Revision: Oct. 28, 2021, 9:15 a.m.
Health and Human Services
October 26, 2021
2021-2217s
10/08
Amendment to SB 121
Amend the bill by replacing all after the enacting clause with the following:
1 New Section; Federal Health Care Reform; Health Exchange. Amend RSA 420-N by inserting after section 10 the following new section:
420-N:11 Implementation of State-Based Exchange.
I. Notwithstanding the provisions of RSA 420-N:7, the insurance department is authorized to examine the potential benefits of implementing a state-based exchange, including potential strengthening of state control over health insurance reform, potential health policy benefits, and potential economic benefits to the individual and group health insurance markets. If, in the department’s opinion, implementation of a state-based exchange would strengthen state control and provide significant health policy benefits and economic benefits, the department may implement a state-based exchange upon approval of the governor, the oversight committee on health and human services established in RSA 126-A:13, and the fiscal committee of the general court. Any contract with a state-based health exchange shall be approved by the governor and council.
II. Any decision by the commissioner to recommend that the state participate in a state-based exchange or contract with a private entity to do so shall be based on the potential for:
(a) Strengthened state control over health insurance reform.
(b) Economic benefits to the individual and group health insurance markets.
(c) Improved access to data for health policy decisions, including data regarding demographics and enrollee benefit / plan design preferences.
(d) Ease of use by stakeholders.
(e) Reliability of the state-based exchange, including integration with any federal or state Medicaid systems.
(f) Potential health policy benefits.
(g) Cost savings and the potential for changes over time.
2 Effective Date. This act shall take effect upon passage.
2021-2217s
AMENDED ANALYSIS
This bill requires the insurance department to examine the implementation of a state-based health exchange and implement such an exchange upon approval of the governor, the oversight committee on health and human services, and the fiscal committee.