New Hampshire Revised Statutes 126-Q:1 – Definitions
Current as of: 2023 | Check for updates
|
Other versions
In this chapter:
I. “Assessable coverage” means:
(a) Health coverage as defined in N.H. Rev. Stat. § 420-G:2, IX;
(b) Stop loss coverage that conforms with N.H. Rev. Stat. § 415-H:3, or other group excess loss insurance purchased against the risk that any particular claim, or total liability, will exceed a specified dollar amount; or
(c) Group health plan, as defined by 42 U.S.C. §§ 300gg–91(a).
II. “Assessable entity” means any:
(a) Health maintenance organization, as defined by N.H. Rev. Stat. § 420-B:1, VI.
(b) Third party administrator, as defined by N.H. Rev. Stat. § 402-H:1, I.
(c) Entity providing administrator services and required to register with the insurance commissioner under N.H. Rev. Stat. § 402-H:11-a or N.H. Rev. Stat. § 402-H:11-b.
(d) Insurance company licensed pursuant to N.H. Rev. Stat. § 401:1, IV.
(e) Health service corporation, as defined by N.H. Rev. Stat. § 420-A:1, III.
III. “Assessable lives” means all children under 19 years of age residing in the state who have assessable coverage written or administered by an assessable entity, with the exception of children whose vaccines are paid for under the federal Vaccines for Children program, established under 42 U.S.C. § 1396s.
IV. “Assessment” means the assessable entity’s liability with respect to childhood vaccines determined in accordance with this chapter. For purposes of rate setting and medical loss ratio calculations, all association assessments are considered pharmaceutical or medical benefit costs and not regulatory costs. In the event of any insolvency or similar proceeding affecting any payer, assessments shall be included in the highest priority of obligations to be paid by or on behalf of such payer.
V. “Association” means the New Hampshire vaccine association.
VI. “Board” means the board of directors of the New Hampshire vaccine association.
VII. “Commissioner” means the commissioner of the department of health and human services.
VIII. “Estimated vaccine cost” means the estimated cost to the state over the course of a state fiscal year of the purchase, distribution, and administration of vaccines purchased at the federal discount rate by the department of health and human services.
IX. “Provider” means a person licensed by this state to provide health care services to persons or a partnership or corporation made up of those persons.
X. “Total non-federal program cost” means the estimated vaccine cost less the amount of federal revenue available to the state for the purchase, distribution, and administration of vaccines.
XI. “Vaccine” means any preparations of killed microorganisms, living attenuated organisms, or living fully virulent organisms that are approved by the federal Food and Drug Administration and recommended by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention and have been authorized by the commissioner of the department of health and human services for administration to children of the state of New Hampshire under the age of 19 years for the purposes of producing or artificially increasing immunity to particular life-threatening and disabling diseases.
I. “Assessable coverage” means:
Terms Used In New Hampshire Revised Statutes 126-Q:1
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
- Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
- Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
- person: may extend and be applied to bodies corporate and politic as well as to individuals. See New Hampshire Revised Statutes 21:9
- state: when applied to different parts of the United States, may extend to and include the District of Columbia and the several territories, so called; and the words "United States" shall include said district and territories. See New Hampshire Revised Statutes 21:4
(a) Health coverage as defined in N.H. Rev. Stat. § 420-G:2, IX;
(b) Stop loss coverage that conforms with N.H. Rev. Stat. § 415-H:3, or other group excess loss insurance purchased against the risk that any particular claim, or total liability, will exceed a specified dollar amount; or
(c) Group health plan, as defined by 42 U.S.C. §§ 300gg–91(a).
II. “Assessable entity” means any:
(a) Health maintenance organization, as defined by N.H. Rev. Stat. § 420-B:1, VI.
(b) Third party administrator, as defined by N.H. Rev. Stat. § 402-H:1, I.
(c) Entity providing administrator services and required to register with the insurance commissioner under N.H. Rev. Stat. § 402-H:11-a or N.H. Rev. Stat. § 402-H:11-b.
(d) Insurance company licensed pursuant to N.H. Rev. Stat. § 401:1, IV.
(e) Health service corporation, as defined by N.H. Rev. Stat. § 420-A:1, III.
III. “Assessable lives” means all children under 19 years of age residing in the state who have assessable coverage written or administered by an assessable entity, with the exception of children whose vaccines are paid for under the federal Vaccines for Children program, established under 42 U.S.C. § 1396s.
IV. “Assessment” means the assessable entity’s liability with respect to childhood vaccines determined in accordance with this chapter. For purposes of rate setting and medical loss ratio calculations, all association assessments are considered pharmaceutical or medical benefit costs and not regulatory costs. In the event of any insolvency or similar proceeding affecting any payer, assessments shall be included in the highest priority of obligations to be paid by or on behalf of such payer.
V. “Association” means the New Hampshire vaccine association.
VI. “Board” means the board of directors of the New Hampshire vaccine association.
VII. “Commissioner” means the commissioner of the department of health and human services.
VIII. “Estimated vaccine cost” means the estimated cost to the state over the course of a state fiscal year of the purchase, distribution, and administration of vaccines purchased at the federal discount rate by the department of health and human services.
IX. “Provider” means a person licensed by this state to provide health care services to persons or a partnership or corporation made up of those persons.
X. “Total non-federal program cost” means the estimated vaccine cost less the amount of federal revenue available to the state for the purchase, distribution, and administration of vaccines.
XI. “Vaccine” means any preparations of killed microorganisms, living attenuated organisms, or living fully virulent organisms that are approved by the federal Food and Drug Administration and recommended by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention and have been authorized by the commissioner of the department of health and human services for administration to children of the state of New Hampshire under the age of 19 years for the purposes of producing or artificially increasing immunity to particular life-threatening and disabling diseases.