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N.H. committee backs Medicaid work rules to match new federal standard; lawmakers warn of burdens
Summary
The House Health Committee voted to pass SB134FN with Amendment 3093H, shifting New Hampshire to federal community-engagement (work) requirements for the Granite Advantage program while opponents warned the policy could create administrative hurdles and risk coverage losses for some residents.
The House Committee on Health, Human Services and Elderly Affairs voted 11–6 to advance SB134FN as amended, a bill that directs the state to implement federal Medicaid community-engagement (work) requirements for the Granite Advantage program rather than seek an 1115 waiver.
Supporters said aligning state law with federal statute avoids rework and preserves federal funding. "We have the option to do the work requirements under a state plan amendment," Henry Lippmann, the state's Medicaid director, told the committee, adding that a state-plan approach "is very important for us to meet timeframes that are in the law and for the budget for the state.”
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