Bill > HB725

This bill, effective January 1, 2026, prohibits "balance billing" for ambulance services under managed care plans, meaning patients will not be billed for the difference between what an ambulance provider charges and what their insurance pays. For ambulance services provided by a "nonparticipating ambulance service provider" (one without a contract with the health plan), the health plan carrier must pay the provider the lesser of the rate set by the county or municipality, 325% of the current Medicare published rate for that service, or the provider's billed charges. This payment is considered full payment for the service, except for the patient's usual copayments, coinsurance, and deductibles, which cannot be higher than they would be if the service were provided by a participating provider. Health carriers must pay clean claims within 30 days directly to the nonparticipating provider and cannot send payment to the patient. If a claim is not "clean" (meaning it has a defect or requires special handling), the carrier must either pay the provider within 30 days or send a written notice explaining why the claim is being denied or what additional information is needed.

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https://gc.nh.gov/bill_Status/billinfo.aspx?id=702&inflect=2