Concord, NH — The New Hampshire Chapter of the American Academy of Pediatrics (NH-AAP)
expresses profound disappointment in Governor Ayotte’s decision to sign House Bill 377 into law—a
measure that undermines evidence-based medical care, parental rights, and the trusted relationship
between families and healthcare providers.

“Despite our direct appeal and conversation with the Governor’s office just days ago, we are
disheartened by her decision to sign legislation that disregards the voices of medical professionals,
the needs of vulnerable adolescents, and the rights of parents to make informed healthcare decisions
for their children,” said Dr. Christine Arsnow, President of the NH-AAP.

HB 377 threatens access to medically recognized, family-centered care that has been validated and
supported by every major medical organization in the country. Pediatricians across New Hampshire
practice the highest standards of care, including requiring dual parental consent for gender-affirming
care—stricter than most other pediatric medical procedures. This care is delivered through a
thoughtful, evidence-based process involving a team of interdisciplinary professionals who support
families every step of the way.

“The law signed today will only serve to exacerbate the youth mental health crisis in New Hampshire
and deepen the risk of harm for young people already struggling,” Dr. Lim-Liberty, Vice President of
the NH-AAP continued. “It replaces science and clinical judgment with politics and stigma, and it
sends a devastating message to families who are simply trying to support their children in the safest,
most loving way possible.”

Over the past several months, NH-AAP members have heard from numerous families contemplating
leaving New Hampshire altogether—seeking states where their children can receive medically
appropriate care without fear, shame, or political interference. HB 377 undermines the very values of
personal freedom, family integrity, and dignity that Granite Staters hold dear.

“We remain committed to being a resource to state leaders on matters of children’s health,” said Dr.
Arsnow, “but we cannot stay silent as laws are passed that silence children, marginalize families, and
reject the expertise of the medical community.”

The NH-AAP will continue to advocate for policies that center compassion, science, and the rights of
families to make decisions in partnership with their healthcare providers—not politicians.
Respectfully, The NH Chapter of the American Academy of Pediatrics