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Granite State Rumblings: 10 Facts About Medicaid And It’s Impact On NH

Last Thursday marked the 50th anniversary of Medicaid — the public insurance program that provides health coverage to low-income families and individuals, including children, parents, pregnant women, seniors, and people with disabilities.  Here are 10 key facts about how Medicaid helps millions of Americans live healthier, more secure lives from our friends at the Center on Budget and Policy Priorities.

  1. Medicaid provided quality health coverage for 80 million low-income Americans over the course of 2014.  In any given month, Medicaid served 31 million children, 19 million adults (mostly low-income working parents), 5 million seniors, and 9 million persons with disabilities, according to Congressional Budget Office (CBO) estimates.
  2. Medicaid has cut dramatically the number of Americans without health insurance.  Since the implementation of health reform’s major coverage expansions in 2014, Medicaid and the new health marketplaces have helped cut the number of uninsured Americans from 43 million to 26 million, RAND estimates.  By 2020, an estimated 14 million more adults and children will enroll in Medicaid and gain access to affordable health coverage.
  3. Medicaid participation is high.  Some 65.6 percent of low-income adults with children who are eligible for Medicaid are enrolled, according to the Urban Institute, a relatively strong participation rate compared to some other programs.  And evidence so far among states adopting health reform’s Medicaid expansion shows substantial increases in overall Medicaid enrollment, which indicates robust participation among expansion-eligible individuals.  In addition, 87.2 percent of eligible children participate in Medicaid or the Children’s Health Insurance Program, according to the Urban Institute.
  4. Medicaid has improved access to care for millions, including those with chronic conditions.  A landmark study of Oregon’s Medicaid program found that beneficiaries were 40 percent less likely to have suffered a decline in their health in the last six months than similar people without health insurance coverage.  They were also likelier to use preventive care (such as cholesterol screenings), to have a regular clinic where they could receive primary care, and to receive a diagnosis of and treatment for depression and diabetes.
  5. Medicaid provides significant financial support to low-income beneficiaries.  Medicaid lifted 2.6 million people out of poverty in 2010, equating to a 0.7 percentage-point drop in the poverty rate.  The program cut poverty most among adults with disabilities, children, seniors, African Americans, and Hispanics.  Research from Oregon’s Medicaid program also shows that beneficiaries were 40 percent less likely to go into medical debt or leave other bills unpaid in order to cover medical expenses, and that Medicaid coverage nearly eliminated catastrophic out-of-pocket medical costs.
  6. Medicaid produces long-term educational benefits for kids.  Children who are eligible for Medicaid do better in school and miss fewer school days due to illness or injury.  They‘re also likelier to finish high school, attend college, and graduate from college.  Kids who are eligible for Medicaid earn more as adults and experience fewer emergency room visits and hospitalizations, research shows.
  7. Medicaid is cost-effective.  Medicaid’s costs per beneficiary are substantially lower and have been growing more slowly than for private insurance. Medicaid provides more comprehensive benefits than private insurance at significantly lower out-of-pocket cost to beneficiaries, but its lower payment rates to health care providers and lower administrative costs make the program very efficient.
  8. Medicaid gives states flexibility to design their own programs.  The federal government sets minimum standards, including the categories of people that all states must cover.  Beyond that, states set their own rules, including whom they cover, what benefits they provide, and how they deliver health care services.  As a result, Medicaid eligibility varies substantially from state to state.  Moreover, states have taken advantage of Medicaid’s existing flexibility to improve beneficiary health outcomes while lowering costs by changing how health care is delivered.
  9. Health reform’s Medicaid expansion is saving states money.  The federal government will pay the entire cost of health care for newly eligible beneficiaries through 2016, and many states that have expanded Medicaid have found that it has produced net savings for their budgets.  States will spend just 1.6 percent more on Medicaid and CHIP with the expansion than they would have without health reform, CBO estimates.  Hospitals in expansion states are treating fewer uninsured patients, and the amount of uncompensated care they are providing is declining steeply.  Meanwhile, hospitals in the states that have not expanded Medicaid continue to provide large amounts of uncompensated care, and the states are missing the opportunity to leverage billions of dollars in new federal funding through the expansion.
  10. Medicaid expansion supports work.  Charges that health reform discourages poor families from working more don’t match reality.  In states that have adopted health reform’s Medicaid expansion, poor parents can earn substantially more and retain their Medicaid coverage.  In addition, some states have used their program flexibility to further encourage work overall among Medicaid beneficiaries by offering a set of supportive employment services.

