CHAPTER 61
HB 1586-FN – FINAL VERSION
03Feb2010… 0301h
2010 SESSION
01/09
HOUSE BILL 1586-FN
AN ACT relative to mandated benefits review.
SPONSORS: Rep. Renzullo, Hills 27; Rep. W. O'Brien, Hills 4; Rep. Seidel, Hills 20; Sen. Carson, Dist 14
COMMITTEE: Commerce and Consumer Affairs
This bill reestablishes the procedure to provide for a review of mandated benefits legislation by the insurance department. This bill also repeals the mandated insurance coverage for autologous bone marrow transplants.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
03Feb2010… 0301h
10-2005
01/09
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Ten
AN ACT relative to mandated benefits review.
Be it Enacted by the Senate and House of Representatives in General Court convened:
61:1 Statement of Purpose. The purpose of this act is to provide a mechanism by which a legislative standing committee may obtain a review of a proposed mandated health insurance benefit. This act provides that a proposed mandated benefit or an amendment to an existing law for mandated health benefits, mandated health insurance coverage, or mandated offerings of health benefits, may, upon request, be reviewed by the insurance department. The insurance department shall provide to the general court an actuarial review with regard to the mandated benefit proposal’s medical efficacy and cost benefit.
61:2 New Section; Mandated Benefits Review. Amend RSA 400-A by inserting after section 39-a the following new section:
400-A:39-b Review and Evaluation of Proposed Insurance Mandated Benefit Proposals Under RSA 281-A, RSA 415, RSA 420-A, and RSA 420-B.
I. The commissioner is authorized to contract for an external review and evaluation of any mandated benefit.
II. Whenever a legislative measure containing a mandated benefit is proposed, the standing committee of either the house or the senate having jurisdiction over the proposal may refer the proposal to the insurance department for review and evaluation.
III. Upon a referral of a mandated benefit proposal from the standing committee of the house or the senate having jurisdiction over the proposal, or at the discretion of the commissioner, the insurance department shall conduct a review and evaluation of the mandated benefit proposal and shall report any results to the standing committee that has oversight of the mandated benefit. In the instance of a mandated benefit proposal affecting RSA 281-A, the review and evaluation by the insurance department shall be conducted in conjunction with input from the labor department.
IV. The report shall include, at a minimum and to the extent that information is available, the following:
(a) The social impact of mandating the benefit.
(b) The financial impact of mandating the benefit.
(c) The medical efficacy of mandating the benefit.
(d) The effects of balancing the social, economic, and medical efficacy considerations.
V. For the purposes of this section, a mandated benefit proposal is one that mandates insurance coverage for certain conditions, specific health services, specific diseases, or certain providers of health care services.
61:3 Repeals. The following are repealed:
I. RSA 415:18-c, relative to coverage for autologous bone marrow transplants.
II. RSA 420-A:13, relative to coverage for autologous bone marrow transplants.
III. RSA 420-B:8-e, relative to benefits for autologous bone marrow transplants.
61:4 Effective Date. This act shall take effect upon its passage.
Approved: May 18, 2010
Effective Date: May 18, 2010