Committee Report REGULAR CALENDAR
May 2, 2018
HOUSE OF REPRESENTATIVES
REPORT OF COMMITTEE
The Majority of the Committee on Commerce and
Consumer Affairs to which was referred SB 383,
AN ACT (New Title) establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents.
Having considered the same, report the same with the following resolution: RESOLVED, that it is
INEXPEDIENT TO LEGISLATE.
Rep. John Hunt
FOR THE MAJORITY OF THE COMMITTEE
Original: House Clerk Cc: Committee Bill File MAJORITY COMMITTEE REPORT
Committee: Commerce and Consumer Affairs Bill Number: SB 383 Title: (New Title) establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents. Date: May 2, 2018 Consent Calendar: REGULAR Recommendation: INEXPEDIENT TO LEGISLATE
STATEMENT OF INTENT
This bill will establish a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents. The majority of the Commerce Committee is opposed to creating yet another study commission with a laudable purpose that is in reality just another forum for those who want Medicare for everyone i.e. - single payer health care. Given that there is an election coming up, the majority of the committee believes that there will be plenty of venues and opportunities for those who want an opportunity to expound on their desire for a single payer/Medicare for everyone health insurance plan.
Vote 11-7.
Rep. John Hunt FOR TIl E IMMO RI TY
Original: House Clerk Cc: Committee Bill File REGULAR CALENDAR
Commerce and Consumer Affairs SB 383, (New Title) establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents. MAJORITY: INEXPEDIENT TO LEGISLATE. MINORITY: OUGHT TO PASS. Rep. John Hunt for the Majority of Commerce and Consumer Affairs. This bill will establish a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents. The majority of the Commerce Committee is opposed to creating yet another study commission with a laudable purpose that is in reality just another forum for those who want Medicare for everyone i.e. - single payer health care. Given that there is an election coming up, the majority of the committee believes that there will be plenty of venues and opportunities for those who want an opportunity to expound on their desire for a single payer/Medicare for everyone health insurance plan. Vote 11-7.
Original: House Clerk Cc: Committee Bill File Stapler, Carol
From: John B Hunt
SENATE BILL 383
This bill will establish a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents. The majority of the Commerce committee is oppose to create yet another study commission with a laudable purpose, but in reality is just another forum for those who want Medicare for everyone i.e.: single payer. Given that there is an election coming up, the majority of the committee believe there will be plenty of venues and opportunities for those who want an opportunity to expound on their desire for a single payer / Medicare for everyone healthcare insurance. REGULAR CALENDAR
May 2, 2018
The Minority of the Committee on Commerce and
Consumer Affairs to which was referred SB 383,
AN ACT (New Title) establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents.
Having considered the same, and being unable to agree with the Majority, report with the recommendation that the bill OUGHT TO PASS.
Rep. Edward Butler
FOR THE MINORITY OF THE COMMITTEE
Original: House Clerk Cc: Committee Bill File MINORITY COMMITTEE REPORT
Committee: Commerce and Consumer Affairs Bill Number: SB 383 Title: (New Title) establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents. Date: May 2, 2018 Consent Calendar: REGULAR Recommendation: OUGHT TO PASS
STATEMENT OF INTENT
This bill originally was directed towards a study of 'health care for all'. As amended unanimously by the Senate, it creates a commission to study access to affordable health care. The preamble states 'many residents of New Hampshire remain uninsured or underinsured, and costs continue to soar'. We all know that costs for health care and insurance policies are continuing to climb at rates well beyond the consumer price index. Establishing a commission of practitioners, administrators, advocates and consumers to continue to analyze the reasons for these costs and to discuss possible NH solutions only makes sense. Yes, this is an incredibly difficult and complex issue. But we must not shy away. We should continue to look for ways to control costs and enhance access to the health care our constituents need,
Rep. Edward Butler FOR 'NU MINORITY
Original: House Clerk Cc: Committee Bill File REGULAR CALENDAR
Commerce and Consumer Affairs SB 383, (New Title) establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents. OUGHT TO PASS. Rep. Edward Butler for the Minority of Commerce and Consumer Affairs. This bill originally was directed towards a study of 'health care for all'. As amended unanimously by the Senate, it creates a commission to study access to affordable health care. The preamble states 'many residents of New Hampshire remain uninsured or underinsured, and costs continue to soar'. We all know that costs for health care and insurance policies are continuing to climb at rates well beyond the consumer price index. Establishing a commission of practitioners, administrators, advocates and consumers to continue to analyze the reasons for these costs and to discuss possible NH solutions only makes sense. Yes, this is an incredibly difficult and complex issue. But we must not shy away. We should continue to look for ways to control costs and enhance access to the health care our constituents need.
