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NH Senate budget will continue shifting health care costs onto working families

Report: Health insurance premium of average working family in NH includes $805 for "uncompensated care"

Read or download "Paying a Premium: The Added Cost of Care for the Uninsured" on the Families USA site

Read or download New Hampshire fact sheet from the report (PDF)

June 8, 2005

The state budget proposed by the New Hampshire Senate will continue to shift the costs of the health care system onto working families and small businesses, according to the Children's Alliance of New Hampshire.

In New Hampshire, premiums for employer-sponsored family health coverage cost an extra $805 to cover the health care expenses of uninsured people, according to a report released today by the health consumer organization Families USA.

The report, "Paying a Premium: The Added Cost of Care for the Uninsured," projects that this additional cost of family coverage in NH will rise to $1,356 in 2010. It says premiums for workers with individual health insurance coverage will cost an additional $252 this year and $375 in 2010.

Nationally, the report found that people who lack health insurance pay for approximately one-third (35 percent) of their health care costs. Of the remaining costs, often referred to as “uncompensated care,” one-third is paid for by federal, state, and local governments. The remaining two-thirds is added to the insurance premiums of people who have health coverage through their workplaces. In New Hampshire, those premiums include a much-higher ratio -- 84.3% -- of uncompensated care costs than in other states.

As health insurance premiums rise many businesses, particularly smaller ones, must pass the price increases on to their workers or cut back on raises and/or other benefits. Some are forced to drop or severely limit coverage for their workers.

Children's Alliance of NH President Ellen Shemitz said the Senate budget will worsen all of the above problems by shifting even more uncompensated costs onto working families and employers. At the urging of Health and Human Services Commissioner John Stephen, Senate leaders propose to (1) reduce the number of children covered by the Healthy Kids insurance program, (2) cut $13 million from the amount NH pays hospitals for caring for people who have little or no health insurance, and (3) forfeit $13.7 million in federal health care funds.

"The Families USA report quantifies how government policy and budget decisions affect families,” Shemitz said. She recommended that NH invest in, rather than cut, cost-effective government health programs like Healthy Kids and Medicaid. Greater state investment in these programs would ensure that more children and families are covered, increase federal participation and spread the remaining costs of uncompensated care more widely.

Ron Pollack, Executive Director of Families USA, said, “The large and increasing number of uninsured Americans is no longer simply an altruistic concern on behalf of those without health coverage but a matter of self-interest for everyone. … The stakes are high both for businesses and for workers who do have health insurance because they bear the brunt of costs for the uninsured.”

“This report underscores the importance of strengthening and protecting public programs such as Medicaid that are the health safety net for millions of Americans,” said Pollack. “Medicaid cuts would only force more and more families into the ranks of the uninsured–thereby increasing insurance premiums for everyone who has health coverage.”

The Families USA report was based on data compiled by Dr. Kenneth Thorpe, Robert W. Woodruff Professor and Chair of the Department of Health Policy and Management, Rollins School of Public Health, Emory University, and the data are derived from the U.S. Census Bureau, the federal Agency for Healthcare Research and Quality, the National Center for Health Statistics, and other sources.

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Contacts:

Children's Alliance of NH: Ellen Shemitz, President, or Steve Varnum, Public Policy Director, (603) 225-2264

Families USA: Geraldine Henrich, (202) 628-3030.


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