Bill Text - SB423 (2010)

Relative to health insurance coverage for licensed athletic trainer services.


Revision: Jan. 12, 2010, midnight

SB 423 – AS INTRODUCED

2010 SESSION

10-2806

01/10

SENATE BILL 423

AN ACT relative to health insurance coverage for licensed athletic trainer services.

SPONSORS: Sen. Kelly, Dist 10; Rep. Schlachman, Rock 13

COMMITTEE: Commerce, Labor and Consumer Protection

ANALYSIS

This bill requires health insurance coverage for athletic trainer services performed by a licensed athletic trainer if such services would be covered if performed by another health care provider.

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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

10-2806

01/10

STATE OF NEW HAMPSHIRE

In the Year of Our Lord Two Thousand Ten

AN ACT relative to health insurance coverage for licensed athletic trainer services.

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

1 New Section; Coverage for Services Provided by Athletic Trainers; Individual. Amend RSA 415 by inserting after section 6-o the following new section:

415:6-p Coverage for Services Provided by Athletic Trainers; Individual. Each insurer that issues or renews any individual policy, plan, or contract of accident or health insurance providing benefits for medical or hospital expenses, shall provide to certificate holders of such insurance, who are residents of this state, coverage for expenses arising from a particular type of health service for any particular medical condition that is within the scope of practice of athletic trainers under RSA 326-G performed by a licensed athletic trainer who acts within the scope of practice authorized by law if the insurer would reimburse another health care provider for such service. Services provided by licensed athletic trainers may be subject to reasonable deductibles, co-payments, and coinsurance amounts, fee or benefit limits, practice parameters, and utilization review consistent with rules adopted by the insurance department and pursuant to RSA 326-G; provided that the amounts, limits, and review shall not direct treatment in a manner which unfairly discriminates against athletic trainer care, and collectively is no more restrictive than those applicable under the same policy for care of services provided by other health care providers.

2 New Section; Coverage for Services Provided by Athletic Trainers; Group. Amend RSA 415 by inserting after section 18-t the following new section:

415:18-u Coverage for Services Provided by Athletic Trainers; Group. Each insurer that issues or renews any policy of group or blanket accident or health insurance providing benefits for medical or hospital expenses, shall provide to each group, or to the portion of each group comprised of certificate holders of such insurance who are residents of this state, coverage for expenses arising from a particular type of health service for any particular medical condition that is within the scope of practice of athletic trainers under RSA 326-G performed by a licensed athletic trainer who acts within the scope of practice authorized by law if the insurer would reimburse another health care provider for such service. Services provided by licensed athletic trainers may be subject to reasonable deductibles, co-payments, and coinsurance amounts, fee or benefit limits, practice parameters, and utilization review consistent with rules adopted by the insurance department and pursuant to RSA 326-G; provided that the amounts, limits, and review shall not direct treatment in a manner which unfairly discriminates against athletic trainer care, and collectively is no more restrictive than those applicable under the same policy for care of services provided by other health care providers.

3 Health Services Corporations; Athletic Trainers. Amend RSA 420-A:2 to read as follows:

420-A:2 Applicable Statutes. Every health service corporation shall be governed by this chapter and the relevant provisions of RSA 161-H, and shall be exempt from this title except for the provisions of RSA 400-A:39, RSA 401-B, RSA 402-C, RSA 404-F, RSA 415-A, RSA 415-F, RSA 415:6, II(4), RSA 415:6-g, RSA 415:6-k, RSA 415:6-m, RSA 415:6-o, RSA 415:6-p, RSA 415:18, V, RSA 415:18, VII-a, RSA 415:18, XVI and XVII, RSA 415:18-a, RSA 415:18-j, RSA 415:18-o, RSA 415:18-r, RSA 415:18-t, RSA 415:18-u, RSA 415:22, RSA 417, RSA 417-E, RSA 420-J, and all applicable provisions of title XXXVII wherein such corporations are specifically included. Every health service corporation and its agents shall be subject to the fees prescribed for health service corporations under RSA 400-A:29, VII.

4 Health Maintenance Corporations; Athletic Trainers. Amend RSA 420-B:20, III to read as follows:

III. The requirements of RSA 400-A:39, RSA 401-B, RSA 402-C, RSA 404-F, RSA 415:6-g, RSA 415:6-m, RSA 415:6-o, RSA 415:6-p, RSA 415:18, VII-a, RSA 415:18, XVI and XVII, RSA 415:18-j, RSA 415:18-r, RSA 415:18-t, RSA 415:18-u, RSA 415-A, RSA 415-F, RSA 420-G, and RSA 420-J shall apply to health maintenance organizations.

5 Effective Date. This act shall take effect upon its passage.

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