State Policy · NH
New Hampshire Enacts Budget With Medicaid Copays, Premiums, and DHHS Cuts
In June 2025, Governor Kelly Ayotte signed New Hampshire's two-year budget cutting $51 million from the Department of Health and Human Services and imposing new Medicaid copays and premiums on certain recipients. The budget also reduced Department of Corrections funding by $10 million and cut support for the state university system. The policy changes affect Medicaid beneficiaries and state health services delivery. Managed care organizations operating in New Hampshire will need to implement the new cost-sharing requirements and adapt to reduced state DHHS capacity.
Why it mattersNew Medicaid copays and premiums alter member cost-sharing structures that MCOs must operationalize, while $51 million in DHHS cuts may affect state oversight capacity and program administration.