SB546-FN: relative to health carrier network access monitoring.

Related law links

RSA references from bill data

• 420-J · amend · effective 2027-01-01

  t Enacted by the Senate and House of Representatives in General Court convened: 1 New Section; Managed Care Law; Secret Shopper Audits for Network Adequacy Compliance. Amend RSA 420-J by inserting after section 7-e the following new section: 420-J:7-f Secret Shopper Audits for Network Adequacy Compliance. I. Beginning January 1, 2027, all health carriers offering commercial health insurance cove

• 420-J:7 · reference · effective 2027-01-01

  4. II. The purpose of such audits shall be to assess and validate carrier compliance with the appointment wait time standards and provider accessibility requirements set forth in RSA 420-J:7 and corresponding rules adopted by the insurance department. III. Each carrier shall contract with an independent third-party entity to conduct annual secret shopper surveys. The surveys shall: (a) Include behavioral

• 541-A · reference · effective 2027-01-01

  formats; (c) Be completed no later than April 30 of each calendar year and submitted to the insurance department by May 31. IV. The insurance department shall adopt rules under RSA 541-A to implement this section, including: (a) Procedures for carrier reporting and data submission; and (b) Public transparency requirements for survey results. V.(a) The insurance department may impose civil monetary

RSAs mentioned by this document

• RSA 420-J · MANAGED CARE LAW
• RSA 541-A · ADMINISTRATIVE PROCEDURE ACT
• RSA 420-J:7 · Network Adequacy