limiting hospital executive compensation in communities designated as distressed place-based economies under certain circumstances.

SB 664 requires hospitals in economically distressed communities that accept New Hampshire Medicaid funds to freeze all C-suite executive compensation (including salary, bonuses, and benefits) for 18 months after reducing staff by more than 10 employees in a single department within six months. It applies specifically to hospitals in areas designated as "distressed place-based economies" by state or federal programs. Hospitals must report layoffs to the Charitable Trust Unit within 10 days and certify no compensation increases during the freeze period, with enforcement including fines up to $10,000 per violation. The law aims to prevent executive pay growth during workforce cuts that harm community health access and economic stability.