Medicaid Expansion

NHPR / Josh Rogers

It’s Monday morning. NHPR’s Josh Rogers joins Morning Edition to discuss developments on NH’s political front.

Lots of political activity over the weekend Jeb Bush, Scott Walker and Ted Cruz all paying their respects to local Republicans. House budget writers busy. Let’s start with presidential politics.

rad(ish) labs via Flickr Creative Commons

New Hampshire's health and human services commissioner says he is confident that the federal government will allow the state's expanded Medicaid program to proceed as planned.

The state is awaiting federal approval for a waiver needed to continue the plan passed by the Legislature last year. That plan calls for using federal Medicaid funds to buy private health coverage for adults making less than 138 percent of the federal poverty limit — about $15,856 a year for a single adult.

Allegra Boverman for NHPR

A legislative committee overseeing implementation of the Affordable Care Act in New Hampshire may be taking on new duties.

State Sen. Jeb Bradley, a Republican from Wolfeboro, is sponsoring a bill to increase the powers of the joint health care reform oversight committee to include the state's newly-expanded Medicaid program. The bill would require the committee to provide oversight, policy direction and recommendations for legislation.

Alex Proimos via Flickr CC

Gov. Maggie Hassan says more than 20,000 people have signed up for health coverage under New Hampshire's newly expanded Medicaid program.

New Hampshire's previous Medicaid program covered low-income children, parents with non-disabled children under 18, pregnant women, older residents and people with disabilities. The expansion adds anyone under 65 who earns up to 138 percent of federal poverty guidelines, which is about $15,900 for a single adult.

Health care coverage has begun for more than 10,000 New Hampshire residents who've signed up under the state's newly expanded Medicaid program.

Enrollment opened July 1 for coverage that started taking effect Friday. Gov. Maggie Hassan says 10,405 have signed up so far, or about a fifth of the estimated 50,000 adults who are eligible.

Adults making up to 138 percent of the federal poverty limit are eligible for coverage either through the state's managed care program for Medicaid or through a program that subsidizes existing employer coverage.

NHPR / Michael Brindley

Roughly 9,400 people have enrolled for coverage under the state’s Medicaid expansion program, which is set to launch Friday.

Since enrollment opened on July 1, nearly a fifth of the 50,000 low-income Granite Staters expected to qualify for coverage have successfully signed up.

Speaking at Lamprey Community Health Center in Nashua on Monday, Governor Maggie Hassan calls that a good start.

An unexpected surge in Medicaid enrollments during the past six months is putting pressure on the state’s budget.

Medicaid has seen its enrollment jump by roughly 11,000 people since January 1. State officials attribute this to two main things: under the Affordable Care Act, there’s a streamlined application process, and that increased publicity surrounding the law brought out more applicants.

Health and Human Service Commissioner Nick Toumpas says it’s more than they expected, but that nearly 70% of the new sign-ups are children.

Hassan Holds Medicaid Expansion Kick-Off Event

Jun 30, 2014
Todd Bookman / NHPR

Enrollment in Medicaid for as many as 50,000 newly eligible residents opens tomorrow, with health benefits slated to start August 15th.

Governor Maggie Hassan held a kick-off event on Monday at the Manchester Community Health Center, where she called the bi-partisan deal to expand the state’s Medicaid program the most significant health care legislation in decades.

Medicaid Expansion Coverage To Start August 15th

Jun 16, 2014

New Hampshire’s Medicaid expansion program finally has a launch date. Coverage for an estimated 50,000 low-income recipients will start August 15, with an enrollment period beginning July 1.

“The bipartisan New Hampshire Health Protection Program is a historic step forward for the health and economic well-being of New Hampshire families, businesses and communities,” writes Governor Maggie Hassan in a statement announcing the new timeline.

Residents earning up to 138% of the federal poverty level, or about $16,000 a year, are eligible for the program.

What's New With The Affordable Care Act In N.H.

