This bill mandates the New Hampshire Department of Health and Human Services to implement community engagement and work requirements as part of the Granite Advantage Health Care Program, aligning state law with the federal One Big Beautiful Bill Act of 2025. Key changes include the amendment of RSA 126-AA:2 to suspend existing community engagement and work requirements during the federal requirements' duration, and the requirement for the department to submit a plan for these requirements to the Center for Medicare and Medicaid Services (CMS) by December 1, 2026, or within 30 days of the federal application template's publication. The bill also modifies the reporting schedule from annually to quarterly through the end of 2026, ensuring regular updates on the implementation status.

Additionally, the bill revises the language regarding the application for necessary waivers and state plan amendments, removing the previous requirement for a 5-year demonstration program and instead focusing on the administration of the Granite Advantage Health Care Program funded exclusively from non-general fund sources. The bill does not allocate new funding or positions but anticipates approximately $2.2 million in federal grant funding for necessary computer system upgrades. The projected expenditures for the program are outlined, indicating a mix of state and federal funding sources to support the implementation of these new requirements.

Statutes affected:
SB506 text: 126-AA:2