(Opinion) NH stands to lose $430.4m in Medicaid through ‘34

By: Opinion

Outlets: NH Business Review

Published: September 14, 2026

Words: 640

Last Updated: 3 days, 1 hour ago

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HEALTHCARE

By: Brendan Williams

The federal budget reconciliation law enacted last year was particularly designed to punish states that expanded Medicaid under the Affordable Care Act, as New Hampshire did through its Granite Advantage Program.

It principally does so here by reducing a federal financing mechanism that runs through hospitals. Paradoxically, it rewards many states that have not made Medicaid coverage available to low-income adults.

For example, according to data from the RAND Corporation, Alabama …

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