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Hospitals urge lawmakers to restore prior MET/DISH deal to preserve Medicaid match, state revenues
Summary
Hospital leaders told the Senate committee that reducing the hospital share of Medicaid‑enhancement tax proceeds to the state would strip millions from hospital budgets and leave some programs at risk; they proposed raising the assessment to 6% and structuring directed payments to secure federal match.
The Senate Health and Human Services Committee heard debate on Senate Bill 249, which addresses the Medicaid Enhancement Tax (MET) and disproportionate‑share hospital (DSH) payments that together fund hundreds of millions of dollars of Medicaid resources in New Hampshire.
How it works today: Hospitals pay a statutory assessment (MET) on net patient service revenue that is deposited into a state fund and used to draw federal matching dollars. The state then makes enhanced inpatient payments, directed payments and DSH payments so…
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