Thank you to everyone who joined the New Hampshire Fiscal Policy Institute on March 6, 2026 for our data-driven discussion on the Medicaid Enhancement Tax and what federal changes to the MET would mean for Granite Staters.

At the event, Jessica Williams, New Hampshire Fiscal Policy Institute Senior Policy Analyst, Lucy Hodder, Director and Professor of Health and Life Sciences Law at UNH Franklin Pierce School of Law and Board of Contributors to the NH Health Cost Initiative, and Steve Ahnen, President and CEO of the New Hampshire Hospital Association examined what new federal limits on health care provider taxes could mean for hospitals, patients, rural and underserved communities, the State Budget, and the economy as a whole.

They discussed:

• What the Medicaid Enhancement Tax is: the history of this tax, its revenues, and what it funds.

• What’s changing: New federal caps will begin limiting how much New Hampshire can raise through the Medicaid Enhancement Tax starting in 2028.

• Why it matters: The Medicaid Enhancement Tax is the fourth-largest source of state revenue and a cornerstone of Medicaid financing and hospital funding, especially for critical access hospitals.
• What’s at stake: Reduced Medicaid Enhancement Tax revenue could mean fewer resources to cover uncompensated care, increased financial strain on hospitals, less money for the Medicaid program overall, and tough budget choices in the next state budget cycle.

Read the Report

The webinar drew on data from NHFPI’s recent study, which found that Medicaid Enhancement Tax revenues could be reduced by $1 billion over the next ten years due to new federal policy changes.

Watch the Replay

In case you missed this event, you can watch the recording below, on our LinkedIn, or on our YouTube channel.

Get the Slides

You can view and download the slide presentation from this webinar here.

What’s Next

This event was the second installment of NHFPI’s Taxes and Revenues in Focus webinar series, which explores how New Hampshire raises revenue and what those choices mean for families, businesses, and public services across the state. Make sure you subscribe to our newsletter to receive information about future events.