Bill > SB480

This bill prohibits health insurance carriers from requiring prior authorization for the first 12 visits of physical therapy, occupational therapy, or similar rehabilitative services within a new episode of care. A "new episode of care" is defined as treatment for either a new medical condition or a condition that has not been treated in the previous 60 days. While health carriers cannot demand pre-approval for these initial 12 visits, they retain the right to deny claims retrospectively if they determine the treatment was not medically necessary. The bill amends New Hampshire's managed care law (RSA 420-J) and will take effect 60 days after its passage. The Insurance Department suggests this change could potentially increase overall treatment claims and might lead to higher insurance premiums, though the exact financial impact is considered indeterminable. The fiscal note indicates no immediate state expenditures but acknowledges potential future revenue increases from potential premium tax adjustments.

Health and Social Services

https://gc.nh.gov/bill_Status/billinfo.aspx?id=1229&inflect=2