New Hampshire Fiscal Policy Institute Issue Brief - April 3, 2018

Medicaid Expansion in New Hampshire and the State Senate’s Proposed Changes 

New Hampshire’s Medicaid expansion is an important program with impacts on the state’s public health and economy. The New Hampshire Health Protection Program, the state's version of Medicaid expansion, provides health coverage to approximately 52,000 low-income people in the Granite State.

More than 90 percent of program expenses have been funded by the federal government since the program began in 2014. Since that time, hundreds of millions of federal dollars have helped provide medical care for Granite Staters and contributed to the state economy, both through payments to medical providers and helping ensure a healthy, productive workforce, and assisting the state’s efforts to combat the ongoing opioid crisis.

Federal dollars coming to New Hampshire through expanded Medicaid included $608.7 million for enrollee coverage in the first two State fiscal years of program operation. Going forward under current federal law, for every one dollar New Hampshire pays for expanded Medicaid coverage, the federal government will contribute at least nine dollars. Without legislative action, the current program will expire at the end of December 2018.