SB 96 - AS INTRODUCED
1999 SESSION
SENATE BILL 96
AN ACT relative to pre-approval of payment of medical services by workers' compensation insurers.
This bill allows an injured worker to request pre-approval of payment for medical services under the workers' compensation law.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
99-0855
01/09
STATE OF NEW HAMPSHIRE
In the Year of Our Lord One Thousand Nine Hundred and Ninety-Nine
AN ACT relative to pre-approval of payment of medical services by workers' compensation insurers.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Paragraph; Pre-approval Authorized. Amend RSA 281-A:23 by inserting after paragraph VI the following new paragraph:
VII. An employee who has a written recommendation from a health care provider for medical services under this section, but who has not yet obtained said services, may petition the commissioner for a hearing to determine the responsibility of the employer or the employer's insurance carrier to pay for said services, provided that the following conditions are met:
(a) The recommending health care provider has certified that the services are recommended for treatment of an injury or occupational disease covered by this chapter;
(b) The employee is unable to obtain the services without prepayment or a guarantee of payment; and
(c) The employer or the employer's insurance carrier has refused to provide said payment or guarantee.
Provided that, if after some or all of the services have been provided there is evidence that further similar treatment is not required by the provisions of this chapter, the employer or the employer's insurance carrier shall have the right to petition the commissioner for a hearing to terminate or limit its responsibility for payment.
2 Effective Date. This act shall take effect 60 days after its passage.