SB 372 - AS INTRODUCED
2022 SESSION
22-2889
04/05
SENATE BILL 372
AN ACT relative to employee leasing companies working under contract with a hospital.
SPONSORS: Sen. Bradley, Dist 3
COMMITTEE: Health and Human Services
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ANALYSIS
This bill requires an employee leasing companies (ELC) working under written contract with a hospital and providing direct patient care as part of the hospital's services to provide an itemized billing statement to a patient for medical services provided; requires an ELC that bills a self-pay patient to accept payment in full for amounts generally billed by a hospital for medical services; and requires a hospital to annually report its financial relationship and other information about its affiliation with an ELC.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
22-2889
04/05
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Two
AN ACT relative to employee leasing companies working under contract with a hospital.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Residential Care and Health Facility Licensing; Itemized Bills. Amend RSA 151:12-a, I to read as follows:
I. Any provider of medical services, including physicians, facilities licensed under this chapter, an employee leasing company working under written contract and providing direct patient care as part of a hospital's services, and nursing homes as defined in RSA 151-A:1, IV, who is to receive payment from a third party shall provide the person receiving such services and the third party with an itemized statement within 30 days of such service. The statement shall contain a list of services rendered, the dates on which such services were rendered and the costs of those services; provided, however, that a nonitemized bill may be rendered if it includes in large, easily readable print the following: "An itemized bill will be gladly submitted free of charge on request."
2 Residential Care and Health Facility Licensing; Hospital Rates for Self-Pay Patients. Amend RSA 151:12-b to read as follows:
151:12-b Hospital Rates for Self-Pay Patients. When billing self-pay patients for a service rendered, a hospital or an employee leasing company working under written contract and providing direct patient care as part of a hospital's services shall accept as payment in full an amount no greater than the amount generally billed and received by the hospital for that service for patients covered by health insurance. A hospital shall determine the amount generally billed to health carriers in a manner consistent with Section 9007 of the Patient Protection and Affordable Care Act of 2009. A hospital shall provide written notice to a self-pay patient in advance of providing a service and at the time the service is billed regarding the requirements under this section. For the purposes of this section "hospital" means an institution which is engaged in providing to patients, under supervision of physicians, diagnostic and therapeutic services for medical diagnosis, treatment, and care of injured, disabled, or sick persons, or rehabilitation services for the rehabilitation of such persons. The term "hospital" includes psychiatric and substance abuse treatment hospitals. In this section, "self-pay" means a patient seeking care at a hospital who does not have any form of insurance, including, but not limited to, health insurance, MedPay coverage, or any other liability coverage.
3 Residential Care and Heath Facility Licensing; Disclosure of Information. Amend RSA 151:31, I to read as follows:
I.(a) Hospitals shall make an annual report, beginning on November 1, 2000, to the attorney general including the following information:
(1) The hospital's financial relationships with physician hospital organizations and employee leasing companies working under written contract and providing direct patient care as part of the hospital's services.
(2) Number and type of providers employed by the hospital, and any affiliates, as defined in RSA 541-C:2, II, and contracting with or through physician hospital organizations.
(3) Frequency of contract negotiations with providers [and], physician hospital organizations, and employee leasing companies providing physicians to such facility as part of the hospital's services.
(4) The number of primary care physicians and specialty care physicians, by specialty, that are employed by each hospital or affiliate, or leased to each hospital or affiliate.
(5) The number of primary care physicians and specialty care physicians, by specialty, that are members of the hospital's active medical staff.
(6) An organizational chart showing the corporate structure of the hospital and any affiliates including a description of the type of services provided by each entity.
(7) A list of physician practices that are owned by the hospital and its affiliates, or which contract with the hospital and any affiliates for the provision of professional services.
(8) A copy of the policy adopted by the hospital, and any affiliates, requiring physicians employed by such hospital to notify their patients when they are referring a patient for professional services to be provided by a physician employed by the same hospital or affiliate. The policy shall also expressly state that no physician employed by the hospital or any affiliate is required or in any way obligated to refer patients to physicians also employed or under contract with the hospital or any affiliate.
(b) For the purposes of this section "hospital" means an institution, or employee leasing company working under written contract and providing direct patient care as part of the hospital's services, which is engaged in providing to patients, under supervision of physicians, diagnostic and therapeutic services for medical diagnosis, treatment, and care of injured, disabled, or sick persons, or rehabilitation services for the rehabilitation of such persons. The term "hospital" includes psychiatric and substance abuse treatment hospitals.
4 Effective Date. This act shall take effect 60 days after its passage.