[RSA 420-J:30 effective 6 months after finalization of federal guidance under United States Presidential Executive Order 14221 pursuant to 2026, 5:2.]
420-J:30 Required Reporting of Information to the Commissioner in a Standardized Format; Rulemaking; Commissioner's Responsibility to Make Comparative Price Information Publicly Available. –
I. Pricing information from the machine-readable files described in RSA 420-J:29 shall be electronically provided to the commissioner in a form and manner as specified in rule adopted by the commissioner under RSA 541-A. The commissioner shall ensure that the required form and manner for providing pricing information from the machine-readable files:
(a) Is consistent with the updated federal guidance or rulemaking ensuring that pricing information is standardized and easily comparable across health plans and hospitals required under United States Presidential Executive Order 14221 of February 25, 2025, "Making America Healthy Again by Empowering Patients with Clear, Accurate, and Actionable Healthcare Pricing Information"; and
(b) Results in standardization of format and terminology from one health plan to another sufficient to facilitate the compilation by the commissioner of marketwide data and marketwide cost comparisons between health plans and health care providers.
II. The machine-readable files shall be publicly available and accessible to any person free of charge and without conditions, such as establishment of a user account, password, or other credentials, or submission of personally identifiable information to access the file.
III. A health plan shall update the machine-readable files and information required in RSA 420-J:29 and the information submitted to the commissioner described in this subdivision on a monthly basis. The health plan shall clearly indicate in the files the date that the files were most recently updated.
IV. The commissioner shall compile the pricing information submitted by health plans under this subdivision and make it available to the public through an online tool that facilitates market wide price comparison for health care items or services between health plans and health care providers and empowers patients, researchers, policy makers, and other stakeholders with clear, accurate, and actionable health care pricing information.