medicaid enhancement tax

Jo Naylor via Flickr CC

This week All Things Considered has been looking back at some of the major legislative debates this session at the New Hampshire statehouse. 

The Medicaid Enhancement Tax usually flies under the radar in New Hampshire: it’s complicated, boring on the surface and, as far as taxes go, pretty narrowly applied.

But the MET, as it's called, has major implications for the state budget and the state’s 26 hospitals. And debate over how to fix the MET gained plenty of attention this year, becoming one of the biggest policy issues lawmakers took on in 2014. 

Todd Bookman / NHPR

House and Senate lawmakers have signed off on a Medicaid Enhancement Tax deal.

Lawmakers voted 278-72 in favor of the deal that settles a lawsuit with 25 New Hampshire hospitals.

The Senate later passed it on a voice vote, and it now heads to Governor Maggie Hassan’s desk.

Hassan and legislative leaders announced the settlement last week, with St. Joseph Hospital of Nashua the lone holdout.

Republican Representative David Hess of Hooksett says he may not be completely happy with the result, but the deal is better than nothing.

NHPR Staff

Lawmakers in the House and Senate this week will consider a deal between the state and hospitals on the Medicaid Enhancement Tax.

The deal, largely brokered by Governor Maggie Hassan, pulls 25 of the state’s 26 hospitals out of a lawsuit.

Two Superior Court judges had ruled the tax in its current form unconstitutional, and a ruling is pending before the state Supreme Court.

As NHPR’s Josh Rogers reports, the deal isn’t being seeing a positive step by all.

Todd Bookman / NHPR

The first public meeting between House and Senate negotiators working to fix the state’s Medicaid enhancement tax lasted all of 20 minutes, but parties are optimistic a deal can be struck.

Representative Cindy Rosenwald, a Nashua Democrat, used the hearing to reiterate the House’s position that despite court rulings declaring the tax unlawful, the New Hampshire Supreme Court will see otherwise.

“We continue to believe that our Medicaid enhancement tax is constitutional,” Rosenwald told colleagues. She says it adheres to both federal and state law.

The state Senate approved its version of a fix for the state’s Medicaid Enhancement Tax today, a day after House lawmakers passed their own proposal.

Lawmakers in the House and Senate are voting this week on possible fixes to the state’s Medicaid Enhancement Tax, which two superior court judges have ruled to be unconstitutional.