The department of health and human services shall file a Medicaid waiver and state plan amendment, if necessary, on or before July 1, 2026, to institute premiums, as provided in this section, for individuals participating in the granite advantage health care program who have income at or above 100 percent of the federal poverty level, subject to federal limitations on cost sharing and eligibility limitations. The premium amount shall be based on a portion of the cost of the services and the program, and shall not vary based on the participant's income. The department shall develop hardship criteria in administering these premiums. I. For the biennium ending June 30, 2027, monthly premium amounts for individuals participating in the granite advantage health care program shall be: (a) Household size of one: $60 per month. (b) Household size of 2: $80 per month. (c) Household size of 3: $90 per month. (d) Household size of 4 or more: $100 per month. II. Beginning in fiscal year 2028, the commissioner shall adopt rules under RSA 541-A, to establish monthly premiums for individuals participating in the program in accordance with this section.
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