High β plasmas in the National Spherical Torus Experiment (NSTX) operate in the overdense regime, allowing the electron Bernstein wave (EBW) to propagate and be strongly absorbed/emitted at the electron cyclotron resonances. As such, EBWs may provide local electron heating and current drive. For these applications, efficient coupling between the EBWs and electromagnetic waves outside the plasma is needed. Thermal EBW emission (EBE) measurements, via oblique B-X-O double mode conversion, have been used to determine the EBW transmission efficiency for a wide range of plasma conditions on NSTX. Initial EBE measurements in H-mode plasmas exhibited strong emission before the L-H transition, but the emission rapidly decayed after the transition. EBE simulations show that collisional damping of the EBW prior to the mode conversion (MC) layer can significantly reduce the measured EBE for Te < 20 eV, explaining the observations. Lithium evaporation was used to reduce EBE collisional damping near the MC layer. As a result, the measured B-X-O transmission efficiency increased from < 10% (no Li) to 60% (with Li), consistent with EBE simulations.