Original: House Clerk Cc: Committee Bill File Stapler, Carol
From: Ed Butler
Representative Ed Butler Carroll County District 7 - includes the towns of Hart's Location, Bartlett, Jackson, Chatham, Conway, Eaton, Albany, Tamworth, Madison, Freedom and the unincorporated Hale's Location Commerce Committee, Ranking Democrat 986-4387 (cell) 374-6131 (home and inn)
1 SB383 Minority OTP
This bill originally was directed towards a study of 'health care for all'. As amended unanimously by the Senate it creates a commission to study access to affordable health care. The preamble states 'many residents of New Hampshire remain uninsured or under insured, and costs continue to soar'. We all know that costs for health care and insurance policies are continuing to climb at rates well beyond the CPI. Establishing a Commission of practitioners, administrators, advocates and consumers to continue to analyze the reasons for these costs and to discuss possible NH solutions only makes sense. Yes, this is an incredibly difficult and complex issue. But we must not shy away. We should continue to look for ways to control costs and enhance access to the healthcare our constituents need. ' -......
Voting- Sheets • HOUSE COMMITTEE ON COMMERCE AND CONSUMER AFFAIRS
EXECUTIVE SESSION on SB 383
BILL TITLE: (New Title) establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents.
DATE: April 24, 2018
LOB ROOM: 302
MOTIONS: INEXPEDIENT TO LEGISLATE Moved by Rep. Ferreira Seconded by Rep. Schwaegler Vote: 11-7
CONSENT CALENDAR: NO
Statement of Intent: Refer to Committee Report
Respectfully submitted,
Rep Valerie Fraser, Clerk
HOUSE COMMITTEE ON COMMERCE AND CONSUMER AFFAIRS
EXECUTIVE SESSION on SB 383
BILL TITLE: (New Title) establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents.
DATE: 4—
LOB ROOM: 302
MOTION: (Please check one box)
0 OTP LET ITL 0 Retain (1st year) E1 Adoption of Amendment # 0 Interim Study (2nd year) (if offered)
Moved by Rep. Fp (1'1 Seconded by Rep. G kt4a,1 it ri Vote: I(
MOTION: (Please check one box)
❑ OTP 0 OTP/A 0 ITL 0 Retain (1st year) O Adoption of Amendment # 0 Interim Study (2nd year) (if offered)
Moved by Rep. Seconded by Rep. Vote:
MOTION: (Please check one box)
O OTP 0 OTP/A 0 ITL 0 Retain (ist year) O Adoption of Amendment # 0 Interim Study (2nd year) (if offered)
Moved by Rep. Seconded by Rep. Vote:
MOTION: (Please check one box)
O OTP 0 OTP/A 0 ITL 0 Retain (1st year) O Adoption of Amendment # 0 Interim Study (2nd year) (if offered)
Moved by Rep. Seconded by Rep. Vote:
CONSENT CALENDAR: YES /NO
Minority Report? Yes No If yes, author, Rep: Motion -6v-kker
Respectfully submitted: VaLeA4-6-- it, a4 Rep' Valerie Fraser, Clerk STATE OF NEW HAMPSHIRE 1/5/2018 10:27:29 AM OFFICE OF THE HOUSE CLERK Roll Call Committee Registers Report 2018 SESSION COMMERCE • Title:.-40i4 diffrnfr7154.4.4404-1,4470-gei 7/-6--- eate._) PH Date: 4 i (t i 0' . •-or-a-e-L'--1-41440 /ecti=e' / 61.Li / f 6-0 da Ai. . Motion: . I T 1,-- Amendment #:
MEMBER YEAS NAYS
Hunt, John B. Chariman \17' Biggie, Barbara Vice Chairman Fraser, Valerie Clerk J Fromuth, Bart . Sanborn, Laurie J. V Ferreira, Elizabeth \i/i Osborne, Jason M. • . ,
Costable-, Michael il . • Plumer, John R. ii,- Schwaegler, Vicki V/ • Panasiti, Reed A. V • ' Butler, Edward A. . V Gidge, Kenneth N. _ Williams, Kermit R. • 1/ Abel, Richard M. • . V Luneau, David V McBeath, Rebecca Bartlett, ChristyChristy D. Fontneau, Timothy -- Van Houten, Connie • TOTAL VOTE:
EAL,t_iafd5
Page: 1 of 1 Sub--Committee Minutes HOUSE COMMITTEE ON COMMERCE AND CONSUMER AFFAIRS
SUBCOMMITTEE WORK SESSION on SB 383
BILL TITLE: (New Title) establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents.
