HB 282-FN-A - AS INTRODUCED
2023 SESSION
23-0115
07/10
HOUSE BILL 282-FN-A
SPONSORS: Rep. Schapiro, Ches. 16; Rep. Toll, Ches. 15; Rep. Mangipudi, Hills. 11; Rep. Wheeler, Hills. 33; Rep. McMahon, Rock. 17; Rep. B. King, Hills. 43; Rep. Nutter-Upham, Hills. 8; Sen. Rosenwald, Dist 13; Sen. Whitley, Dist 15
COMMITTEE: Health, Human Services and Elderly Affairs
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ANALYSIS
This bill directs the department of health and human services to submit state plan amendments under Medicaid and CHIP to provide coverage to children and pregnant women lawfully residing in the United States. The bill also makes an appropriation to the department of health and human services for this purpose.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
23-0115
07/10
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Three
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Section; Inclusion of Certain Children and Pregnant Women in Medicaid and the Children's Health Insurance Program. Amend RSA 126-A by inserting after section 4-h the following new section:
126-A:4-i Inclusion of Certain Children and Pregnant Women in Medicaid and the Children's Health Insurance Program. Pursuant to Section 214 of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), no later than January 1, 2024, the commissioner of the department of health and human services shall submit to the Centers for Medicare and Medicaid Services (CMS) the state plan amendments required under Medicaid and the Children's Health Insurance Program (CHIP) to expand coverage to otherwise eligible pregnant women and children who are lawfully residing in the United States. The state plan amendments shall elect the option for children up to age 19 and shall elect the option for pregnant women through the postpartum period. The department of health and human services is authorized to accept and expend any matching federal funds for the purposes of this section without prior approval of the fiscal committee of the general court.
2 Appropriation: Inclusion of Certain Children and Pregnant Women in Medicaid and the Children's Health Insurance Program. The sum of $118,250 for the fiscal year ending June 30, 2024, is hereby appropriated to the department of health and human services for the purpose of funding the state share of the expansion of Medicaid and CHIP to include certain children and pregnant women as provided in section 1 of this act. The governor is authorized to draw a warrant for said sum out of any money in the treasury not otherwise appropriated.
I. Section 2 of this act shall take effect July 1, 2023.
II. The remainder of this act shall take effect upon its passage.
23-0115
12/19/22
HB 282-FN-A- FISCAL NOTE
AS INTRODUCED
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
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| Estimated Increase / (Decrease) | ||||
STATE: | FY 2023 | FY 2024 | FY 2025 | FY 2026 | |
Appropriation | $0 | $118,250 | $0 | $0 | |
Revenue | $0 | $0 | $0 | $0 | |
Expenditures | $0 | $224,000 state / $224,000 federal | $224,000 state / $224,000 federal | $224,000 state / $224,000 federal | |
Funding Source: | [ X ] General [ ] Education [ ] Highway [ ] Other | ||||
METHODOLOGY:
This bill requires the Department of Health and Human Services to submit Medicaid State Plan amendments to expand coverage to otherwise eligible pregnant women and children up to age 19 who are lawfully residing in the United States. The Department has consulted its contracted actuaries as well as an academic expert in order to make the following projections, which are based on a variety of assumptions regarding takeup rate, immigrants' lawful status, and other factors:
- The total cost of expanding coverage to immigrant non-infant children is expected to be approximately $220,000 per year, of which half will be state general funds and half will be matching federal funds.
- The total cost of expanding coverage to immigrant infants is expected to be approximately $42,000 per year, of which half will be state general funds and half will be matching federal funds.
- The total cost of expanding coverage to immigrant pregnant women is expected to be approximately $186,000 per year, of which half will be state general funds and half will be matching federal funds.
Based on the above, the Department assumes total annual costs of $448,000, of which $224,000 will be state general funds and $224,000 will be matching federal funds. The bill contains an appropriation of $118,250 in FY 2024 for the purpose of funding the state share of the expanded coverage authorized by the bill. The bill also allows the Department to accept and expend any matching federal funds for the purpose of this bill without prior approval of the Fiscal Committee.
It is assumed any fiscal impact will begin in FY24.
AGENCIES CONTACTED:
Department of Health and Human Services