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SB546: relative to health carrier network access monitoring.
Bill details
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Official links
SB546: relative to health carrier network access monitoring.
Related law links
RSA references from bill data
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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
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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
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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