Facing enduring elevation in the number of children seeking inpatient mental health services, the New Hampshire Department of Health and Human Services is proposing to contract with a Vermont hospital to provide 10 additional inpatient beds through the next six months. The department estimates 100 children could be served by such a contract—children who are otherwise waiting weeks in the emergency room for an inpatient bed in New Hampshire to become available. The director of the New Hampshire chapter of the National Alliance on Mental Illness noted that wait-list length has approximately quadrupled since before the pandemic and estimated that a 15-child waitlist is equivalent to a two-week wait for services. Per state data, a record 51 children were awaiting services in February 2021, although this has dropped to 12 as of December 2021. If approved, the Vermont contract would be renewable for up to four years, allowing the state to complete its planned purchase and expansion of an existing hospital to better align with child and family needs in the state.