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

7 Dec 2018

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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.