NH vote nears on expansion of Medicaid
Health and Human Services officials urged the committee to expand the program, which would add about 58,000 people to the rolls of the state-federal health insurance program.
Senate President Peter Bragdon, R-Milford, questioned if the federal government would live up to its commitment to pay 100 percent of the cost of expansion during the first three years before gradually dropping to 90 percent after seven years in the program.
Department of Health and Human Services Associate Commissioner Katie Dunn assured Bragdon the state could leave the program at any time without penalty if the federal government changes the parameters.
HHS commissioner Nick Toumpas and Dunn told the committee that Medicaid managed care and Medicaid expansion along with the individual insurance mandates in the Affordable Care Act are tied together and are not separate.
“Under the managed care model, there is the high probability that Medicaid expansion will not cost the state anything,” Dunn said.
Senate Minority Leader Sylvia Larsen, D-Concord, said the state would get $2.5 billion and save millions in other areas, noting financially Medicaid expansion would be a good deal for the state.
When Medicaid managed care was approved, Morse said, there was never any mention of expanding Medicaid.
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