Revision: March 8, 2023, 12:27 p.m.
Senate Executive Departments and Administration
March 8, 2023
2023-0860s
05/08
Amendment to SB 72-FN
Amend the bill by replacing all after the enacting clause with the following:
1 Credentialing Verification Procedures. Amend RSA 420-J:4, IV to read as follows:
IV. A health carrier shall require all participating providers to notify the health carrier of changes in the status of any items listed in this section at any time, and shall identify for participating providers the individual or department to whom they should report such changes. The carrier shall act upon the change in status request within 30 days of receipt of the request or shall notify the provider of the reason for delay or inability to act.
2 New Paragraph; Credentialing Verification Procedures. Amend RSA 420-J:4 by inserting after paragraph VI the following new paragraph:
VII. The commissioner shall accept and record complaints for health care providers regarding a health carrier’s alleged non-compliance with the provisions of this section and may take such regulatory action as deemed necessary in response to complaints received.
3 Effective Date. This act shall take effect 60 days after its passage.
2023-0860s
AMENDED ANALYSIS
This bill directs a carrier to act on a change of status request within a specified period of time or notify the provider of the reason for the delay or inability to act. The bill also directs the insurance commissioner to accept and record complaints regarding health carrier compliance with credentialing procedures.