HB151 (2007) Detail

Relative to provider contracts under the managed care law.


HB 151 – AS INTRODUCED

2007 SESSION

07-0726

01/09

HOUSE BILL 151

AN ACT relative to provider contracts under the managed care law.

SPONSORS: Rep. Headd, Rock 3

COMMITTEE: Commerce

ANALYSIS

This bill requires participating hospitals to establish and maintain procedures which provide notice to a covered person as to whether a hospital-based provider who is not a participating provider in the covered person’s health plan will be treating such covered person.

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Explanation: Matter added to current law appears in bold italics.

Matter removed from current law appears [in brackets and struckthrough.]

Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

07-0726

01/09

STATE OF NEW HAMPSHIRE

In the Year of Our Lord Two Thousand Seven

AN ACT relative to provider contracts under the managed care law.

Be it Enacted by the Senate and House of Representatives in General Court convened:

1 New Paragraph; Provider Contract Standards. Amend RSA 420-J:8 by inserting after paragraph XII the following new paragraph:

XIII. Every contract between a health carrier and a participating hospital shall provide that, in instances of elective procedures or other scheduled non-emergency care, the participating hospital shall establish and maintain procedures designed to provide notice to a covered person as to whether any hospital-based provider reasonably expected to treat that covered person is either participating or non-participating in that covered person’s health plan’s network.

2 Effective Date. This act shall take effect 60 days after its passage.