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Federal Budget Plans Would Shift Medicaid Costs to New Hampshire

May 26, 2011 Health Policy
US Capitol

As many as 165,000 New Hampshire residents relied on Medicaid in fiscal year 2010. The program provides long-term care to seniors, helps residents with disabilities live independently, and enables children to see a doctor when they are sick or injured. Since 1965, the program has functioned as a partnership between the state and the federal government, guaranteeing coverage for qualified recipients and providing federal funds to cover a fixed percentage of the costs.

Yet, several federal budget proposals would fundamentally recast that partnership, converting Medicaid into a block grant program, limiting federal contributions and dropping the guarantee of coverage for those who are deemed eligible.

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Medicaid: A Key Source of Insurance in New Hampshire

April 20, 2011 Health Policy, State Budget

Medicaid serves about one in 10 people in N.H. A look at the families and individuals it serves, its funding structure and the potential consequences of significant reductions to the program.

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Testimony on HB1 and the Proposed Closure of NH Healthy Kids

March 11, 2011 Health Policy, State Budget
NH flag

On Thursday, March 10, NHFPI Policy Analyst Deborah Fournier appeared before the House Finance Committee to highlight concerns related to the Governor’s proposal to close the New Hampshire Healthy Kids Corporation and to convert its enrollees into Medicaid enrollees.

“It is unclear whether Medicaid, with no managed care contract and no additional staff, will be able to hold a lower per member per month cost constant in the absence of other utilization and care coordination controls,” Fournier said.

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Unsettled Business Tax Revenues Push Surplus Upward, Offer Limited Insight for the Future

7 Dec 2018

tree with coins

The fortunes of State revenues continue to rise and fall with New Hampshire’s two primary business taxes, which provided positive signs for near-term revenue but have not shown these levels are sustainable. While the two business taxes remained healthy, other revenue sources were relatively flat overall, leaving the State with a revenue surplus entirely dependent on the two business taxes. The lack of growth in other revenue sources combined with the uncertainty around business taxes creates an environment in which it will be very difficult to accurately project revenues for the new State Budget biennium.