NH
New Hampshire House Bill HB316

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  
Refer
3/28/25  
Refer
5/23/25  

Caption

Relative to reimbursement for ground ambulance services.

Impact

The bill establishes a commission responsible for overseeing improvements to the financing and delivery of ground ambulance services. This commission is tasked with producing an annual report detailing its findings and recommendations for reforms related to reimbursement practices and overall ambulance service quality. By promoting a uniform cost-based reimbursement schedule for ambulance services that includes all commercial payers and public programs like Medicare and Medicaid, the bill is set to help achieve a more sustainable and consistent funding mechanism that meets the operational needs of ground ambulance providers.

Summary

House Bill 316-FN regulates reimbursement for ground ambulance services under the managed care law in New Hampshire. The bill prohibits balance billing for ground ambulance services, which means ground ambulance providers cannot charge patients more than their health insurance cost-sharing requirement. This measure is intended to protect patients from unexpected high charges and promote fair billing practices across providers. The legislation aims to create a more defined structure for how ambulance services are reimbursed by health carriers, helping to standardize the rates across different providers.

Contention

Notably, concerns have been raised regarding the potential financial impact on ambulance services. The implementation of a standardized rate schedule may lead to variations in financial viability among different providers, particularly affecting nonparticipating ground ambulance providers. Additionally, there may be debates surrounding how the shift to a more regulated reimbursement structure might alter market dynamics, potentially leading to fewer options for ground ambulance service delivery in some regions.

Companion Bills

No companion bills found.

Previously Filed As

NH HB373

Relative to billing for ambulance services.

NH HB373

Relative to billing for ambulance services.

NH SB407

Relative to direct pay for ambulance services.

NH HB1568

Relative to reimbursement for ambulance services under the state Medicaid plan and making an appropriation therefor.

NH SB173

Relative to surprise medical bills.

NH SB173

Relative to surprise medical bills.

NH HB1081

Relative to insurance payments to ambulance providers.

NH SB409

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.

NH HB2

Relative to state fees, funds, revenues, and expenditures.

NH SB455

Relative to Medicaid reimbursement rates for prosthetic and orthotic devices.

Similar Bills

NH SB248

Relative to bail for a defendant.

NH SB252

Relative to the release of a defendant pending trial, directing the establishment of an electronic monitoring program for criminal defendants released on bail, and making an appropriation therefor.

NH SB252

Relative to release of a defendant pending trial.

NH HB373

Relative to billing for ambulance services.

NH HB373

Relative to billing for ambulance services.

NH HB653

Prohibiting personal recognizance bail for violent crimes.

NH SB36

Relative to systems of care for healthy aging.

NH HB1552

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