Jun 16, 2014
Taylor Shaw-Adams / Flickr/CC

Expanded Medicaid for low-income adults is coming, but may be delayed.  Meanwhile, four more insurance companies say they’re ready to join New Hampshire’s marketplace for coverage next year.  And as we head into this fall's elections,  the health care law remains a major point of political contention. 

GUESTS:

  • Todd BookmanNHPR’s health reporter
  • Jenny Patterson - health legal counsel at the New Hampshire Insurance Department

CALLOUTS:

istock photo

  The New Hampshire Department of Health and Human Services held a public info session in Manchester Tuesday night to demystify the state’s new Expanded Medicaid plan.

About 15 people, mostly care providers, attended the Manchester session. Questions ranged from how one qualifies for the program and ‘are refugees included?’ (they are), to the application process itself.

Hobvias via Flickr CC

New Hampshire residents who may be eligible for Medicaid when the state expands its program are being encouraged to attend one of a dozen public information sessions.

The state is seeking federal approval to expand its program to an estimated 50,000 poor adults by using federal Medicaid funds to buy private health care coverage for adults making less than 138 percent of the federal poverty limit.

The first informational session will be held Monday night in Concord. Others will be held around the state, with the last one scheduled for July 1 in Portsmouth.

State Awaits Approval Of Medicaid Expansion Plan

Apr 28, 2014

The state is bumping up against an intended start date for Medicaid expansion sign-ups.

The bi-partisan plan agreed to earlier this year originally called for a two-month early enrollment period beginning May 1st with coverage starting in July, but the Centers for Medicare and Medicaid Services hasn’t yet signed off on the package.

Governor Hassan says her administration continues to work closely with federal regulators.

The number of Medicaid enrollees in New Hampshire is up 4% since last October, according to new data from the federal government. More than 133,000 people were enrolled as of February, compared with roughly 127,000 recipients before the launch of the Affordable Care Act.

ACA's Deadline Day

Mar 31, 2014
Pan-African News Wire Photos / Flickr/CC

Under the Affordable Care act, Monday is the last chance for uninsured Americans to choose a plan or pay a penalty.  We’ll get the latest on New Hampshire enrollments, and other aspects of this law in the Granite State, including the newly signed Medicaid Expansion and new players coming to the state’s insurance market next year.

GUESTS:

Josh Rogers / NHPR

Medicaid expansion is now state law, making some 50,000 poor adults in New Hampshire eligible for federal subsidies under so-called Obamacare.

Governor Maggie Hassan signed the expansion bill at a crowded public ceremony using 18 separate pens -- one for each letter of her full name.

She hailed the new law as a bipartisan proposal that moves the state forward.

“Today we are signing into law the most significant piece of health care legislation that the state of N.H. has seen in decades.”

N.H. House Votes To Expand Medicaid

Mar 25, 2014
Daniel S. Hurd via Flickr CC

The New Hampshire House has voted 202-132 to expand Medicaid to cover an estimated 50,000 low-income adults under the Affordable Care Act.  

The move comes after more than a year of debate, and while the vote in the Democratically-controlled chamber wasn’t a surprise, Republicans weren’t exactly ready to concede the point.

They put forward nine amendments on issues ranging from delaying the start date to capping enrollees, all of which failed.

House Committee Backs Medicaid Expansion

Mar 18, 2014

The plan to expand Medicaid endorsed by the state Senate has cleared its first hurdle in the New Hampshire House, gaining the approval of the Finance Committee on a 15-10 vote.

The Democratically-controlled House has already voted to expand Medicaid three times, and leaders there want to pass this version as soon as they can.

House Republicans, though, continue to put up a fight.

After clearing a major hurdle last week by making it through the Republican-led Senate, debate began in the House Monday on a proposal to expand the state’s Medicaid program.

N.H. Senate Approves Medicaid Expansion Proposal

Mar 6, 2014
Daniel S. Hurd via Flickr CC

New Hampshire’s fault line for expanding its Medicaid program has always run through the GOP-controlled Senate. 

