This bill amends RSA 420-J by inserting a new section, 420-J:6-f, which prohibits health carriers from requiring prior authorization for the first 12 visits of physical therapy, occupational therapy, or similar rehabilitative services for each new episode of care. A "new episode of care" is defined as treatment for a new condition or a condition that has not been treated within the previous 60 days. However, health carriers retain the right to deny claims if it is determined that the treatment was not medically necessary.
The bill's implementation is expected to have an indeterminable impact on state revenues, as the removal of prior authorization may lead to an increase in claims and overall treatment costs, potentially resulting in higher insurance premiums. This could subsequently increase Insurance Premium Tax revenue for the state, although the exact financial implications cannot be estimated without further analysis of claims data and utilization patterns. The bill will take effect 60 days after its passage.