FACT 1: NH, IS AN ILLEGAL AND CURRUPT GOVERNMENT AND STATE.

FACT 2: DESPARATE TAX FREE NH STATE GOVERNMENT WILL BREAK ANY
               LAWS TO GAIN MONEY.

FACT 3: NOW BY ILLEGALLY DESPARATELY ROBBING

               PETER TO PAY PAUL.

FACT 4: NH IS IN CONTEMPT OF COURT NOT ONCE BUT TWICE NOW WITH
               UNITED STATES JUSTICE DEPARTMENT.

In September 2010, "The ten New Hampshire hospitals suing the state over Medicaid reimbursement rates do have a legal basis for their lawsuit. That’s according to an order issued today by a federal judge. 

The hospitals argue that the State’s slashing of more than $250 million in Medicaid funding in the last budget violates Federal guidelines. Those guidelines are meant to ensure adequate quality and access to health care for Medicaid recipients."

In April 2018, "New Hampshire is facing a budget shortfall of up to $36 million following a federal district court decision over hospital payments, setting up a high-stakes scramble among state officials to negotiate a solution ahead of a May 31 payment deadline.

The dilemma is a result of a failure by the Legislature to set aside funding last year in anticipation of the court’s decision. And it comes out of an ongoing, multi-state legal battle over how much state and federal governments must pay hospitals for uncompensated care under the Medicaid law.

Officials in the governor’s and state attorney general’s offices said they’re aware of the problem – which first appeared in early March – and are working with hospitals to craft a way forward. But the shortfall has thrown a political and financial wrench into an already-delicate time in the legislative calendar.

“They did not carry in the budget enough for the obligation,” said Scott O’Connell, an attorney representing a group of hospitals. “So somebody is going to be shorted.”

The issue stems back to the 2017 budget process. Last year, the Legislature set aside $166 million for the state’s uncompensated care fund in Fiscal Year 2018. That figure relied on a new payment formula from the federal Centers for Medicare and Medicaid (CMS) that allowed for lower payouts, even as hospitals warned the formula was improperly established and would be challenged in court.

On March 6, responding to a multi-state lawsuit, the U.S. District Court for the District of Columbia handed down a ruling siding with the hospitals. The decision voided the CMS formula nationwide, putting New Hampshire back on the hook.

Now, the state’s hospitals are pushing for the full sum they say is owed – about $237 million – $71 million more than has been budgeted, according to Senate President Chuck Morse, R-Salem. Roughly half of that would come from state funds, with the rest paid through a federal match.

John Formella, legal counsel for the governor’s office, confirmed Friday that the upper limit that could be owed by the state amounts to “approximately $36-37 million per year in fiscal years 2018 and 2019.”

And in an April 10 letter to the hospitals provided to the Monitor, Deputy Attorney General Ann Rice acknowledged that the March 6 decision created new obligations.

“The state fully intends to follow the law in the amount of DSH payments that will be made by May 31, 2018,” Rice wrote to O’Connell, referring to the “disproportionate share hospital payments” owed by the state. May 31 is the federally-mandated payment deadline to hospitals under the Medicaid law."

The question is who will NH government rob now to pay this debt? NH still hasn't completed their settlement with the United States DOJ to invest $30 million towards mental healthcare with all stipulations required in a 2 year frame that ended in 2015.

As I have been saying, NH taxpayers have been screwed in more ways than one for decades by NH's government, just to remain a tax free state.  The clock has already now counted down almost half of a new year already.  Will NH finally figure out how to clean their mess? 

TIME IS ALL NH ONCE HAD.  NOW THAT HAS RUN OUT AS WELL!