Bill Text - HB583 (2025)

Relative to state participation in the Medicaid direct certification program for free and reduced price school meals.


Revision: Jan. 28, 2025, 3:44 p.m.

HB 583-FN-LOCAL - AS INTRODUCED

 

 

2025 SESSION

25-0022

07/02

 

HOUSE BILL 583-FN-LOCAL

 

AN ACT relative to state participation in the Medicaid direct certification program for free and reduced price school meals.

 

SPONSORS: Rep. Telerski, Hills. 11; Rep. M. Murray, Hills. 37; Rep. Mandelbaum, Rock. 21; Rep. N. Murphy, Hills. 12; Rep. Long, Hills. 26; Sen. Long, Dist 20

 

COMMITTEE: Education Funding

 

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ANALYSIS

 

This bill requires the department of education to seek participation in the Medicaid direct certification methodology for school meals program for free and reduced price meals for students in public kindergarten, elementary, and secondary schools.

 

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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

25-0022

07/02

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Twenty Five

 

AN ACT relative to state participation in the Medicaid direct certification program for free and reduced price school meals.

 

Be it Enacted by the Senate and House of Representatives in General Court convened:

 

1  Department of Education; Application for Medicaid Direct Certification Program; Public Kindergarten, Elementary, and Secondary Schools.  The department of education shall seek participation in the Demonstration Projects to Evaluate Direct Certification with Medicaid administered by the United States Department of Agriculture (USDA). The department of health and human services shall assist the department of education as needed in pursuing and implementing this new direct certification methodology.

2 Effective Date. This act shall take effect upon its passage.

 

LBA

25-0022

Revised 1/28/25

 

HB 583-FN-LOCAL- FISCAL NOTE

AS INTRODUCED

 

AN ACT relative to state participation in the Medicaid direct certification program for free and reduced price school meals.

 

FISCAL IMPACT:   This bill does not provide funding, nor does it authorize new positions.

 

 

Estimated State Impact

 

FY 2025

FY 2026

FY 2027

FY 2028

Revenue

$0

$0

$0

$0

Revenue Fund(s)

None

Expenditures*

$0

Adequacy Grant Impact

FY 2026 - $0

FY 2027 - Indeterminable Increase

(first year of charter school grant and EFA impact)

FY 2028 - Indeterminable Increase

(first year of district adequacy impact)

 

When fully implemented,

impact could be up to $49 million per year

(see methodology below)

 

Nutrition Program State Aid

$115K Increase Per Year

 

Staffing and Contract Costs

$152K in FY 2026, $104K in FY 2027,

and $107K in FY 2028

Funding Source(s)

General Fund and Education Trust Fund

Appropriations*

$0

$0

Statutory Open Appropriation Exists for Adequacy Aid

Funding Source(s)

Education Trust Fund

*Expenditure = Cost of bill                *Appropriation = Authorized funding to cover cost of bill

 

Estimated Political Subdivision Impact

 

FY 2025

FY 2026

FY 2027

FY 2028

Local Revenue

$0

Adequacy Grant Impact

FY 2026 and FY 2027 - $0

 FY 2028 - Indeterminable increase up to  or exceeding $48M per year (see methodology below)

 

Nutrition Program

State Aid - Increase of $115K Per Year

Federal Funds - Indeterminable Increase

Local Food Sales - Indeterminable Decrease

Local Expenditures

$0

$0

$0

$0

 

METHODOLOGY:

The bill requires the Department of Education (NHED) to seek participation in the United States Department of Agriculture’s (USDA) Demonstration Projects to Evaluate Direct Certification with Medicaid program. This program allows states to certify a student’s eligibility for free and reduced-price meals (F&R) using Medicaid eligibility. To be eligible, the Medicaid eligibility determination must meet equivalent incomes standards which are used to access the F&R program. Upon passage of this bill, the earliest NHED could apply to the USDA would be September 30th, 2025. If the application is approved, the earliest the USDA would allow the program to go into effect is for school year 2026–2027. By allowing Medicaid to be used as part of direct certification to determine F&R eligibility, adequacy programs that pay additional funding for each F&R pupil will likely see an increase in spending (e.g., district public school adequacy, charter public school adequacy, and education freedom account adequacy). Additionally, NHED provides state and federal funding for districts and charters to provide meals at free and reduced prices. According to data NHED received from the Department of Health and Human Services (DHHS), New Hampshire has approximately 51,739 children ages 5 through 18 which were enrolled in Medicaid as of October 2024 and eligible for free and reduced-price meals.