You can learn more about how Medicaid improves access to health care, its long-term benefits, and why states should expand Medicaid at:  www.cbpp.org/medicaid-at-50


Facts on Medicaid in New Hampshire


Even After 50 Years Of Success, Politicians Are Still Trying To Destroy Medicare


President Johnson signs Medicare into law. Image by the LBJ Library

Today, we celebrate the 50th Anniversary of Medicare, a critical lifeline for America’s seniors that is working. And thanks to the Affordable Care Act, that program will be solvent through 2030.

“Fourteen percent of Americans are over the age of 65. Thanks to Medicare, they have a high quality of life in retirement without sacrificing their standard of living or burdening their loved ones with medical bills,” said Richard Fiesta, executive director of the Alliance for Retired Americans. “Medicare is a success story. It’s improved and strengthened families, the U.S. health care system and the lives of older Americans and the disabled. We’re encouraging our retiree members to speak out to make sure that it is preserved for future generations.”

“Current and future retirees must be wary of those politicians who are seeking radical changes that would make it harder for seniors and disabled Americans to see a doctor or fill a prescription,” said Fiesta. “Telling our stories about the difference Medicare has made in families’ lives is important.”

But, just last week, we had a new reminder that Medicare, despite it’s success, is under attack by Republicans. Here in New Hampshire, Jeb Bush admitted that he wanted to “phase out” Medicare for future seniors. He even doubled down on his position after being challenged by a frustrated senior in Gorham (video here).

Jane Lang, Vice President of the NH Alliance for Retired Americans confronted Jeb Bush at a town hall meeting in Gorham, NH shortly after he announced his plans to “phase out Medicare.”

After the event, Lang and the NH Alliance for Retired Americans posted a statement:

“Medicare was created 50 years ago this month to ensure that older Americans, who are most in need of health care services, would not have to choose between a hospital stay and keeping a roof over their head.”

“Since then, all Americans have contributed to Medicare with the assumption that it would be there for them when they reached retirement age.”

“We will fight against any attempt to take away our earned health care benefits and make sure that older Americans know who is on our side, and who is not.”

Jeb Bush isn’t the only Republican that wants to end Medicare as we know it. Several, including Kelly Ayotte, tried to pass the Ryan budget, which would end the program as we know it, while at the same time increasing out-of-pocket costs for seniors.

Ayotte has voted three times for the Ryan Budget that would turn Medicare into a voucher program, which could rob over 450,000 seniors and soon-to-be seniors across New Hampshire of the benefits they’ve rightfully earned. [Vote 46, 3/21/13; Vote 98, 5/16/12; Vote 77, 5/25/11]

Every GOP presidential candidate wants to repeal the Affordable Care Act, which has helped to strengthen Medicare’s solvency for the future, while also saving seniors billions in prescription drug costs.

“As we celebrate the 50th Anniversary of Medicare as a successful program that hundreds of thousands of Granite Staters rely on for health care, it’s important to see what the Republican nominees for President have in store. Jeb Bush’s comments last week just adds another chapter to the long book of Republicans trying to destroy Medicare or turn it over to corporations. Nearly the entire Republican field supported Paul Ryan’s efforts to end Medicare as we know it. New Hampshire simply can’t afford Jeb Bush’s ideas to phase out Medicare,” said New Hampshire Democratic Party Chair Ray Buckley.


