This bill amends the Managed Care Law to clarify the responsibilities of health carriers regarding credentialing procedures. Specifically, it states that while health carriers are not required to select a healthcare professional solely based on their meeting credentialing verification standards, they must bear the costs of any additional programs or certifications they require as part of their credentialing process. The new legal language inserted into RSA 420-J:4, VI includes provisions that affirm the health carrier's responsibility for these costs, ensuring that any financial burden associated with additional credentialing requirements does not fall on the healthcare professionals themselves.

The bill is set to take effect 60 days after its passage and does not provide any funding or authorize new positions. The fiscal impact is indeterminable, as the costs associated with the additional programs or certifications required by health carriers are not clearly defined. However, it is anticipated that these costs could lead to increased insurance premiums, which may affect both state and local revenues. The Insurance Department has noted that while the exact financial implications are difficult to quantify, they could be significant enough to influence overall insurance costs and potentially increase Insurance Premium Tax revenues.

Statutes affected:
Introduced: 420-J:4