Bill Text: NH SB58 | 2019 | Regular Session | Amended


Bill Title: Relative to payment for low-dose mammography coverage.

Spectrum: Bipartisan Bill

Status: (Engrossed) 2019-06-13 - Sen. Cavanaugh Moved to Concur with the House Amendment, Motion Adopted, Voice Vote; 06/13/2019; Senate Journal 20 [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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.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.

 

LBAO

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

 

 

 

Estimated Increase / (Decrease)

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

 

 

 

 

 

COUNTY:

 

 

 

 

   Revenue

$0

$0

$0

$0

   Expenditures

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

Indeterminable Increase

 

 

 

 

 

LOCAL:

 

 

 

 

   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

 

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