Bill > SB134

This bill directs the New Hampshire Department of Health and Human Services (DHHS) to resubmit a Section 1115 demonstration waiver to the Center for Medicare and Medicaid Services (CMS) to reinstate work requirements and community engagement provisions for the Granite Advantage Health Care Program (the state's Medicaid program). Specifically, the bill requires DHHS to submit the waiver proposal to the fiscal committee of the general court for approval before sending it to CMS by January 1, 2026. The waiver would make participation in work or community engagement activities a condition of Medicaid eligibility. Additionally, the bill mandates that beginning November 1, 2025, DHHS must provide an annual report on the status of the waiver application and implementation of community engagement requirements to key state government officials, including the senate president, house speaker, and governor. The fiscal note accompanying the bill acknowledges significant uncertainties, including potential federal regulatory changes and implementation costs estimated to exceed $2.5 million in fiscal years 2026 and 2027. The bill also notes that approximately 65% of New Hampshire Medicaid beneficiaries are already working, and the actual impact will depend on future federal guidance and criteria for work requirements.

Health and Social Services

https://gc.nh.gov/bill_status/legacy/bs2016/bill_status.aspx?lsr=1122&sy=2025&sortoption=&txtsessionyear=2025&txtbillnumber=SB134