The bill HB 316-FN introduces significant reforms to the reimbursement process for ground ambulance services in New Hampshire, aiming to enhance financial stability and operational efficiency. Key provisions include the prohibition of balance billing for ground ambulance services, establishing a temporary reimbursement rate of 325% of the Medicare allowed rate from January 1, 2026, to December 31, 2027, transitioning to a cost-based rate determined by the commissioner starting January 1, 2028. The bill mandates the creation of a standardized contract template for ground ambulance providers and health carriers, and it emphasizes good faith negotiations between these parties. Additionally, it establishes a commission to improve the financing and delivery system of ground ambulance services, which will also explore the feasibility of an all-payer model for reimbursement.

The legislation includes new definitions for "ground ambulance provider" and "ground ambulance services," while repealing existing statutes that conflict with these changes. It allocates up to $400,000 from fines imposed on insurers to fund an independent study assessing the costs incurred by ground ambulance providers, overseen by the commissioner. The bill also outlines the responsibilities of the commissioner and an independent expert in ensuring compliance with data submission and auditing requirements. The commission is tasked with reviewing the current state of ground ambulance services and making recommendations for systemic improvements, with a requirement to report annually on its progress. The bill is set to take effect in two phases, with certain sections becoming effective on July 1, 2027, and the remainder upon passage.

Statutes affected:
Introduced: 153-A:38