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1 New Section; Managed Care Law; Public Hearing Regarding Termination of Provider Contract; When Required. Amend RSA 420-J by inserting after section 7-e the following new section:
420-J:7-f Public Hearing Regarding Termination of Provider Contract; When Required. The commissioner shall hold a public hearing within 15 business days of receiving notice that an insurer intends to terminate a contract with a provider that will affect 1,000 or more covered persons. The purpose of the hearing shall be to solicit information and testimony from the insurer, provider, and other affected parties, including members of the public, regarding the contract termination. The hearing may include testimony regarding how the contract termination will affect the community's access to quality and affordable physical and mental health care services.
2 Managed Care Law; Provider Contract Standards. Amend RSA 420-J:8, XI to read as follows:
XI. Every contract entered into after July 1, 2003 between a health carrier and any physician or facility shall contain a provision that ensures that covered persons will have continued access to the provider in the event that the contract is terminated for any reason other than unprofessional behavior. The continued access to providers shall be made available for 60 days from the date of termination of the contract and shall be provided and paid for in accordance with the terms and conditions of the covered person's health benefit plan and the prior contract between a health carrier and a health care provider. Within 5 business days of the contract termination, the health carrier shall provide written notice to affected covered persons explaining their continued access rights .
3 Effective Date. This act shall take effect 60 days after its passage.
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1 New Section; Managed Care Law; Public Hearing Regarding Termination of Provider Contract; When Required. Amend RSA 420-J by inserting after section 7-e the following new section:
420-J:7-f Public Hearing Regarding Termination of Provider Contract; When Required. The commissioner shall hold a public hearing within 15 business days of receiving notice that an insurer intends to terminate a contract with a provider that will affect 1,000 or more covered persons. The purpose of the hearing shall be to solicit information and testimony from the insurer, provider, and other affected parties, including members of the public, regarding the contract termination. The hearing may include testimony regarding how the contract termination will affect the community's access to quality and affordable physical and mental health care services.
2 Managed Care Law; Provider Contract Standards. Amend RSA 420-J:8, XI to read as follows:
XI. Every contract entered into after July 1, 2003 between a health carrier and any physician or facility shall contain a provision that ensures that covered persons will have continued access to the provider in the event that the contract is terminated for any reason other than unprofessional behavior. The continued access to providers shall be made available for 60 days from the date of termination of the contract and shall be provided and paid for in accordance with the terms and conditions of the covered person's health benefit plan and the prior contract between a health carrier and a health care provider. Within 5 business days of the contract termination, the health carrier and affected provider shall provide a joint written notice to affected covered persons explaining their continued access rights and provide notice that a public hearing concerning the termination will be scheduled by the insurance commissioner pursuant toRSA 400-J:7-f .
3 Effective Date. This act shall take effect 60 days after its passage.