Medicaid Enhancement Tax Legislation

The Medicaid Enhancement Tax paid by N.H. hospitals is the subject of two superior court decisions and two pieces of legislation. The Senate-proposed amendment to HB 1613 would not expand the MET to other provider classes and would reduce the tax rate over three years as more Granite Staters become insured. The House proposed amendment to SB 369 has two sections. The first part requires all MET funds be used strictly for health care; the second part would expand the tax to four more classes of providers (ASCs, therapist services, freestanding lab and X-ray services and emergency ambulance services) but only if the current MET law is found unconstitutional. The House and Senate will continue to debate and seek resolution on the MET issue when the bills are in the committee of conference process over the next two weeks. NHMS staff met this week with House and Senate leadership and will continue to closely monitor this hot-button issue. You can find good summaries in the Union Leader and Valley News.