DATE: April 18, 2018
Subcommittee Members: Reps. Hunt, Biggie, Fraser, Fromuth, Sanborn, Ferreira, Osborne, Costable, Plumer, Schwaegler, Panasiti, Butler, Gidge, Williams, Abel, Luneau, McBeath, Bartlett, Fontneau and Van Houten
Comments and Recommendations:
MOTIONS: INEXPEDIENT TO LEGISLATE
Moved by Rep. Rep. Ferreira Seconded by Rep. Rep. Schwaegler Vote: 3-2
Respectfully submitted,
Rep. John Hunt Subcommittee Chairman
HOUSE COMMITTEE ON COMMERCE AND CONSUMER AFFAIRS
SUBCOMMITTEE WORK SESSION on SB 383
BILL TITLE: (New Title) establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents.
DATE: 9-4-- /er
Subcommittee Members-:—_ Reps. Iii , Biggie, Fraser, Fromuth, S Costable, Plumer, chwae er, Panasiti, Butler, Gidge, Williams, Abel, , McBeath, Fontneau and Vanplaten
Comments and Recommendations:
MOTIONS: OTP, OTP/ ease circle one
Moved by Rep. 'Fg---vir Seconded by Rep. C AM Vote:
Adoption of Amendment #
Moved by Rep. Seconded by Rep. Vote:
Amendment Adopted Amendment Failed
MOTIONS: OTP, OTP/A, ITL, Retained (1st Yr), Interim Study (2nd Yr) (Please circle one)
Moved by Rep. Seconded by Rep. AM Vote:
Adoption of Amendment #
Moved by Rep. Seconded by Rep. Vote:
Amendment Adopted Amendment Failed
Respectfully submitted,
Rep. Subcommit ee Chairman/Clerl HOUSE COMMITTEE ON COMMERCE AND CONSUMER AFFAIRS
SUBCOMMITTEE WORK SESSION on SB 383
BILL TITLE: (New Title) establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents.
DATE: April 17, 2018
Subcommittee Members: Reps. Hunt, Biggie, Fraser, Fromuth, Sanborn, Ferreira, Osborne, Costable, Plumer, Schwaegler, Panasiti, Butler, Gidge, Williams, Abel, "Juneau, McBeath, Bartlett, Fontneau and Van Houten
Comments and Recommendations: Rep.Richard McNamara recommend passage we will meet next week with a focus tack.
Respectfully submitted,
Rep. John Hunt Subcommittee Chairman HOUSE COMMITTEE ON COMMERCE AND CONSUMER AFFAIRS
SUBCOMMITTEE WORK SESSION on SE 383
BILL TITLE: (New Title) establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents.
DATE: z/-/7_/g
Subcommittee Members: Reps. Hunt, Biggie, Fraser, Fromuth, Sanborn, Ferreira, Osborne, Costable, Plumer, Schwaegler, Panasiti, Butler, Gidge, Williams, Abel, Luneau, McBeath, Bartlett, Fontneau and Van Houten
Comments and Recommendations:
gel:2 • C i`e G d -71 .sue t `l /4/L0-e- /4-(2/c)I Lej-e-e---•k 44-1
MOTIONS: OTP, OTP/A, ITL, Retained (1st Yr), Interim Study (2nd Yr) (Please circle one)
Moved by Rep. Seconded by Rep. 2-1.M Vote:
Adoption of Amendment #
Moved by Rep. Seconded by Rep. Vote:
Amendment Adopted Amendment Failed
MOTIONS: OTP, OTP/A, ITL, Retained. (1st Yr), Interim Study (2nd Yr) (Please circle one)
Moved by Rep. Seconded by Rep. AM Vote:
Adoption of Amendment #
Moved by Rep. Seconded by Rep. Vote:
Amendment Adopted Amendment Failed
Respectfully submitted,
Rep. 1 Subcommittee Chairman/Clerk Hearing Minutes
HOUSE COMMITTEE ON COMMERCE AND CONSUMER AFFAIRS
PUBLIC HEARING ON SB 383
BILL TITLE: (New Title) establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents.
