SB 556-FN - AS INTRODUCED
2024 SESSION
24-3088
09/05
SENATE BILL 556-FN
SPONSORS: Sen. Prentiss, Dist 5
COMMITTEE: Health and Human Services
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ANALYSIS
This bill provides certain requirements for insurance reimbursement for health services provided by advanced practice registered nurses.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
24-3088
09/05
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Four
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Section; Insurance; Accident and Health Insurance; Coverage for Nurse Practitioners; Individual. Amend RSA 415 by inserting after section 6-a1 the following new section:
415:6-b1 Nurse Practitioners; Payment for Equivalent Types of Service; Individual.
Each insurer that issues or renews any individual policy, plan, or contract of accident of health insurance providing benefits for medical or hospital expenses shall provide to persons covered by such insurance who are residents of this state coverage for expenses arising from a health service performed by an advanced practice registered nurse licensed under RSA 326-B:18, if that particular type of service is within the scope of practice of such advanced practice registered nurse and if the insurer would reimburse for that type of service when performed by any other type of health care provider. Such coverage shall be subject to each insurer’s standards and mechanisms for determining medical necessity, for credentialing pursuant to RSA 420-J:4, and for contracting pursuant to RSA 420-J:8. Benefits provided shall not be subject to any greater co-payment, deductible, or coinsurance than any other similar benefits provided by the insurer.
2 New Section; Insurance; Accident and Health Insurance; Coverage for Nurse Practitioners; Group. Amend RSA 415 by inserting after section 18-ee the following new section:
415:18-ff Nurse Practitioners; Payment for Equivalent Types of Services; Group. Each insurer that issues or renews any policy of group or blanket accident or health insurance providing benefits for medical or hospital expenses may provide to each group, or to the portion of each group comprised of certificate holders of such insurance who are residents of this state, coverage for expenses arising from a health service performed by an advanced practice registered nurse licensed under RSA 326-B:18, if that particular type of service is within the scope of practice of such advanced practice registered nurse and if the insurer would reimburse for that type of service when performed by any other type of health care provider. Such coverage, if provided, shall be subject to each insurer’s standards and mechanisms for determining medical necessity, for credentialing pursuant to RSA 420-J:4, and for contracting pursuant to RSA 420-J:8. Any such benefits provided shall not be subject to any greater co-payment, deductible, or coinsurance than any other similar benefits provided by the insurer.
3 Effective Date. This act shall take effect July 1, 2024.
24-3088
Revised 12/19/23
SB 556-FN- FISCAL NOTE
AS INTRODUCED
AN ACT relative to insurance reimbursement for advanced practice registered nurses.
FISCAL IMPACT: [ ] State [ ] County [ ] Local [ X ] None
METHODOLOGY:
The Office of Legislative Budget Assistant states this bill, as introduced, has no fiscal impact on state, county and local expenditures or revenue.
AGENCIES CONTACTED:
Insurance Department