Public policy in New Hampshire

The Public Policy Project on Ballotpedia aims to illuminate major policy issues being discussed and implemented throughout the United States. Public policy can be complicated and controversial; deciding what works best and how to allocate resources to achieve a policy goal can involve multiple trade-offs. Much of the public policy that affects citizens economically, legally and socially, is made at the state level. Below you will find links and introductions to all the New Hampshire public policy articles on Ballotpedia. To see the policy overview of another state click on the map below.

For a list of all public policy articles on Ballotpedia see here.

Budget Policy[edit]

Budget and finances[edit]

In New Hampshire, as in other states, lawmakers and public officials are elected in part to manage the state's finances. This includes generating revenues (money coming into the state from various sources) and approving expenditures (the money spent on governmental functions and servicing state debt). State budgets are complex and fluid, as they depend on anticipated revenues and planned expenditures, which may alter over the course of a fiscal year. If revenues do not keep pace with expenditures, states generally have to raise taxes, cut services, borrow money, or a combination of the three. State budget decisions are also influenced by policy decisions at the national level, such as the Affordable Care Act or energy and environmental regulations, and issues at the local level, such as crime and the quality of education.

Taxes[edit]

New Hampshire generates the bulk of its tax revenue by levying select sales taxes (otherwise known as excise taxes) and a corporate income tax. The state derives its constitutional authority to tax from Article 5, Part Two of the state constitution.^[2][3]

Tax policy can vary from state to state. States levy taxes to help fund the variety of services provided by state governments. Tax collections comprise approximately 40 percent of the states' total revenues. The rest comes from non-tax sources, such as intergovernmental aid (e.g., federal funds), lottery revenues and fees. The primary types of taxes levied by state governments include personal income tax, general sales tax, excise (or special sales) taxes and corporate income tax.^[4]

Civil Liberties Policy[edit]

Affirmative action[edit]

Affirmative action in New Hampshire refers to the steps taken by employers and universities in New Hampshire to increase the proportions of historically disadvantaged minority groups at those institutions. Historically, affirmative action nationwide has taken many different forms, such as strict quotas, extra outreach efforts, and racial and gender preferences. However, racial quotas in university admissions were banned in a 1978 United States Supreme Court case, Regents of the University of California v. Bakke.^[5]

On June 29, 2023, the Supreme Court reversed lower court decisions in Students for Fair Admissions, Inc. v. President and Fellows of Harvard College and Students for Fair Admissions, Inc. v. University of North Carolina, effectively ending the use of affirmative action in college admissions.

As of March 2015, 109 out of 577 public four-year universities across the country reported that they considered race in admissions. This practice has been banned in eight states. Meanwhile, 28 states require affirmative action plans in either public employment or apprenticeships. Affirmative action programs that grant racial preferences have come under scrutiny in the courts for potentially violating the Equal Protection Clause of the Fourteenth Amendment and Title VII of the Civil Rights Act.^[6][7]

The effects of affirmative action policies are contested. Proponents argue that affirmative action diversifies selective institutions and provides more opportunities to minorities. Opponents argue that implementing policies that favor some groups requires discrimination against others and that these policiesmay harm individuals they are meant to help.

Campaign finance[edit]

New Hampshire campaign finance requirements govern the following:

• how much money candidates may receive from individuals and organizations,
• how much and how often they must report those contributions, and
• how much individuals, organizations and political parties may contribute to campaigns.

In addition to direct campaign contributions, campaign finance laws also apply to third-party organizations and nonprofit organizations that seek to influence elections through independent expenditures or issue advocacy.

As of May 2015, individuals and corporations could donate no more than $1,000 to candidates for office and could make unlimited contributions to ballot measure campaigns. Unions could not directly contribute to candidates for office but could make unlimited contributions to ballot measure campaigns.

Nonprofit regulation[edit]

Nonprofit regulation in New Hampshire involves a complex set of rules that govern nonprofit organizations and charitable giving throughout the state. Major issues surrounding nonprofit regulation nationwide include the following:

• contribution limits,
• donor disclosure, and
• the redefinition of issue advocacy.

