New Hampshire 2024 Regular Session

New Hampshire Senate Bill SB409

Introduced
12/12/23  
Refer
12/12/23  
Report Pass
2/1/24  
Report Pass
3/5/24  
Engrossed
4/2/24  
Refer
4/2/24  
Report Pass
4/25/24  
Refer
5/2/24  
Report Pass
5/15/24  
Enrolled
7/29/24  
Chaptered
8/30/24  

Caption

Relative to reimbursement for ambulance services under the state Medicaid plan and making an appropriation therefor and making an appropriation to the department of health and human services to support recreational activities for individuals with developmental disabilities.

Impact

This bill is poised to alter the landscape of state healthcare funding significantly. By allowing for reimbursement in scenarios where patients are treated on-site without transport, it potentially increases the financial viability of ambulance services, making emergency medical care more accessible. The financial implications involve potential expenditures exceeding one million dollars annually from the state's general funds, which raises concerns about the sustainability of such funding amidst a changing economic climate.

Summary

SB409 is a legislative proposal aimed at modifying the state Medicaid plan to include reimbursement for ambulance services provided directly at a patient's location during an emergency. It stipulates that reimbursement will apply even if the patient does not need transportation to a hospital following treatment. Under this new amendment, benefits for reimbursement hinge on specific conditions being met, such as the patient consenting to the evaluation and not requesting transport to an emergency department.

Sentiment

Sentiments surrounding SB409 vary among stakeholders. Supporters, including some healthcare providers and emergency service advocates, view the bill as a necessary step towards more flexible and responsive emergency care. They argue that this could improve patient outcomes by ensuring care is delivered when and where it is needed most, without imposing additional burdens on the patients. However, some legislators express concerns over the financial impact on state resources and question whether the proposed reimbursement model could inadvertently result in increased costs or misuse of services.

Contention

Noteworthy points of contention include the fiscal impact and the practical implementation of the amended reimbursement process. Critics raise valid concerns regarding the state's budget sustainability in light of rising healthcare costs. Furthermore, there are apprehensions regarding how this will affect ambulance services, especially if the reimbursement does not sufficiently cover operational costs. The debate centers on balancing access to emergency medical services and ensuring fiscal responsibility within state healthcare expenditures.

Companion Bills

No companion bills found.

Previously Filed As

NH SB115

Relative to making an appropriation to the department of health and human services for the purpose of funding vaccine administration through public health departments.

NH HB639

Relative to the legalization and regulation of cannabis and making appropriations therefor.

NH HB541

Relative to school building aid grants and making an appropriation therefor.

NH SB234

Directing the department of health and human services to develop a public awareness campaign on brain health, Alzheimer's disease, and related dementias and making an appropriation therefor.

NH SB122

Relative to construction of a public pier on Hampton Beach and making an appropriation therefor.

NH HB504

Relative to the adult parole board and making an appropriation therefor.

NH SB227

Relative to an assessment of solid waste facility setback requirements and making an appropriation therefor.

NH SB1

Relative to the closing of the Sununu youth services center, making appropriations thereof, and establishing a commission to study community impacts of the secured youth development center.

NH SB217

Establishing a rural and underserved area educator incentive program for higher education and making an appropriation therefor.

NH SB86

Relative to health care workforce development and making appropriations therefor.

Similar Bills

UT SB0257

Medicaid Accounts Amendments

UT HB0247

Child Health Care Coverage Amendments

AR SB518

To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act; And To Update Language And Definitions To Reflect Changes Within The Healthcare System;.

AR SB515

To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act.

UT HB0463

Medicaid Funding Amendments

NJ A3334

Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.

NJ S2416

Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.

NJ S3495

Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.