 

Education Funding Impact

Based on the data and assumptions outlined below, the Department of Education (NHED) states education trust fund expenditures in FY 2027 and beyond could be increased up to, or exceeding, $49 million, with most of the increases occuring in FY 2028 and beyond.

 

For school year 2024-2025, NHED estimates 40,874 district public school students will be F&R eligible. The Medicaid Direct Certification process could identify 51,379 F&R students, based on information provided by the Department of Health and Human Services (DHHS). However, some of those students might have selected an educational pathway other than their district public school. Out of all district, charter, or education freedom account (EFA) students, district schools are responsible for educating approximately 92% of students within the state funded educational pathways. Therefore, it is estimated approximately 47,687 district students will be identified as F&R eligible under the proposed Medicaid Direct Certification program, which is an increase of 16.68% increase.

 

District Adequacy – When the 47,687 F&R students are considered in the district adequacy formula, the increase in adequacy is estimated to be $48 million due to the increase in F&R differential aid and the extraordinary needs grant. This aid increase would impact FY 2028 and beyond.

 

Charter Adequacy – If charter schools experience a 16.68% increase in F&R students, the approximate charter adequacy F&R differential aid increase would be approximately $450,000. This is calculated by taking 16.68% of the total F&R differential aid in FY 2024 of $2.57 million and applying a compounding 2% aid boost over the subsequent fiscal years. This aid increase would impact FY 2027 and beyond.

 

EFA Adequacy – If the EFA program experiences a 16.68% increase in F&R students, the approximate increase in EFA adequacy would be approximately $750,000. This is calculated by taking 16.68 percent the total F&R differential aid in FY 2024 of $4.3 million and applying a compounding 2% aid boost over the subsequent fiscal years. This aid increase would impact FY 2027 and beyond.

 

Nutrition Program Aid Impact

District schools serving an approximate increase of 6,800 students would have an impact on State spending on school nutrition, as the state general fund reimburses breakfast for F&R eligible students. Approximately, 85% of F&R students are “free” and 15% are “reduced”. Using that information, and assuming the newly eligible student have 100 percent breakfast participation for all 180 days breakfast is served within a school year, the general fund impact would be approximately $115,000.  

 

Meal Program

New Students

Pay Rate

Estimate

Free Breakfast

8,266

$0.03

$44,636

Reduced Breakfast

1,459

$0.27

$70,907

Total State General Funds

$115,543

 

The districts would receive these additional general fund dollars in the form of revenue. Additionally, districts would receive an increase federal funding from the USDA for both breakfast and lunch programs by serving these newly eligible students. While federal and state revenue would increase, districts would see a loss in local food service sales revenue as the local sales revenue for the nutrition program is replaced with state and federal funding. This is assumed to have a net neutral impact on total district revenue. However, students identified by Medicaid direct certification may not be currently accessing their school’s nutrition program and the proposed bill could increase overall participation in school nutrition, which would increase local revenue and local expenditures.

 

Department of Education Staffing/Contract Costs

To administer the increase in program participation, NHED states it would need one new position (Miscellaneous Business Operations Specialist, SOC 13-5, step 3) at an estimated cost of $102,000 in FY 2026, $104,000 in FY 2027, and $107,000 in FY 2028, assuming a start date of July 1, 2025. This bill provides neither appropriation nor authorization for new personnel.

 

Also, the Department states in FY 2026 it would expend an additional $50,000 relative to changes needed to the data system, which currently is able to receive direct certification data from other DHHS programs such as SNAP & TANF, but not the Medicaid program.

 

Department of Health and Human Services Impact

The Department of Health and Human Services (DHHS) states it anticipates that this bill may require system and process changes to New HEIGHTS, its eligibility maintenance system. This would be an estimated one-time general fund cost of $25,000 in FY 2026.

 

AGENCIES CONTACTED:

Department of Education and Department of Health and Human Services