New Medicaid Work Requirements Threaten Health Care Access for Up to 29,000 Granite Staters, With Several Implementation Decisions Still Left Up to the State

KEY POINTS

• Approximately 13% of the state’s population was enrolled in Medicaid in 2025, with varying enrollment rates across municipalities

• Medicaid enrollment has dropped by more than 8% across State Fiscal Year 2026, following the State’s return to pre-pandemic eligibility processes

• Granite Advantage adults will face new community engagement requirements beginning January 2027, with an estimated 23,000 to 29,000 enrollees expected to lose coverage

• Several implementation policies are left to state discretion, with several decisions still to be made …