In March 2010, President Barack Obama signed into law the Patient Protection and Affordable Care Act (ACA), a federal statute that marks Congress's chief health care reform legislation. In 2014 New Hampshire dealt with two key portions of the ACA: Medicaid expansion and the online health insurance exchange.
In 2013 the National Institute on Money on State Politics gave New Hampshire an “F” for campaign finance laws. However, many issue advocacy groups argue that more restrictive campaign finance laws in New Hampshire would hurt free speech during elections.
The Common Core State Standards Initiative establishes minimum expectations for what kindergarten through grade 12 students in the United States should know in English and mathematics by the end of each grade. The New Hampshire Board of Education voluntarily adopted the standards in July 2010. Local adoption is not mandatory, although all students must take the state performance assessments based on Common Core.
There is some belief that states, not the federal government, should have more say over immigration policies.
Despite repeated attempts in recent years, the legislature has been unable to pass legislation that would allow adults to purchase and use small amounts of marijuana. In March the House passed a decriminalization bill, but the bill failed in the Senate.