In 2003, New Hampshire created one of the nation’s first all-payer claims databases (“APCD”) to collect and disseminate healthcare price information, leading the way for many other states. In 2007, price transparency leader New Hampshire took its APCD one step further and launched NHHealthCost.org, a website that provides the median bundled prices for the thirty most common healthcare services. Continuing the trend, New Hampshire’s legislature remains highly active in considering innovative cost containment solutions and expanding price transparency initiatives.
During its 2017-2018 legislative session, New Hampshire passed a variety of bills related to healthcare price and competition. It became the first state to use health insurance claims to rate networks. Additionally, New Hampshire established a work requirement for those seeking Medicaid who are part of the Expansion population. It also banned gag clauses in contracts between insurance carriers or pharmacy benefit managers and a contracted pharmacy.
The State Database
The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare.
LEGISLATION: The Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ), created by The Source on Healthcare Price & Competition and Catalyst for Payment Reform, catalogues state legislation governing price transparency, provider market power, provider payment, provider networks, and benefit design. The database also includes pharmaceutical legislation beginning in the 2017-2018 legislative session. *Note: Current legislative session bill updates are ongoing. Check back weekly for updates.
LITIGATION: The Source tracks major litigation and antitrust enforcement action by federal entities (FTC or DOJ), state attorney generals, and private parties in the main provider and insurer markets, particularly legal challenges of healthcare consolidation and anticompetitive contract provisions. Additionally, the database contains major pharmaceutical cases including legislation challenges and significant appellate cases.
Search the database across all jurisdictions on the State Overview page, or view and filter existing legislation or litigation on individual state pages. The database allows customized search and filter by keyword, status, and/or key issue category. *Multiple filter/selections enabled. Click here for User Guide.
LEGISLATIVE CALENDARNew Hampshire current legislative session runs from 1/2/2019 – 1/8/2020. Bills from 2019 will carry over to 2020 as part of the 2019-2020 legislative term.
FY 2018-2019 BUDGETNew Hampshire enacts budgets on a two-year cycle, beginning July 1 of each odd-numbered year. New Hampshire’s new Biennial Budget will take effect on July 1, 2017 and is valid through June 30, 2019. To view New Hampshire’s 2018-2019 Budget, click here.
REGULATION & ENFORCEMENT
- The New Hampshire Attorney General is conducted a review on the proposed affiliation of The Memorial Hospital at North Conway (“Memorial Hospital”) and MaineHealth pursuant to RSA 7:19-b. The Attorney general approved the merger in June 2016. The transaction made MaineHealth the sole corporate member of Memorial Hospital with certain reserved powers over Memorial Hospital’s governance and operations.
- Additional enforcement actions by the Department of Insurance can be found on the Department’s website.