The bill, SB 245-FN, aims to enhance the regulation of ground ambulance services under managed care law by establishing a new subdivision in RSA 420-J. It introduces definitions for key terms such as "enrolling ground ambulance provider" and "nonparticipating ground ambulance provider," and sets a reimbursement rate schedule. From January 1, 2026, to December 31, 2027, participating and enrolling ground ambulance providers will receive a temporary reimbursement rate of 3.25 times the Medicare rate. Starting January 1, 2028, reimbursement will shift to a cost-based rate schedule determined by the commissioner, with annual inflation adjustments. The bill also prohibits balance billing for ground ambulance services, ensuring that covered individuals are not charged beyond their cost-sharing requirements.

Additionally, the bill establishes a commission to improve the financing and delivery of ground ambulance services, which will include members from various state departments and associations. This commission is tasked with reviewing current operations, identifying areas for reform, and exploring the feasibility of applying for a federal waiver to create a uniform reimbursement schedule across different payers. The bill mandates the creation of a standardized contract template for ground ambulance providers and health carriers, and it requires independent validation of cost data submitted by providers. While the bill does not specify deletions from current law, it repeals certain existing statutes related to reimbursement rates and contract negotiations, indicating a significant overhaul of the regulatory framework for ground ambulance services in New Hampshire.

Statutes affected:
As Amended by the House: 358-T:1, 153-A:38, 400-A:15
Version adopted by both bodies: 358-T:1, 153-A:38, 400-A:15
CHAPTERED FINAL VERSION: 358-T:1, 153-A:38, 400-A:15