NH SB480

Health carriers are prohibited from requiring prior authorization for the first 12 visits of physical therapy, occupational therapy, and similar rehabilitative or habilitative services for each new episode of care

A "new episode of care" is defined as treatment for a new condition or treatment for a recurring condition not treated within the previous 60 days

Health carriers retain the right to deny claims through prospective or retrospective review if treatment is determined not to be medically necessary

The Insurance Department anticipates an indeterminable increase in state General Fund revenue due to potential premium increases that could raise Insurance Premium Tax collections

The act takes effect 60 days after passage