HB 275-FN - AS INTRODUCED
2025 SESSION
25-0551
05/08
HOUSE BILL275-FN
AN ACTrelative to health carrier credentialing requirements.
SPONSORS:Rep. Flanagan, Hills. 45
COMMITTEE:Commerce and Consumer Affairs
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ANALYSIS
This bill provides that the cost of any additional program or certification required by the health carrier as part of its credentialing procedure or provider eligibility determination shall be the responsibility of the health carrier.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
25-0551
05/08
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Five
AN ACTrelative to health carrier credentialing requirements.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 Managed Care Law; Credentialing Verification Procedures; Health Carrier Responsibility. Amend RSA 420-J:4, VI to read as follows:
VI. Nothing in this section shall be construed to require a health carrier to select a health care professional as a participating provider solely because the health care professional meets the health carrier's credentialing verification standards, or to prevent a health carrier from utilizing separate or additional criteria in selecting the health care professionals with whom it contracts; provided that the cost of any additional program or certification required by the health carrier as part of its credentialing procedure or provider eligibility determination shall be the responsibility of the health carrier.
2 Effective Date. This act shall take effect 60 days after its passage.
LBA
25-0551
12/27/24
HB 275-FN- FISCAL NOTE
AS INTRODUCED
AN ACTrelative to health carrier credentialing requirements.
FISCAL IMPACT: This bill does not provide funding, nor does it authorize new positions.
Estimated State Impact
FY 2025 FY 2026 FY 2027 FY 2028
Revenue $0 Indeterminable Increase Indeterminable Increase Indeterminable Increase
Revenue Fund(s) General Fund
Expenditures* $0 $0 $0 $0
Funding Source(s) None
Appropriations* $0 $0 $0 $0
Funding Source(s) None
*Expenditure = Cost of bill *Appropriation = Authorized funding to cover cost of bill
Estimated Political Subdivision Impact
FY 2025 FY 2026 FY 2027 FY 2028
County Revenue $0 $0 $0 $0
County Expenditures $0 Indeterminable Increase Indeterminable Increase Indeterminable Increase
Local Revenue $0 $0 $0 $0
Local Expenditures $0 Indeterminable Increase Indeterminable Increase Indeterminable Increase
Estimated State Impact
FY 2025
FY 2026
FY 2027
FY 2028
Revenue
$0
Indeterminable Increase
Indeterminable Increase
Indeterminable Increase
Revenue Fund(s)
General Fund
Expenditures*
$0
$0
$0
$0
Funding Source(s)
None
Appropriations*
$0
$0
$0
$0
Funding Source(s)
None
*Expenditure = Cost of bill *Appropriation = Authorized funding to cover cost of bill
Estimated Political Subdivision Impact
FY 2025
FY 2026
FY 2027
FY 2028
County Revenue
$0
$0
$0
$0
County Expenditures
$0
Indeterminable Increase
Indeterminable Increase
Indeterminable Increase
Local Revenue
$0
$0
$0
$0
Local Expenditures
$0
Indeterminable Increase
Indeterminable Increase
Indeterminable Increase
METHODOLOGY:
This bill require health carriers to cover the costs of any additional programming or certification they mandate for provider credentialing.
The Insurance Department states since health carriers establish credentialing standards, the bill does not clearly define what is meant by “any additional program or certification.” However, the Department assumes the bill aims to ensure health carriers reimburse providers for expenses related to obtaining professional certifications. While these costs are difficult to quantify, they could be significant and may contribute to higher insurance premiums, ultimately leading to increased Insurance Premium Tax revenues.
To the extent counties and municipalities purchase health insurance, they could see an increase in their health insurance premiums.
AGENCIES CONTACTED:
Insurance Department