Current managed care law sets out provider contract standards and prohibitions.
Prohibits managed care contracts between a health carrier and participating provider from a payment or reimbursement that induces providers to deny necessary care.
Does not prohibit payment arrangement with provider or provider groups re capitation.
Outlines documentation, fees applicable, fee schedule requirements, disclosure, et cet.
SB 556 adds requirement clause that a health carrier may not establish payment or reimbursement based solely on a participating advanced nurse practitioner's licensure.
Legislative History
On Jan. 3, 2024, bill was introduced in Senate; on Apr. 11, 2024, bill passed Senate.
On Apr. 12, 2024, bill was introduced in House; on May 23, 2024, bill passed House.
On Jul. 11, 2024, bill was enrolled in chambers; on Jul. 26, 2024, signed by governor.
Effectiveness
Chapter 306 is effective on Jan. 1, 2025.
Regulators
NH LEG
Entity Types
Ins
Reference
Bill SB556, Ch.306; 7/26/2024; Citation: NH INS XXXVII-420-J-420-J:8;
