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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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Budgeting for a Better Tomorrow Today

16 Oct 2015

tree with coins

Given the amount of time required to reach a final agreement on New Hampshire’s budget this year, you could be excused for wanting to put off thoughts about appropriations, revenue projections, or surplus statements for a little while longer. In reality, though, it’s never too soon to consider ways to refine the process by which the Granite State sets its fiscal priorities, particularly since a pair of new Center on Budget and Policy Priorities reports suggest that there’s plenty of room for improvement.