New Hampshire is one of 39 states that require charitable organizations, and those intending to solicit on their behalf, to register with the state in order to solicit contributions, whether they are a New Hampshire organization or based out-of-state. In New Hampshire a small number of groups and organizations are exempt from registration. Only certain religious organizations and some nonprofits whose purposes are not primarily charitable are exempt. These groups must apply for exemption; it is not automatic.^[8]

New Hampshire is one of 32 states that allows registrants to use either the Unified Registration Statement (URS) or the state registration form.^[9] Only seven states requiring registration do not accept the URS.

According to Guidestar, an organization that reports on nonprofit companies, regulation of nonprofit activity protects donors and organizations from potential fraud and helps "to maintain trust in the [nonprofit] sector." According to the London School of Economics, nonprofit disclosure requirements can create privacy concerns among potential donors, thereby having an unintended negative impact on donor participation.[10][11]

Education Policy[edit]

Charter schools  •  Higher education  •  Public education  •  School choice

K-12 Public education[edit]

The New Hampshire public school system (prekindergarten through grade 12) operates within districts governed by locally elected school boards and superintendents. In 2022, New Hampshire had 168,631 students enrolled in a total of 456 schools in 162 school districts. There were 14,009 teachers in the public schools, or roughly one teacher for every 12 students, compared to the national average of 1:16. In 2020, New Hampshire spent on average $17,900 per pupil.^[12] The state's graduation rate was 88 percent in the 2018-2019 school year.^[13]

Higher education[edit]

New Hampshire's higher education system is composed of 28 colleges and universities. Of these, 13 are public institutions, 13 are nonprofit private schools, and two are for-profit private institutions.^[14]

School choice[edit]

School choice is a term that refers to programs offering alternatives to assigned local public school options. Public school choice options include open enrollment policies, magnet schools, and charter schools. Other options include school vouchers, scholarship tax credits, and education savings accounts (ESAs).^[15][16]

Proponents argue that school choice programs improve educational outcomes by expanding opportunity and access for historically disadvantaged students. In addition, advocates claim that school choice programs empower parents and improve traditional public schools through competition. Critics contend that these programs divert funds from traditional public schools, thereby generating unequal outcomes for students. In addition, some critics argue that school voucher programs wrongly direct tax dollars to religious organizations, which operate many private schools.

Charter schools[edit]

Charter schools in New Hampshire are public schools operated independently of public school systems. Although they are largely publicly funded, charter schools are exempt from many of the requirements imposed by state and local boards of education regarding hiring and curriculum. As public schools, charter schools cannot charge tuition or impose special entrance requirements; students are usually admitted through a lottery process if demand exceeds the number of spaces available in a school. Charter schools generally receive a percentage of the per-pupil funds from the state and local school districts for operational costs based on enrollment. In most states, charter schools do not receive funds for facilities or start-up costs; therefore, they must rely to some extent on private donations. The federal government also provides revenues through special grants. As of March 2017, 44 states and the District of Columbia had approved legislation authorizing the creation of public charter schools. Six states had not.

Election Policy[edit]

Ballot access requirements[edit]

In order to get on the ballot in New Hampshire, a candidate for state or federal office must meet a variety of state-specific filing requirements and deadlines. These regulations, known as ballot access laws, determine whether a candidate or party will appear on an election ballot. These laws are set at the state level. A candidate must prepare to meet ballot access requirements well in advance of primaries, caucuses, and the general election.

There are three basic methods by which an individual may become a candidate for office in a state.

1. An individual can seek the nomination of a state-recognized political party.
2. An individual can run as an independent. Independent candidates often must petition in order to have their names printed on the general election ballot.
3. An individual can run as a write-in candidate.

This article outlines the steps that prospective candidates for state-level and congressional office must take in order to run for office in New Hampshire. For information about filing requirements for presidential candidates, click here. Information about filing requirements for local-level offices is not available in this article (contact state election agencies for information about local candidate filing processes).

