A New Hampshire official proposed charging monthly premiums to all Medicaid recipients, from $10 to $60 based on income and number of children.
The proposal, by state Health and Human Services Commissioner John Stephen, would save the state an estimated $12 million over two years, supporters said.
New Hampshire would be the first state to charge Medicaid premiums.
Others, including Mississippi, Oregon and Tennessee, are dropping tens of thousands of beneficiaries from their Medicaid programs in an effort to save money.
New Hampshire Medicaid director Steve Norton said the proposed premiums would reduce Medicaid enrollment 5%, according to the Associated Press