TITLE II
COUNTIES
Chapter 28-B
COUNTY-STATE FINANCE COMMISSION
Section 28-B:1
28-B:1 Commission Established. –
There is hereby established the county-state finance commission which shall consist of the following members:
I. The commissioner of the department of health and human services or designee.
II. The director of the division of long term supports and services in the department of health and human services.
III. Three members appointed by the commissioner of the department of health and human services, and one member appointed by the governor and council, who shall serve for a term of 2 years and shall continue to serve until their successors are appointed.
IV. Six members representing county government, all appointed by the New Hampshire Association of Counties, who shall serve for a term of 2 years and shall continue to serve until their successors are appointed.
V. Three members of the legislature, 2 of whom shall be members of the house of representatives, one of whom shall be a member of the house finance committee and one other member of the house of representatives, appointed by the speaker of the house of representatives, and one of whom shall be a member of the senate, appointed by the president of the senate, whose terms shall be coterminous with their terms in office.
Source. 2003, 223:2, eff. July 1, 2003. 2009, 188:1, eff. Sept. 11, 2009. 2022, 323:30, eff. Sept. 6, 2022. 2026, 30:1, eff. June 21, 2026.
Section 28-B:2
28-B:2 Chairperson; Meetings. –
The commission shall elect a chairperson from among its members, provided that the chair shall alternate between a state and a county representative in a manner determined by the commission. The commission shall meet at least quarterly and shall adopt rules for its procedures.
Source. 2003, 223:2, eff. July 1, 2003.
Section 28-B:3
28-B:3 Duties of the Commission. –
The county-state finance commission shall oversee the financial relationship and the development of policy associated with programs for which the county and state governments share funding obligations. The commission shall have the following responsibilities:
I. Review and provide recommendations about the state's long-term care medicaid plan under RSA 151-E and related provisions which address programs for which counties have financial obligation prior to submission of such plans to the federal medicaid agency.
II. Review and provide recommendations regarding department of health and human services rate setting and adjustments including, but not limited to, those for long-term care services for elderly and adult clients by the division of long term supports and services, prior to any rate setting or adjustments.
III. Review and provide recommendations for refinement of county billing systems for all payments from the counties to the state.
IV. Pursue and evaluate funding options.
V. Develop a process for managing individual county payment limits under RSA 167:18-a. In no event shall the individual county payment limit reduce or alter the total county obligation under RSA 167:18-a.
VI. Oversee funds expended by the state for long-term care, including county reimbursement of said funds under RSA 167:18-a.
Source. 2003, 223:2, eff. July 1, 2003. 2007, 263:14, eff. July 1, 2008. 2009, 188:2, eff. Sept. 11, 2009. 2026, 30:2, eff. June 21, 2026.