Bill Text: NH HB1578 | 2022 | Regular Session | Introduced

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Bill Title: Relative to including certain children and pregnant people in Medicaid and the children's health insurance program.

Spectrum: Partisan Bill (Democrat 11-0)

Status: (Introduced - Dead) 2022-02-17 - Lay on Table (Rep. M. Pearson): Motion Adopted DV 187-161 02/17/2022 House Journal 4 [HB1578 Detail]

Download: New_Hampshire-2022-HB1578-Introduced.html

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HB 1578-FN - AS INTRODUCED

 

 

2022 SESSION

22-2271

05/11

 

HOUSE BILL 1578-FN

 

AN ACT relative to including certain children and pregnant people in Medicaid and the children's health insurance program.

 

SPONSORS: Rep. Schapiro, Ches. 16; Rep. Marsh, Carr. 8; Rep. Espitia, Hills. 31; Rep. Sykes, Graf. 13; Rep. Berch, Ches. 1; Rep. Knirk, Carr. 3; Rep. Mangipudi, Hills. 35; Rep. Wazir, Merr. 17; Rep. Perez, Hills. 23; Rep. Toll, Ches. 16; Sen. Rosenwald, Dist 13

 

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 people lawfully residing in the United States.

 

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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

22-2271

05/11

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Twenty Two

 

AN ACT relative to including certain children and pregnant people in Medicaid and the children's health insurance program.

 

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

 

1  New Section; Inclusion of Certain Children and Pregnant People 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 People 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, 2023, 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 people 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 people through the postpartum period.

2  Effective Date.  This act shall take effect 60 days after its passage.

 

LBA

22-2271

Redraft 12/13/21

 

HB 1578-FN- FISCAL NOTE

AS INTRODUCED

 

AN ACT relative to including certain children and pregnant people in Medicaid and the children's health insurance program.

 

FISCAL IMPACT:      [ X ] State              [    ] County               [    ] Local              [    ] None

	Estimated Increase / (Decrease)
STATE:	FY 2022	FY 2023	FY 2024	FY 2025
Appropriation	$0	$0	$0	$0
Revenue	$0	$0	$0	$0
Expenditures	$0	$440,000 - $473,000 (50% state general funds, 50% federal funds)	$440,000 - $473,000 (50% state general funds, 50% federal funds)	$$440,000 - $473,000 (50% state general funds, 50% federal funds)
Funding Source:	[ X ] General            [    ] Education            [    ] Highway           [ X ] Other - Matching federal funds.

 

METHODOLOGY:

This bill requires the Department of Health and Human Services to submit Medicaid State Plan amendments to expend coverage to otherwise eligible pregnant people 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 between $34,000 and $43,000 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 between $186,000 and $210,000 per year, of which half will be state general funds and half will be matching federal funds.  

 

 It is assumed any fiscal impact will begin in FY23.

 

 

 

 

 

AGENCIES CONTACTED:

Department of Health and Human Services