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Printable Form 843 New Hampshire: What You Should Know

National Center for Health Statistics, State Vital Statistics Reports, Vol. 53, no. 4, February 20, 2010. New Hampshire has been in the news several times lately regarding the growth of health care use in the state, a trend which is attributed to the Affordable Care Act.  We will be reviewing the coverage for NH HFS and the trends documented in the reports to get a feel for where this state stands as it relates to these trends. The NH Division of Budget & Finance report:  Revenue from health care services in 2023 was 5.67 billion. Of that total, 4.55 billion (72 percent), or 2,567 per capita, came from fees. The second largest source of revenue was net income from health insurance and supplemental insurance. NH Division of Budget & Finance The Health & Human Services Department (HDD) provides services and/or goods and/or services (such as education and research, health information, health supervision, health care administration, and health services) from the NH DID to qualified individuals; or to private, nonprofit facilities for those individuals; who have not previously been eligible for such services or goods and/or services. There are several reasons the state has been in the news for the growth in health care use in 2023 compared to previous years. The first reason is that the Affordable Care Act (the ACA) was implemented on January 1, 2010. There were some provisions that were in place before the ACA (such as requirements for health care carriers to cover pre-existing conditions and limits on costs for those with coverage) but did not affect the NH ACA exchange. In the absence of those provisions the growth in NH health care use in 2023 was probably the result of some people moving from more expensive ACA plans to cheaper plans through state run exchange plans. There were some other factors affecting the growth (primarily, the financial crisis and recession) as well. For example, the increase in Medicaid numbers as a result of the recent recession, but there was also a decline in Medicaid numbers in recent years (although the decline was less steep than it would have been without the recession). One of the criticisms of the ACA by the ACA opponents is that the law includes a mandate requiring that people are either enrolled on the exchanges or they pay penalties. The argument is that the law does not allow for a choice between an exchange and private health or dental plans.

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