CONCORD, N.H. (AP) — New Hampshire could save up to $114 million if it decides not to expand Medicaid under the new federal health care law, but it would lose $2.5 billion in federal aid toward health care for the state's uninsured.

The state Health and Human Services Department on Thursday released the first part of a study on the impact of expanding Medicaid that examines the cost to the state from 2014 to 2020. The report offers preliminary estimates of what the state might save if it decides not to expand the program as well as estimates of what it would cost.

If New Hampshire expands Medicaid, it could cost an estimated $85 million over seven years. But New Hampshire's health care providers would share in the $2.5 billion flowing into the state from the federal government over that period.

The agency hired the Lewin Group to look at the pros and cons of expanding the program. The U.S. Supreme Court ruled in June that expanding Medicaid was optional under the Affordable Care Act.

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