1,733,928 $1,768,606 $1,803,978 $1,840,058

3 Consultants $165,000 $118,500 $118,500 $118,500 $118,500

4. Equipment

Indirect cost rate cannot tie

applied to equipment costs per 2

CFR 200.1 and Appendix IV to 2

CFR 200.

$6,656,674 $2,023,644 $2,023,644 $2,023,644 $2,023,644

5.(a) Supplies - Educational $1,997,491 $1,728,500 $1,728,500 $1,728,500 $1,728,500

5.(b) Supplies - Lab $0 $0 $0 $0 $0

5.(c) Supplies - Pharmacy $0 $0 $0 $0 $0

5.(d) Supplies - Medical $0 $0 $0 $0 $0

5.(e) Supplies - Office $79,600 $0 $0 $0 $0

6. T ravel $292,000 $287,000 $287,000 $287,000 $287,000

7. Software $90,000 $90,000 $90,000 $90,000 $90,000

8. (a)Other -

Marketing/Communications $250,000 $250,000 $250,000 $250,000 $250,000

8. (b) Other - Education and

Training $0 $0 $0 $0 $0

8. (c) Other - Other (specify

below) $0 $0 $0 $0 $0

Convening Meetings $40,000 $40,000 $40,000 $40,000 $40,000

Design $40,000 $0 $0 $0 $0

Common Campus of NH Website

Hosting & Maintenance

$10,000 $10,000 $10,000 $10,000 $10,000

Forms and Meeting Supplies $35,000 $2,000 $2,000 $2,000 $2,000

Scttolarstiips & Experiential

Learning Support $60,179 $7,387,999 $7,608,648 $8,091,116 $8,573,324

GHAP Award Administration $225,000 $250,000 $250,000 $250,000 $250,000

GHAP Marketing $75,000 $67,273 $100,000 $100,000 $100,000

Outside Legal Council $50,000 $10,000 $10,000 $10,000 $10,000

9 Subrecipient Contracts $329,289 $395,951 $329,289 $395,951 $395,951

Total Direct Costs $14,887,951 $18,697,345 $19,027,789 $19,644,336 $20,252,151

Total Indirect Costs $796,281 $889,775 $899,269 $910,184 $924,645

Subtotals $15,684,232 $19,587,120 $19,927,058 $20,554,520 $21,176,796

TOTAL $96,929,726

Contractor Initials:

SS-2026-DMS-02-STATEW-01 Date:

2/25/2026

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Exhibit A-2, Federal Requirements

SECTION A: CERTIFICATION REGARDING DRUG-FREE WORKPLACE REQUIREMENTS

The Contractor identified in the Cooperative Project Agreement agrees to comply with the provisions

of Sections 5151-5160 of the Drug-Free Workplace Act of 1988 (Pub. L. 100-690, Title V, Subtitle D;

41 U.S.C. 701 et seq.), and further agrees to have the Contractor's representative, as identified in in the

Cooperative Project Agreement execute the following Certification:

ALTERNATIVE I - FOR CONTRACTORS OTHER THAN INDIVIDUALS

US DEPARTMENT OF HEALTH AND HUMAN SERVICES - CONTRACTORS

US DEPARTMENT OF EDUCATION - CONTRACTORS

US DEPARTMENT OF AGRICULTURE - CONTRACTORS

This certification is required by the regulations implementing Sections 5151-5160 of the Drug-Free

Workplace Act of 1988 (Pub. L. 100-690, Title V, Subtitle D; 41 U.S.C. 701 et seq.). The January 31,

1989 regulations were amended and published as Part II of the May 25, 1990 Federal Register (pages

21681-21691), and require certification by contractors (and by inference, sub- contractors), prior to

award, that they will maintain a drug-free workplace. Section 3017.630(c) of the regulation provides

that a contractor (and by inference, sub-contractors) that is a State may elect to make one certification

to the Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH") in each

federal fiscal year in lieu of certificates for each Agreement during the federal fiscal year covered by

the certification. The certificate set out below is a material representation of fact upon which reliance is

placed when the agency awards the Agreement. False certification or violation of the certification shall

be grounds for suspension of payments, suspension or termination of Agreements, or government

wide suspension or debarment. Contractors using this form should send it to:

Executive Director

GO NORTH

129 Pleasant Street

Concord, NH 03301-6505

1. The Contractor certifies that it will or will continue to provide a drug-free workplace by:

1.1. Publishing a statement notifying employees that the unlawful manufacture, distribution,

dispensing, possession or use of a controlled substance is prohibited in the Contractor's

workplace and specifying the actions that will be taken against employees for violation of

such prohibition;

