NH LEG Prior Healthcare Authorization


On Jun. 24, NH LEG passed bill on prior authorizations for health care.


  • NH LEG passed Bill SB 561 to revise provisions under the New Hampshire Revised Statutes Annotated NH INS XXXVII-420 relative to prior authorizations for health care.
  • Prior Health Care Authorization
  • Removed the definition for pre service claim and replaced it with prior authorization.
  • Added definitions for Utilization review entity, and Prior authorization determination.
  • Revised the qualifications, policies and procedures re utilization review, and disclosure and process for prior authorization requirements, requirements for medical directors.
  • Legislative History
  • On Jan. 3, 2024, bill introduced in Senate; on Feb. 15, 2024, bill passed in Senate.
  • On Mar. 2, 2024, bill delivered to House; on May 23, 2024, bill was passed in House.
  • On Jun. 24, 2024, bill was enrolled, pending delivery to the governor for their action.
  • Effectiveness
  • If approved, the Act will take effect on Jan. 1, 2025.
  • Jul. 2024 NH LEG Governor Approval
  • On Jul. 3, 2024, NH LEG reported governor approved bill, effective on Jan. 1, 2025.

Regulators NH LEG
Entity Types IB; Ins
Reference PR, Act, 7/3/2024; Bill SB561, 6/24/2024; Citation: NH INS XXXVII-420;
Functions Compliance; Legal; Product Administration
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 6/24/2024
Effective Date 1/1/2025
Rule Id 216630
Linked to N/A
Reg. Last Update 7/3/2024
Report Section US Insurance

Last substantive update on 07/08/2024