New Hampshire HB 1813: relative to changes to health carrier contracts with providers.

Bill Text

HB 1813-FN - AS INTRODUCED

2026 SESSION

 26-2811

 05/08

HOUSE BILL 1813-FN

AN ACT relative to changes to health carrier contracts with providers.

SPONSORS: Rep. Miles, Hills. 12; Rep. B. Boyd, Hills. 12; Rep. Cambrils, Merr. 4; Rep. W. MacDonald, Rock. 16; Rep. Mooney, Hills. 12; Rep. Mary Murphy, Hills. 27; Rep. L. Walsh, Rock. 15; Sen. McGough, Dist 11

COMMITTEE: Commerce and Consumer Affairs

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ANALYSIS

 This bill regulates the notice requirements regarding changes to contracts between health carriers and health care providers.

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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 Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

 26-2811

 05/08

STATE OF NEW HAMPSHIRE

In the Year of Our Lord Two Thousand Twenty-Six

AN ACT relative to changes to health carrier contracts with providers.

Be it Enacted by the Senate and House of Representatives in General Court convened:

 1 New Subparagraph; Managed Care Law; Provider Contract Standards. Amend RSA 420-J:8, VIII by inserting after subparagraph (f) the following new subparagraph: 

 (g)(1) A health carrier shall provide a participating provider or facility with 60 days notice of a proposed change to a contract, including any attachment, exhibit, and provider manual, only 4 times per calendar year effective on January 1, April 1, July 1, and October 1, except that at any time: 

 (A) The carrier and the participating provider or facility may mutually agree to waive the 60 day notice requirement; 

 (B) A carrier may file a notice of a proposed change in response to a requirement of the state or federal government; or

 (C) A carrier may file a notice of a proposed change due to a change in current procedural terminology codes used by the American Medical Association.

 (2) As part of the notice requirement under this subparagraph, a health carrier shall provide to the participating provider or facility, printed or electronically, a copy of the contract, including any attachment, exhibit, and provider manual, without the changes and a copy of the revised contract, attachment, exhibit, and/or provider manual with changes indicated by underlining and bolding added language and by visually striking through deleted language.

 (3) If the change to a contract, attachment, exhibit, or provider manual results in an aggregate change in provider reimbursement of more than $500,000 per calendar year across all participating providers or facilities in the state with whom the carrier has a provider contract, the carrier shall submit to each participating provider or facility a good faith estimate of the total annual aggregate financial impact of the changes to their contract. The estimate and an explanation for all financial impacts as a result of the change under this subparagraph shall be submitted annually to the commissioner of insurance to be published annually on the insurance department's official website or be made publicly available upon request of the department.

 2 Effective Date. This act shall take effect 60 days after its passage.

 LBA

 26-2811

 12/16/25

HB 1813-FN- FISCAL NOTE

AS INTRODUCED

AN ACT relative to changes to health carrier contracts with providers.

FISCAL IMPACT: 

 Estimated State Impact

FY 2026

FY 2027

FY 2028

FY 2029

 Revenue

$0

Indeterminable Increase 

(not provided by agency)

Indeterminable Increase

 (not provided by agency)

Indeterminable Increase 

(not provided by agency)

 Revenue Fund(s)

General Fund

 Expenditures*

$0

Under $10,000

Under $10,000

Under $10,000

 Funding Source(s)

NH Insurance Department Operating Budget

 Appropriations*

$0

$0

$0

$0

 Funding Source(s)

None

 *Expenditure = Cost of bill *Appropriation = Authorized funding to cover cost of bill

 Estimated Political Subdivision Impact

FY 2026

FY 2027

FY 2028

FY 2029

 County Revenue

$0

$0

$0

$0

 County Expenditures

$0

Indeterminable

Indeterminable

Indeterminable

 Local Revenue

$0

$0

$0

$0

 Local Expenditures

$0

Indeterminable

Indeterminable

Indeterminable

The Office of Legislative Budget Assistant is unable to provide a complete fiscal note for this bill, as introduced, as it is awaiting information from the Department Health and Human Services. The Department was originally contacted on 10/23/25 for a fiscal note worksheet. When completed, a revised fiscal note will be forwarded to the House Clerk's Office.

METHODOLOGY:

This bill amends RSA 420-J:8 to require health carriers to provide at least 60 days’ notice to participating providers or facilities before making certain contract changes. It limits such changes to four times per calendar year, requires c