DATE: April 11, 2018 LOB ROOM: 302 Time Public Hearing Called to Order: 11:30 a.m. reopended Time Adjourned: 11:35 a.m.
Committee Members: Reps Fraser, Fromuth, Sanborn , Osborne, chwaegl Gidge, McBeath, Fontneau and V
Bill Sponsors: Sen. Hennessey Sen. Cavanaugh Sen. Kahn Sen. Lasky Sen. Watters Sen. Woodburn Rep. McNamara Rep. Berrien Rep. Campion Rep. Knirk Rep. Butler
TESTIMONY
* Use asterisk if written testimony and/or amendments are submitted.
Rep. Ed Butler, co sponsor -Introduces the bill for Senator Hennessey - Supports. How can we access affordable health care. It is a straight forward commission.
*Bob Dunn - NH Nurse Practitioners Association- Supports. See written testimony. Include a nurse practitioner on the commission.
Hearing Recessed at 11:35am.
Respectfully Submitted:
Valerie Fraser, Clerk
Public Hearing reconvened at 1:05 pm.
Donald Kollisah, MD of Hanover, NH - Supports. Thank you for reopening. There was confusion earlier and i appreciate the opportunity. We see this bill with due respect, madam Chair, as "a no brainer." We want to improve access care for all citizens. We ask you to say "yes" to this bill. Q: Rep. Richard Abel - Any specific priorities you feel we should look at? A: The basis of insurance is to share risk. Insurance companies that only want to make money would only insure healthy people. We always tie insurance to employment. If we share risk we'd all be healthier. How can we avoid cherry picking. There are philosophical as well as financial hurdles.
Rep. Jerry Knirk, co-sponsor - We spend twice as much with some of the worst outcomes. Many ways to make health care more efficient; other countries have universal access. Cost shifting is a problem; we all pay for that. Current system high administration costs with executives and profits and rules.
Q: Rep. Vicki Schwaegler - Concerned no medical professionals? A: Two NH medical societies and others. This commission is actually very broad.
Q: Rep. Reed Panasiti - Earlier we heard want nurses on there as well.
Q: Rep. Butler - Universal health care is not necessarily the goal of this commission. A: Yes, access or universal access doesn't have to mean single payer.
Q: Rep. Butler - Universal health care puts people off. Can we not look at things we can do that isn't universal coverage? A: Yes, certainly we can look at specific issues that can help increase access and lower costs.
Respectfully Submitted:
Michael Costable, Acting Clerk
HOUSE COMMITTEE ON COMMERCE AND CONSUMER AFFAIRS
PUBLIC HEARING ON SB 383 BILL TITLE: (New Title) establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents.
DATE:
ROOM: 302 Time Public Hearing Called to Order: /1 1, 0
Time Adjourned:
(please circle if present)
Committee Members: Reps. Hunt, Biggie, Fraser, Fromuth, Sanborn, Ferreira, Osborne, cagabl.e, Plumer, SchwaegIer, Panasiti, Butler, aidge, Williams, Abel, Luneau, McBeath, Bartlett,kriEneau and Van HoUten
Bill Sponsors: Sen. Hennessey Sen. Cavanaugh Sen. Kahn Sen. Lasky Sen. Watters Sen. Woodburn Rep. McNamara Rep. Berrien Rep. Campion Rep. Knirk Rep. Butler r-t (-1'4 ' 6r9 P p, TESTIMONY e"...5, 7/ * Use asterisk if written testimony and/or amendments are submitted. C orb', it-fret botiet d :?_at • ptAtIt. f-t-e (441- t-t ope-ittei. Indjie Vtic, N.
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Rep. E. Butler-Introduces the bill for Senator Hennessey- Supports How can we access affordable health care. It is a straight forward commission.
