4. Atlantic Ocean
NY
VT
NH
MA
CT
NJ
RI
ME
New
Brunswick
Quebec
Labrador
Ontario
Newfoundland
Nova Scotia
Gulf of
St. Lawrence
PA
VA
WV
NC
Halifax
Quebec City
Montreal
Newport
New York City
Baltimore
Richmond
Norfolk
Washington, DC
Boston Hartford
Toronto
DE
USACanada RFG used in entire county
MD
Come By Chance
RefinerRefiner
Buffalo
Albany
Philadelphia
Trader
Owner
Feedstock
First Sale
Refined
Product
NYC, NJ, CT 20,672 38.71%
PA-NJ-DE-MD 17,126 32.07%
MA 6,092 11.41%
VA 3,971 7.44%
NY (Upstate) 2,482 4.65%
ME 830 2%
RI 990 1.85%
NH 695 1.30%
DC 543 1.02%
EIA: Areas Participating in the Reformulated Gasoline Program, Estimated Population as of 7/1/96 (in thousands)
Jan 2014 Feb 2014 Mar 2014 Apr 2014 May 2014 Jun 2014 Jul 2014
Concept paper: NHsubmitsaMedicaid1115
demonstration waiver concept paper to CMS
SPA Amendments: NHsubmitsStatePlan
amendments to CMS with March 1, 2014 start date
CMS approves State plan amendments with
March 1 start date; health care coverage begins
for Medicaid newlyeligibleindividuals
Public Comment: NH issues draft
Comprehensive 1115 demonstration waiver
applicationforpubliccomment
Waiver Application Filed: NHsubmitsa Comprehensive
Section 1115 demonstration waiver to CMS with
October 1 start date:
Exchange Market Place:MCOsprovidingABP
coverage tothe Medicaid submit applications tothe NH
InsuranceDepartment(NHID)andCMSCenterfor
ConsumerInformationandInsuranceOversight
(CCIIO)tojointheExchangeMarketplaceforCY2015
Aug 2014 Sep 2014 Oct 2014 Nov 2014 Jan 2016
Approval:NHIDandCMSCCIIOcertifyMedicaidMCOsas
QualifiedHealthPlans(QHPs)andtheplansmay
participate in the Exchange Marketplace in CY 2015
Approval: CMS approves 5-yearNH
Comprehensive 1115 demonstration waiver with
October 1 start date
Open enrollment begins on Exchange Marketplace for CY 2015
Medicaid newly eligible individuals are seamlessly transitioned from the
Bridge to Marketplace Premium Assistance program to premium assistance
coverage in the Exchange Marketplace for the CY 2015 plan year
New coverageIn just 7 months, Arkansas went from initial discussion of concept to demonstration waiver approval.
NH Healthcare Coverage Expansion Strategy
Healthcare
Coverage
Jan 2014 Apr 2014
May 2014
Jun 2014
Sep 2014
Oct 2014
Oct 2014
Jan 1, 2016
Jan 2014
Mar 2014
SPA
Amendments
Concept
Paper
Public
Comment
Waiver
Application
Filed
Exchange
Market Place
Approval Open
Enrollment
Begins
New
Coverage
CMS Waiver