The ninth annual Medicaid Awareness Month in New Hampshire has highlighted the growing impact of proposed federal and state health care changes on Granite Staters. The largest health insurance provider in the country, Medicaid, provides coverage to over 180,000 residents and could lead to coverage losses, financial strain on families, and difficult decisions for providers. The discussion also highlighted the potential instability of essential services such as emergency care, maternity services, and behavioral health. The participants highlighted that additional steps such as work requirements, more eligibility checks, and out-of-pocket costs could make it harder for people to enroll and stay enrolled.