Revision: Jan. 24, 2017, 12:31 p.m.
SB 157 - AS INTRODUCED
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 rights as a managed care consumer.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
17-0968
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:
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.
2 New Section; Managed Care Law; Notice of Managed Care Consumer Rights. Amend RSA 420-J by inserting after section 7-d the following new section:
420-J:7-e Notice of Managed Care Consumer Rights. A health carrier shall, at least annually, in conspicuous and stand-alone correspondence, notify each covered person of his or her rights under this chapter as a managed care consumer, 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 notify covered persons of these rights when a covered person contacts the health carrier directly requesting assistance finding clinically appropriate care.
3 Effective Date. This act shall take effect 60 days after its passage.