Bill > HB1813

This bill modifies the state's managed care law to regulate how health insurance carriers (health plans) can change contracts with healthcare providers. Specifically, the bill requires health carriers to provide 60 days' notice of proposed contract changes only four times per year, on specific dates (January 1, April 1, July 1, and October 1), with exceptions for mutually agreed waivers, government-mandated changes, and updates to medical terminology codes. The carrier must provide both the original and revised contract versions, with changes clearly marked using underlining, bolding, and strikethrough formatting. Additionally, if the proposed changes would result in aggregate reimbursement changes exceeding $500,000 across all providers in the state, the carrier must submit a good faith estimate of the financial impact to each affected provider and to the insurance commissioner, who must then make this information publicly available. The bill aims to increase transparency and provide healthcare providers with more predictable and clear contract modification processes. The law will take effect 60 days after its passage, and while the fiscal impact is expected to be minimal, it could potentially lead to slight increases in insurance administrative costs and potentially insurance premiums.

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https://gc.nh.gov/bill_Status/billinfo.aspx?id=2020&inflect=2