NH Citizens Alliance
Over thirty years of working for social, economic, and political justice for all
New Hampshire Citizens Alliance
4 Park Street, Suite 304
Concord, NH 03301
603-225-2097
We are passionate about passing real health care reform
that provides quality, affordable health care every
American can count on. For more than a decade we have
been working to gain access to quality, affordable health
care for all residents of our state by educating elected
officials and educating the public. We have held
numerous information sessions all across the state to
help get our message out so that the voices of New
Hampshire residents can be heard in the halls of Congress.
With 45 million people across the country without health
insurance and living one accident or sickness away from
financial ruin, the urgency to enact effective health care reforms has never been greater.

At the state level, we are a member of
NH Voices for Health, a network of health advocacy
organizations devoted to improving quality, cost, and access to health care in the Granite
State.

On March 23rd, comprehensive federal reform passed! Here are a few of the many reforms
your hard work helped win:
Families USA
Health Care for America Now

How does reform affect seniors?

With the health care reform, the Part D coverage gap with decrease. First, in 2010, all
enrollees who spend in the gap will receive a rebate of $250.  In 2011, all enrollees who spend
in the coverage gap will receive a 50% discount on the total of their brand name prescriptions.
Additional subsidies will be phased in by 2020, when pharmaceutical manufactures give a
50% discount on brand name drugs and the federal government will provide 25% of the cost,
leaving 25% of the total cost for the Part D enrollee. For generic drugs, the enrollee will still
only pay 25%, but the other 75% will be subsidized by Medicare.

An informative video about the affects on seniors.
A
Fact Sheet by the Center for Medicare and Medicaid Services   

How does reform affect the deficit?

This reform will cost the government $938 per year for 10 years, and should reduce the
deficit by $124 billion in that decade.

How does reform affect employers?

Though there is no employer mandate, employers with more than 50 employees will have to
pay a  fee of $2000 per full-time employee in excess of 30 if they do not provide health
insurance and they have one employee who receives a premium credit through the American
Health Benefit Exchanges. If they offer coverage and still have an employee who receives
credit through the Exchange are required to pay the lesser of $3000 for each employee
receiving from the Exchange or $2000 for each full time employee. Large employers that
offer coverage will be required to automatically enroll employees into the lowest cost
premium plan of the employee does not sign up or opt out.

How does reform affect Medicaid?

Medicaid will expand to all individuals under 65 with incomes less than $14404 for an
individual and $29327 for a family of 4 in 2009. Eligibility for Medicaid and Children's
Health Insurance Program (CHIP) for children will remain the same until 2019.

What is the individual mandate?

All individuals will be required to have health insurance starting in 2014. There will be some
exceptions, but those who do not will have a financial penalty of $695 per person, up to
$2085 per family, or 2.5% of household income. The exceptions include financial hardships,
religious objections, American Indians, people who have been uninsured for less than 3
months, people for which the lowest cost health plan exceeds 8% of their income, and people
whose income is less than the filing threshold.

Timeline  of Reform Events

Read the Reports

Listed below are some reports that convey
a good deal of pertinent information on
current health care and health care reform.

Report on the Current Rate of Uninsured People in NH

Report for NH Congressional District 1 (Shea-Porter)

Report for NH Congressional District 2 (Hodes)

Report on Health Insurance Competition in NH

Comparison of the Senate HELP Bill, the House Bill, and the Senate Finance Committee Bill
with Regard to Racial/Ethnic Disparities

Henry J. Kaiser Family Foundation Summary of Coverage Provisions in the Patient
Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of
2010

Henry J. Kaiser Family Foundation Healthcare Implementation Timeline

The Main Street Alliance: Small Businesses and the Final Health Reform Package: 5
Need-to-Know Points