新罕布什尔报告测算：医疗补助工作要求生效后至多2.9万人或失去医保
新罕布什尔州财政政策研究所（NHFPI）10月20日发布分析报告指出，2027年1月1日起实施的医疗补助（Medicaid）工作要求，可能使该州「花岗岩优势计划」（Granite Advantage）参保人数大幅下滑：据城市研究所测算，至2028年将有2.3万至2.9万名成年人失去医保，约占2026年8月该计划参保人数47,984人的48%至60%。新规要求19至64岁的医疗补助扩展参保人每月从事工作、社区服务或教育培训等活动至少80小时。新罕布什尔州已定的实施规则比联邦最低要求更严：参保人须提交书面证明而非自我申报，资格核验至少每季度一次（联邦要求为每半年一次），医疗脆弱豁免须由医疗服务提供者出具证明。报告还指出，医疗服务提供者税下调将使新州长期损失超过20亿美元的州与联邦医保资金。报告称，多项实施细节仍待州政府在今后数月内决定，最终失去保障的人数将取决于这些决定。（GSM 据新罕布什尔财政政策研究所报告）
NH Report: Medicaid Work Requirements Could Cost Up to 29,000 Granite Staters Their Coverage
The New Hampshire Fiscal Policy Institute (NHFPI) reported on October 20 that new Medicaid work requirements taking effect January 1, 2027, could sharply reduce enrollment in the state's Granite Advantage program: an estimated 23,000 to 29,000 adults could lose coverage by 2028, according to Urban Institute estimates, equal to roughly 48% to 60% of the program's 47,984 enrollees as of August 2026. The rules require Medicaid expansion adults ages 19 to 64 to document at least 80 hours per month of work, community service, education or training. New Hampshire's implementation choices are stricter than the federal minimum: enrollees must provide documentary evidence rather than self-attest, verification is required at least quarterly instead of every six months, and medical-frailty exemptions require certification from a medical provider. The report also said reductions in the provider tax are likely to forgo more than $2 billion in state and federal Medicaid funding over time. Several implementation decisions remain for the state to make in the coming months, NHFPI said. (GSM, based on the NHFPI report)
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图片来源：新罕布什尔州议会大厦（Concord）；Wikimedia Commons，CC BY 4.0，作者 Quintin Soloviev
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