On January 15, 2024, the New Hampshire Legislature introduced Senate Bill 67-FN, aimed at reforming the workers' compensation system by establishing a structured process for resolving disputes over the reasonable value of medical services provided to injured employees. Sponsored by Senators McGough, Rochefort, and Fenton, the bill seeks to streamline the dispute resolution process, which has been a point of contention for healthcare providers and employers alike.

The key provision of SB 67-FN mandates a 90-day time limit for healthcare providers to apply to the commissioner for dispute resolution after notifying the employer or their insurance carrier of a disagreement regarding service payment. Specifically, the bill stipulates that providers must inform the relevant parties within 45 days of payment and must file for resolution within another 45 days if the dispute remains unresolved. This dual timeframe aims to encourage prompt communication and resolution, reducing prolonged disputes that can hinder care and financial processes.

Debate surrounding the bill has highlighted concerns from both healthcare providers and employers. Proponents argue that the bill will create a more efficient system, reducing delays in payment and ensuring that providers are compensated fairly for their services. Critics, however, express concerns that the time limits may pressure providers into accepting lower payments to avoid the bureaucratic process, potentially undermining the quality of care.

The implications of SB 67-FN extend beyond administrative efficiency. Economically, the bill could impact the financial stability of healthcare providers who rely on timely payments for services rendered. Socially, it may affect the quality of care if providers feel compelled to accept lower payments to avoid disputes. Politically, the bill reflects ongoing tensions between healthcare providers and employers regarding compensation practices within the workers' compensation framework.

As the bill progresses through the legislative process, stakeholders are closely monitoring its potential effects on the healthcare landscape in New Hampshire. If passed, SB 67-FN could set a precedent for how payment disputes are handled in the future, influencing both the operational practices of healthcare providers and the financial responsibilities of employers. The bill is scheduled for further discussion in the Commerce Committee, where its provisions will be scrutinized and debated in the coming weeks.