Leo W Gerard: The GOP Has Money To Kill

John Boehner and Mitch McConnell (FLIKR CC Peter Stevens)

John Boehner and Mitch McConnell (FLIKR CC Peter Stevens)

By Leo W Gerard, President of the United Steelworkers

Shock and awe describes the budgets issued last week by Republicans in the House and Senate. The shock is that the GOP never stops trying to destroy beloved programs like Medicare. Awe inspiring is their audacity in describing their killing plans as moral.

When the House released its budget last Tuesday, Georgia Republican Rep. Rob Woodall said, “A budget is a moral document; it talks about where your values are.” His chamber’s spending plan shows that Republicans highly value war and place no value on health care for America’s elderly, working poor and young adults.

The opposite of win-win, the GOP budgets are kill-kill. Despite the GOP’s successful demand in 2011 for spending caps, Republicans now want more money for the military. War kills, as too many families of troops deployed to Iraq and Afghanistan know. By contrast, Republicans gouge domestic spending, condemning Americans to die unnecessarily from untreated disease. The GOP intends to revoke the health insurance of tens of millions by repealing the Affordable Care Act, voucherizing Medicare and slashing Medicaid. The Republican plans mandate overtime for the Grim Reaper.


Shock and awe was the euphemism the military used as it launched war in Iraq. The focus on fireworks obscured death and dismemberment on the ground. Republicans try the same gimmick with their 10-year budgets. They employ perky language to conceal the casualties they would cause.

The House GOP called its document “A Balanced Budget for a Stronger America.” Republicans see strength only in a fat military, not in healthy Americans. The House and Senate Republicans evade the sequester spending caps by giving an additional$38 billion to the military through a war account not subject to limits.

The euphemism House Republicans use to distract attention from the $150 billion they cut from Medicare is “premium care.” It’s a scheme to give less to seniors newly qualifying for Medicare. They’d voucherize Medicare for new qualifiers and call it “premium,” even though Americans have loudly protested and Congress has soundly rejected the scam every time Republican Rep. Paul Ryan of Wisconsin proposed it in the past.

What “premium care” really means is underfunded vouchers. Republicans cut money from Medicare then give seniors “vouchers” to buy their own health insurance on the open market. Americans know those cheap vouchers won’t cover the full cost, forcing seniors to pay thousands they don’t have each year for their doctors’ visits, arthritis medications and flu shots.  It’s really “premium uncare,” and Senate Republicans know that, so they didn’t propose it. They simply cut $430 billion from Medicare.

Enacted into law, the “premium uncare” scam would cost lives. As seniors delayed seeing doctors and scrimped on their diabetes and high blood pressure medication to save money, some would die. Sending grandma to an early grave is a price House Republicans are willing to pay.

Both the House and Senate Republican budgets would repeal the Affordable Care Act (ACA). That would cancel the health insurance of millions who got coverage through the ACA Medicaid expansion adopted by 29 states and the District of Columbia. It would cancel the health insurance of more than 16.4 million Americans who got covered through the exchanges and other ACA measures.  Altogether, the Obama administration estimates that the ACA repeal and broader Medicaid cuts proposed in the Republican budgets will deny health insurance to 37 million.

The ACA decreased the percentage of Americans without health insurance to 13.2.  Republicans, who offer no plan at all to replace the insurance they intend to seize, would increase the percentage of Americans without coverage back up to 20, where it was before the ACA.

Everyone would be affected. Without the ACA, insurers would once again be able to deny coverage to people with pre-existing conditions like asthma and diabetes. They’d once again be able to cap benefits so that sickly newborns and victims of recurring cancers would lose coverage. Insurers would dump the young adults that the ACA now covers under their parents’ plans to age 26.

More than 9,800 Americans would die unnecessarily each year if they could not get insurance through the Affordable Care Act. That’s the estimate that multiple public health scholars and the American Public Health Association provided to the U.S. Supreme Court as it considers overturning part of the law.  Other estimates of needless deaths are much higher.

