Kelly Ayotteās record reflected a consistent pattern of votes and actions that cut health care, raised costs for families, and aligned closely with Trumpās agenda. She supported āsome of the cutsā in Trumpās āOne Big Beautiful Bill,ā which was projected to strip health coverage from tens of thousands of Granite Staters, cut Medicare, and cut SNAP benefits. Ayotte also declined to oppose Trumpās tariffs even as grocery prices rose and New Hampshire small businesses and tourism took a hit. She signed into law tax legislation that made it difficult for New Hampshire to cover food assistance as Granite Staters struggled to afford groceries. While Social Security services broke down and federal jobs in New Hampshire were cut, she backed Trump and Elon Muskās DOGE agenda instead of intervening to protect Granite Staters. Ayotte opposed clean energy tax credits and backed environmental rollbacks that weakened protections and favored fossil fuel interests over New Hampshireās clean energy future. Ayotte voted for a federal abortion ban and voted to limit access to contraception, threatening the reproductive freedoms of Granite Staters. While serving as New Hampshire attorney general, Ayotte faced allegations of covering-up abuse and neglect at the Sununu Youth Development Center, as survivors and advocates questioned and protested her inadequate response to the abuse. As governor, she used executive power to withhold public records over her Supreme Court applicants, limiting transparency and raising conflict-of-interest concerns involving state government decisions.
In 2025, Kelly Ayotte backed āsome of the cutsā in Trumpās āOne Big Beautiful Bill,ā which was projected to kick 17 million Americans off their health insurance, including nearly 12 million Americans who rely on Medicaid. By 2034, more than 43,700 Granite Staters could lose their health insurance, including 19,029 Medicaid recipients in New Hampshire, due to Trumpās tax bill.
As governor, Ayotte signed into law a budget that increased Medicaid premiums, raised copays for lower-income residents, restored income verification checks, and required a federal waiver to impose Medicaid work requirements. In 2025, New Hampshireās Medicaid program provided health care coverage for 181,000 Granite Staters.
Kelly Ayotte long called for repealing the Affordable Care Act and described her position as āabsolutelyā in favor of repeal. In the U.S. Senate, she votedmultipletimes to repeal the law, and backed legislation that would have eliminated Medicaid after 2017. In 2025, more than 70,300 Granite Staters were enrolled in Affordable Care Act Marketplace health insurance plans.
Message: Kelly Ayotte imposed restrictions and hurdles for 181,000 Medicaid recipients in New Hampshire and repeatedly voted to repeal the Affordable Care Act.
In 2025, Kelly Ayotte backed āsome of the cutsā in Trumpās āOne Big Beautiful Bill,ā which the Congressional Budget Office estimated would trigger $500 billion in cuts to Medicare.
While in the U.S. Senate, Kelly Ayotte supported major Medicare changes that would have reduced funding and delayed access to coverage. In 2015, Ayotte voted for a Senate Republican budget resolution calling for $430 billion in Medicare cuts.
Between 2011-2012, Ayotte repeatedly voted for budget proposals that raised the Medicare eligibility age to 67.
Message: Kelly Ayotte voted to make massive cuts to health care services seniors rely on.
In April 2025, Kelly Ayotte acknowledged that Trumpās tariffs were ānot helpingā New Hampshire but declined to join other New England governors in formally challenging Trumpās tariffs, even as grocery prices increased. Trumpās tariffs reduced Canadian travel to New Hampshire by 30%, straining tourism and small businesses, and raised raw material costs for New Hampshire steel manufacturers.
By December 2025, higher grocery prices and changes to food assistance put 76,000 New Hampshire residents at risk.
Message: Kelly Ayotte did nothing to protect Granite Staters from Trumpās devastating tariffs while New Hampshire saw higher grocery prices and economic strain for small businesses.
In 2025, Governor Kelly Ayotte acknowledged SNAP cuts in Trumpās āOne Big Beautiful Billā but did not stop the reductions. That same year, Governor Kelly Ayotte signed a repeal of New Hampshireās dividends and interest tax, reducing state revenue at the same time federal SNAP costs shifted to states and leaving New Hampshire less able to cover food assistance for residents at risk of losing benefits. By 2025, about 76,000 New Hampshire residents relied on SNAP to afford groceries, leaving those households directly exposed to benefit reductions and higher food costs under Trump-era SNAP policies.
In the U.S. Senate, Kelly Ayotte voted multiple times to convert SNAP into a block grant, a change that would have capped federal funding and reduced benefits during economic downturns. Kelly Ayotte also voted for SNAP eligibility restrictions, such as prohibiting categorical eligibility, which would hinder efforts to eliminate childhood hunger.
Message: Kelly Ayotte signed into law legislation that left New Hampshire less able to cover food aid for residents at a time when food costs for New Hampshire families increased.