Redistricting[edit]

Redistricting is the process by which new congressional and state legislative district boundaries are drawn. Each of New Hampshire's two United States Representatives and 424 state legislators are elected from political divisions called districts. United States Senators are not elected by districts, but by the states at large. District lines are redrawn every 10 years following completion of the United States census. The federal government stipulates that districts must have nearly equal populations and must not discriminate on the basis of race or ethnicity.^{[17][18][19][20]}

New Hampshire was apportioned 2 seats in the U.S. House of Representatives after the 2020 census, the same number it received after the 2010 census. Click here for more information about redistricting in New Hampshire after the 2020 census.

Voting[edit]

Energy Policy[edit]

Energy information[edit]

Energy policy involves governmental actions affecting the production, distribution, and consumption of energy in a state. Energy policies are enacted and enforced at the local, state, and federal levels and may change over time. These policies include legislation, regulation, taxes, incentives for energy production or use, standards for energy efficiency, and more. Stakeholders include citizens, politicians, environmental groups, industry groups, and think tanks. A variety of factors can affect the feasibility of federal and state-level energy policies, such as available natural resources, geography, and consumer needs.

Fracking[edit]

Environmental Policy[edit]

Environmental information[edit]

Environmental policy aims to conserve natural resources by balancing environmental protection with economic growth, property rights, public health, and energy production. Federal, state, and local government entities develop and implement environmental policies through laws and regulations. This page features information about environmental policy in New Hampshire.

Environmental governance in New Hampshire[edit]

The New Hampshire legislature has two House standing committees related to environmental policy and natural resources: The Resources, Recreation and Development committee manages bills on natural resources, water pollution, and parks and recreation while the Environment and Agriculture committee manages bill related agriculture as well as pollution issues like air, water and waste pollution. The Senate has a standing committee on Energy and Natural Resources. The committees manage bills relating to energy development and policy as well as the state's protected resources.

Environmental budget[edit]

See also: Environmental spending in the 50 states

The table below features annual budget information for the New Hampshire Environmental Services Department from 2011 to 2023:

Environmental and natural resources budget in New Hampshire, 2011-2023
Fiscal year	Total spending
2023	$251,972,489
2022	$169,694,285
2021	$240,029,103
2020	$208,247,823
2019	$229,850,354
2018	$173,845,957
2017	$211,397,122
2016	$139,909,551
2015	$188,294,502
2014	$124,447,820
2013	$198,217,387
2012	$118,652,082
2011	$225,939,534
Source: Department of Administrative Services

Air[edit]

Clean Air Act[edit]

See also: Implementation of the Clean Air Act

The Clean Air Act is a federal law aimed at maintaining air quality and reducing air pollution. The law requires states and private industries to meet national air pollution standards. Each state must implement an EPA-approved plan to reduce air pollutants from industrial facilities such as chemical plants and utilities. Over 47,000 facilities nationwide were regulated under the Clean Air Act as of February 2023.^{[21][22][23][24]}

The table below features information about the number of regulated facilities under the Clean Air Act in New Hampshire from 2014 to 2023:

Regulated facilities under the Clean Air Act in New Hampshire, 2014-2023
Year	Number of EPA-regulated facilities	Number of state-regulated facilities	Number of local-regulated facilities	Total regulated facilities
2023	0	209	0	209
2022	0	217	0	217
2021	0	244	0	244
2020	0	230	0	230
2019	0	263	0	263
2018	6	245	0	251
2017	0	244	0	244
2016	0	261	0	261
2015	0	235	0	235
2014	0	319	0	319
Source: U.S. Environmental Protection Agency, "EPA/State Air Dashboard"

Mercury and air toxics standards[edit]

See also: Mercury and air toxics standards

Citing its authority under the Clean Air Act, the U.S. Environmental Protection Agency (EPA) in 2011 issued a rule (commonly known as the MATS rule) limiting the amount of mercury and other toxic air pollutants emitted by power plants. Mercury and air toxics standards (MATS) target mercury and other hazardous pollutants from over 580 coal and oil-fired power plants nationwide. The MATS rule was issued by the Obama administration as part of its larger policy limiting emissions from coal-fired power plants.^[25]