The House and Senate GOP budgets also brutalize Medicaid funding, then turn the program over to the states to administer. After slashing $913 billion, the House GOP describes dumping the program on the states like this: “Our budget realigns the relationship the federal government has with states and local communities by respecting and restoring the principle of federalism.”

House Republicans “respect” the right of impoverished old and disabled people to try to survive without Medicaid insurance by eliminating funding for it. The Senate GOP was less “respectful,” slashing funding for Medicaid by only $400 billion and retaining coverage for low-income elderly and disabled people.

While asserting their budgeting morality, Republicans fail to mention that their “balanced” spending plans are propped up by $2 trillion in revenue from ACA taxesthat the GOP intends to repeal along with the ACA.  The GOP would use the money that it will magically receive from repealed health care taxes to pay for an additional $38 billion in military weapons in their magically balanced budgets.

The Republican budgets embody their values: they want tax dollars to kill, not heal.

The Future Of Social Security And Medicare Are At The Forefront This Election

New Hampshire senior citizens, their families, and neighbors should do their homework and vote in self-defense on November 4th!  Some candidates running for federal office are on record as supporting cuts to our Social Security and Medicare. They say our safety net is going broke. Some want these programs to go away completely, being replaced by vouchers and Wall Street accounts. Others propose cuts using the Chained Consumer Price Index, and repeal of the Affordable Care Act, including the prescription drug donut hole fix and no co-pay preventative care additions.

But Social Security is not going broke, and a few changes that would be good for all of us would be good for the Social Security Trust Fund as well: raise the minimum wage, enact paycheck equity laws at the federal level (thank you NH for doing this for women here), create more and better paying jobs, and raising or getting rid of the cap on the income that is subject to the FICA tax, now set at $117,000.  Each of these means not only more money for retiree earned benefits, but also more money in the trust fund today.

Medicare’s cost curve is bending down due in part to the changes in the Affordable Care Act. Costs for healthcare for everyone are not rising anywhere near as quickly, and as healthcare providers work for quality care rather than quantity care, costs will continue to ease. We can provide great preventative care and make sure that we aren’t getting procedures and prescriptions that we don’t need, and stay healthier longer.

One in five New Hampshire residents got Social Security benefits in 2013, bringing $4.1 billion dollars in income into our state.  Over 231,000 of us receive Medicare benefits, allowing us to remain healthy and contribute to our communities.

These earned benefits mean that families and communities do not have to worry about carrying the full cost of housing, food and healthcare for those who are retired or disabled. Before we had Social Security and Medicare, half the seniors in our country lived in poverty, and many died what we would consider today premature deaths. Families struggled to support those who could no longer work.

Today the income from these benefits is spent in our communities, supporting the businesses here. Without the income from Social Security and the healthcare savings from Medicare, how will our economy replace the customers with money to spend that provide the “demand” side of supply and demand?  Replacing the $4.1 billion dollars that comes from those 1 in every 5 New Hampshire residents isn’t going to be easy, and our state is growing older every year. Do we really want to do that to our economy?

Healthy and secure seniors provide many hours of volunteer time, the unpaid work that we depend on to run our municipalities, among other efforts. Our school boards, selectboards, planning boards, conservation commissions, and others are either paid a small stipend or serve for free.  Retirees volunteer in schools, at churches, and even as $100 a year legislators! Sometimes it seems that New Hampshire runs on volunteer power!

The New Hampshire Alliance for Retired Americans has joined our national Alliance in endorsing Senator Jeanne Shaheen, and Congresswomen Carol Shea-Porter and Ann McLane Kuster for re-election this November.  All three were endorsed for their work to preserve and protect our senior safety net for all New Hampshire citizens, retirees of today and our children and grandchildren.

Be sure you check out the candidates before you vote!  Look at voting records, if they have served before (http://retiredamericans.org/issues/congressional-voting-record).  See what they have said in this and past campaigns. Make sure you know who is really on our side and vote in self-defense!

