Between 23,000 and 29,000 New Hampshire adults could lose Medicaid coverage by 2028 once new work requirements take effect, according to a projection released Oct. 20 by the New Hampshire Fiscal Policy Institute. That would equal roughly 48% to 60% of the 47,984 adults enrolled in Granite Advantage, the state's Medicaid expansion program, as of August 2026. The figures are estimates that depend on decisions the state has not yet finalized.
The concern is not only about people who do not work. NHFPI estimates that about three-quarters of New Hampshire adults on Medicaid already have jobs, yet many could lose coverage over missed paperwork or notices that never reach them. A sudden loss of coverage can interrupt prescriptions, mental health care, or treatment for a chronic condition.
