CHAPTER 214
SB 157 - FINAL VERSION
03/29/2017 1042s
03/29/2017 1174s
1Jun2017... 1772h
2017 SESSION
17-0968
01/10
SENATE BILL 157
AN ACT relative to network adequacy and consumer rights under the managed care law.
SPONSORS: Sen. Feltes, Dist 15; Sen. Fuller Clark, Dist 21; Sen. Hennessey, Dist 5; Sen. Kahn, Dist 10; Sen. Lasky, Dist 13; Sen. Soucy, Dist 18; Sen. Watters, Dist 4; Sen. Woodburn, Dist 1; Rep. Luneau, Merr. 10; Rep. Williams, Hills. 4; Rep. Butler, Carr. 7
COMMITTEE: Health and Human Services
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This bill adds rulemaking for persons with substance use disorder for the purposes of the managed care law. This bill also requires health carriers to notify covered persons of their consumer rights under RSA 420-J.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
03/29/2017 1042s
03/29/2017 1174s
1Jun2017... 1772h 17-0968
01/10
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Seventeen
AN ACT relative to network adequacy and consumer rights under the managed care law.
Be it Enacted by the Senate and House of Representatives in General Court convened:
214:1 Managed Care Law; Network Adequacy. Amend RSA 420-J:7, II(b) to read as follows:
(b) Choice of and access to providers for specialty care, specifically addressing the needs of the chronically ill, mentally ill, persons with substance use disorder, developmentally disabled or those with a life threatening illness.
214:2 New Section; Notice of Consumer Rights. Amend RSA 420-J by inserting after section 7-d the following new section:
420-J:7-e Notice of Consumer Rights. A health carrier shall, at least annually, in a conspicuous communication as approved by the commissioner which may be included as an insert in an annual mailing or by electronic communication, notify each covered person of his or her consumer rights under this chapter, including, but not limited to, appeal rights and the ability to access services out-of-network in the event covered services are not available in-network. A health carrier shall also notify covered persons of the right to access out-of-network services when the covered person contacts the health carrier directly requesting assistance finding clinically appropriate in-network care. A health carrier shall also provide notification to covered persons of their right to appeal whenever a covered person contacts the health carrier regarding a denial of coverage or when a health carrier verbally informs the covered person of the denial of coverage.
214:3 Effective Date. This act shall take effect January 1, 2018.
Approved: July 10, 2017
Effective Date: January 01, 2018
| Date | Body | Type |
|---|---|---|
| Feb. 14, 2017 | Senate | Hearing |
| March 29, 2017 | Senate | Floor Vote |
| April 19, 2017 | House | Hearing |
| April 25, 2017 | House | Exec Session |
| May 4, 2017 | House | Floor Vote |
| May 10, 2017 | House | Hearing |
| May 17, 2017 | House | Exec Session |
| June 1, 2017 | House | Floor Vote |
| Date | Status | |
|---|---|---|
| Jan. 19, 2017 | Introduced 01/19/2017 and Referred to Health and Human Services; SJ 5 | |
| Feb. 14, 2017 | Hearing: 02/14/2017, Room 101, LOB, 01:15 pm; SC 10 | |
| March 29, 2017 | Committee Report: Ought to Pass with Amendment # 2017-1042s, 03/29/2017; SC 16 | |
| March 29, 2017 | Committee Amendment # 2017-1042s, AA, VV; 03/29/2017; SJ 11 | |
| March 29, 2017 | Sen. Bradley Floor Amendment # 2017-1174s, AA, VV; 03/29/2017; SJ 11 | |
| March 29, 2017 | Ought to Pass with Amendments 1042s and 1174s, MA, VV; OT3rdg; 03/29/2017; SJ 11 | |
| March 23, 2017 | Introduced 03/23/2017 and referred to Health, Human Services and Elderly Affairs HJ 11 P. 27 | |
| April 19, 2017 | Public Hearing: 04/19/2017 02:00 PM LOB 205 | |
| April 25, 2017 | Executive Session: 04/25/2017 09:30 AM LOB 205 | |
| May 4, 2017 | Committee Report: Ought to Pass for 05/04/2017 (Vote 22-0; CC) HC 22 P. 5 | |
| May 4, 2017 | Ought to Pass: MA VV 05/04/2017 HJ 15 P. 5 | |
| May 4, 2017 | Referred to Commerce and Consumer Affairs 05/04/2017 HJ 15 P. 5 | |
| May 10, 2017 | Public Hearing: 05/10/2017 10:00 AM LOB 302 | |
| May 16, 2017 | Subcommittee Work Session: 05/16/2017 09:00 AM LOB 302 | |
| May 17, 2017 | Executive Session: 05/17/2017 11:00 AM LOB 302 | |
| June 1, 2017 | Committee Report: Ought to Pass with Amendment # 2017-1772h for 06/01/2017 (Vote 20-0; CC) HC 26 P. 6 | |
| June 1, 2017 | Amendment # 2017-1772h: AA VV 06/01/2017 HJ 17 P. 6 | |
| June 1, 2017 | Ought to Pass with Amendment 1772h: MA VV 06/01/2017 HJ 17 P. 6 | |
| June 8, 2017 | Sen. Bradley Moved to Concur with the House Amendment, MA, VV; 06/08/2017; SJ 19 | |
| June 22, 2017 | Enrolled 06/22/2017 HJ 19 P. 23 | |
| June 22, 2017 | Enrolled (In recess 06/22/2017); SJ 20 | |
| Jan. 1, 2018 | Signed by the Governor on 07/10/2017; Chapter 0214; Effective 01/01/2018 |