Lucy Edwards

New Hampshire Alliance for Retired Americans

Governor Hassan Signs Bipartisan Health Care Expansion Legislation into Law

Compromise Measure Accepts Federal Funds to Expand Health Care Access to 50,000 Granite Staters

2014-03-27 medicaid expansionCONCORD – Enacting the most significant measure in decades to strengthen the health of New Hampshire’s families and communities, Governor Maggie Hassan has signed into law SB 413, bipartisan legislation that accepts federal funds to expand access to health coverage to 50,000 Granite Staters.

“Our bipartisan health care expansion plan is a historic step forward for the health and financial well-being of Granite State families, businesses and communities,” Governor Hassan said. “It is a fiscally responsible, uniquely New Hampshire solution that will inject $2.5 billion in federal funds into our state’s economy and improve the lives of 50,000 hard-working people who deserve the security of health insurance.

“By reaching bipartisan consensus to expand health coverage, we have demonstrated again that, in New Hampshire, we are able to work across party lines to solve problems and make progress for our people and our economy,” Governor Hassan said.

The bipartisan plan will use federal Medicaid funds available through the Affordable Care Act to help New Hampshire citizens at or under 133 percent of the federal poverty level – around $16,000 for an individual – access health insurance. The plan will help reduce levels of uncompensated care at hospital emergency rooms, encourage primary and preventive care, and provide coverage for substance abuse and mental health treatment.

Under the health care expansion plan, if a qualifying individual has access to private coverage through an employer, he or she will be able to enroll in the employer-based coverage through the state’s Health Insurance Premium Payment (HIPP) program, which will pay for the individual’s premium and cost-sharing. For other eligible individuals, coverage will be available through a private managed care company beginning as soon as July 1, 2014.

Beginning in 2016, the plan moves the newly eligible individuals who are not participating in HIPP onto the state’s federally facilitated health insurance marketplace to purchase private coverage through a new premium assistance program funded by the federal government. Elements of the plan are subject to the state securing federal waivers from the Center for Medicaid and Medicare Services.

“Helping low-income workers purchase private coverage through the health insurance marketplace will support our efforts to attract competition in order to improve affordability and increase choices for coverage for all New Hampshire citizens,” Governor Hassan said.

“I want to thank Senate President Morse, Speaker Norelli and all of the legislators from both parties who worked together to pass this legislation,” Governor Hassan said. “Our continued collaboration is essential throughout the federal-waiver and implementation process. We must continue to put ideology aside and focus on our common purpose and common vision in order to maximize the benefits of health care expansion for our people and our economy.”

“I’m so proud of our state legislators for working across the aisle to expand health coverage for some of our most vulnerable Granite Staters,” said Congresswoman Annie Kuster.  “This bill will help ensure that another 50,000 Granite Staters will now have access to the health care services they need. I look forward to working on the federal level to help the state implement this expansion, which will improve our state’s overall economy by creating jobs, reducing uncompensated care at hospitals, and alleviating the cost burden on small businesses.”

“I want to congratulate Governor Hassan, President Morse, Senator Larsen, Speaker Norelli, and all those involved in this historic accomplishment,” said Senator Jeanne Shahhen.  “The legislation Governor Hassan signed into law this afternoon showcases just how much we can accomplish when we work together on behalf of the people of New Hampshire.  This bipartisan plan is not only great for our economy but for a countless number of people across our state, including the approximately 50,000 people who now stand to receive health care, and I remain committed to doing everything I can to assist New Hampshire implement this plan.”

Governor Hassan on Medicaid Expansion: “I look forward to signing this bill into law as quickly as possible”

Summer interns Aislinn (NHCA) and Chris (NARAL) stood up for Medicaid expansion at the State House on June 6th.CONCORD – Following House passage today of SB 413, a bipartisan agreement to accept federal funds in order to expand access to health coverage, Governor Maggie Hassan released the following statement:

“Today’s House vote in favor of our bipartisan health care expansion plan will improve the health and financial well-being of more than 50,000 hard-working people who deserve the security of health insurance.

