Revision: Feb. 16, 2023, 1:49 p.m.
Health and Human Services
February 16, 2023
2023-0574s
07/05
Amendment to SB 127-FN
Amend the bill by replacing section 6 with the following
6 New Paragraph; Assisted Living Residences, Independent Living Retirement Communities and Housing for Older Persons. Amend RSA 161-J:4 by inserting after paragraph II the following new paragraph:
III. A residential services agreement shall not require payment from a third party for any services included in the base rate. Nothing in this section shall prohibit an assisted living residence, independent retirement community, or housing for older persons from seeking payment from a resident’s insurance. Nothing in this section shall prohibit a third party from agreeing to pay for additional items or services not included in the base rate, such as cable television. Nothing in this section shall prohibit a third party from agreeing to pay for upgrades to services included in the base rate, such as an additional fee for a private room instead of a shared room.
Amend the bill by replacing all after section 10 with the following:
11 Human Services; SNAP Program; Overpayment. Amend RSA 161:10 to read as follows:
161:10 [Food Stamp] Supplemental Nutrition Assistance Program; Overpayment. To the extent permitted by the Food Stamp Act of 1977, [as amended] under 7 C.F.R. section 273.18(e), and federal regulations adopted thereunder, the department of health and human services shall terminate or waive any claim to reimbursement for the overpayment of [food stamps] supplemental nutrition assistance program (SNAP) benefits if the overpayment was the result of department error and[:
I.] the amount of the overpayment is not more than $450[; or
II. The recipient's income is less than or equal to 2 times the federal poverty level].
12 Public Assistance to Blind, Aged, or Disabled Persons, and to Dependent Children; Discontinuation of [Food Stamps] Supplemental Nutrition Assistance Program (SNAP) Benefits. Amend RSA 167:17-d, I to read as follows:
I. Subject to the provisions of 7 C.F.R. section 273.16, or any subsequent amendments thereto, when a person receiving [food stamps assistance] supplemental nutrition assistance program (SNAP) benefits is convicted of a violation of RSA 167:17-b, the commissioner shall discontinue his or her assistance for a minimum period of [6] 12 months upon the first conviction, [one year] 24 months upon the second conviction, and permanently upon the third conviction, unless the court orders that assistance be discontinued for longer periods of time after the first or second convictions.
13 Commissioner of Health and Human Services; State Office of Rural Health; Commissioner's Report. Amend RSA 126-A:5, XVIII(c) to read as follows:
(c) The commissioner shall submit [an annual] a report beginning on November 1, [2009] 2025 and on every third year thereafter to the speaker of the house of representatives, the senate president, the governor, the oversight committee on health and human services established under RSA 126-A:13, the chairs of the house and senate executive departments and administration committees, the chairs of the house and senate committees having jurisdiction over health and human services, and the commission on primary care workforce issues established under RSA 126-T:1, on the health status of rural residents incorporating current data from the bureau of health statistics and data management and the SORH.
14 Commissioner of Health and Human Services; State Office of Rural Health; Office's Report. Amend RSA 126-A:5, XVIII-a(e) to read as follows:
(e) On or before December 1, 2019, and annually thereafter, the SORH shall make a written report to the speaker of the house of representatives, the senate president, the governor, the oversight committee on health and human services established under RSA 126-A:13, the chairs of the house and senate executive departments and administration committees, the chairs of the house and senate policy committee having jurisdiction over health and human services, and the commission on interdisciplinary primary care workforce established by RSA 126-T:1. The report shall include, but not be limited to, aggregate data and information on current and projected primary workforce needs and the participation rate on surveys completed pursuant to this paragraph. [This report shall be incorporated into the report required pursuant to RSA 126-A:5, XVIII(c).]
15 Commission to Study the Delivery of Public Health Services Through Regional Public Health Networks; Extension of Report Date. Amend RSA 127:12, VII to read as follows:
VII. The commission shall report its findings and any recommendations for proposed legislation to the president of the senate, the speaker of the house of representatives, the senate clerk, the house clerk, the governor, and the state library on or before November 1, [2023] 2024.
16 Prospective Repeal of the Commission to Study the Delivery of Public Health Services in New Hampshire Through Regional Public Health Networks; Extension. Amend 2022, 278:3, I to read as follows:
I. Section 2 of this act shall take effect November 1, [2023] 2024.
I. Sections 1, 2, 5, 6, 11, and 12 of this act shall take effect July 1, 2023.
II. Sections 3, 4, 8, and 9 of this act shall take effect 60 days after its passage.
III. The remainder of this act shall take effect upon its passage.
2023-0574s
AMENDED ANALYSIS
This bill:
I. Re-routes fees paid by methadone providers to the special fund for administration of opioid treatment programs.
II. Alters the definition of personal care services provider for the purposes of reimbursement by the department.
III. Alters the payment structure to residential care facilities for features outside of room and board.
IV. Eliminates the long term care facility reporting requirement to the department of health and human services regarding the Nursing Facility Quality Assessment (NFQA).
V. Removes the requirement for a beverage license if the facility is only offering bottled beverage direct to consumer and already holds a retail food license from the state health department or self-inspecting jurisdiction.
VI. Removes payment of premiums from the MEAD program.
VII. Aligns public assistance benefits within this state with federal regulations.
VIII. Alters the reporting requirements of the state office of rural health.
IX. Extends the commission to study the delivery of public health services through regional public health networks report date and prospective repeal to 2024.