Revision: March 20, 2024, 2:19 p.m.
Health and Human Services
March 20, 2024
2024-1264s
09/05
Amendment to SB 556-FN
Amend the title of the bill by replacing it with the following:
AN ACT relative to coverage of services provided by advanced practice registered nurses.
Amend the bill by replacing all after the enacting clause with the following:
1 New Section; Nurse Practice Act; Coverage of Services Provided by Advanced Practice Registered Nurses. Amend RSA 326-B by inserting after section 11 the following new section:
326-B:11-a Coverage of Services Provided by Advanced Practice Registered Nurses.
I. Health insurers and, to the extent permitted under federal law, Medicaid and Medicare, shall reimburse a participating provider who is an advanced practice registered nurse for covered primary care services including behavioral health at the same rate as a physician. In-network advanced practice registered nurses are authorized to bill for and receive direct payment for the medically necessary covered services they deliver.
II. To provide accountability and transparency for patients, payers, and health care systems, the advanced practice registered nurse, when appropriate, shall be identified as the treating provider in the billing and claims processes when the advanced practice registered nurse delivered the medical services to the patient.
III. A health insurer shall not impose any practice, education, or collaboration requirement for an advanced practice registered nurse that is inconsistent with or more restrictive than the provisions of this chapter.
IV. Nothing in this chapter shall be construed to preclude a health carrier from exercising its rights and responsibilities set forth in RSA 420-J:4.
2 Effective Date. This act shall take effect January 1, 2025.
2024-1264s
AMENDED ANALYSIS
This bill provides certain requirements for coverage of services provided by advanced practice registered nurses.