**Bob Dunn- NH Nurse Practitioners Association- Supports See written testimony Include a nurse practitioner on the commission
Blue Sheet: See list of names
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SIGN UP SHEET
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(check one) Name Address Phone Representing Pro Con aokudiyi sg,IALI f___ 6p-#P)--- L.------52(1. "Je-N Wo )(03rr. 0 S. *\ / Ace.47717e-c ,e-/72-fe-ey P',0-c---- 1/, t17ly Stiedgiis AIPti (1U/Psv Testimony advocate - educate collaborate newfuturess to reduce alcohol and other drug problems in New Hampshire
April 11, 2018
The Honorable John Hunt, Chair House Commerce and Consumer Affairs Committee Legislative Office Building Room 302 Concord, NH 03301
RE: New Futures' Support for SB 383, establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents.
Dear Chairman Hunt and Members of the Committee:
New Futures is a nonpartisan, nonprofit organization that advocates, educates and collaborates to improve the health and wellness of all New Hampshire residents through policy change. New Futures supports SB 383, establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents. Health care costs have significantly increased over the past few years. Last year in New Hampshire, health insurance premiums increased an average of 52 percent. People are facing higher and higher deductibles and co-pays for health care services and prescription drugs. Even with health insurance, many still cannot access health care due to its unaffordability. As a result, people wait until symptoms are intolerable before seeking treatment, which ends up costing more than seeking treatment early. Also, people skip taking preventative medications or ration them out, in a effort to save costs. Again, this only serves to drive up overall health care costs in the long run. The study commission contemplated by SB 383 would look at accessibility to affordable health care for all, regardless of insurance status. Therefore, it would include those situations where high co-pay and deductible insurance plans make affordable care out of reach, as well as situations where individuals are uninsured. With the continued increase of health care costs and health insurance premiums, this commission is necessary to see what policy change is needed to keep New Hampshire healthy. For the reasons stated above, New Futures urges the Committee to vote SB 383 Ought to Pass. Respectfully submitted,
Holly A. Stevens, Esq. Health Policy Coordinator
New Futures • 10 Ferry Street, Suite 307 Concord, NH 03301 • (603) 225-9540 • www.new-futures.org NI-ANPA NEW HAMPSHIRE NURSE PRACTITIONER ASSOCIATION
PO BOX 1452, CENTER HARBOR, NH, 03226 [email protected] 603.648.2233
April 9, 2018
Representative John Hunt Chair of House Commerce and Consumer Affairs Committee New Hampshire House of Representatives 107 North Main Street Concord, NH 03301
Dear Representative Hunt and House Commerce & Consumer Affairs Committee Members:
Please accept this letter registering the support of the New Hampshire Nurse Practitioner Association (NHNPA) for SB 383, establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents.
The healthcare insurance landscape is constantly changing, leaving many residents of New Hampshire uninsured or underinsured. Ensuring access to affordable healthcare for New Hampshire residents is a top priority of the NHNPA. If SB 383 passes, healthcare access options will be evaluated by a newly established commission that will recommend policies to enhance access to care for all New Hampshire residents.
As you know, there are over 1,290 nurse practitioners on the front lines, every day and night, delivering health care to the residents of New Hampshire. Because so many New Hampshire patients receive their care from nurse practitioners, the NHNPA proposes that a nurse practitioner (APRN) sit on the Commission to Recommend Policies That Will Enhance Access to Affordable Health Care for all New Hampshire Residents.
We appreciate your consideration of this request.
The NHNPA stands with you in advocating for the health of our state.
Sincerely,
Joint:if-a Themplen,
Jennifer Thompson, MS, RN, APRN Chair, Government Affairs Committee New Hampshire Nurse Practitioner Association NEW HAMPSHIRE NURSE PRACTITIONER ASSOCIATION
PO 80X'[452, CENTER HARBOR, NH, 03226 [email protected] 603.648,2233
CC:
Representative Barbara Biggie Representative Bart Fromuth Representative Jason Osborne Representative Vicki Schwaegler Representative Kenneth Gidge Representative David Luneau Representative Timothy Fontneau Representative Laurie Sanborn Representative Michael Costable Representative Reed Panasiti Representative Kermit Williams Representative Rebecca McBeath Representative Connie Van Houten Representative Elizabeth Ferreira Representative John Plumer Representative Edward Butler Representative Richard Abel Representative Christy Bartlett Bill as Intra duce SB 383 - AS AMENDED BY THE SENATE 03/22/2018 1097s 2018 SESSION 18-2879 01/06
SENATE BILL 383 AN ACT establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents.
