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 compliance with 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 emphasizes that the financial responsibility for these additional requirements lies with the health carriers.

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 mandated by health carriers are not clearly defined. However, it is anticipated that these costs could lead to higher insurance premiums, which may ultimately increase Insurance Premium Tax revenues. Additionally, counties and municipalities that purchase health insurance could experience increased premiums as a result of this legislation.

Statutes affected:
Introduced: 420-J:4