The EPA later reconsidered the MATS rule and, in 2020, determined "that it is not 'appropriate and necessary' to regulate electric utility steam generating units under section 112 of the Clean Air Act (CAA)."^[26]

A 2021 proposed rulemaking from the EPA seeks to revoke the 2020 action and reinstate the MATS rule.^[27]

During the period that the MATS rule was in effect, New Hampshire had three power plants subject to the mercury standards.^[28]

Ozone standards[edit]

See also: Ground-level ozone standards

Federal ozone standards establish the acceptable amount of ground level ozone, commonly known as smog, which is formed when nitrogen oxide combines with other organic chemicals in the atmosphere. Automobiles, power plants, factories and manufacturing centers emit the nitrogen oxide necessary for ozone formation. In high concentrations, ozone is harmful to human health.^[29][30]

EPA in 2015 lowered the acceptable amount of ground-level ozone (smog) in the air. The standards will go into effect in 2025. States would have between the years 2020 and 2037 to create and establish a plan to meet the standards, depending how much ozone forms in certain areas of a state.^[31][32]

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Clean Power Plan[edit]

See also: Clean Power Plan and climate change

The EPA in 2015 finalized a regulatory action known as the Clean Power Plan aimed at mitigating what the agency views as potentially human-caused climate change. The plan aims to reduce carbon dioxide (CO₂) emissions from coal- and oil-fired power plants (fossil fuel-fired) and natural gas-fired power plants by 32 percent from 2005 levels by 2030. Each state would have to meet goals based on the number of fossil fuel- and natural gas-fired plants in the state.^[33][34][35]

After several states challenged the plan in court, arguing in part that the plan exceeded the EPA's statutory authority, the U.S. Court of Appeals for the District of Columbia Circuit delayed the rule's implementation in June 2016. The Trump administration later moved to replace the Clean Power Plan with the Affordable Clean Energy rule. The D.C. Circuit vacated the Trump-era rule in January 2021, "giving the incoming Biden administration a clean slate for" drafting a new rule, according to Bloomberg.^[36][37]

Carbon dioxide emissions[edit]

The following table provides information about annual carbon dioxide emissions in New Hampshire from 2010 to 2020:^[38]

Carbon dioxide emissions in New Hampshire, 2010-2020 (in million metric tons of energy-related carbon dioxide)
Year	Total carbon dioxide emissions
2020	12.4
2019	13.9
2018	14.2
2017	13.5
2016	13.8
2015	15.3
2014	15.2
2013	14.4
2012	14.7
2011	16.4
2010	16.8
Source: U.S. Energy Information Administration

Land[edit]

Federal land policy[edit]

See also: Federal land policy

Federal land policy involves the conservation and management of natural resources on land owned by the federal government. Most federal land policies focus on conservation, recreation, oil and natural gas extraction, wildlife and forest management, and grazing.

The federal government as of 2018 owned around 640 million total acres of land (about 28 percent) of the 2.27 billion acres of land in the United States. Four federal agencies (the Bureau of Land Management (BLM), the Fish and Wildlife Service (FWS), the National Park Service (NPS), the Forest Service (FS) oversee public lands for conservation, recreation, wildlife protection, grazing, energy production, and other purposes. The Department of Defense also oversees federal lands used for military, training, and related purposes. The majority of federal land is located in Alaska and 11 coterminous Western states^[39]

Federal land ownership[edit]

See also: Federal land ownership by state

The table below features information about changes in federal land ownership in New Hampshire from 1990 to 2018:^[39]

Change in federal land ownership in New Hampshire, 1990-2018
Year	Total federal land (in acres)	Percentage of state land owned by the federal government
2018	805,472	14.0%
2010	777,807	13.5%
2000	754,858	13.1%
1990	734,163	12.7%
Source: Congressional Research Service

Federal land management by agency[edit]

The following table features information about federal land management in New Hampshire by federal agency in 2018:^[39]

