Revision: March 8, 2016, midnight
\t \t\tHB 1695-FN - AS AMENDED BY THE HOUSE
10Feb2016... 0323h
2016 SESSION
\t16-2554
\t01/09
HOUSE BILL\t1695-FN
AN ACT\trelative to a health system public data resource plan for New Hampshire and establishing a special fund.
SPONSORS:\tRep. Sherman, Rock. 24
COMMITTEE:\tHealth, Human Services and Elderly Affairs
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AMENDED ANALYSIS
\tThis bill establishes a health system public data resource plan for New Hampshire. Under this bill, the commissioner of the department of health and human services, the insurance commissioner, and the attorney general shall enter into a memorandum of understanding to collaborate in the development of publicly available information on health care system patient safety, cost, quality, access, and system performance, and information pertaining to the delivery and financing of the health care system in New Hampshire. The bill also establishes a health system public data resource planning council to provide consultation for the development of a 10-year health system public data resource plan for New Hampshire. The bill also establishes a fund for the implementation and administration of the requirements of the plan.
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Explanation:\tMatter added to current law appears in bold italics.
\t\tMatter removed from current law appears [in brackets and struckthrough.]
\t\tMatter which is either (a) all new or (b) repealed and reenacted appears in regular type.
10Feb2016... 0323h\t16-2554
\t01/09
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Sixteen
AN ACT\trelative to a health system public data resource plan for New Hampshire and establishing a special fund.
Be it Enacted by the Senate and House of Representatives in General Court convened:
\t1 New Subdivision; Health System Public Data Resource Plan. Amend RSA 126-A by inserting after section 69 the following new subdivision:
Health System Public Data Resource Plan
\t126-A:70 Health System Public Data Resource Plan; Council Established.
\t\tI.(a) Pursuant to the memorandum of understanding set forth in paragraph V, the department of health and human services shall make publicly available through an Internet website consolidated information on health care system patient safety, cost, quality, access to coverage and care, system performance, and efficiency, and information pertaining to the delivery and financing of the health care system in New Hampshire, including information on new health system projects and associated costs.
\t\t\t(b) The information made available shall be maintained as a resource for decision making and policy analysis by state and local planners, policy makers, health care system entities, purchasers of health care, and the public. The information shall also be used by the department, in consultation with the health system public data resource planning council established in paragraph III, to plan and monitor the health care system and the relevant factors that influence patient safety, cost, quality, access, and performance.
\t\tII. The commissioner, in consultation with the health system public data resource planning council, shall coordinate and provide support for the development of a 10-year health system public data resource plan for New Hampshire. The plan shall take into consideration and align itself with other existing multi-year plans, as appropriate. The plan shall be developed as an information resource for use by health care providers, health insurance carriers, health care purchasers, and the general court to develop and implement programs and policies and provide guidance to state agencies when implementing programs and policies. The plan shall include:
\t\t\t(a) Analysis of the health care needs of both the state as a whole and each geographic region of the state.
\t\t\t(b) Analysis of current health care system safety, cost, quality, access, system performance, and financing.
\t\t\t(c) Specific goals and objectives the state should accomplish over the 10-year period.
\t\t\t(d) Methods of evaluating progress to meeting the goals and objectives.
\t\tIII.(a) There is hereby established a health system public data resource planning council. The membership of the council shall be as follows:
\t\t\t\t(1) Two members of the house of representatives, appointed by the speaker of the house of representatives.
\t\t\t\t(2) One member of the senate, appointed by the senate president.
\t\t\t\t(3) The commissioner of the department of health and human services, or designee.
\t\t\t\t(4) The insurance commissioner, or designee.
\t\t\t\t(5) The attorney general, or designee.
\t\t\t\t(6) One member representing health care facilities, appointed by the New Hampshire Hospital Association.
\t\t\t\t(7) One member representing health care practitioners, appointed by the New Hampshire Medical Society.
\t\t\t\t(8) One member representing municipal planners, appointed by the New Hampshire Planners Association.
\t\t\t\t(9) One member representing public health practitioners, appointed by the New Hampshire Public Health Association.
\t\t\t\t(10) One member representing community services providers, appointed by the governor.
\t\t\t\t(11) One public member representing health care consumers, appointed by the governor.
\t\t\t\t(12) One member representing public purchasers of health insurance, appointed by the governor.
\t\t\t\t(13) One member representing private purchasers of health insurance, appointed by the governor.
\t\t\t\t(14) One member representing health insurance carriers, appointed by the governor.
\t\t\t\t(15) A representative of community health centers, appointed by the Bi-State Primary Care Association.
\t\t\t(b) Members of the council shall serve without compensation, except that legislative members shall receive mileage at the legislative rate when attending to the duties of the council. The members, other than those representing state agencies and the legislature, shall serve 3-year terms and shall not serve more than 2 full consecutive terms. Those members representing state agencies shall serve as nonvoting members on the council.