“By expanding access to health insurance, we will help reduce uncompensated care and cost-shifting on New Hampshire businesses, encourage cost-saving primary and preventive care, and provide substance abuse and mental health treatment to thousands while injecting $2.5 billion in federal funds into our state’s economy.

“This bipartisan plan is a uniquely New Hampshire solution and it exemplifies New Hampshire’s tradition of collective problem-solving, demonstrating what is possible when we remain focused on solutions and reach across the aisle to achieve progress for our people. I thank Speaker Norelli, Representatives Rosenwald and Sherman, and the House of Representatives for passing this important piece of legislation, as well as Senate President Morse and Senator Larsen for their leadership in the Senate to reach this compromise.

“I look forward to signing this bill into law as quickly as possible and to working with members of both parties throughout the implementation process in order to maximize the benefits of health care expansion for our people and economy.”

NH House Approves Bill to Extend Health Insurance to More than 50,000 Granite Staters

NH Senate Medicaid Vote 6-6-13 Inzane TimesCONCORD, NH – In a show of bipartisan support, the House of Representatives today approved SB 413 by a vote of 202 to 132, enabling New Hampshire to accept federal funds to provide affordable health insurance to more than 50,000 low-income Granite Staters.

“Today is a great day for thousands of New Hampshire residents who will now, for the very first time, have access to affordable health care,” said Deb Fournier, policy analyst for the New Hampshire Fiscal Policy Institute.

“Members of the House and Senate should be commended for their steadfast dedication and commitment to reaching a solution that works for everyone,” said Fournier. “By enabling the state to accept these federal funds, Legislators have made a fiscally responsible decision that will save millions in state budget costs and pave the way for millions of federal dollars to enter the state economy and benefit communities across the state.”

SB 413 is a bipartisan compromise which utilizes federal Medicaid funds to support a program of privately-delivered health insurance for low-income individuals. The compromise is the result of months of discussion and debate regarding how best to design a program that solves a critical health policy issue for New Hampshire.

SB 413 creates a three-stage Health Protection Program to extend affordable health insurance to low-income Granite Staters: the Health Insurance Premium Program, the Bridge to Marketplace Premium Assistance Program, and the Marketplace Premium Assistance Program. Federal funding will cover 100 percent of the costs associated with the Health Protection Program, which will be repealed at the end of 2016 unless future legislatures vote to extend it.

For more information, see the NHFPI Health Protection Program fact sheet.


Senate Republicans Put Ideology Over The Health Of 50,000 Granite Staters

“Today, members of the Senate Republican caucus let down the people of New Hampshire by refusing to compromise to develop a health care expansion plan that would actually work,” Governor Hassan stated. “Their refusal to discuss workable plans to allow New Hampshire to accept $2.4 billion in federal funds to provide critical health coverage to more than 50,000 hard-working people undermines the health and economic well-being of our families and businesses.”

As you are already aware the NH Senate could not reach an agreement to expand the state’s Medicaid program, leaving thousands of low-income families to suffer without healthcare.

Governor Hassan continued:

“We offered Senate Republican leadership nearly everything they asked for; all we wanted was a plan that would actually work from day one and for the long term. But Senate Republicans refused to budge, putting ideology first and the people of New Hampshire second.

Our providers are ready for expanded health coverage, our businesses are ready, our people are ready, and I am ready. We will keep working and there will be more votes. I hope that at some point, a few Senate Republicans will set ideology aside and step forward to do what is right. Until then, it is the people who are hurt, and it is the people whom Senators must answer to.”

Governor Hassan was not the only one who was outraged by the Republicans in the Senate who chose to stand with the Americans For Prosperity, and other special interest groups, rather than stand up for their own constituents.

