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HB 316 · 2025 · House · Commerce and Consumer Affairs Committee

Ground ambulance reimbursement rules

AI-generated

relative to reimbursement for ground ambulance services.

Regulates reimbursement for ground ambulance services, prohibits balance billing, and establishes a commission to study ground ambulance financing and delivery costs.AI-generated

Status

Recommended for passage but never voted; died at adjournment · June 5, 2025
  1. ✓Introduced
  2. ✓House
  3. ✕Senate
  4. Governor
  5. Law

Analysis

This bill: I. Regulates reimbursement for ground ambulance services under the managed care law and prohibits balance billing for ground ambulance services. II. Establishes a commission on improving the ground ambulance services financing and delivery system and provides for use of funds from the insurance department administration fund to be used for an accounting and actuarial study of ground ambulance costs in the state of New Hampshire.

From the bill's official ANALYSIS section.

In the bill's words

Quoted verbatim from the bill as amended by the Senate. Passages chosen from the operative text.Computed by this site

““Enrolling ground ambulance provider” means a ground ambulance provider who is pursing in good faith the contracting process for becoming a participating ground ambulance provider with specified health carriers during the period between January 1, 2026, and December 30, 2027, and who has filed with the commissioner a written declaration to that effect on a form provided by the commissioner.”
RSA 420-J:20
“There is hereby established a rate schedule applicable to all health carriers doing business in the state to reimburse participating and enrolling ground ambulance providers.”
RSA 420-J:21
“Beginning on January 1, 2026, nonparticipating ground ambulance providers shall be reimbursed by health carriers at the carrier’s nonparticipating rate or at the date of service published allowed rate for ground ambulance services established under the Medicare law for New Hampshire ground ambulance service provided in the geographic area where the transport originated;?whichever is higher.”
RSA 420-J:22
“The commissioner shall issue a bulletin no later than December 31, 2025, establishing a standardized ground ambulance provider contract template that includes a standardized format and language for contracts between health carriers and ground ambulance providers, including the rates set forth in RSA 420-J:21, I(a).”
RSA 420-J:23

Official record

Bill page — docket & status

gc.nh.gov · the authoritative source

Sponsors

Rep. John HuntRPrimeChair· Commerce and Consumer Affairs

Public testimony

8 signed in online · 2 wrote testimony

75% support25% oppose0% neutral

In their wordsVerbatim, exactly as submitted

“I support this bill particularly in regard to Medicare paying its fair share”
— Roy Schweiker, Concordsupports
“This bill would have a significant, negative impact on existing ambulance agencies across the state.…”
— Lisa Walker, Peterboroughopposes

Verbatim excerpts of submitted testimony, quoted from the testimony tool.

Read the testimony · as of Aug 12, 2026

Votes

yeanay
Starting text: Bill as introduced
  • Mar 19, 2025HouseCommittee report· regular calendar: Ought to Pass15–1
    Overall
    94% yea
  • Mar 26, 2025HouseDivisionOught to PassAdopted250–85
    Overall
    75% yea
  • Jun 5, 2025SenateVoice voteRereferred to Committeefailed
  • Jun 5, 2025SenateVoice voteSen. Prentiss Floor Amendment # 2025-2643sadopted
  • Jun 5, 2025SenateVoice voteOught to Pass with Amendment #2025-2643sadopted
    Resulting text: Bill as amended by the Senate
  • Jun 12, 2025HouseVoice voteHouse Non-Concurs with Senate Amendment 2025-2643s (Rep. Hunt)adopted

Hearings and debates

  • Jan 15, 2025Public hearingHouse Commerce and Consumer AffairsWatchnot located in the transcript — opens the full streamPublic Hearing
  • Feb 12, 2025Public hearingHouse Commerce and Consumer AffairsWatchnot located in the transcript — opens the full streamSubcommittee Work Session
  • Mar 12, 2025Public hearingHouse Commerce and Consumer Affairs4:11:18–4:57:5246m 34slocated in the stream transcriptSubcommittee Work Session
  • Mar 19, 2025Public hearingHouse Commerce and Consumer Affairs25:23–32:096m 46slocated in the stream transcriptMajority Committee Report: Ought to Pass — roll call; Minority Committee Report: Inexpedient to Legislate; Executive Session
  • Mar 26, 2025Floor debateHouse floor6:11:50–6:14:092m 19slocated in the stream transcriptOught to Pass — adopted, division 250-85
  • Apr 16, 2025Public hearingSenate Health and Human Services28:52–1:01:5132m 59slocated in the stream transcriptHearing
  • Jun 5, 2025Floor debateSenate floor7:20:22–7:22:302m 8slocated in the stream transcriptRereferred to Committee — failed, voice vote; Sen. Prentiss Moved Ought to Pass; Ought to Pass with Amendment #2025-2643s — adopted, voice vote
  • Jun 12, 2025Floor debateHouse floor14:57–16:561m 59slocated in the stream transcriptHouse Non-Concurs with Senate Amendment 2025-2643s (Rep. Hunt) — adopted, voice vote

Timestamps locate where this bill is taken up in the chamber's YouTube stream.

Legislative history

  1. Jan 8, 2025HouseIntroduced 01/08/2025 and referred to Commerce and Consumer Affairs HJ 2 P. 14
  2. Jan 15, 2025HousePublic Hearing: 01/15/2025 01:15 pm LOB 302-304
  3. Jan 22, 2025House==CANCELLED== Subcommittee Work Session: 01/22/2025 10:00 am LOB 302-304
  4. Feb 12, 2025HouseSubcommittee Work Session: 02/12/2025 01:15 pm LOB 302-304
  5. Mar 12, 2025HouseSubcommittee Work Session: 03/12/2025 01:15 pm LOB 302-304
  6. Mar 19, 2025HouseExecutive Session: 03/19/2025 10:00 am LOB 302-304
  7. Mar 19, 2025HouseMajority : Ought to Pass 03/19/2025 (Vote 15-1; RC) HC 17 P. 46
  8. Mar 19, 2025HouseMinority : Inexpedient to Legislate
  9. Mar 26, 2025HouseOught to Pass: MA DV 250-85 03/26/2025 HJ 10 P. 103
  10. Mar 27, 2025SenIntroduced 03/27/2025 and Referred to Health and Human Services; SJ 10
  11. Apr 16, 2025SenHearing: 04/16/2025, Room 101, LOB, 09:45 am; SC 17
  12. Jun 5, 2025SenRereferred to Committee, MF, VV; 06/05/2025; SJ 15
  13. Jun 5, 2025SenSen. Prentiss Moved Ought to Pass; 06/05/2025; SJ 15
  14. Jun 5, 2025SenSen. Prentiss Floor Amendment # 2025-2643s, AA, VV; 06/05/2025; SJ 15
  15. Jun 5, 2025SenOught to Pass with Amendment #2025-2643s, MA, VV; OT3rdg; 06/05/2025; SJ 15
  16. Jun 5, 2025SenWithout Objection, the Clerk is authorized to make technical and administrative corrections which are necessary to reflect the intent of the Senate, MA; 06/05/2025; SJ 15
  17. Jun 12, 2025HouseHouse Non-Concurs with Senate Amendment 2025-2643s (Rep. Hunt): MA VV 06/12/2025 HJ 17 P. 2

Coverage

No reporting linked yet.

Documents (PDF)

Bill text & amendments link direct to gc.nh.gov; committee reports stream from the state record.