1.2. Establishing an ongoing drug-free awareness program to inform employees about:

1.2.1. The dangers of drug abuse in the workplace;

1.2.2. The Contractor's policy of maintaining a drug-free workplace;

1.2.3. Any available drug counseling, rehabilitation, and employee assistance programs; and

1.2.4. The penalties that may be imposed upon employees for drug abuse violations

occurring in the workplace;

1.3. Making it a requirement that each employee to be engaged in the performance of

the Agreement be given a copy of the statement required by paragraph (a);

1.4. Notifying the employee in the statement required by paragraph (a) that, as a condition

of employment under the Agreement, the employee will:

1.4.1. Abide by the terms of the statement; and

1.4.2. Notify the employer in writing of his or her conviction for a violation of a criminal drug

statute occurring in the workplace no later than five calendar days after such conviction;

VI.1 RHT Contractor's Initials —

Exhibit A-2, Date 2/25/2026

Federal Requirements

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Exhibit A-2, Federal Requirements

1.5. Notifying the agency in writing, within ten calendar days after receiving notice under

subparagraph 1.4.2 from an employee or otherwise receiving actual notice of such conviction.

Employers of convicted employees must provide notice, including position title, to every contract

officer on whose contract activity the convicted employee was working, unless the Federal

agency has designated a central point for the receipt of such notices. Notice shall include the

identification number(s) of each affected Agreement;

1.6. Taking one of the following actions, within 30 calendar days of receiving notice under

subparagraph 1.4.2, with respect to any employee who is so convicted

1.6.1. Taking appropriate personnel action against such an employee, up to and including

termination, consistent with the requirements of the Rehabilitation Act of 1973, as

amended; or

1.6.2. Requiring such employee to participate satisfactorily in a drug abuse assistance or

rehabilitation program approved for such purposes by a Federal, State, or local health,

law enforcement, or other appropriate agency;

1.7. Making a good faith effort to continue to maintain a drug-free workplace through implementation

of paragraphs 1.1, 1.2, 1.3, 1.4, 1.5, and 1.6.

2. The Contractor may insert in the space provided below the site(s) for the performance of work done

in connection with the specific Agreement.

Place of Performance (street address, city, county, state, zip code) (list each location)

Check □ if there are workplaces on file that are not identified here.,

V1.1 RHT Contractor's Initials

Exhibit A-2, Date2/25/2026

Federal Requirements

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Exhibit A-2, Federal Requirements

SECTION B: CERTIFICATION REGARDING LOBBYING

The Contractor identified in the Cooperative Project Agreement agrees to comply with the provisions of

Section 319 of Public Law 101-121, Government wide Guidance for New Restrictions on Lobbying, and

Byrd Anti-Lobbying Amendment (31 U.S.C. 1352), and further agrees to have the Contractor's

representative, as identified in the Cooperative Project Agreement execute the following Certification:

US DEPARTMENT OF HEALTH AND HUMAN SERVICES - CONTRACTORS

US DEPARTMENT OF EDUCATION - CONTRACTORS

US DEPARTMENT OF AGRICULTURE - CONTRACTORS

Programs (indicate applicable program covered):

"Temporary Assistance to Needy Families under Title IV-A

"Child Support Enforcement Program under Title IV-D

"Social Services Block Grant Program under Title XX

"Medicaid Program under Title XIX

"Community Services Block Grant under Title VI

"Child Care Development Block Grant under Title IV

The undersigned certifies, to the best of his or her knowledge and belief, that:

1. No Federal appropriated funds have been paid or will be paid by or on behalf of the undersigned, to

any person for influencing or attempting to influence an officer or employee of any agency, a

Member of Congress, an officer or employee of Congress, or an employee of a Member of

Congress in connection with the awarding of any Federal contract, continuation, renewal,

amendment, or modification of any Federal contract, loan, or cooperative agreement (and by

specific mention sub-contractor).

