Bill Text - SB379 (2018)

Relative to retroactive denials of previously paid claims.


Revision: Feb. 15, 2018, 7:50 p.m.

SB 379 - AS AMENDED BY THE SENATE

 

02/15/2018   0416s

2018 SESSION

18-2742

01/06

 

SENATE BILL 379

 

AN ACT relative to retroactive denials of previously paid claims.

 

SPONSORS: Sen. Innis, Dist 24; Sen. Avard, Dist 12; Sen. Birdsell, Dist 19; Sen. Carson, Dist 14; Sen. Daniels, Dist 11; Sen. Feltes, Dist 15; Sen. French, Dist 7; Sen. Fuller Clark, Dist 21; Sen. Gannon, Dist 23; Sen. Giuda, Dist 2; Sen. Gray, Dist 6; Sen. Hennessey, Dist 5; Sen. Kahn, Dist 10; Sen. Reagan, Dist 17; Sen. Watters, Dist 4; Rep. Emerick, Rock. 21; Rep. Allen, Rock. 15; Rep. Abrami, Rock. 19

 

COMMITTEE: Health and Human Services

 

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ANALYSIS

 

This bill changes the time frame for insurance companies and managed care organizations to recover payments from a health care provider for services completed.

 

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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

02/15/2018   0416s 18-2742

01/06

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Eighteen

 

AN ACT relative to retroactive denials of previously paid claims.

 

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

 

1  Accident and Health Insurance; Retroactive Denials.  Amend the introductory paragraph of RSA 415:6-i, II(b) to read as follows:

(b)  The time which has elapsed since the date of payment of the challenged claim does not exceed [18] 12 months.  The retroactive denial of a previously paid claim may be permitted beyond [18] 12 months from the date of payment only for the following reasons:

2  Managed Care Law; Retroactive Denials.  Amend the introductory paragraph of RSA 420-J:8-b, II(b) to read as follows:

(b)  The time which has elapsed since the date of payment of the challenged claim does not exceed [18] 12 months.  The retroactive denial of a previously paid claim may be permitted beyond [18] 12 months from the date of payment only for the following reasons:

3  Effective Date.  This act shall take effect January 1, 2019.