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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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New Process Will Guide Formation of Next State Budget

18 Nov 2016

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Crafting a state budget is a long process that, in New Hampshire, begins well before the legislators who vote to make the budget law are elected. State statute requires the new governor, elected in November, to submit a complete budget proposal for the next biennium by February 15 of each odd-numbered year. Given that New Hampshire’s budget represents spending decisions for more than $5 billion of public money annually, a process for thoughtfully determining needs, priorities, and tradeoffs must begin earlier than November to be effective and thorough.