2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for

influencing or attempting to influence an officer or employee of any agency, a Member of Congress,

an officer or employee of Congress, or an employee of a Member of Congress in connection with

this Federal contract, loan, or cooperative agreement (and by specific mention sub- contractor), the

undersigned shall complete and submit Standard Form LLL, (Disclosure Form to Report Lobbying,

in accordance with its instructions, see https://omb.report/icr/201009-0348-022/doc/20388401

3. The undersigned shall require that the language of this certification be included in the award

document for sub-awards at all tiers (including subcontracts, and contracts under grants, loans, and

cooperative agreements) and that all sub-recipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this

transaction was made or entered into. Submission of this certification is a prerequisite for making or

entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file

the required certification shall be subject to a civil penalty of not less than $10,000 and not more than

$100,000 for each such failure.

v1 6/23 Exhibit A-2 Contractor's Initials

Federal Requirements Date^/25/2026

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Exhibit A-2, Federal Requirements

SECTION C: CERTIFICATION REGARDING DEBARMENT. SUSPENSION AND OTHER

RESPONSIBILITY MATTERS

The Contractor identified in the Cooperative Project Agreement agrees to comply with the provisions of

Executive Office of the President, Executive Order 12549 and 12689 and 45 CFR Part 76 regarding

Debarment, Suspension, and Other Responsibility Matters, and further agrees to have the Contractor's

representative, as identified in the Cooperative Project Agreement execute the following Certification:

INSTRUCTIONS FOR CERTIFICATION

1. By signing and submitting this Agreement, the prospective primary participant is providing the

certification set out below.

2. The inability of a person to provide the certification required below will not necessarily result in

denial of participation in this covered transaction. If necessary, the prospective participant shall

submit an explanation of why it cannot provide the certification. The certification or explanation will

be considered in connection with the Governor's Office of New Opportunities & Rural

Transformational Health ("GO NORTH") determination whether to enter into this transaction.

However, failure of the prospective primary participant to furnish a certification or an explanation

shall disqualify such person from participation in this transaction.

3. The certification in this clause is a material representation of fact upon which reliance was placed

when DHHS determined to enter into this transaction. If it is later determined that the prospective

primary participant knowingly rendered an erroneous certification, in addition to other remedies

available to the Federal Government, DHHS may terminate this transaction for cause or default.

4. The prospective primary participant shall provide immediate written notice to the DHHS agency to

whom this Agreement is submitted if at any time the prospective primary participant learns that its

certification was erroneous when submitted or has become erroneous tjy reason of changed

circumstances.

5. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered

transaction," "participant," "person," "primary covered transaction," "principal," "proposal," and

"voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and

Coverage sections of the rules implementing Executive Order 12549: 45 CFR Part 76. See

https://www.govinfo.gov/app/details/CFR-2004-title45-vol1/CFR-2004-title45-vol1-part76/context.

6. The prospective primary participant agrees by submitting this Agreement that, should the proposed

covered transaction be entered into, it shall not knowingly enter into any lower tier covered

transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded

from participation in this covered transaction, unless authorized by DHHS.

7. The prospective primary participant further agrees by submitting this proposal that it will include the

clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion -

Lower Tier Covered Transactions," provided by DHHS, without modification, in all lower tier covered

transactions and in all solicitations for lower tier covered transactions.

8. A participant in a covered transaction may rely upon a certification of a prospective participant in a

lower tier covered transaction that it is not debarred, suspended, ineligible, or involuntarily excluded

from the covered transaction, unless it knows that the certification is erroneous. A participant may

decide the method and frequency by which it determines the eligibility of its principals. Each

participant may, but is not required to, check the Nonprocurement List (of excluded parties)

https://www.ecfr.gOv/current/title-22/chapter-V/part-513.4

—

v1 6/23 Exhibit A-2 Contractor's Initials L—

Federal Requirements Date^ZZIZZ^IE!

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Exhibit A-2, Federal Requirements

9. Nothing contained in the foregoing shall be construed to require establishment of a system of

records in order to render in good faith the certification required by this clause. The knowledge and

information of a participant is not required to exceed that which is normally possessed by a prudent

person in the ordinary course of business dealings.

10. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a

covered transaction knowingly enters into a lower tier covered transaction with a person who is

suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in

addition to other remedies available to the Federal government, DHHS may terminate this

transaction for cause or default.

PRIMARY COVERED TRANSACTIONS

11. The prospective primary participant certifies to the best of its knowledge and belief, that it and its

principals:

11.1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or

voluntarily excluded from covered transactions by any Federal department or agency:

11.2. Have not within a three-year period preceding this proposal (Agreement) been convicted of

or had a civil judgment rendered against them for commission of fraud or a criminal offense

in connection with obtaining, attempting to obtain, or performing a public (Federal, State or

local) transaction or a contract under a public transaction; violation of Federal or State

antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or

destruction of records, making false statements, or receiving stolen property;

11.3. Are not presently indicted for otherwise criminally or civilly charged by a governmental entity

(Federal, State or local) with commission of any of the offenses enumerated in paragraph

(l)(b) of this certification; and

11.4. Have not within a three-year period preceding this application/proposal had one or more

public transactions (Federal, State or local) terminated for cause or default.