Federal agency land management in New Hampshire, 2018
Agency	Total federal land in state managed by agency (in acres)	Percentage of total federal land in state
Bureau of Land Management (BLM)	0	0.0 %
Forest Service (FS)	753,921	93.6%
Fish and Wildlife Service (FWS)	34,716	4.3%
National Park Service (NPS)	13,696	1.7%
Department of Defense (DoD)	3,139	0.4%
Source: Congressional Research Service

National parks[edit]

The U.S. National Park Service (NPS) as of February 2023 oversaw what the agency describes as 424 units (often referred to as parks) and more than 150 related areas within the National Park System. The agency assists in managing national historic areas, wild and scenic rivers, historic landmarks, and national trails. The National Park System contained more than 85 million acres as of February 2023, including national parks, historical parks and sites, national monuments, battlefields and military parks, recreation areas, seashores, and parkways. More than 297 million visitors attended sites in the National Park System in 2021. NPS employed around 20,000 permanent, temporary, and seasonal employees as of February 2023.^[40][41][42]

NPS operated two national parks in New Hampshire as of February 2023.^[43]

The following table features visitation statistics for national parks in New Hampshire from 2017 to 2021.^[44]

National Park Service visitation in New Hampshire, 2017-2021
Year	Total recreation visits
2021	26,058
2020	13,286
2019	31,759
2018	35,218
2017	37,556
Source: U.S. National Park Service

Payments in lieu of taxes[edit]

See also: Payments in lieu of taxes

The U.S. Department of the Interior pays local governments each year to offset what they lose in property taxes due to non-taxable federal land within their borders, commonly known as payments in lieu of taxes (PILT). PILT payments go toward fire and police departments, public schools, road construction, and other local services. PILT amounts are based on population and the amount of federal land in a county. From 1977 (when PILT payments began) to 2022, the Interior Department paid out around $10.8 billion to states, territories, and Washington, D.C. PILT payments can be used for any governmental purpose.^[45][46]

The following table features information about payments in lieu of taxes received by local governments in New Hampshire from 2017 to 2021.^[47]

Total payments in lieu of taxes, New Hampshire, 2017-2021
Year	Total payments in lieu of taxes
2022	$2,177,262
2021	$2,125,916
2020	$2,095,636
2019	$2,049,423
2018	$2,036,937
Source: U.S. National Park Service

Oil and natural gas activity[edit]

See also: Oil and natural gas extraction on federal land and BLM oil and gas leases by state

The federal government leases its land to private individuals and companies for energy development, including drilling for crude oil and natural gas, solar energy, and geothermal energy. Oil and natural gas drilling on federal lands in the United States is primarily overseen by the U.S. Bureau of Land Management. Private oil and natural gas companies apply for leases from the BLM to produce energy on federal land. About 26 million acres of federal land—12.8 million of which produced oil and gas in economic quantities—were leased to about 24,000 oil and gas developers operating 96,000 wells at the end of fiscal year 2018.^[48]

New Hampshire had no oil and natural gas activity on federal land within the state from 2017 to 2021.^[49][50]

Water[edit]

Clean Water Act[edit]

See also: Implementation of the Clean Water Act

The Clean Water Act is a federal law regulating pollutants discharged into all waters of the United States, including lakes, rivers, streams, and wetlands. The federal government approves water quality and technology standards for major sources of water pollution, such as chemical plants, steel manufacturers, municipal facilities, and others. Each state must establish water quality standards for all bodies of water within its boundaries.^[51]

Under the Clean Water Act, it is unlawful to discharge any pollutant from any source into navigable waters without a federal permit. The permit specifies what limitations or conditions apply to a facility before the facility may discharge any pollutants. Federal permits may contain facility-specific requirements and limitations depending on the water source.^[52]

The following table provides information about the number of New Hampshire facilities subject to regulation under the Clean Water Act from 2014 to 2023:^[53]

