This bill mandates the New Hampshire Insurance Department to conduct a comprehensive analysis and produce a report assessing compliance with the state's managed care and medical utilization review laws, specifically RSA 420-E and RSA 420-J. The analysis will be conducted in consultation with practicing community physicians across all counties and health systems in New Hampshire. The report, which will include recommendations for penalties against non-compliant insurers and insurance carriers, is required to be submitted to various state officials by November 1, 2026.

The bill does not provide funding or authorize new positions to support this initiative, which is expected to increase General Fund expenditures by an indeterminable amount starting in FY 2027. The Insurance Department has indicated that the extensive nature of the required analysis cannot be completed with existing resources and may necessitate additional staff and contracted services, potentially costing between $300,000 to $500,000 annually from FY 2027 to FY 2029. The bill's effective date is set for 60 days after its passage.