New Hampshire 2022 Regular Session

New Hampshire House Bill HB381

Introduced
1/10/21  
Refer
1/10/21  
Report Pass
3/11/21  
Report DNP
3/11/21  
Engrossed
4/13/21  
Refer
4/13/21  
Refer
5/13/21  
Refer
5/20/21  
Report Pass
12/16/21  
Enrolled
6/14/22  
Chaptered
6/28/22  

Caption

Relative to laboratory testing.

Impact

The passage of HB 381 is expected to impact state laws regarding healthcare access by enhancing patient autonomy over medical testing. By enabling direct access to laboratory tests, this bill may promote early detection and treatment of conditions, as individuals can pursue relevant testing without navigating the traditional healthcare provider referral pathways. However, it also raises questions about the implications for patient safety and the quality of care, as individuals may receive test results without professional guidance on interpretation and next steps.

Summary

House Bill 381 aims to authorize laboratory testing without the prior request or authorization of a licensed medical practitioner. This legislative change is significant as it allows individuals to obtain laboratory tests directly from clinical laboratories that offer such tests on a public access basis. The bill adds new rulemaking authority for the Department of Health and Human Services to ensure proper guidelines and standards are maintained within the laboratories performing these tests. The implementation of this bill is set to take effect on January 1, 2023.

Sentiment

Public and legislative sentiment surrounding HB 381 appears to be mixed. Supporters, particularly those advocating for increased patient choice and autonomy, view the bill as a positive development in enhancing access to healthcare. Conversely, there are concerns from some healthcare professionals regarding the potential risks of patients conducting tests without medical oversight, which could lead to misinterpretation of results and unnecessary anxiety or missed diagnoses. This dichotomy reflects a broader debate about the balance between patient independence and the necessity for Professional medical management.

Contention

Notable points of contention include the responsibilities of medical practitioners and the financial implications for laboratories under this new framework. The bill explicitly states that practitioners are not liable for tests they did not authorize, which could be perceived as relieving them of necessary oversight in patient care. Additionally, the prohibition against laboratories submitting claims for tests performed without authorization could impact the financial viability of these testing services and influence how they are covered by insurance policies. The combined effect of these aspects has led to a thorough examination of the implications for both healthcare practice and patient experiences.

Companion Bills

No companion bills found.

Previously Filed As

NH SB178

Relative to the department of health and human services laboratory services for testing of water supplies.

NH H162

Relative to research by independent testing laboratories

NH HB1347

Concerning cannabis testing laboratories.

NH SB348

Makes revisions relating to laboratory testing. (BDR 40-123)

NH H2395

Relative to clinical laboratories

NH H2439

Relative to clinical laboratory testing

NH HB1228

Concerning toxicology testing by certified or accredited laboratories.

NH A1291

Establishes additional requirements for cannabis testing laboratories and penalties for testing violations.

NH S09172

Provides that clinical laboratories may provide laboratory testing at the request of individuals, without a practitioner order or prescription, for certain types of cholesterol.

NH SB5880

Concerning toxicology testing by certified or accredited laboratories.

Similar Bills

CA AB304

Training programs: clinical laboratories and personnel: grants.

CA SB339

Medi-Cal: laboratory rates.

NJ A4877

Requires health insurance and Medicaid reimbursement of clinical laboratories regardless of managed care plan participation.

CA AB481

An act to amend Section 1269 of, and to add Section 1206.

LA HB1216

Provides relative to the guidelines for clinical laboratory personnel

FL H0115

Clinical Laboratory Personnel

HI SB1154

Relating To Health.

HI SB1154

Relating To Health.