Greg Moore, a former Representative of New Hampshire, said that Medicaid remains a significant fiscal challenge for both federal and state budgets despite some reforms. His remarks were made on the social media platform X.
“Medicaid has the rare feature of not only blowing up the federal budget, but those of the states as well,” said Moore. “It got some reform, but still needs more.”
Medicaid now constitutes a substantial portion of both federal and state budgets, with U.S. spending exceeding $834 billion in 2022. Ongoing reform efforts are focusing on managed care, eligibility checks, and fiscal sustainability. According to the Kaiser Family Foundation, states and Congress continue to debate waivers, work requirements, and expansion plans to manage rising costs.
The Centers for Medicare & Medicaid Services reported that New Hampshire’s Medicaid expenditures reached approximately $2.45 billion in 2022, with an average annual growth rate of 4.3% over the past five years. Nationally, federal Medicaid spending was $658 billion, reflecting ongoing increases driven by expanded coverage and enrollment.
According to the National Association of State Budget Officers, Medicaid accounts for about 22% of New Hampshire’s state budget, nearly matching the national average of 24%. This underscores its central role in both state and federal fiscal policy.
Moore is a Republican member of the New Hampshire House of Representatives known for his policy work on Medicaid reform, cost control, and transparency in government spending. He has served several terms and is recognized as an advocate for healthcare and fiscal responsibility, as noted by Ballotpedia.