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Fact Sheet: Comparing the Medicaid Expansion Proposals

Legislation now before both the House of Representatives (SS HB1) and the Senate (SS SB1) would enable New Hampshire to accept federal funds available through the Affordable Care Act (ACA) to provide access to health insurance to adults aged 19 through 64 with incomes under 138 percent of the federal poverty line.  Each proposal would employ – to varying degrees and for varying periods of time — three approaches to achieving those goals.  Each would expand the state’s existing Health Insurance Premium Program (HIPP); allow access to health coverage through the managed care organizations (MCOs) that currently deliver Medicaid services in New Hampshire, and; offer premium assistance to help with the purchase of health insurance through the new Marketplace established under the ACA.  The table below summarizes the key elements of each proposal as well as the similarities and differences between them.

Medicaid Expansion Side-by-Side_Pt1

 

 

 

 

 

 

 

 

 

Medicaid Expansion Side-by-Side_Pt2

 

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

16 Apr 2014

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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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