CHAPTER 59
HB 1225 - FINAL VERSION
2002 SESSION
01/09
HOUSE BILL 1225
This bill requires insurers to include a statement regarding referral restrictions in the explanation of benefits to their subscribers.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
01-2324
01/09
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Two
AN ACT relative to disclosure of referral restrictions.
Be it Enacted by the Senate and House of Representatives in General Court convened:
59:1 Explanation of Benefits; Referral Group. Amend RSA 420-H:4, II to read as follows:
II. Any benefit limitations, reductions, exclusions or exceptions to covered services, including an explanation of any restrictions on a subscriber's access to network practitioners based upon the subscriber's choice of primary care physician. The explanation of restrictions shall include a section regarding "referrals to other providers or other medical specialists" that shall urge enrollees, subscribers, certificate holders, and individual insureds to inquire about their primary care provider's referral group within the insurer's network. Such explanation shall include a general statement regarding the existence of physician hospital organizations within the insurer's network, to which primary care providers may be associated.
59:2 Applicability. The provisions of this act shall not apply until January 1, 2003.
59:3 Effective Date. This act shall take effect 60 days after its passage.
(Approved: April 26, 2002)
(Effective Date: June 25, 2002)