An Overview of New Hampshire’s Tax System

A look at some of the trends in tax collections over the past decade with a brief description of each of the state’s eight major sources of tax revenue — highlighting some of the characteristics that can help guide policymakers in devising a response to the fiscal challenges now before New Hampshire.

Extending Medicaid

Under the Affordable Care Act, New Hampshire has the opportunity to accept federal funds to extend Medicaid to more NH families — improving the health of New Hampshire workers and taking pressure off employers, private insurance and medical providers. Visit here for regularly updated links and information.

Strengthening New Hampshire’s Minimum Wage

Raising the minimum wage is one way New Hampshire can start to build an economy that works for everyone.

Business Taxes in New Hampshire: Where Do They Stand? How Much Do They Matter?

Some of the current proposals to reduce business taxes ignore facts about N.H.’s tax structure and, more generally, about the impact taxes have on economic activity. Here’s an overview to help put things in perspective.

Recent Publications:

Fact Sheet: Impact of the Medicaid Expansion by Industry

October 31, 2013 Health Policy, Research
Construction workers

New Hampshire policymakers have an opportunity to offer affordable health care coverage to low-income residents by expanding the state’s Medicaid program under the Affordable Care Act (ACA). A nine-member commission, created as part of the FY 2014-2015 budget, recently recommended that New Hampshire pursue the expansion and accept the billions of dollars in federal funds that would accompany it. Should the Legislature enact those recommendations, workers in the restaurant, construction, and lodging industries would be the principal beneficiaries, as would the companies that employ them.

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Roy Proposal A Poor Alternative to Medicaid Expansion

September 16, 2013 Health Policy
Medical Records & Stethoscope

In recent testimony before New Hampshire’s Commission to Study Expanded Medicaid Eligibility, Avik Roy, a Senior Fellow at the Manhattan Institute for Policy Research, presented an alternative to expanding Medicaid under the Affordable Care Act. While many of the details of the plan remain unknown, it seems likely that it would cover far fewer people than the expansion New Hampshire is now considering, would impose unaffordable out-of-pocket costs on participants, and would forgo the economic benefits of accepting billions of dollars in federal funds.

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Medicaid Expansion in NH: Health Care Coverage for Thousands; Little or No Cost to the State

July 29, 2013 Health Policy
Family outdoors

Policymakers in New Hampshire have an opportunity to extend affordable health care coverage to low-income Granite Staters through Medicaid under the Affordable Care Act (ACA). A nine-member commission, created as part of the FY 2014-2015 budget, is working through the summer and into the fall to study the consequences of expanding Medicaid. Evidence recently presented to the commission suggests that Medicaid expansion would benefit roughly 48,000 New Hampshire residents at little or no cost to the state.

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Common Cents Blog

Court Rulings Focus New Attention on MET and Its Role in State Finances

16 Apr 2014

tree with coins

On April 8, the Hillsborough County Superior Court, in response to a lawsuit brought by three New Hampshire hospitals, declared the state’s Medicaid Enhancement Tax (MET) to be unconstitutional. The ruling comes on the heels of a similar decision handed down in February by the Rockingham County Superior Court in a case involving two rehabilitation hospitals operating in the Granite State. While the Attorney General’s office announced that it will likely appeal this most recent ruling – just as it did with the earlier decision – the situation is likely to prompt policymakers to consider possible responses.

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