Revision: April 11, 2019, 10:21 a.m.
HB 528-FN - VERSION ADOPTED BY BOTH BODIES
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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.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 RSA 417-F:2 is repealed and reenacted to read as follows: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.
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
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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 | |||
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COUNTY: |
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Revenue | $0 | $0 | $0 | $0 |
Expenditures | Indeterminable | Indeterminable | Indeterminable | Indeterminable |
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LOCAL: |
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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