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Fact Sheet: Comparing the Medicaid Expansion Proposals

Legislation now before both the House of Representatives (SS HB1) and the Senate (SS SB1) would enable New Hampshire to accept federal funds available through the Affordable Care Act (ACA) to provide access to health insurance to adults aged 19 through 64 with incomes under 138 percent of the federal poverty line.  Each proposal would employ – to varying degrees and for varying periods of time — three approaches to achieving those goals.  Each would expand the state’s existing Health Insurance Premium Program (HIPP); allow access to health coverage through the managed care organizations (MCOs) that currently deliver Medicaid services in New Hampshire, and; offer premium assistance to help with the purchase of health insurance through the new Marketplace established under the ACA.  The table below summarizes the key elements of each proposal as well as the similarities and differences between them.

Medicaid Expansion Side-by-Side_Pt1

 

 

 

 

 

 

 

 

 

Medicaid Expansion Side-by-Side_Pt2

 

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Declining Business Tax and Other Revenues Suggest Caution for State Budget

15 Aug 2019

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As policymakers continue to consider State Budget options and choices during the ongoing continuing resolution, understanding State revenue trends remains critical to determining the State’s ability to pay for needed services and the policy choices that affect available resources. With State Fiscal Year 2019 completed and SFY 2020 underway, recent months of revenue collections have provided some additional insight into whether the State might expect more revenue in future years. Questions remain about the future of business tax receipts in particular, which have been very difficult to predict due to recent abnormal behavior following the federal tax overhaul; however, recent data suggest anticipated declines in receipts may limit revenue going forward.