12. Where the prospective primary participant is unable to certify to any of the statements in this

certification, such prospective participant shall attach an explanation to this proposal (contract).

LOWER TIER COVERED TRANSACTIONS

13. By signing and submitting this lower tier proposal (Agreement), the prospective lower tier

participant, as defined in 45 CFR Part 76, certifies to the best of its knowledge and belief that it and

its principals:

13.1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or

voluntarily excluded from participation in this transaction by any federal department or

agency.

13.2. Where the prospective lower tier participant is unable to certify to any of the above, such

prospective participant shall attach an explanation to this proposal (Agreement).

14. The prospective lower tier participant further agrees by submitting this proposal (Agreement) that it

will include this clause entitled "Certification Regarding Debarment, Suspension, Ineligibility, and

Voluntary Exclusion - Lower Tier Covered Transactions," without modification in all lower tier covered

transactions and in all solicitations for lower tier covered transactions.

v1 6/23 Exhibit A-2 Contractor's Initials

Federal Requirements Date^ZZIZZ^^

Docusign Envelope ID; D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Exhibit A-2, Federai Requirements

SECTION D: CERTiFiCATiON OF COMPLiANCE WiTH FEDERAL REQUiREMENTS

The Contractor identified in in the Cooperative Project Agreement agrees by signature of the

Contractor's representative as identified in in the Cooperative Project Agreement, to execute the

following certification:

The Contractor will comply, and will require any subcontractors to comply, with any applicable federal

requirements, which may include but are not limited to:

1. Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards

(2 CFR 200).

2. The Omnibus Crime Control and Safe Streets Act of 1968 (42 U.S.C. Section 3789d) which

prohibits recipients of federal funding under this statute from discriminating, either in employment

practices or in the delivery of services or benefits, on the basis of race, color, religion, national

origin, and sex. The Act requires certain recipients to produce an Equal Employment Opportunity

Plan;

3. The Juvenile Justice Delinquency Prevention Act of 2002 (42 U.S.C. Section 5672(b)) which adopts

by reference, the civil rights obligations of the Safe Streets Act. Recipients of federal funding under

this statute are prohibited from discriminating, either in employment practices or in the delivery of

services or benefits, on the basis of race, color, religion, national origin, and sex. The Act includes

Equal Employment Opportunity Plan requirements;

4. The Civil Rights Act of 1964 (42 U.S.C. Section 2000d, which prohibits recipients of federal financial

assistance from discriminating on the basis of race, color, or national origin in any program or

activity);

5. The Rehabilitation Act of 1973 (29 U.S.C. Section 794), which prohibits recipients of Federal

financial assistance from discriminating on the basis of disability, in regard to employment and the

delivery of services or benefits, in any program or activity;

6. The Americans with Disabilities Act of 1990 (42 U.S.C. Sections 12131-34), which prohibits

discrimination and ensures equal opportunity for persons with disabilities in employment. State and

local government services, public accommodations, commercial facilities, and transportation;

7. The Education Amendments of 1972 (20 U.S.C. Sections 1681, 1683, 1685-86), which prohibits

discrimination on the basis of sex in federally assisted education programs;

8. The Age Discrimination Act of 1975 (42 U.S.C. Sections 6106-07), which prohibits discrimination on

the basis of age in programs or activities receiving Federal financial assistance. It does not include

employment discrimination;

9. 28 C.F.R. pt. 31 (U.S. Department of Justice Regulations - OJJDP Grant Programs); 28 C.F.R. pt.

42 (U.S. Department of Justice Regulations - Nondiscrimination; Equal Employment Opportunity;

Policies and Procedures); Executive Order No. 13279 (equal protection of the laws for faith-based

and community organizations); Executive Order No. 13559, which provide fundamental principles

and policy-making criteria for partnerships with faith-based and neighborhood organizations;

10. 28 C.F.R. pt. 38 (U.S. Department of Justice Regulations - Equal Treatment for Faith-Based

Organizations); and Whistleblower protections 41 U.S.C. §4712 and The National Defense

Authorization Act (NDAA) for Fiscal Year 2013 (Pub. L. 112-239, enacted January 2, 2013) the Pilot

Program for Enhancement of Contract Employee Whistleblower Protections, which protects

employees against reprisal for certain whistle blowing activities in connection with federal grants

and contracts.

