SB 313: AN ACT reforming New Hampshire's Medicaid and Premium Assistance Program

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SB TBD AN ACT reforming New Hampshire’s Medicaid and Premium Assistance Program

History/Context:
NH first passed Medicaid Expansion to provide coverage for adults 18-65 with incomes up to 138% of the Federal Poverty Level in 2014.  This program was reauthorized in 2016.  However, without another reauthorization the program is scheduled to sunset on December 31, 2018.  Since its passage, an additional 125,000 NH residents have secured health care coverage under its provisions; with 50,000 individuals currently enrolled in the program.  The reauthorized Medicaid program will be called: NH Granite Advantage Healthcare Program.

A 15-member Commission to Evaluate the Effectiveness and Future of the Premium Assistance Program resulted in 5 recommendations.

  • Extend program for 5 years.
  • Shift insured from Premium Assistance Plan (PAP), using the ACA healthcare exchanges, to Medicaid Managed Care Organizations (MCO).
  • Increase provider reimbursement rates for behavioral health services, but not until 2019 [a one year delay from the Commission’s recommendation.]
  • Insure no lapse in coverage as insured are transitioned from PAP to MCO programs
  • Includes a work requirement for able body adults, with waivers for primary caregivers of preschool aged and disabled children [Not a Commission recommendation.]
Does not include a clear “pay for” provision.  (Prepared by Joan Widmer, MS, MSBA, RN, CEN)

NHNA’s Commission on Government Affairs is in favor of the passage of a Medicaid Expansion Reauthorization.

This bill was released on February 15, 2018 and a public hearing is scheduled for February 20, 2018 at 1:30 pm in the Representatives Hall in the State House.  This hearing will be streamed so interested parties can watch it at: http://sg001-harmony.sliq.net/00288/Harmony/en/PowerBrowser/PowerBrowserV2/20180220/1024/1526

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