In 2025, Kelly Ayotte supported Trump and Elon Muskās āDepartment of Government Efficiencyā agenda and created New Hampshireās DOGE-style Commission on Government Efficiency (COGE), which focused on cutting programs and shrinking government. Her DOGE-style commission drew criticism for conflicts of interest, after Democratic leaders said the panel was stacked with her political donors and designed to curry favor with Trump and Musk. Trumpās DOGE put nearly 9,000 federal workers in New Hampshire at risk, threatening local economies and public services. Under Ayotteās leadership, New Hampshire repeatedly refused to challenge the Trump administrationās cuts to New Hampshire public schools, public health programs, and the Squam Lakes Association.
Governor Kelly Ayotte continued her DOGE-style commission, even as the federal DOGE effort triggered mass layoffs, service disruptions, and system failures at the Social Security Administration, which more than 343,000 Granite Staters relied on for benefits. In 2015, Ayotte endorsed raising the Social Security retirement age, a change that would have forced Americans to wait longer to receive earned benefits.
Message: While Social Security services deteriorated and federal workers in New Hampshire faced layoffs, Kelly Ayotte backed Trump and Elon Muskās DOGE agenda instead of protecting Granite Staters.
In 2025, Kelly Ayotte backed "some of the cutsā in Trumpās āOne Big Beautiful Bill,ā which repealed clean energy tax credits and made them harder to access, threatening clean energy jobs and small businesses in New Hampshire.
In 2012 and 2015, Kelly Ayotte voted against extending clean energy and wind energy tax credits, including a proposal that would have replaced oil company tax breaks with alternative and renewable energy tax credits.
In 2025, Governor Kelly Ayotte weakened marine environmental protections and publicly endorsed Trumpās rollback of fishing regulations, including reopening protected marine areas to commercial fishing.
Message: Kelly Ayotte opposed clean energy tax credits and backed environmental rollbacks, siding with fossil fuel interests and undermining New Hampshireās clean energy future.
Kelly Ayotte backed New Hampshireās 24-week abortion law, argued that New Hampshire did not have an abortion ban, and framed the stateās current abortion law as aligned with other states.
As a U.S. senator, Kelly Ayotte co-sponsored and voted for federal legislation to ban abortion after 20 weeks of gestation, the āPain-Capable Unborn Child Protection Act.ā Ayotte also voted against allowing military health insurance to cover abortion in cases of rape or incest. She repeatedly voted to defund Planned Parenthood, opposed amendments to restore Planned Parenthood funding, and later defended those votes.
Additionally, Ayotte voted against protecting contraception coverage under the Affordable Care Act. She also voted against guaranteeing contraception coverage for women with health insurance plans with religious objections to contraception coverage. Kelly Ayotte defended āconscience clauseā policies allowing employers to refuse reproductive health services.
As New Hampshire attorney general, Ayotte defended a parental notification abortion law at the U.S. Supreme Court that did not include an explicit health emergency exception for pregnant minors.
Ayotte received support from national anti-abortion organizations, including National Right to Life and Susan B. Anthony List.
Message: Kelly Ayotte threatened the reproductive freedoms of Granite Staters.
Beginning in 2019, a criminal investigation into abuse at the Sununu Youth Development Center examined allegations of a systemic cover-up during Kelly Ayotteās tenure as attorney general. A consolidated master complaint alleged that attorneys general, including Ayotte, knew about widespread abuse and torture but failed to stop it, detailing decades of sexual, physical, and psychological abuse. While serving as attorney general, Ayotte publicly said she was āvery focused ā on protecting children, even as New Hampshire lacked reliable statewide data tracking child sex abuse cases.
In 2024, Republican gubernatorial candidates and survivors of abuse at the Sununu Youth Development Center publicly accused Kelly Ayotte of knowing about abuse or failing to act as New Hampshire attorney general. Protestors took to the New Hampshire State House in August 2023 and June 2024 to share stories of an alleged state-coordinated cover up of systemic sexual, emotional, and physical abuse at the Sununu Youth Development Center. Victims and advocates, including fellow Republicans Terese Bastarache and Leah Cushman, called out Ayotte for her complicity in the cover-up. Protestors circulated posters aimed specifically at Ayotteās role in concealing the regular rape, beatings, solitary confinement, cigarette burning, and other forms of abuse they underwent at YDC. By 2024, around 1,300 former YDC inmates came forward to allege that state employees abused them as children. In 2021, 11 state employees were arrested in connection with the scandal.
Message: As New Hampshire attorney general, Kelly Ayotte and other officials neglected child abuse at the Sununu Youth Development Center.
Message: Kelly Ayotte used executive power to withhold public records, limiting transparency and raising conflict of interest concerns.