Item 81

Authorize to enter into a sole source amendment to continue into a second year an existing contract with Trustees of Dartmouth College, Hanover, NH (originally approved by G&C on 9/25/24, Item #38), for assistance to the Department for the continued implementation support of key Medicaid priorities. Priority in this amendment is securing access to significant federal funding to the state to support rural health care providers adapting to the changes in the One Big Beautiful Bill Act available under Section 71401 of the Act known as the Rural Health Transformation Program. This includes a request to exercise a contract renewal option by increasing the price limitation by $109,688 from $109,688 to $219,376 and extending the completion date from August 31, 2025 to August 31, 2026. Effective September 1, 2025, upon G&C approval. 50% Federal Funds, 50% General Funds