Bill Text - SB58 (2019)

(New Title) relative to payment for low-dose mammography coverage.


Revision: Jan. 17, 2019, 4:23 p.m.

SB 58-FN - AS INTRODUCED

 

 

2019 SESSION

19-0826

01/06

 

SENATE BILL 58-FN

 

AN ACT relative to reimbursement rates for low-dose mammography coverage.

 

SPONSORS: Sen. Bradley, Dist 3; Sen. Watters, Dist 4; Sen. Rosenwald, Dist 13; Sen. Giuda, Dist 2; Sen. Sherman, Dist 24; Sen. Gray, Dist 6; Sen. Carson, Dist 14; Rep. Marsh, Carr. 8; Rep. Van Houten, Hills. 45; Rep. Knirk, Carr. 3; Rep. Woods, Merr. 23

 

COMMITTEE: Commerce

 

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ANALYSIS

 

This bill clarifies the reimbursement rates for low-dose mammography.

 

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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

19-0826

01/06

 

STATE OF NEW HAMPSHIRE

 

In the Year of Our Lord Two Thousand Nineteen

 

AN ACT relative to reimbursement rates for low-dose mammography coverage.

 

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

 

1  Low-Dose Mammography Coverage.  Amend RSA 417-D:2, II to read as follows:

II.  Such benefits shall be at least as favorable as for other radiological examinations and subject to the same dollar limits, deductibles, and co-insurance factors; provided, however, that providers of low-dose mammography screening shall be reimbursed at rates accurately reflecting the resource costs specific to each modality, including any increased cost of breast tomosynthesis.

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

 

LBAO

19-0826

1/15/19

 

SB 58-FN- FISCAL NOTE

AS INTRODUCED

 

AN ACT relative to reimbursement rates for low-dose mammography coverage.

 

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 Increase

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

Funding Source:

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

 

 

 

 

 

COUNTY:

 

 

 

 

   Revenue

$0

$0

$0

$0

   Expenditures

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

 

 

 

 

 

LOCAL:

 

 

 

 

   Revenue

$0

$0

$0

$0

   Expenditures

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

 

METHODOLOGY:

This bill clarifies the reimbursement rates for low-dose mammography.  The Insurance Department indicates the bill requires reimbursements for low-dose mammography benefits accurately reflect the resource costs specific to each modality, including any increased cost of breast tomosynthesis.  The Department assumes the bill would result in inflationary pressures on the rates for such coverage.  This may lead to increased claims costs and increased premium rates for employers including state, county and local government.  An increase in premiums would lead to an increase in the premium tax revenue collected by the state.  However, employers may look for options to absorbing a premium increase such as purchasing less coverage.  The Department assumes the additional regulatory responsibility could be handled with existing resources.

 

The Department of Health and Human Services administers the Medicaid program.  The Medicaid program provides coverage for low dose mammography, having recently approved procedure codes for this service.  The Department has not yet established rates which are a percentage of established Medicare rates.  The Department assumes the intent of this bill is to increase the reimbursement rates for these services, which may result in an indeterminate increase in Medicaid expenditures.

 

AGENCIES CONTACTED:

Insurance Department and Department of Health and Human Services