Most Funding for Medicaid Expansion is Provided by the Federal Government

Since the Medicaid Expansion program began in New Hampshire, approximately 93.9 percent of funding has come from the federal government, bringing nearly $3.23 billion in federal funds to the state’s health care system and economy during the first eight years of the program. The federal government will continue to fund 90 percent of program costs in future years under current law. The non-federal share of the program is funded primarily by a tax on insurance premiums, an assessment on insurance companies, and revenues generated by the sales of alcohol at State Liquor Commission stores.

Learn more in NHFPI’s January 2023 Issue Brief: The Effects of Medicaid Expansion in New Hampshire.