Zandra Rice-Hawkins the Executive Director of Granite State Progress released the following statement:

Nancy Stiles GSP

Image from Granite State Progress. You can share this image from Facebook and Twitter.

We condemn the ‘do nothing’ GOP Senate for turning its back on 58,000 lower income Granite Staters who would benefit from health care coverage. Republican State Senators like Nancy Stiles are leaving money on the table that could have covered New Hampshire families because they kowtowed to special interests instead of representing their constituents.”

“Policymakers heard loud and clear from constituents, health policy experts, and consumer advocates that expanding Medicaid was a win-win for New Hampshire families, hospitals, community health centers, and our overall budget and economy. But when wealthy special interests opposed to health care came knocking, too many politicians caved. Senate Republicans refused to acknowledge the incredible compromises offered by the Democrats for a bi-partisan plan, and instead stonewalled back to the position they’ve always held: that we should do nothing.”

State Senator Chuck Morse. Image from Granite State Progress.  You can share this image on Facebook and Twitter.

State Senator Chuck Morse. Image from Granite State Progress. You can share this image on Facebook and Twitter.

“Senate President Chuck Morse’s flowery speech imploring legislators to continue to work together on this issue and then the subsequent vote by Senate Republicans to close the special session without any plan for action demonstrates that this has all just been a show for them. Meanwhile, New Hampshire families are going without health care coverage when they most need it.”

Granite State Progress also released a short video of a people talking about their real life problems in accessing healthcare and Greg Moore the State Director of the Americans For Prosperity calling them a ‘problem’.

The fight to provide healthcare to over 50,000 low-income families in New Hampshire is not over.  The Senate Democrats and the Governor vowed to continue their efforts.  “Senate Democrats will continue to fight for accepting Federal funds and expanding health coverage for thousands of the hard-working Granite Staters from Hampton to Hanover and Salem to Stewartstown,” said Senate Democratic Leader Sylvia Larsen.

Why do the Senate Republicans want to continue to be a donor state with our federal tax dollars while low-income families are suffering?  We could use the tax money we are already paying to help these working families acquire healthcare, making them happier and healthier members of our community.

Special Session On Medicaid Expansion Tomorrow. Sen Larson Says There Is Still Work To Be Done

The debate over expanding Medicaid to over 50,000 Granite Staters in New Hampshire is coming to a head.  Legislators will meet for a special session, hopefully to vote on the expansion.   Legislators need to reach an agreement now so we can begin the expansion on January 1st.

The issue is that there is two different plans for the expansion in the Senate. While there has been compromise on both sides, the GOP in the Senate is refusing to take the final step to seal the deal.

Senate Democratic Leader Sylvia Larsen released the following statement on behalf of the Senate Democratic Caucus:

“We continue to be open to accepting constructive ideas that will create a functioning system to get people coverage and we recognize Senate Republicans for continuing to seek ways to strengthen the health and financial well-being of hard-working families by expanding healthcare coverage to over 50,000 of our residents.”

“But a health insurance plan that fails before it gets started, that doesn’t work, like the Senate Republican plan, is not a plan at all. Senate Democrats will not vote for the Republican Senate bill that fails the people of New Hampshire and forces thousands to lose coverage, all to meet an artificial, politically-imposed timeline.”

“The Governor and Democrats in the Legislature have offered a significant compromise. Now it is time for our Republican colleagues in the Senate to be willing to compromise and work with us on a plan that can be implemented with a timeline that our insurance providers, health providers and federal oversight agencies agree can be rolled out responsibly. Despite how far we’ve come, despite how close our proposals are, Senate Republicans refuse to consider any timeline other than the unworkable plan in their bill.”

“Ideology does not separate these two bills, it’s practicality. The Republican Senate bill doesn’t work, we look forward to negotiating constructively to develop realistic deadlines.”

You can help make your voice heard on the expansion of Medicaid.  The New Hampshire Citizens Alliance is hosting a Medicaid Expansion lobby day at the State House tomorrow.  Be at the State House at 9:30 am tomorrow (11/21).  As your Representatives and Senators come into the special session take a moment and tell them you want them to support the expansion.

