Bill Details - HB630 (2017)

HB 630-FN-A - AS INTRODUCED

 

 

2017 SESSION

17-0592

01/09

 

HOUSE BILL 630-FN-A

 

AN ACT relative to the establishment of a publicly transparent interdepartmental health information and analysis program for New Hampshire and establishing a special fund.

 

SPONSORS: Rep. S. Schmidt, Carr. 6; Rep. Kotowski, Merr. 24; Rep. Rosenwald, Hills. 30

 

COMMITTEE: Health, Human Services and Elderly Affairs

 

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ANALYSIS

 

This bill establishes the state health information and analysis program.  Under this bill, the commissioner of the department of health and human services, the insurance commissioner, the commissioner of the department of corrections, 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 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

 

The bill establishes a health information and analysis planning council to provide consultation for the development of a public data resource for New Hampshire.  The bill also establishes a fund for the implementation and administration of the requirements of the program.

 

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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

17-0592

01/09

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Seventeen

 

AN ACT relative to the establishment of a publicly transparent interdepartmental health information and analysis program for New Hampshire and establishing a special fund.

 

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

 

1  New Subdivision; State Health Information and Analysis Program.  Amend RSA 126-A by inserting after section 72 the following new subdivision:

State Health Information and Analysis Program

126-A:73  State Health Information and Analysis Program; Council Established.

I.(a)  Pursuant to the memorandum of understanding set forth in paragraph II, the commissioner shall develop the interdepartmental state health information and analysis program.  Under this program, the department of health and human services, in conjunction with the insurance department, department of corrections, and department of justice, shall make publicly available through an Internet website consolidated information and analysis 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.

(b)  The information made available shall be maintained as a public 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.

(c)  The information shall also be used by the department, in consultation with the health information and analysis planning council established in paragraph IV, to develop a health care system analysis and planning report which shall be updated annually.  The report shall provide information and analysis to monitor the health care system, provide guidance for policy makers and state agencies and be an information resource for health care providers, carriers, purchasers, and other stakeholders represented on the council.  The report shall provide information, tracked over time, and set goals on the relevant factors that influence patient safety, cost, quality, access, financing and system performance.

(d)  The commissioner, in consultation with the council, shall release the initial version of the health care system analysis and planning report no later than 18 months after the effective date of this subdivision, and update it annually thereafter.

(e)  The program, information, analysis, website, and report shall be developed and maintained pursuant to the interdepartmental memorandum of understanding set forth in paragraph II.

II.  The commissioner shall enter into a memorandum of understanding with the commissioner of corrections, the insurance commissioner, and the attorney general for collaboration in the development of the program 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.  The commissioner shall submit a report on the implementation of the memorandum of understanding, including the cost to implement the program and to meet other requirements set forth in this subdivision, to the fiscal committee of the general court, established in RSA 14:30-a, no later than 8 months after the effective date of this subdivision.  The report shall be subject to review and comment by the fiscal committee.

III.  Pursuant to the memorandum of understanding under paragraph II, the commissioner shall adopt rules under RSA 541-A, as may be necessary, relative to collecting aggregate information from health care providers that is not proprietary information on new health system projects, and associated costs under the provisions of this subdivision.

IV.(a)  There is hereby established a health information and analysis planning council.  The membership of the council shall be as follows:

(1)  Two members of the house of representatives, appointed by the speaker of the house of representatives.

(2)  One member of the senate, appointed by the senate president.

(3)  The commissioner of the department of health and human services, or designee.

(4)  The commissioner of the department of corrections, or designee.

(5)  The insurance commissioner, or designee.

(6)  The attorney general, or designee.

(7)  One member representing hospital facilities, appointed by the New Hampshire Hospital Association.

(8)  One member representing health care practitioners, appointed by the New Hampshire Medical Society.

(9)  One member representing municipal planners, appointed by the New Hampshire Planners Association.

(10)  One member representing public health practitioners, appointed by the New Hampshire Public Health Association.

(11)  One member representing community services providers, appointed by the governor.

(12)  One public member representing health care consumers, appointed by the governor.

(13)  One member representing public purchasers of health insurance, appointed by the governor.

(14)  One member representing private purchasers of health insurance, appointed by the governor.

(15)  One member representing health insurance carriers, appointed by the governor.

(16)  A representative of community health centers, appointed by the Bi-State Primary Care Association.

(17)  One member representing private nursing home facilities, appointed by the New Hampshire Health Care Association.

(18)  One member representing county nursing home facilities, appointed by the New Hampshire Association of Counties.

(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.

(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.  Nine members of the council shall constitute a quorum.

(d)  The council shall:

(1)  Provide advice and consultation to the commissioner regarding the development, implementation, and maintenance of the state health information and analysis program and the health care system analysis and planning report.

(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.

(3)  Independently monitor the health care system and the relevant factors that influence patient safety, cost, quality, access, and performance and provide an annual summary of findings to be included in the health care system analysis and planning report.  The council’s authority and duties shall be limited to the provisions of this subdivision.

V.  The department shall meet the requirements set forth in this subdivision subject to sufficient and available funding.

126-A:74  State Health Information and Analysis Program Fund; Established.  There is established the state health information and analysis program 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:73, II, 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.

