N.H. committee backs Medicaid work rules to match new federal standard; lawmakers warn of burdens

Nov 13, 2025

The House Health Committee voted to pass SB134FN with Amendment 3093H, shifting New Hampshire to federal community-engagement (work) requirements for the Granite Advantage program while opponents warned the policy could create administrative hurdles and risk coverage losses for some residents.

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The House Committee on Health, Human Services and Elderly Affairs voted 11–6 to advance SB134FN as amended, a bill that directs the state to implement federal Medicaid community-engagement (work) requirements for the Granite Advantage program rather than seek an 1115 waiver.

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