SPONSORS: Sen. Hennessey, Dist 5; Sen. Cavanaugh, Dist 16; Sen. Kahn, Dist 10; Sen. Lasky, Dist 13; Sen. Watters, Dist 4; Sen. Woodburn, Dist 1; Rep. McNamara, Hills. 38; Rep. Berrien, Rock. 18; Rep. Campion, Graf. 12; Rep. Knirk, Carr. 3; Rep. Butler, Carr. 7
COMMITTEE: Health and Human Services
AMENDED ANALYSIS
This bill establishes a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents.
Explanation: Matter added to current law appears in bold italics. Matter removed from current law appears [' Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
SB 383 - AS AMENDED BY THE SENATE 03/22/2018 1097s 18-2879 01/06
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Eighteen
AN ACT establishing a commission to recommend policies that will enhance access to affordable health care for all New Hampshire residents.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 1 Statement of Intent. The general court recognizes that despite dramatic changes in the 2 federal health insurance programs, many residents of New Hampshire remain uninsured or under 3 insured, and costs continue to soar. The general court further recognizes that the state has an 4 interest in containing the costs of delivering care within the financial means of the stakeholders in 5 our state. Because of the unique demographic, economic, and fiscal characteristics of New 6 Hampshire, improving access to affordable health care should be carefully evaluated and 7 considered. Therefore, the general court hereby establishes a commission to recommend policies 8 that will enhance access to affordable health care for all New Hampshire residents. 9 2 New Subdivision; Commission to Recommend Policies That Will Enhance Access to Affordable 10 Health Care for all New Hampshire Residents. Amend RSA 126-A by inserting after section 74 the 11 following new subdivision: 12 Commission to Recommend Policies That Will Enhance Access to 13 Affordable Health Care for all New Hampshire Residents 14 126-A:75 Commission to Recommend Policies That Will Enhance Access to Affordable Health 15 Care for all New Hampshire Residents. 16 I. There is established a commission to recommend policies that will enhance access to 17 affordable health care for all New Hampshire residents. 18 (a) The members of the commission shall be as follows: 19 (1) One member of the senate, appointed by the president of the senate. 20 (2) Three members of the house of representatives, appointed by the speaker of the 21 house of representatives. 22 (3) The insurance commissioner, or designee. 23 (4) The commissioner of the department of health and human services, or designee. 24 (5) Two public members who shall represent New Hampshire patients, appointed by 25 the governor. 26 (6) A representative of the New Hampshire Hospital Association, appointed by the 27 association. 28 (7) Two representatives of the New Hampshire Medical Society, appointed by the 29 society. 30 (8) One member representing the private health insurance industry in New
SB 383 - AS AMENDED BY THE SENATE - Page 2 - 1 Hampshire, appointed by the speaker of the house of representatives. 2 (9) A representative of the University of New Hampshire Institute for Health Policy 3 and Practice, appointed by the institute. 4 (10) A representative of the Business and Industry Association of New Hampshire, 5 appointed by the association. 6 (11) A representative of organized labor, appointed by the speaker of the house of 7 representatives. 8 (12) A member representing mental health patients, appointed by the governor. 9 (13) A member representing persons with substance use disorders, appointed by the 10 governor. 11 (b) Legislative members of the commission shall receive mileage at the legislative rate 12 when attending to the duties of the commission. 13 II.(a) The commission shall review costs of health care and health insurance in New 14 Hampshire and review policies that will improve access to affordable health care. The commission 15 shall include in its study a review of state and federal policies. 16 (b) The commission may solicit input from any person or entity the commission deems 17 relevant to its study. 18 III. The members of the commission shall elect a chairperson from among the members. 19 The first meeting of the commission shall be called by the senate member. The first meeting of the 20 commission shall be held within 45 days of the effective date of this section. Nine members of the 21 commission shall constitute a quorum. 22 IV. The commission shall make an interim report with its findings and any 23 recommendations for pioposed legislation on or before November 1, 2018 and a final report on 24 November 1, 2019 to the president of the senate, the speaker of the house of representatives, the 25 senate clerk, the house clerk, the governor, and the state library. 26 3 Repeal. RSA 126-A:75, relative to a commission to recommend policies that will enhance 27 access to affordable health care for all New Hampshire residents, is repealed. 28 4 Effective Date. 29 I. Section 3 of this act shall take effect November 1, 2019. 30 II. The remainder of this act shall take effect upon its passage.