Bill Text - HB725 (2019)

(New Title) relative to certain standards for managed care organizations.


Revision: Feb. 7, 2019, 8:43 a.m.

HB 725-FN - AS INTRODUCED

 

 

2019 SESSION

19-0737

01/06

 

HOUSE BILL 725-FN

 

AN ACT including Medicaid care organizations under the managed contractor requirements for provider care law.

 

SPONSORS: Rep. Knirk, Carr. 3; Rep. Williams, Hills. 4; Rep. Marsh, Carr. 8; Rep. Woods, Merr. 23; Sen. Sherman, Dist 24

 

COMMITTEE: Commerce and Consumer Affairs

 

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ANALYSIS

 

This bill includes Medicaid managed care organizations for the purposes of the managed care law pursuant to 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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

19-0737

01/06

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Nineteen

 

AN ACT including Medicaid care organizations under the managed contractor requirements for provider care law.

 

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

 

1  Managed Care Law; Definitions.  Amend RSA 420-J:3, XXIII to read as follows:

XXIII.  "Health carrier" means an entity subject to the insurance laws and rules of this state, or subject to the jurisdiction of the commissioner, that contracts or offers to contract to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services, including an insurance company, a health maintenance organization, a health service corporation, a Medicaid managed care organization under RSA 126-A:5, XIX, or any other entity providing a plan of health insurance, health benefits, or health services.

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

 

LBAO

19-0737

Revised 2/6/19

 

HB 725-FN- FISCAL NOTE

AS INTRODUCED

 

AN ACT including Medicaid care organizations under the managed contractor requirements for provider care law.

 

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

 

 

 

Estimated Increase / (Decrease)

STATE:

FY 2020

FY 2021

FY 2022

FY 2023

   Appropriation

$0

$0

$0

$0

   Revenue

$0

$0

$0

$0

   Expenditures

Indeterminable

Indeterminable

Indeterminable

Indeterminable

Funding Source:

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

 

 

 

 

 

METHODOLOGY:

This bill amends RSA 420-J:3, XXIII by adding Medicaid managed care organizations (MCO) to the definition of a "health carrier," thereby subjecting such organizations to state insurance laws and rules.

 

The Department of Health and Human Services states the fiscal impact is indeterminable as the bill could impose new or additional obligations on Medicaid MCOs that are in addition to their existing responsibilities or that result in MCOs being in violation of federal or state Medicaid regulations or contract provisions.

 

The Department of Administrative Services states the State Health Benefit Plan for Employees and Retirees is a governmental self-insured plan, and therefore is not governed by managed care laws.  There will be no fiscal impact to the Department as a result of this bill.

 

AGENCIES CONTACTED:

Department of Administrative Services and Department of Health and Human Services