This bill, HB 316-FN, introduces a comprehensive overhaul of the reimbursement framework for ground ambulance services in New Hampshire. It establishes a uniform, cost-based rate schedule for nonparticipating ground ambulance providers, which health carriers are mandated to use for reimbursement. The commissioner is required to adopt this rate schedule by January 1, 2026, following an independent actuarial review, and to conduct biennial reviews to adjust rates for inflation and other cost trends. A key provision of the bill prohibits ground ambulance providers from balance billing covered persons, ensuring that patients are only responsible for their defined cost-sharing amounts. New legal definitions for "ground ambulance provider" and "ground ambulance services" are introduced, along with a new chapter in the Consumer Protection Act that enforces the prohibition on balance billing.

Additionally, the bill creates a commission to explore the feasibility of an all-payer model program for ground ambulance services, which aims to develop a standardized reimbursement schedule that encompasses Medicare, Medicaid, and all commercial payers. This commission will include members from both the House and Senate, as well as representatives from relevant associations and state departments, and is required to report its findings by November 1, 2026. The bill also repeals the existing commission related to ground ambulance reforms, signaling a shift towards a more standardized reimbursement approach. While the bill does not allocate specific funding, it anticipates indeterminable revenue impacts for state and local governments and varying financial implications for ambulance service providers due to the new reimbursement rates.

Statutes affected:
Introduced: 153-A:38