New Hampshire 2025 Regular Session

New Hampshire House Bill HB316

Introduced
1/8/25  
Refer
1/8/25  
Report Pass
3/19/25  
Report DNP
3/19/25  
Engrossed
3/28/25  

Caption

Relative to reimbursement for ground ambulance services.

Impact

The implications of HB316 on state laws are considerable. It amends existing regulations related to managed care and reimbursement for ambulance services, aiming to simplify compliance and potentially increase the utilization of ambulance services. The act also aims to align payment policies across various types of insurance, including Medicare and Medicaid, impacting how these services are funded and accessed. The establishment of a commission to study all-payer model programs demonstrates a proactive approach to improving the overall sustainability of ambulance services and their financial infrastructures.

Summary

House Bill 316, also known as HB316, proposes significant reforms to the reimbursement model for ground ambulance services in New Hampshire. The bill aims to establish a uniform rate schedule for ground ambulance providers, thereby standardizing the reimbursement process across the board. One of the key provisions of the bill is the prohibition of balance billing, which affects how ground ambulance providers can bill patients after services are rendered. The bill seeks to create a more transparent and fair environment for both service providers and patients, ensuring that costs are not a barrier during emergencies.

Sentiment

The sentiment surrounding HB316 tends to be supportive among those advocating for healthcare reform and improved patient protections. Proponents argue that by prohibiting balance billing and standardizing rates, the bill will enhance access to emergency services and protect consumers from unexpected medical costs. However, there are concerns from some stakeholders regarding the financial implications for ground ambulance providers, particularly those that do not have contracts with insurance carriers. Providers worry that a standardized rate may not cover their operational costs, thus threatening their viability.

Contention

One of the notable points of contention involves the balance billing provision, as it removes a traditional way for ambulance services to recover costs from patients who utilize out-of-network services. This has raised concerns among some emergency medical service providers about their financial stability. Furthermore, the bill's mechanisms for rate setting and the potential increase in health insurance premiums related to the higher usage of ambulance services have been debated. These issues illustrate the ongoing challenges of balancing patient protections with the economic realities of providing essential emergency services.

Companion Bills

No companion bills found.

Similar Bills

NH SB245

Prohibiting surprise ambulance billing and regulating ground ambulance reimbursement.

NH SB130

Establishing a commission to study delivery models for emergency medical services in the state of New Hampshire.

NH HB102

Relative to oversight of federal law enforcement actions.

NH HB185

Relative to reimbursement rates for ambulance service providers.

NH SB83

Establishing an elderly, disabled, blind, and deaf property tax exemption reimbursement fund, authorizing video lottery terminals, renaming the lottery commission, and creating a voluntary statewide self-exclusion database.

NH HB299

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NH HB275

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NH HB706

Relative to prohibiting insurance companies from conducting an audit of providers services after services have been delivered but before payment has been made to such provider.