Amendment 2023-1857h to SB263 (2024)

Extending the New Hampshire granite advantage health care program and reestablishing the commission to evaluate the effectiveness and future of the New Hampshire granite advantage health care program.


Revision: May 16, 2023, 10:38 a.m.

Rep. Belcher, Carr. 4

May 16, 2023

2023-1857h

05/10

 

 

Floor Amendment to SB 263-FN

 

Amend the bill by replacing section 6 with the following:

 

6  Contingent Prospective Repeal of the Granite Health Care Advantage Program.  2018, 342:25, II to read as follows:

II.  Paragraphs III and VII of section 24 of this act shall take effect [December 31, 2023] December 31, 2025 or as provided in section 12 of this act.

 

Amend the bill by inserting after section 7 the following new section and renumbering section 8 to read as 10:

 

8  Federal Match.  Amend 2014, 3:10, I as amended by 2016,13:13 and 2018, 342:12, to read as follows:

I.  If at any time the federal match rate applied to medical assistance for newly eligible adults under RSA 126-AA is less than 94 percent in 2018, less than 93 percent in 2019, and less than 90 percent in 2020 and any year thereafter in which the program is authorized, then RSA 126-AA and the granite advantage health care program established thereunder, is hereby repealed 180 days after the event under this paragraph occurs upon notification by the commissioner of the department of health and human services to the secretary of state and the director of legislative services and consistent with the terms and conditions of any waiver approved by the Centers for Medicare and Medicaid Services for the program.  The commissioner shall:

(a)  Within 48 hours after the event under this paragraph has occurred, notify the governor, the speaker of the house of representatives, the president of the senate, and the chairperson of the legislative fiscal committee of the program’s pending termination; and

(b)  Within 10 business days after the event in this paragraph has occurred, notify program participants of the program’s pending termination.  

9  New Paragraph; Granite Advantage Health Care Trust Fund; Notice of Program Termination; When Required.  Amend RSA 126-AA:3 by inserting after paragraph VI the following new paragraph:

VII.  If the federal match rate applied to the program falls below 90 percent, the program shall be terminated 180 days after the rate change occurs.  The commissioner shall:

(a)  Within 48 hours of the rate change, notify the governor, the speaker of the house of representatives, the president of the senate, and the chairperson of the fiscal committee of the general court, the secretary of state, and the director of legislative services of the program’s pending termination; and

(b)  Within 10 business days of the rate change, notify program participants of the program’s pending termination.  

2023-1857h

AMENDED ANALYSIS

 

This bill:

 

I.  Reestablishes and revises the membership and duties of the commission to evaluate the effectiveness and future of the New Hampshire granite advantage health care program.  The commission is repealed November 1, 2028.

 

II.  Extends the New Hampshire granite advantage health care program by revising the prospective repeal of the program that was to take effect on December 31, 2023; and inserts a contingent repeal of the program based on federal funding.

 

III.  Removes the transfer of funds from the alcohol abuse prevention and treatment fund to the granite advantage health care trust fund.