\t\t\t(c) The council may meet as often as necessary to effectuate its goals. The first meeting shall be called by the commissioner of health and human services within 45 days of the effective date of this subdivision. At the first meeting, a chairman shall be elected by the members. Seven members of the council shall constitute a quorum.
\t\t\t(d) The council shall:
\t\t\t\t(1) Provide advice and consultation to the commissioner regarding the development, implementation, and maintenance of the health system public data resource plan.
\t\t\t\t(2) Review and evaluate best practices to make publicly available consolidated information on health care system patient safety, cost, quality, access to coverage and care, system performance, and efficiency, and information pertaining to the delivery and financing of the health care system in New Hampshire, including information on new health system projects and associated costs.
\t\t\t\t(3) Monitor the health care system and the relevant factors that influence patient safety, cost, quality, access, and performance. The council’s authority and duties shall be limited to the provisions of this subdivision.
\t\t\t\t(4) The council shall make an initial report on November 1, 2016 with an annual report on each November 1 thereafter, relative to the health system public data resource plan and information Internet website. The reports shall include the council’s findings and any recommendations for proposed legislation and shall be submitted to the oversight committee on health and human services established in RSA 126-A:13, the chairpersons of the house and senate standing committees having jurisdiction over health and human services issues, the speaker of the house of representatives, the president of the senate, and the governor.
\t\tIV. The commissioner, in consultation with the council, shall release the initial version of the health system public data resource plan no later than January 1, 2017 or 8 months after the effective date of this subdivision, whichever is later.
\t\tV. The commissioner, in consultation with the council, shall enter into a memorandum of understanding with the insurance commissioner and attorney general for collaboration in the development of the publicly available information specified in paragraph I. The memorandum of understanding shall include a description of the resources that shall be made available to the department and shall specifically identify data and reports which shall be shared with the department.
\t\tVI. Pursuant to the memorandum of understanding under paragraph V, the commissioner, in consultation with the council, shall adopt rules under RSA 541-A, as may be necessary, relative to collecting aggregate information from health care providers and the insurance department that is not proprietary information on new health system projects, and associated costs under the provisions of this subdivision.
\t\tVII. The department, in consultation with the council, shall make the health system public data resource plan and meet other requirements set forth in this subdivision, subject to sufficient and available funding.
\t126-A:71 Health System Public Data Resource Plan Fund; Established. There is established the health system public data resource plan fund, which shall be nonlapsing and continually appropriated to the department and administered by the commissioner for the purposes of this subdivision. Pursuant to the memorandum of understanding under RSA 126-A:70, V, the fund shall be used for costs incurred by the department in carrying out the requirements under this subdivision. All monetary funds, grants, gifts, donations, or interest generated by the fund shall be deposited with the state treasurer in the fund.
\t2 New Subparagraph; Application of Receipts; Health System Public Data Resource Plan Fund. Amend RSA 6:12, I(b) by inserting after subparagraph (331) the following new subparagraph:
\t\t\t\t(332) Moneys deposited in the health system public data resource plan fund, established in RSA 126-A:71.
\t3 Effective Date. This act shall take effect upon its passage.
\t\t\t\t\t\t\t\t\t\t\t16-2554
\t\t\t\t\t\t\t\t\t\t\tAmended 3/1/16
HB 1695-FN- FISCAL NOTE
AN ACT\trelative to a health system public data resource plan for New Hampshire and establishing a special fund.
FISCAL IMPACT:
The Department of Health and Human Services and the Department of Information Technology state this bill, as amended by the House (Amendment #2016-0323h), may increase state restricted revenue and expenditures by an indeterminable amount in FY 2017 and each year thereafter. There is no impact on county and local expenditures or revenue.
This bill establishes a continually appropriated, nonlapsing dedicated fund.
METHODOLOGY:
The Department of Health and Human Services states this bill requires it to make available on a website consolidated information on health care system patient safety, cost, quality, access to coverage and care, system performance, end efficiency, as well as information pertaining to the delivery and financing of the health care system in New Hampshire. The bill establishes a health system public data resource planning council, which is charged with evaluating best practices in the development and provision of the aforementioned information, providing annual reports to the legislature, working with the Department to develop a 10-year health system data resource plan for New Hampshire, and entering into memoranda of understanding (MOU) with various state agencies in order to accomplish said goals. In addition, the bill establishes a health system public data resource plan fund, which shall be used for costs incurred by the Department in carrying out its responsibilities under the bill. The fund is authorized to accept grants, gifts, donations. Finally, the bill states the Department's responsibilities for developing and implementing the data resource plan is subject to sufficient and available funding. For this reason, although the Department states there may be an indeterminable cost associated with meeting the bill's requirements, it assumes those costs will only be incurred subject to available funding in the newly-established fund, and the Department will not be required to proceed if sufficient funds are not available.
The Department of Information Technology states that while the bill will result in an indeterminable increase in state expenditures, it is unable to provide an estimate of the increase at the current time.
The Insurance Department states the bill will have no fiscal impact.