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NH bill would limit midyear insurer contract changes and require transparency
Summary
Rep. Julie Miles introduced HB 18-13 to restrict insurers to four scheduled windows a year for changes to provider manuals and ancillary documents, require redlined changes and a good-faith estimate of financial impact for changes exceeding $500,000; carriers warned of operational burdens and the Insurance Department called parts 'indeterminable.'
Rep. Julie Miles (Hillsborough District 12) told the House Commerce Committee that House Bill 18-13 aims to make insurer-provider rules more predictable and transparent by limiting midyear updates to provider manuals and similar attachments to four quarterly windows and by requiring clear, redlined changes and financial-disclosure when a change would produce more than $500,000 in savings.
"These measures promote stability, improve communication, and help ensure continuity of care," Miles said, arguing that quarterly cadence and clearer notice would help providers plan and avoid denials caused by subtle, unmarked policy changes.
Ben Bradley of the New Hampshire Hospital Association, speaking for hospitals,…
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