The bill HB 316-FN introduces significant reforms to the reimbursement process for ground ambulance services in New Hampshire, specifically prohibiting balance billing for these services. It establishes a new subdivision in RSA 420-J that defines key terms such as "enrolling ground ambulance provider" and "nonparticipating ground ambulance provider." The bill mandates a temporary reimbursement rate for participating and enrolling ground ambulance providers, set at 325% of the Medicare allowed rate from January 1, 2026, to December 31, 2027, with future rates to be determined by the commissioner. Additionally, it creates a commission to enhance the financing and delivery of ground ambulance services, requiring the commissioner to issue a standardized contract template by December 31, 2025, and to conduct a comprehensive study of the costs incurred by these providers.

Furthermore, the bill repeals existing statutes related to the definition of enrolling ground ambulance providers and temporary reimbursement rates, while introducing new definitions for "ground ambulance provider" and "ground ambulance services." It also outlines the responsibilities of health carriers and ground ambulance providers in the contracting process and establishes a framework for collecting and using fines against insurers for regulatory violations, directing those funds towards the independent study of ground ambulance services. The bill is set to take effect in phases, with some provisions starting as early as January 1, 2026, and aims to improve the financial sustainability of ground ambulance services while protecting patients from excessive out-of-pocket costs.

Statutes affected:
Introduced: 153-A:38
As Amended by the Senate: 358-T:1, 153-A:38, 400-A:15