Revision: May 17, 2023, 3:35 p.m.
Rep. Layon, Rock. 13
Rep. Read, Rock. 10
May 17, 2023
2023-1927h
05/08
Floor Amendment to SB 263-FN
Amend the bill by inserting after section 7 the following and renumbering the original section 8 to read as 9:
8 New Hampshire Granite Advantage Health Care Program; Coverage for Medically Necessary Sterilizing Procedures.
(3) The commissioner shall include in MCO contracts a prohibition on limiting coverage for sterilizing procedures for adult patients for whom such a procedure is a legitimate treatment for a diagnosed condition, based on the patient's age or number of children, or a provider's perception of the patient's future reproductive desires. The MCO may require that the patient sign an informed consent and waiver of medical advice for the sterilizing procedure.
(4) The commissioner shall establish for the managed care program beginning on July 1, 2019 and thereafter a minimum medical loss ratio that is actuarially sound and that encourages cost efficiency in the delivery of care to the entire Medicaid population. Any surplus funds generated from the MCOs managing the cost of their services below the established minimum medical loss ratio for the beneficiaries of the program shall be transferred to the fund and shall be included in the calculation of the remainder amount.
2023-1927h
AMENDED ANALYSIS
This bill:
I. Reestablishes and revises the membership and duties of the commission to evaluate the effectiveness and future of the New Hampshire granite advantage health care program. The commission is repealed November 1, 2028.
II. Permanently extends the New Hampshire granite advantage health care program by removing the prospective repeal of the program that was to take effect on December 31, 2023.
III. Removes the transfer of funds from the alcohol abuse prevention and treatment fund to the granite advantage health care trust fund.
IV. Requires contacts with managed care organizations under the granite advantage health care program to prohibit certain limitations on coverage for medically necessary sterilizing procedures for women.