Bill Details - HB528 (2019)

HB 528-FN - AS AMENDED BY THE HOUSE

 

27Feb2019... 0336h

2019 SESSION

19-0302

01/10

 

HOUSE BILL 528-FN

 

AN ACT relative to insurance reimbursement for emergency medical services.

 

SPONSORS: Rep. Marsh, Carr. 8; Rep. Knirk, Carr. 3; Rep. MacDonald, Carr. 6; Rep. Camarota, Hills. 7; Rep. DesMarais, Carr. 6; Sen. Bradley, Dist 3

 

COMMITTEE: Commerce and Consumer Affairs

 

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AMENDED ANALYSIS

 

This bill provides that an insurer retrospective review of a claim for reimbursement for emergency services shall include consideration of the presenting symptoms, final diagnosis, and statutory definitions of emergency medical condition and emergency services.

 

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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

27Feb2019... 0336h 19-0302

01/10

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Nineteen

 

AN ACT relative to insurance reimbursement for emergency medical services.

 

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

 

1  Coverage for Emergency Services.  RSA 417-F:2  is repealed and reenacted to read as follows:

417-F:2  Claims Processing.  An insurer retrospective review of a claim for reimbursement for emergency services shall include consideration of presenting symptoms, along with final diagnosis, and shall give due consideration to the definitions of emergency medical condition and emergency services in RSA 420-J:3.

2  Effective Date. This act shall take effect 60 days after its passage.

 

LBAO

19-0302

Amended 3/8/19

 

HB 528-FN- FISCAL NOTE

AS AMENDED BY THE HOUSE (AMENDMENT #2019-0336h)

 

AN ACT relative to insurance reimbursement for emergency medical services.

 

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

 

 

 

Estimated Increase / (Decrease)

STATE:

FY 2020

FY 2021

FY 2022

FY 2023

   Appropriation

$0

$0

$0

$0

   Revenue

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

   Expenditures

Indeterminable

Indeterminable

Indeterminable

Indeterminable

Funding Source:

  [ X ] General            [    ] Education            [    ] Highway           [    ] Other

 

 

 

 

 

COUNTY:

 

 

 

 

   Revenue

$0

$0

$0

$0

   Expenditures

Indeterminable

Indeterminable

Indeterminable

Indeterminable

 

 

 

 

 

LOCAL:

 

 

 

 

   Revenue

$0

$0

$0

$0

   Expenditures

Indeterminable

Indeterminable

Indeterminable

Indeterminable

 

METHODOLOGY:

This bill requires that an insurer retrospective review of a claim for reimbursement for emergency services shall include consideration of the presenting symptoms, final diagnosis, and statutory definitions of emergency medical condition and emergency services.

 

The Insurance Department is uncertain what impact, if any, this bill would have on claims or insurance premiums. The Department's consideration of the fiscal impact includes only the possible impact on insurance premium tax and not the potential impact, if any, to State costs  for health benefits.

 

The Department of Administrative Services does not believe this bill would have significant impact on the processing or payment for claims for emergency room services related to the State Health Benefit Plan for employees and retirees.  The Department states the impact to the Plan is indeterminable as the volume of future emergency room medical care claims is unknown.

 

The Department of Health and Human Services indicates the bill would have no fiscal impact on the Medicaid program as the changes in the bill are not applicable to Medicaid managed care organizations.

 

AGENCIES CONTACTED:

Departments of Insurance, Administrative Services and Health and Human Services

 

Docket

Date Status
Jan. 3, 2019 Introduced 01/03/2019 and referred to Commerce and Consumer Affairs HJ 3 P. 18
Jan. 30, 2019 Public Hearing: 01/30/2019 10:15 am LOB 302
Feb. 6, 2019 Subcommittee Work Session: 02/06/2019 09:30 am LOB 104
Feb. 6, 2019 ==RECESSED== Executive Session: 02/06/2019 02:00 pm LOB 302
Feb. 13, 2019 Subcommittee Work Session: 02/13/2019 10:00 am LOB 302
Feb. 13, 2019 ==CONTINUED== Executive Session: 02/13/2019 02:00 pm LOB 302
Committee Report: Ought to Pass with Amendment # 2019-0336h (Vote 20-0; CC)
Feb. 27, 2019 Committee Report: Ought to Pass with Amendment # 2019-0336h for 02/27/2019 (Vote 20-0; CC) HC 13 P. 4
Feb. 27, 2019 Amendment # 2019-0336h: AA VV 02/27/2019
Feb. 27, 2019 Ought to Pass with Amendment 2019-0336h: MA VV 02/27/2019
March 14, 2019 Introduced 03/14/2019 and Referred to Commerce; SJ 9

Action Dates

Date Body Type
Jan. 30, 2019 House Hearing
Feb. 6, 2019 House Exec Session
Feb. 13, 2019 House Exec Session
House Floor Vote
Feb. 27, 2019 House Floor Vote

Bill Text Revisions

HB528 Revision: 4799 Date: Jan. 15, 2019, 12:13 p.m.
HB528 Revision: 5424 Date: March 11, 2019, 10:12 a.m.