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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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Proposed Constitutional Amendment Could Distort and Disrupt State Budget Process

17 Mar 2016

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Next week, the Senate will consider a measure to amend New Hampshire’s Constitution to create a new balanced budget requirement. If passed by the legislature and approved by New Hampshire’s voters, CACR 27 would prohibit expenditures in any year from exceeding available revenue and barring policymakers from borrowing to cover operating costs. While such an amendment may have some innate appeal, in reality, it is both redundant and risky.