What Upcoming Changes to the Medicaid Enhancement Tax Could Mean for NH Patients, Providers, and the Economy

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 ...

Hospital Provider Taxes and Support for Medicaid Financing in New Hampshire

KEY POINTS The Medicaid Enhancement Tax (MET) is a 5.4 percent tax on inpatient and outpatient net patient service revenue that each of the state’s 26 acute care hospitals pay during their fiscal year. The MET generated approximately $348 million in revenue in SFY 2025, ranking as the fourth-largest state tax revenue source that year. ...

What We’re Reading — the January 2026 Edition

On the last Friday of each month, the New Hampshire Fiscal Policy Institute’s research team shares a curated list of books, research papers, podcasts, and more that are helping to ...