11. The Clean Air Act (42 U.S.C. 7401-7671q.) which seeks to protect human health and the

environment from emissions that pollute ambient, or outdoor, air.

v1 6/23 Exhibit A-2 Contractor's Initials

Federal Requirements Date^ZZ^Z^EZ^

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformationai Health ("GO NORTH")

Exhibit A-2, Federai Requirements

12. The Clean Water Act (33 U.S.C. 1251-1387) which establishes the basic structure for regulating

discharges of pollutants into the waters of the United States and regulating quality standards for

surface waters.

13. Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council (Councils) (41

U.S.C. 1908) which establishes administrative, contractual, or legal remedies in instances where

contractors violate or breach contract terms, and provide for such sanctions and penalties as

appropriate.

14. Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708) which establishes that all

contracts awarded by the non-Federal entity in excess of $100,000 that involve the employment of

mechanics or laborers must include a provision for compliance with 40 U.S.C. 3702 and 3704, as

supplemented by Department of Labor regulations (29 CFR Part 5).

15. Rights to Inventions Made Under a Contract or Agreement 37 CFR § 401.2 (a) which establishes

the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit

organization regarding the substitution of parties, assignment or performance of experimental,

developmental, or research work under that "funding agreement," the recipient or subrecipient must

comply with the requirements of 37 CFR Part 401, "Rights to Inventions Made by Nonprofit

Organizations and Small Business Firms Under Government Grants, Contracts and Cooperative

Agreements," and any implementing regulations issued by the awarding agency.

16. Royalty-Free Rights to Use Software or Documentation Developed 2 CFR 200.315 Intangible

property.

17. 2 CFR 200.313 Equipment and 2 CFR 200.314 Supplies, including but not limited to disposition

actions,

18. Requirements, as provided in 2 CFR Part 180 and implemented in 2 CFR Part 376, regarding the

affirmative duty to track all subrecipients, including subrecipient key personnel and subcontractors,

by checking SAM.gov to ensure that a subaward is not made to an entity that is debarred,

suspended, or ineligible.

The certificate set out below is a material representation of fact upon which reliance is placed when the

agency awards the Agreement. False certification or violation of the certification shall be grounds for

suspension of payments, suspension or termination of Agreements, or government wide suspension or

debarment.

In the event a Federal or State court or Federal or State administrative agency makes a finding of

discrimination after a due process hearing on the grounds of race, color, religion, national origin, or sex

against a recipient of funds, the recipient will forward a copy of the finding to the Office for Civil Rights,

to the applicable contracting agency or division within the Governor's Office of New Opportunities &

Rural Transformational Health ("GO NORTH") and to the State of New Hampshire Office of the

Ombudsman.

The Contractor identified in the Cooperative Project Agreement agrees by signature of the Contractor's

representative as identified in the Cooperative Project Agreement, to execute the following certification:

1. By signing and submitting this Agreement, the Contractor agrees to comply with the provisions

indicated above.

v1 6/23 Exhibit A-2 Contractor's Initials ^

Federal Requirements Date 2/25/2026

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Exhibit A-2, Federal Requirements

SECTION E: CERTIFICATION REGARDING ENVIRONMENTAL TOBACCO SMOKE

Public Law 103-227, Part 0 - Environmental Tobacco Smoke, also known as the Pro-Children Act of

1994 (Act), requires that smoking not be permitted in any portion of any indoor facility owned or leased

or contracted for by an entity and used routinely or regularly for the provision of health, day care,

education, or library services to children under the age of 18, if the services are funded by Federal

programs either directly or through State or local governments, by Federal grant, contract, loan, or loan

guarantee. The law does not apply to children's services provided in private residences, facilities funded

solely by Medicare or Medicaid funds, and portions of facilities used for inpatient drug or alcohol

treatment. Failure to comply with the provisions of the law may result in the imposition of a civil

monetary penalty of up to $1000 per day and/or the imposition of an administrative compliance order on

the responsible entity.

