Rep. Cushman, Hills. 2
March 7, 2022
2022-0996h
05/04
Amendment to HB 1347
Amend the title of the bill by replacing it with the following:
AN ACT relative to licensing requirements for health care facilities that operate on a membership-based or direct payment business model.
Amend the bill by replacing all after the enacting clause with the following:
1 Residential Care and Health Facility Licensing; License or Registration Required. Amend RSA 151:2, VI(a) to read as follows:
VI.(a) No new license shall be issued for, and there shall be no increase in licensed capacity of, any nursing home, skilled nursing facility, intermediate care facility, or rehabilitation facility, including rehabilitation hospitals and facilities offering comprehensive rehabilitation services. This moratorium shall not apply to any facility under this chapter that operates on a membership-based business model or exclusively provides services to persons who make direct payment for services, or any rehabilitation facility whose sole purpose is to treat individuals for substance use disorder or mental health issues or to any continuing care facility for which a certificate of authority has been issued by the insurance commissioner pursuant to RSA 420-D:2.
2 Residential Care and Health Facility Licensing; Policies Required. Amend RSA 151:2-f to read as follows:
151:2-f Policies Required for Health Facilities and Special Health Care Service Licenses.
I. Every facility licensed under RSA 151:2, I(a) or (d) and every person holding a special health care service license under RSA 151:2-e shall:
[I.] (a) Adopt and enforce a written policy to assure that the facility provides its services to all persons who require the services the facility provides regardless of the source of payment for the services provided to any person;
[II.] (b) Adopt, publicize, and apply an assistance plan for persons who are uninsured or who do not have the financial resources to pay for the facility's services due to financial hardship;
[III.] (c) Provide data to the commissioner of the department of health and human services regarding the volume, cost and outcomes of services provided in the facility; and
[IV.] (d) Pay fees under RSA 151:2-e, III to the commissioner of the department to cover the costs of administering the licensing of special health care services, the administration of the quality and patient safety requirements of this section, and the collection and analysis of the data collected under this section.
II. Subparagraphs I(a) and (b) shall not apply to any nursing home, skilled nursing facility, intermediate care facility, or rehabilitation facility, including rehabilitation hospitals and facilities offering comprehensive rehabilitation services facilities, which operate on a membership-based business model or exclusively provide services to persons who make direct payment for services. For the purpose of this paragraph, a direct payment is one that is paid directly by the patient and is not reimbursed or otherwise paid by a third party.
3 Effective Date. This act shall take effect 60 days after its passage.
2022-0996h
AMENDED ANALYSIS
This bill exempts direct payment and membership-based health care facilities from the moratorium on the issuance of certain licensing requirements and from the adoption of certain policies relative to access to care and financial assistance plans.
| Date | Body | Type |
|---|---|---|
| Feb. 22, 2022 | House | Hearing |
| March 7, 2022 | House | Exec Session |
| House | Floor Vote |
March 20, 2022: Lay HB1347 on Table (Rep. M. Pearson): MA VV 03/16/2022 HJ 7
March 9, 2022: Minority Committee Report: Inexpedient to Legislate
March 9, 2022: Majority Committee Report: Ought to Pass with Amendment # 2022-0996h (NT) (Vote 12-9; RC)
March 1, 2022: Executive Session: 03/07/2022 09:30 am LOB 210-211
Feb. 22, 2022: Public Hearing: 02/22/2022 11:00 a.m. LOB210-211
Nov. 20, 2021: Introduced 01/05/2022 and referred to Health, Human Services and Elderly Affairs