Revision: March 27, 2023, 11:26 a.m.
SB 72-FN - AS AMENDED BY THE SENATE
03/16/2023 0860s
2023 SESSION
23-0951
05/08
SENATE BILL 72-FN
AN ACT relative to provider credentialing procedures.
SPONSORS: Sen. Soucy, Dist 18; Sen. Watters, Dist 4; Sen. Gannon, Dist 23; Sen. Whitley, Dist 15; Sen. Rosenwald, Dist 13; Sen. Chandley, Dist 11; Sen. D'Allesandro, Dist 20; Rep. Nagel, Belk. 6; Rep. J. Murphy, Graf. 12; Rep. Ebel, Merr. 7; Rep. Tellez, Hills. 40
COMMITTEE: Executive Departments and Administration
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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.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
03/16/2023 0860s 23-0951
05/08
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Three
AN ACT relative to provider credentialing procedures.
Be it Enacted by the Senate and House of Representatives in General Court convened:
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.
23-0951
Amended 3/24/23
SB 72-FN- FISCAL NOTE
AS AMENDED BY THE SENATE (AMENDMENT #2023-0860s)
AN ACT relative to provider credentialing procedures.
FISCAL IMPACT: [ ] State [ ] County [ ] Local [ X ] None
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METHODOLOGY:
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. Based on information provided by the Insurance Department, the Office of Legislative Budget Assistant states this bill, as amended, has no fiscal impact on state, county, and local expenditures or revenue.
AGENCIES CONTACTED:
Insurance Department