HB 191 - AS INTRODUCED
HOUSE BILL 191
SPONSORS: Rep. Marsh, Carr. 8; Rep. Knirk, Carr. 3; Rep. Woods, Merr. 23; Rep. Weston, Graf. 8; Rep. Murphy, Graf. 12; Sen. Sherman, Dist 24; Sen. Cavanaugh, Dist 16; Sen. Kahn, Dist 10
COMMITTEE: Commerce and Consumer Affairs
This bill adds requirements for prior authorizations under managed care health benefit plans and the administration of patient transfers to another health care facility.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty One
Be it Enacted by the Senate and House of Representatives in General Court convened:
420-J:12-a Exceptions to Prior Authorizations. When prior authorizations are required under a health benefit plan:
I. The authorization shall be valid for 6 months from the date the health care provider requests the prior authorization.
II. Additional medically necessary services or procedures required during an otherwise authorized service or services shall not be denied or require additional authorization.
III All notifications and disclosures of prior authorization requirements and written notices of new or amended requirements shall be provided to all impacted health care providers 60 days prior to the effective date.
IV. Nothing in this section shall be construed to require coverage for services that have been prior authorized if the health plan coverage is not effective on the date of service.
420-J:12-b Standards for Patient Transfers.
I. A health benefit plan shall respond to a request for a patient transfer within one business day.
II. When a health benefit plan has determined a lower level of care at a health care facility is clinically appropriate, the health benefit plan shall not require a prior authorization for medically necessary interfacility transport to the receiving health care facility.
III. When a health benefit plan has determined a lower level of care at a health care facility is clinically appropriate and does not provide accommodations to ensure the necessary transportation to the receiving facility, the health benefit plan shall reimburse the originating facility not less than the daily contracted reimbursement rate.
|Feb. 2, 2021||House||Hearing|
|Feb. 10, 2021||House||Exec Session|
Feb. 10, 2021: Executive Session: 02/10/2021 01:20 pm Members of the public may attend using the following link: To join the webinar: https://www.zoom.us/j/95521072179
Feb. 2, 2021: Public Hearing: 02/02/2021 09:45 am Members of the public may attend using the following links: To join the webinar: https://www.zoom.us/j/92235067141 / Executive session on pending legislation may be held throughout the day (time permitting) from the time the committee is initially convened.
Jan. 6, 2021: Introduced (in recess of) 01/06/2021 and referred to Commerce and Consumer Affairs HJ 2 P. 38
Jan. 6, 2020: To Be Introduced 01/06/2020 and referred to Commerce and Consumer Affairs