This bill amends the New Hampshire Granite Advantage Health Care Program by establishing community engagement and work requirements for individuals eligible for the program, in accordance with federal authorization under Section 71119 of Public Law 119-21. Key provisions include the requirement for individuals to demonstrate compliance with work requirements at the time of application, with ongoing verification by the Department of Health and Human Services (DHHS) at least quarterly. The bill specifies that self-attestation will not be accepted for compliance or exemption verification, and outlines the criteria for exemptions based on medical frailty or special needs, which must be certified by qualified medical professionals.

Additionally, the bill mandates that the DHHS submit documentation to the Center for Medicare and Medicaid Services (CMS) regarding the implementation of these requirements, with a deadline set for December 1, 2026, or within 30 days of the publication of the federal application template. It also includes provisions for reporting on the status of the implementation and allows for the suspension of community engagement and work requirements if federal requirements are eliminated. The bill modifies existing language in the law, including the deletion of references to a 5-year demonstration program and the resubmission of a Section 1115 waiver, replacing them with new requirements for compliance and documentation.

Statutes affected:
CHAPTERED FINAL VERSION: 126-AA:2