relative to the county-state finance commission.

HB 1160 amends the structure and responsibilities of New Hampshire's county-state finance commission, which oversees shared funding between counties and the state for programs like Medicaid long-term care. The bill changes commission membership to include specific state agency representatives, county government appointees, and legislative members, while adding six new duties. Key provisions require the commission to review and recommend changes to Medicaid plans, state rate settings for long-term care services, county billing systems, and funding options before they are finalized. This directly affects counties and state agencies managing shared financial obligations for healthcare and social services programs.