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Bill

Bill

HB 297

relative to providing self-funded employer health benefit plans access to their claims data.

2026 Regular Session Introduced by Carry Spier

HB 297 allows self-funded employers direct access to their health plan claims data for cost analysis and plan management purposes.

Signed by Governor Ayotte 06/19/2026; Chapter 151; eff.08/18/2026
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Bill Summary · HB 297

Legislative bill overview

HB 297 grants self-funded employer health benefit plans direct access to their own claims data. The bill removes barriers that currently prevent employers from obtaining detailed information about medical claims paid through their self-insured health plans. This applies specifically to employers who self-fund rather than purchasing traditional insurance policies.

Why is this important

Self-funded employers bear the financial risk of their employees' healthcare costs, yet many face restrictions accessing detailed claims information needed for cost analysis and plan management. Granting data access could enable employers to identify cost drivers, negotiate better rates with providers, and make more informed decisions about plan design. However, it raises questions about employee privacy protections and how sensitive health data will be handled and secured.

Potential points of contention

  • Privacy concerns: Employers gaining access to detailed claims data could enable identification of employees' medical conditions, medications, and treatments, raising confidentiality issues despite HIPAA protections
  • Competitive disadvantages: Smaller employers may lack resources to effectively manage and analyze complex claims data, potentially widening disparities in plan management capabilities
  • Data security requirements: The bill's amendment history suggests negotiations over what safeguards, audit trails, and security standards should accompany data access

Compiled from official sources — confirm details with the bill’s official record.

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