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Bill > HB316


NH HB316

NH HB316
Relative to reimbursement for ground ambulance services.


summary

Introduced
01/08/2025
In Committee
06/05/2025
Crossed Over
03/28/2025
Passed
Dead

Introduced Session

2025 Regular Session

Bill Summary

This bill: I. Regulates reimbursement for ground ambulance services under the managed care law and prohibits balance billing for ground ambulance services. II. Establishes a commission on improving the ground ambulance services financing and delivery system and provides for use of funds from the insurance department administration fund to be used for an accounting and actuarial study of ground ambulance costs in the state of New Hampshire.

AI Summary

This bill establishes a comprehensive framework for regulating ground ambulance services reimbursement in New Hampshire, focusing on creating a standardized payment system and protecting patients from unexpected billing. The legislation introduces a temporary reimbursement rate of 325% of the Medicare rate for ground ambulance services from 2026 to 2027, with plans to develop a more permanent, cost-based rate schedule through an independent accounting and actuarial study. The bill prohibits balance billing for ground ambulance services, meaning patients cannot be charged more than their plan's cost-sharing amount, even when using non-participating providers. Additionally, it creates a commission to study and potentially develop an all-payer model for ground ambulance services, which would aim to improve system efficiency, sustainability, and quality of care. The bill mandates a standardized contract template for health carriers and ground ambulance providers, establishes a process for contract negotiations, and requires providers to submit detailed cost data. A key goal is to ensure that ground ambulance providers can maintain financial viability while protecting patients from unexpected high medical bills, with provisions for ongoing rate adjustments and comprehensive system analysis.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (1)

Last Action

House Non-Concurs with Senate Amendment 2025-2643s (Rep. Hunt): Motion Adopted Voice Vote 06/12/2025 House Journal 17 P. 2 (on 06/12/2025)

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