HB 264-FN - AS INTRODUCED
2021 SESSION
21-0015
05/06
HOUSE BILL 264-FN
AN ACT requiring health care providers to provide cost quotes for non-emergency services.
SPONSORS: Rep. McLean, Hills. 44; Rep. Lascelles, Hills. 20; Rep. Wuelper, Straf. 3; Rep.
Marston, Hills. 19
COMMITTEE: Commerce and Consumer Affairs
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ANALYSIS
This bill requires health care providers to provide a cost quote for non-emergency medical
services offered to a patient.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
 HB 264-FN - AS INTRODUCED
21-0015
05/06
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty One
AN ACT requiring health care providers to provide cost quotes for non-emergency services.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 1 New Section; Cost Quote for Non-emergency Medical Services. Amend RSA 151 by inserting
2 after section 12-b the following new section:
3 151:12-c Cost Quote for Non-emergency Medical Services. Any health care provider licensed,
4 certified, or otherwise statutorily authorized by the state to provide medical treatment shall provide,
5 upon the request of a patient or the patient's legal representative, an itemized cost quote for all non-
6 emergency services offered, including third party services. The quote shall be provided within 3
7 business days of the request, and include all relevant, current procedural terminology (CPT) codes as
8 part of the itemization.
9 2 Effective Date. This act shall take effect January 1, 2022.
 LBA
21-0015
12/23/20
HB 264-FN- FISCAL NOTE
AS INTRODUCED
AN ACT requiring health care providers to provide cost quotes for non-emergency services.
FISCAL IMPACT: [ X ] State [ X ] County [ ] Local [ ] None
Estimated Increase / (Decrease)
STATE: FY 2021 FY 2022 FY 2023 FY 2024
Appropriation $0 $0 $0 $0
Revenue $0 Indeterminable Indeterminable Indeterminable
Expenditures $0 Indeterminable Indeterminable Indeterminable
Funding Source: [ X ] General [ ] Education [ ] Highway [ ] Other
COUNTY:
Revenue $0 $0 $0 $0
Expenditures $0 Indeterminable Indeterminable Indeterminable
METHODOLOGY:
This bill requires health care providers to provide a cost quote for non-emergency medical
services offered to a patient.
The Insurance Department states this bill imposes a requirement on health care providers to
provide cost quotes in certain situations. To the extent this increases provider costs, these costs
may be passed onto insurers in the form of higher reimbursements. Increased costs may result
in increased premiums, or may result in policy buy downs. Increased premiums may result in
increased premium tax revenue to the State.
The Department of Administrative Services states the fiscal impact to the State of New
Hampshire Employee and Retiree Health Benefit Plan cannot be determined. The Plan is a
governmental self-insured health benefit plan and not a provider of medical services or
treatment. However, the Department is not able to project the longer term impact on the cost of
care or the Fund if providers are locked into cost quotes.
The New Hampshire Association of Counties indicates this bill may have an indeterminable
impact on county expenditures. The Association is not able to predict the number or variety of
cost quotes requested and cannot determine the fiscal impact on county expenditures.
 The Department of Health and Human Services states this bill would have no fiscal impact on
the Department.
The New Hampshire Municipal Association was not able to identify any impacts on municipal
revenues or expenditures.
AGENCIES CONTACTED:
Departments of Insurance, Administrative Services and Health and Human Services, the New
Hampshire Association of Counties and New Hampshire Municipal Association