Fall in New England
BiState PCA
Green Mountains of Vermont

Tess Stack Kuenning, CNS, MS, RN

President and Chief Executive Officer


Since 1995, Tess Stack Kuenning, CNS, MS, RN, has served as the president and chief executive officer of Bi-State Primary Care Association, one of the nation’s premier primary care associations, serving New Hampshire and Vermont. Ms. Kuenning works with federal, regional, and state policymakers, health policy organizations, foundations, and payers to develop strategies and programs that promote, sustain, and build community-based primary health care services and infrastructure. Bi-State’s goal is to assure the people of Vermont and New Hampshire have access to affordable, high quality medical, oral health, behavioral health and pharmacy services.


In 2009, Ms Kuenning received the Norton Wilson State Regional Leadership Award for excellence in the health care association arena. Ms. Kuenning was appointed by the Secretary of the U.S. Department of Health and Human Services to serve on the federal Negotiated Rulemaking Committee from 2010 to 2011. 


In 2013, she was named as the Geiger Gibson Distinguished Visitor in Community Health Policy, a special initiative of The George Washington University School of Public Health and Health Services. Also in 2013, Ms. Kuenning was selected to serve on a panel of health care experts to answer questions posed by a 14-member subcommittee of the U.S. Senate Committee on Health, Education, Labor and Pensions, in regard to the primary care needs of 30 million uninsured Americans expected to become insured through the Affordable Care Act. Ms. Kuenning serves on the board of directors for the National Association of Community Health Centers, Capital Link, New Hampshire Fiscal Policy Institute, and several state, federal, and national committees.


Prior to joining Bi-State, Ms. Kuenning worked for the U.S. Department of Health and Human Services in Boston, MA, at the U.S. Public Health Service. She was the principal public health advisor throughout New England for the public health program, planning and development, technical assistance, grants monitoring, program evaluation, and management of federally funded programs. This included State Cooperative Agreements, Regional and State Primary Care Associations, Migrant and Community Health Centers, Health Care for the Homeless, and HIV early intervention programs.


Ms. Kuenning served as a nurse consultant for the Health Care Finance Administration as a specialist in the review, analysis, and evaluation of health care under Medicare and Medicaid. She has a masters degree in Nursing and Public/Community Health and is a clinical nurse specialist in Maternal and Child Health. Her practice experience includes tertiary care in hospital ICU and cardiac ICU, and serving as a primary care provider for a clinic in Kathmandu and two rural clinics in Nepal.


Bi-State Primary Care Association, serving Vermont and New Hampshire, is a nonpartisan, nonprofit, 501(c)(3) charitable organization that provides advocacy, technical assistance, education, training, networking opportunities, and resource and information services for the public and its 35 member organizations.


Contact Tess Stack Kuenning: (603) 228-2830 ext. 112 or tkuenning@bistatepca.org