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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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State’s Diverse Tax Base Stabilizes Revenue, But Business Tax Changes May Increase Volatility

29 Jun 2017

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New Hampshire’s state tax revenue is relatively stable, but the State’s largest tax may be among the most volatile types of common taxes, a new analysis from The Pew Charitable Trusts suggests. Between 1997 and 2016, New Hampshire’s tax volatility, as measured through percentage changes from the prior fiscal year, was only higher than five other states, suggesting New Hampshire’s tax revenues do not typically deviate dramatically from year to year relative to other states. However, digging into the diverse revenue streams and drawing on the experiences from other states shows some risk for New Hampshire.