The Contractor identified in the Cooperative Project Agreement agrees, by signature of the Contractor's

representative as identified in the Cooperative Project Agreement, to execute the following certification:

1. By signing and submitting this Agreement, the Contractor agrees to make reasonable efforts to

comply with all applicable provisions of Public Law 103-227, Part C, known as the Pro-Children Act

of 1994.

v1 6/23 Exhibit A-2 Contractor's Initials

Federal Requirements Date 2/25/2026

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rurai Transformational Health ("GO NORTH")

Exhibit A-2, Federai Requirements

SECTION F: CERTIFICATION REGARDING THE FEDERAL FUNDING ACCOUNTABILITY AND

TRANSPARENCY ACT (FFATAI COMPLIANCE

The Federal Funding Accountability and Transparency Act (FFATA) requires prime awardees of

individual Federal grants equal to or greater than $30,000 and awarded on or after October 1, 2010, to

report on data related to executive compensation and associated first-tier sub-grants of $30,000 or

more. If the initial award is below $30,000 but subsequent grant modifications result in a total award

equal to or over $30,000, the award is subject to the FFATA reporting requirements, as of the date of

the award.

In accordance with 2 CFR Part 170 (Reporting Subaward and Executive Compensation Information),

the Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH") must

report the following information for any sub award or contract award subject to the FFATA reporting

requirements:

1. Name of entity

2. Amount of award

3. Funding agency

4. NAICS code for contracts / CFDA program number for grants

5. Program source

6. Award title descriptive of the purpose of the funding action

7. Location of the entity

8. Principle place of performance

9. Unique Entity Identifier (SAM UEI; DUNS#)

10. Total compensation and names of the top five executives if:

10.1. More than 80% of annual gross revenues are from the Federal government, and those

revenues are greater than $25M annually and

10.2. Compensation information is not already available through reporting to the SEC.

Prime grant recipients must submit FFATA required data by the end of the month, plus 30

days, in which the award or award amendment is made.

The Contractor identified in the Cooperative Project Agreement agrees to comply with the provisions of

The Federal Funding Accountability and Transparency Act, Public Law 109-282 and Public Law 110-

252, and 2 CFR Part 170 (Reporting Subaward and Executive Compensation Information), and further

agrees to have the Contractor's representative, as identified in the Cooperative Project Agreement

execute the following Certification:

The below named Contractor agrees to provide needed information as outlined above to the Governor's

Office of New Opportunities & Rural Transformational Health ("GO NORTH") and to comply with all

applicable provisions of the Federal Financial Accountability and Transparency Act., OS

v1 6/23 Exhibit A-2 Contractor's Initials

Federal Requirements Qate^/^IZZ^Z^

Docusign Envelope ID: D848000E-BA81-4A14-B364-C647ECF05B07

Governor's Office of New Opportunities & Rural Transformational Health ("GO NORTH")

Exhibit A-2, Federal Requirements

FORMA

As the Contractor identified in the Cooperative Project Agreement, I certify that the responses to the

below listed questions are true and accurate.

1. The UEI (SAM.gov) number for your entity jg; GBNGC495XA67

2. In your business or organization's preceding completed fiscal year, did your business or

organization receive (1) 80 percent or more of your annual gross revenue in U.S. federal contracts,

subcontracts, loans, grants, sub-grants, and/or cooperative agreements; and (2) $25,000,000 or

more in annual gross revenues from U.S. federal contracts, subcontracts, loans, grants, subgrants,

and/or cooperative agreements?

X NO YES

If the answer to #2 above is NO, stop here

If the answer to #2 above is YES, please answer the following:

3. Does the public have access to information about the compensation of the executives in your

business or organization through periodic reports filed under section 13(a) or 15(d) of the Securities

Exchange Act of 1934 (15 U.S.C.78m(a), 78o(d)) or section 6104 of the Internal Revenue Code of

1986?

NO YES

If the answer to #3 above is YES, stop here

If the answer to #3 above is NO, please answer the following:

4. The names and compensation of the five most highly compensated officers in your business or

organization are as follows:

Name:

Amount:

2/25/2026

Date:

Contractor Name:

^ OocuSigned by;

university of New Hampshire

Name: Louise Griffin

Title:

Treasurer

f DS

v1 6/23 Exhibit A-2

Federal Requirements

Contractor's Initials

Date^77572U7F-

Case records

Open case page

Docket: 2026-0003

Date	Record Text	Type	Party	PDF
April 24, 2026	K.P. v. O.v.	Supreme Court case order	Supreme Court	PDF
March 4, 2026	Governor and Executive Council Agenda item PDF - 2026-03-04 - agenda 7, 7C Current page	Other		PDF