There, top lawmakers from both parties have tried and failed to reach compromise over the past year. And so now with a deal clearly in reach, Democratic co-sponsor Peggy Gilmour of Hollis reminded colleagues of all they’ve been through.

A bipartisan plan to expand Medicaid that is scheduled for a vote in the New Hampshire Senate this week has strong support from Granite Staters, according to a new poll.

New England College asked 774 registered voters if they would support a proposal backed by Gov. Maggie Hassan and a majority in the New Hampshire Senate “to extend private insurance to low-income residents, without passing the cost of coverage on to businesses.”

Gov. Maggie Hassan says she expects those eligible for insurance under a Medicaid expansion plan backed by a bipartisan group of State Senators will be covered in July.

The plan to insure as many as 50,000 low income residents by using federal money to pay for private coverage cleared a key committee last week.

The plan is expected to win full approval by lawmakers, but those votes have yet to be scheduled.  

Governor Hassan says she’s optimistic that will happen with enough time for the plan’s two-month enrollment period to begin May 1.

Senate Committee Approves Medicaid Expansion

Feb 19, 2014
Todd Bookman / NHPR

 New Hampshire lawmakers moved a step closer to expanding Medicaid under the Affordable Care Act.

The Senate Health, Education and Human Services Committee voted 4-1 on Wednesday to approve a plan that includes a “premium assistance program” which would require newly eligibly Medicaid recipients to select private health insurance starting in 2016.

Republican Senator Andy Sanborn of Bedford was the lone dissenting vote.

During a Senate committee meeting in Concord on Tuesday, the public had its first chance to weigh in on the Medicaid expansion plan backed by leaders in both parties. 

A wide range of voices spoke favorably of the bill that relies on private insurance for new recipients, including medical providers, hospital executives and business owners.

Justin VanEtten of Meredith runs a private ambulance company, and says despite his philosophical opposition to Obamacare, he backs bringing federal tax dollars into the state.

NHPR News Primer: The Latest Medicaid Expansion Plan

Feb 13, 2014
Sara Plourde

Full details of a Senate plan to expand Medicaid under the Affordable Care Act are out.

Governor Maggie Hassan's first State of the State Address touched on a wide range of issues, including energy, infrastructure, and  education.

But the biggest news of the speech was a deal to expand the state’s Medicaid program, announced by Senate President Chuck Morse and Senate Democratic Leader Sylvia Larsen shortly before the governor's address. 

New Hampshire Public Radio / Flickr Creative Commons

You would think that the commissioner of the state’s largest agency has one of the biggest to-do lists of the year, and for Health and Human Services Commissioner Nick Toumpas, you’re probably right. A new year brings new challenges for Toumpas: with Medicaid, there’s the implementation of its managed care program, as well as the continuing debate over its expansion.

Sean Marshall via Flickr CC

Lawmakers returned to Concord Wednesday, and House Democrats wasted no time passing a bill to expand the state’s Medicaid program.

Their latest Medicaid plan, which was tacked onto a different bill they’d planned to kill, would send some newly eligible recipients into the exchange for coverage, but not until 2017.  

The past few weeks served as a cooling off period after last November’s special legislative session failed to produce a deal on Medicaid expansion between the Democratically-held House and GOP-controlled Senate. 

The debate will roar back to life on Wednesday, though, when Democrats in the House say they’ll tack an expansion plan onto an unrelated bill.

NHPR

The State Senate couldn’t pass the plan favored by GOP leaders, and then rejected a plan embraced by Democrats on party lines. Ultimately, the Senate adopted a second GOP proposal, before laying it on the table. Two hours later it rejected a Medicaid bill passed by Democrats in the N.H. House.

John Reagan is a Republican from Deerfield:

"I can contend with combinations of vagaries and certainties, but my friends to be steered and rushed is an invitation leading to rueful decisions."

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