Clean Water Act permits, New Hampshire, 2014-2023
Year	Number of facilities
2023	2,111
2022	2,352
2021	2,108
2020	1,839
2019	1,657
2018	1,370
2017	1,017
2016	531
2015	278
2014	209
Source: U.S. Environmental Protection Agency, "National Water Activity Dashboard"

Waste[edit]

Superfund sites and hazardous waste facilities[edit]

See also: Comprehensive Environmental Response, Compensation and Liability Act

Superfund is a federal program that addresses contaminated waste sites and their return to practical use. Superfund sites include oil refineries, smelting facilities, mines and other industrial areas. The federal government can compel the private entities responsible for a waste site to clean the site or face penalties. If the federal government cleans a waste site, it can compel the responsible company to reimburse the government for cleanup costs. Because Superfund sites are added and removed from a prioritized list on a regular basis, the total number of Superfund sites since the program's inception in 1980 is unknown.^[54][55][56]

The federal Resource Conservation and Recovery Act covers hazardous wastes, including their generation, treatment, storage and disposal. States may regulate hazardous wastes rather than the federal government. The EPA is responsible for all hazardous waste requirements if no state program exists. Hazardous waste regulations cover waste generators, transporters, treatment centers, storage and disposal facilities.^[57]

New Hampshire had 20 Superfund sites and 2,530 regulated hazardous waste facilities as of February 2023.^[58][59]

Endangered species[edit]

Endangered Species Act[edit]

See also: Endangered species in New Hampshire

The Endangered Species Act is a federal law that mandates the listing and conservation of endangered and threatened species. The legislation aims to prevent the extinction of vulnerable species throughout the United States and to recover a species' population to the point where listing the species as endangered or threatened is no longer necessary. The U.S. Fish and Wildlife Service is responsible for the law's implementation.^[30][60]

New Hampshire had 12 federally listed endangered or threatened plant or animal species as of February 2023. To view the full list, click here.^[61]

Environmental ballot measures in New Hampshire[edit]

The following list features historical information about ballot measures relating to environmental issues in New Hampshire.

Natural resources[edit]

Ballotpedia staff have tracked no ballot measures relating to natural resources in New Hampshire

Environment[edit]

Ballotpedia staff have tracked no ballot measures relating to the environment in New Hampshire

Water[edit]

Ballotpedia staff have tracked no ballot measures relating to water in New Hampshire

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Recent environmental legislation in New Hampshire[edit]

The following list features information about environmental bills that have been introduced in or passed by the New Hampshire General Court in the last five years. To learn more about these bills, click the bill title. This information is provided by BillTrack50 and LegiScan.

Note: Due to the nature of the sorting process used to generate this list, some results may not be relevant to the topic. If no bills are displayed below, no legislation pertaining to this topic has been introduced in the legislature recently.

See also[edit]

• Endangered species in New Hampshire
• Energy policy in New Hampshire
• Federal land policy
• Federal land ownership by state
• U.S. Bureau of Land Management
• U.S. Department of the Interior
• U.S. Environmental Protection Agency
• U.S. Fish and Wildlife Service
• U.S. National Park Service

External links[edit]

• Search Google News for this topic
• New Hampshire Department of Environmental Services
• U.S. Environmental Protection Agency

Footnotes[edit]

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Endangered species[edit]

Endangered species policy in New Hampshire involves the identification and protection of endangered and threatened animal and plant species. Policies are implemented and enforced by both the state and federal governments.

Finance Policy[edit]

Financial regulation information[edit]

The United States financial system is a network that facilitates exchanges between lenders and borrowers. The system, which includes banks and investment firms, is the base for all economic activity in the nation. According to the Federal Reserve, financial regulation has two main intended purposes: to ensure the safety and soundness of the financial system and to provide and enforce rules that aim to protect consumers. The regulatory framework varies across industries, with different regulations applying to different financial services.^[1]

Individual federal and state entities have different and sometimes overlapping responsibilities within the regulatory system. For example, individual states and three federal agencies—the Federal Reserve, the Office of Comptroller of the Currency (OCC), and the Federal Deposit Insurance Corporation (FDIC)—regulate commercial banks. Other sectors of the financial market are regulated by specific entities.^[2][3]

