SB157 (2017) Detail

Relative to network adequacy and consumer rights under the managed care law.


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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AMENDED ANALYSIS

 

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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.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

Links

SB157 at GenCourtMobile

Action Dates

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

Bill Text Revisions

SB157 Revision: 1675 Date: July 11, 2017, 2:56 p.m.
SB157 Revision: 1676 Date: June 8, 2017, 2:56 p.m.
SB157 Revision: 1677 Date: June 2, 2017, 11:27 a.m.
SB157 Revision: 1678 Date: March 29, 2017, 4:55 p.m.
SB157 Revision: 1679 Date: Jan. 24, 2017, 12:31 p.m.

Docket

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