Upcoming federal policy changes are quietly reshaping how New Hampshire funds health care and the consequences could be significant.  

Join the New Hampshire Fiscal Policy Institute on Friday, March 6 at 2:00 p.m. ET for a timely webinar examining New Hampshire’s Medicaid Enhancement Tax, which will discuss 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. 

The speakers will cover:  

• 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. 

The discussion will feature expert insights from Jessica Williams, New Hampshire Fiscal Policy Institute Senior Policy Analyst and author of Hospital Provider Taxes and Support for Medicaid Financing in New Hampshire, 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. 

A live audience Q&A will follow the panel discussion. 

This event is 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.