If you cannot make it tomorrow, take a couple of minutes to contact your Representatives and Senators tonight to tell them how you feel.

Stand Up For Medicaid Expansion, Join Us At The State House

Below is a special message from MaryLou Beaver, NH Campaign Director for Every Child Matters Education Fund.  They are working with the New Hampshire Citizens Alliance for Action to push for the expansion of Medicaid in New Hampshire.  

NH House-2

This is it. After months (and months) of work, we’re down to the final public hearings. Your presence there on Tuesday – and committed efforts to recruit folks from your network for turnout and testimony – are essential. Our goal is to get over 200 supporters to the hearings – let’s make it happen!

The Medicaid expansion would offer coverage to all adults in NH, between the ages of 19 and 65, who are not currently eligible for Medicaid and whose incomes are up to 138% of the Federal Poverty Level: $15,400 a year for a single person and $32,000 for a family of four.

Do you know someone who falls into this category? A child care provider, a home health aide, a construction worker, a restaurant worker, a friend or relative? Ask them to come to Concord on Tuesday and support Medicaid Expansion. We are hoping for a strong show of support from Granite Staters who need and support Health Care options for all New Hampshire citizens.

Here are some details to help inform your planning efforts from our friends at NH Voices for Health:

Hearings & Lobby Day:

  1. There is no joint hearing – instead, there are separate bills and separate public hearings – on the same day.
  2. The House Finance Committee’s Public Hearing is scheduled for Tuesday, November 12th, at 10:00 a.m. in Reps Hall. There will be presentations for the first hour, so members of the public who want to testify will need to wait until around 11am.
  3. The Senate hearing is scheduled for the same day at 1:00 p.m. in State House Room 100.
  4. There will be a two-part Lobby Day at 4 Park Street.  The first part will run from 9:00-10:00am to help prepare folks who plan to attend the House hearing. The second part will be from noon-1pm for those who arrive later and plan to attend the Senate hearing. As always, folks can practice testimony, pick up fact sheets and Support Medicaid Expansion stickers, and walk over to the State House in good company.

Here’s the FB page for Lobby Day – please share it.

Coordinating Testimony:

  1. As there have been several public hearings on Medicaid expansion – there is a pressing need for new voices (voices we have already heard from are welcome too, but new voices will be appreciated by the media). To that end, we need real, compelling stories from folks who would benefit from the expansion – and those who treat or otherwise help or work with them (nurses, docs, etc.).
  2. Encourage recruits to share personal stories, not policy talking points.
  3. Keep testimony to 2-3 minutes.
  4. If folks cannot spend the day over at the State House and must prioritize one hearing – please send them to the Senate hearing at 1pm.
  6. If you are turning out a group of folks for testimony, please remind them that if they are not saying anything “new”, they should limit their remarks to the following and submit their written testimony: – name, town, thanks, expression of respect for limited time, statement of strong support for MedEx, and the ‘ask’
  7. Come prepared with highlighters/markers to markup parts of your volunteers’ testimonies based on preceding testimonies.
  8. Sit with volunteers in the hearing to better facilitate changes to testimonies and group coordination.
  9. **Need help preparing testimony? Email or call VOICES’ new Communications & Outreach Manager, Anne Saunders: anne@nhvoicesforhealth.org or (603.369.4767).

Social Media:

  1. VOICES will be live-tweeting from the hearings. Find us at @NHVoices4Health.
  2. We’ll be using the following hashtags: #NHCantWait and #MedicaidMatters
  3. Facebook event page for Lobby Day to share: https://www.facebook.com/events/1389025191337839/

As always, we all deeply appreciate your continued commitment to and energy on this. We are in the homestretch. . . let’s make it happen!

MaryLou Beaver
New Hampshire Campaign Director
Every Child Matters Education Fund

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