Some, such as the Brookings Institution, argue that expanded governmental regulation of banks and financial products (e.g., mortgages) can prevent large-scale financial crises, protect consumers from abusive practices, and stabilize financial markets. Others, such as the Cato Institute, argue that over-regulation of banks of banks and financial products burdens business, stalls economic growth, and does little, if anything, to stabilize financial markets. Beyond this basic debate about the role of the government in regulating the private financial sector, there are varying opinions about the proper extent of governmental regulation.^[4][5]

Healthcare Policy[edit]

Healthcare information[edit]

Healthcare policy in New Hampshire involves the creation and implementation of laws, rules, and regulations for managing the state's healthcare system. The healthcare system consists of services provided by medical professionals to diagnose, treat, and prevent mental and physical illness and injury. The system also encompasses a wide range of related sectors, such as insurance, pharmaceuticals and health information technology.

According to the National Conference of State Legislatures, the 50 state legislatures collectively "make thousands of health policy decisions each year," not including the decisions made by local governments, which often oversee hospitals, and private bodies, such as insurers. These decisions can include budget appropriations, requirements for doctors obtaining their licenses, which services are covered by insurance, how personal health information is managed, and which immunizations children must receive, among many others.^[6]

Healthcare policy affects not only the cost citizens must pay for care, but also their access to care and the quality of care received, which can influence their overall health. A top concern for policymakers is the rising cost of healthcare, which has placed an increasing strain on the disposable income of consumers as well as on state budgets.

Other issues in healthcare policy include

• state Medicaid expansion,
• health information technology and privacy,
• uninsured and underinsured portions of the population,
• a shortage of primary care physicians, and
• mental healthcare access and coverage.

Medicaid spending[edit]

New Hampshire's Medicaid program provides medical insurance to groups of low-income people and individuals with disabilities. Medicaid is a nationwide program jointly funded by the federal government and the states. Medicaid eligibility, benefits, and administration are managed by the states within federal guidelines. A program related to Medicaid is the Children's Health Insurance Program (CHIP), which covers low-income children above the poverty line and is sometimes operated in conjunction with a state's Medicaid program. Medicaid is a separate program from Medicare, which provides health coverage for the elderly.

Effect of the Affordable Care Act[edit]

The impact of the Affordable Care Act of 2010 (ACA), also known as Obamacare, was debated among politicians, policymakers, and other stakeholders. President Barack Obama (D) signed the ACA into law in 2010. The law facilitated the purchase of health insurance through a system of health insurance exchanges, tax credits, and subsidies. Initially, states were required to expand eligibility for Medicaid under the law; a 2012 ruling by the United States Supreme Court made the Medicaid expansion voluntary for states. The law also required insurers to cover healthcare services within a standard set of benefits and prohibited coverage denials based on preexisting conditions. Under the law, all individuals were required to obtain health insurance.

Immigration Policy[edit]

Immigration information[edit]

Immigration policy determines who may become a new citizen of the United States or enter the country as a temporary worker, student, refugee, or permanent resident. The federal government is responsible for setting and enforcing most immigration policy.

Meanwhile, states assume a largely supportive role, enacting their own supplementary laws and setting policies that may, for example, determine which public services immigrants can access, establish employee screening requirements, or guide the interaction between related state agencies and their federal counterparts.

Some jurisdictions, including some states, cities, and counties, have adopted policies of not cooperating with federal immigration enforcement; these jurisdictions have become known as sanctuary jurisdictions.

Pension Policy[edit]

Public pensions[edit]

New Hampshire public pensions are the state mechanism by which state and many local government employees in New Hampshire receive retirement benefits.

There were five public pension systems in New Hampshire as of 2020. Of these, two were state-level programs while the remaining three were administered at the local level. Membership in New Hampshire's various pension systems totaled 107,222, as of fiscal year 2020. Of these, 49,821 were active members.^[7]

Public policy in other states[edit]

Footnotes[edit]

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