2  New Subparagraph; Application of Receipts; State Health Information and Analysis Program Fund.  Amend RSA 6:12, I(b) by inserting after subparagraph (333) the following new subparagraph:

(334)  Moneys deposited in the public health care data fund, established in RSA 126-A:74.

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

 

LBAO

17-0592

1/23/17

 

HB 630-FN-A- FISCAL NOTE

AS INTRODUCED

 

AN ACT relative to the establishment of a publicly transparent interdepartmental health information and analysis program for New Hampshire and establishing a special fund.

 

FISCAL IMPACT:      [ X ] State              [    ] County               [    ] Local              [    ] None

 

 

 

Estimated Increase / (Decrease)

STATE:

FY 2018

FY 2019

FY 2020

FY 2021

   Appropriation

$0

$0

$0

$0

   Revenue

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

   Expenditures

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

Funding Source:

  [ X ] General            [    ] Education            [    ] Highway           [ X ] State Health Information and Analysis Program Fund

 

 

 

 

 

The Department of Justice was originally contacted on December 13, 2016 with followup contacts on December 30, 2016, January 14, 2017 and January 17, 2017 for a fiscal note worksheet, which the Department has not provided as of January 23, 2017.

 

METHODOLOGY:

This bill requires the Commissioner of the Department of Health and Human Services (DHHS) to enter into a memorandum of understanding with the Departments of Justice, Insurance and Corrections to develop the interdepartmental health information and analysis program.  The DHHS will develop necessary rules, maintain the program and make consolidated information and analysis available to the public.  The DHHS must also submit a report on implementation of the MOU, including the cost to implement the program, to the fiscal committee no later than eight months after the bill becomes law.  The bill also establishes a planning council to provide advice and consultation to the DHHS.  The DHHS, in consultation with the Council, will use information from the program to develop a health care system analysis and planning report, the first of which shall be due no later than 18 months after the effective date of the bill.  The bill establishes a nonlapsing and continually appropriated fund comprised of gifts, grants, donations, and interest earned to be appropriated to the DHHS and administered by the Commissioner for the program.  The DHHS does not have information to estimate the cost of the program or to determine how much revenue would be received by the fund.  The bill includes, in RSA 126:73,V, language requiring the DHHS to meet the requirements of the bill subject to sufficient and available funding.  The DHHS assumes this language allows it not to proceed, if after due diligence, there is not sufficient funding.  However, because of the affirmative responsibilities assigned to DHHS, there could be an indeterminable impact on general fund expenditures.

 

The Department of Corrections does not have information on the type or format of information to be produced and cannot accurately determine the cost, but provided the following assumptions and cost estimates.

  • The Department does not currently have sufficient staff to undertake the Website and reporting functions which would involve several agencies.
  • No funding is identified in the bill and there are no funds available for such a project in the Department's operating budget.

 

 Estimated Development Costs

  Hourly     Rate

Hours

    Total

 Data Export - CIPS Pharmacy Software

 $150

    160

 $          24,000

 Data Export - Electronic Medical Records

 $170

    280

 $          47,600

 Data Export - Medical Billing

 $125

    200

 $          25,000

 Subtotal:

 

 

 $          96,600

 Project Management  

 

 

 

 Data Export - CIPS Pharmacy Software

 

 

 $          16,000

 Data Export - Electronic Medical Records

 

 

 $          12,400

 Data Export - Medical Billing

 

 

 $          10,000

 Subtotal:

 

 

 $          38,400

 

 

 

 

 Website Development

 $190

 1,560

 $        296,400

 Reporting Development

 $190

 2,080

 $        395,200

 

 

 

 

 TOTAL ESTIMATED COSTS:

 

 

     $       826,600

 

The Department indicates the fund established by the bill is continually appropriated to the Department of Health and Human Services and may not be available to cover costs incurred by the Department of Corrections.

 

The Department of Insurance states the bill will have no fiscal impact on the Department.

 

AGENCIES CONTACTED:

Departments of Health and Human Services, Insurance, Corrections and Justice

 

 

Docket

Date Status
Jan. 5, 2017 Introduced 01/05/2017 and referred to Health, Human Services and Elderly Affairs HJ 3 P. 22
Feb. 1, 2017 Public Hearing: 02/01/2017 01:15 PM LOB 205
Feb. 1, 2017 Executive Session: 02/01/2017 LOB 205
Retained in Committee
Aug. 31, 2017 Retained Bill Full Committee Work Session: 08/31/2017 11:00 AM LOB 205
Sept. 26, 2017 Retained Bill Subcommittee Work Session: 09/26/2017 10:00 AM LOB 205
Oct. 26, 2017 Executive Session: 10/26/2017 10:00 AM LOB 205
Jan. 3, 2018 Committee Report: Refer for Interim Study for 01/03/2018 (Vote 20-0; CC)
Committee Report: Refer for Interim Study (Vote 20-0; CC)

Action Dates

Date Body Type
Feb. 1, 2017 House Hearing
Feb. 1, 2017 House Exec Session
Oct. 26, 2017 House Exec Session

Bill Text Revisions

HB630 Revision: 310 Date: Jan. 25, 2017, 1:50 p.m.