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HB705: relative to health care cost transparency.

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tate or federal regulations. V. “Health plan” means health carriers, third party administrators, and any other entity that is subject to claims data submission requirements under RSA 420-G:11, IV. VI. “Historical net price” means the retrospective average amount a health carrier paid for a prescription drug, inclusive of any reasonably allocated rebates, discounts, chargebacks, fees, and any additional pri

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RSA references from bill data

  • 420-G:11 · reference · effective 2026-03-16

    tate or federal regulations. V. “Health plan” means health carriers, third party administrators, and any other entity that is subject to claims data submission requirements under RSA 420-G:11, IV. VI. “Historical net price” means the retrospective average amount a health carrier paid for a prescription drug, inclusive of any reasonably allocated rebates, discounts, chargebacks, fees, and any additional pri

  • 420-J · amend · effective 2026-03-16

    transparency. Be it Enacted by the Senate and House of Representatives in General Court convened: 5:1 New Subdivision; Managed Care Law; Transparency in Coverage. Amend RSA 420-J by inserting after section 26 the following new subdivision: Transparency in Coverage 420-J:27 Definitions. In this subdivision: I. “Billed charge” means the total charges for an item or service billed to a healt

  • 420-J:29 · reference · effective 2026-03-16

    ces, and negotiated rates and historical net prices for covered prescription drugs. III. A health plan shall make available on an Internet website the information required under RSA 420-J:29 in 3 machine-readable files, in accordance with the method and format requirements described in RSA 420-J:30, and updated as required under RSA 420-J:30, III. 420-J:29 Required Information. The machine-readable files

  • 420-J:30 · reference · effective 2026-03-16

    l make available on an Internet website the information required under RSA 420-J:29 in 3 machine-readable files, in accordance with the method and format requirements described in RSA 420-J:30, and updated as required under RSA 420-J:30, III. 420-J:29 Required Information. The machine-readable files made available to the public by a health plan shall include: I. An in-network rate machine-readable file t

  • 420-J:32 · reference · effective 2026-03-16

    re the carrier to report payment of out-of-network allowed amounts in connection with fewer than 20 different claims for payments under a single plan or coverage. Consistent with RSA 420-J:32, II, nothing in this paragraph requires the disclosure of information that would violate any applicable health information privacy law. Each unique out-of-network allowed amount shall be: (1) Reflected as a dollar am

  • 541-A · reference · effective 2026-03-16

    e 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 pr

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