Bill Text: NH SB58 | 2019 | Regular Session | Amended
Bill Title: Relative to payment for low-dose mammography coverage.
Spectrum: Slight Partisan Bill (Democrat 7-4)
Status: (Passed) 2019-07-16 - Signed by the Governor on 07/12/2019; Chapter 226; Effective 09/10/2019 [SB58 Detail]
Download: New_Hampshire-2019-SB58-Amended.html
SB 58-FN - AS AMENDED BY THE HOUSE
5Jun2019... 2177h
2019 SESSION
19-0826
01/06
SENATE BILL 58-FN
AN ACT relative to payment for low-dose mammography coverage.
SPONSORS: Sen. Bradley, Dist 3; Sen. Watters, Dist 4; Sen. Rosenwald, Dist 13; Sen. Giuda, Dist 2; Sen. Sherman, Dist 24; Sen. Gray, Dist 6; Sen. Carson, Dist 14; Rep. Marsh, Carr. 8; Rep. Van Houten, Hills. 45; Rep. Knirk, Carr. 3; Rep. Woods, Merr. 23
COMMITTEE: Commerce
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AMENDED ANALYSIS
This bill clarifies payment for low-dose mammography under the managed care 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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
5Jun2019... 2177h 19-0826
01/06
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Nineteen
AN ACT relative to payment for low-dose mammography coverage.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Subparagraph; Managed Care Law; Provider Contract Standards. Amend RSA 420-J:8, VIII by inserting after subparagraph (d) the following new subparagraph:
(e) Provider contracts that include payment for mammography shall include distinct recognition of and additional payment for industry standard coding relating to mammography screening using 3-D tomosynthesis.
2 Effective Date. This act shall take effect 60 days after its passage.
19-0826
1/15/19
SB 58-FN- FISCAL NOTE
AS INTRODUCED
AN ACT relative to reimbursement rates for low-dose mammography coverage.
FISCAL IMPACT: [ X ] State [ X ] County [ X ] Local [ ] None
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STATE: | FY 2020 | FY 2021 | FY 2022 | FY 2023 |
Appropriation | $0 | $0 | $0 | $0 |
Revenue | Indeterminable Increase | Indeterminable Increase | Indeterminable Increase | Indeterminable Increase |
Expenditures | Indeterminable Increase | Indeterminable Increase | Indeterminable Increase | Indeterminable Increase |
Funding Source: | [ X ] General [ ] Education [ ] Highway [ ] Other | |||
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COUNTY: |
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Revenue | $0 | $0 | $0 | $0 |
Expenditures | Indeterminable Increase | Indeterminable Increase | Indeterminable Increase | Indeterminable Increase |
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LOCAL: |
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Revenue | $0 | $0 | $0 | $0 |
Expenditures | Indeterminable Increase | Indeterminable Increase | Indeterminable Increase | Indeterminable Increase |
METHODOLOGY:
This bill clarifies the reimbursement rates for low-dose mammography. The Insurance Department indicates the bill requires reimbursements for low-dose mammography benefits accurately reflect the resource costs specific to each modality, including any increased cost of breast tomosynthesis. The Department assumes the bill would result in inflationary pressures on the rates for such coverage. This may lead to increased claims costs and increased premium rates for employers including state, county and local government. An increase in premiums would lead to an increase in the premium tax revenue collected by the state. However, employers may look for options to absorbing a premium increase such as purchasing less coverage. The Department assumes the additional regulatory responsibility could be handled with existing resources.
The Department of Health and Human Services administers the Medicaid program. The Medicaid program provides coverage for low dose mammography, having recently approved procedure codes for this service. The Department has not yet established rates which are a percentage of established Medicare rates. The Department assumes the intent of this bill is to increase the reimbursement rates for these services, which may result in an indeterminate increase in Medicaid expenditures.
AGENCIES CONTACTED:
Insurance Department and Department of Health and Human Services
