prohibiting surprise ambulance billing and regulating ground ambulance reimbursement.
Sponsored By: Suzanne M. Prentiss (Democratic)
Signed by Governor
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
Patients protected from surprise ambulance bills
Beginning January 1, 2026, New Hampshire health carriers issuing or renewing health plans must cover ground emergency ambulance services, including 9-1-1 and other unscheduled calls. Carriers must pay out-of-network providers directly under prompt-payment rules; direct payment also applies to individual accident or health policies covering medically necessary ambulance services. Payment follows rates set or approved by the local government where service began, or at least 325% of the current local urban, rural, or super-rural Medicare rate when no local rate exists. Carriers and providers can negotiate contract rates, but these payment rules apply until they reach a contract. The payment counts as payment in full: providers cannot bill patients beyond their plan’s required copayment, coinsurance, deductible, and other cost sharing.
Patients get clearer insurance oversight information
Beginning January 1, 2026, health carriers must clearly identify state oversight on every explanation of benefits. Each statement must say whether the claim involves a plan overseen by the New Hampshire insurance commissioner.
Fewer approval barriers for ambulance patients
Beginning January 1, 2026, carriers cannot require advance approval for emergency or unscheduled trips by out-of-network ground ambulance providers. This covers trips to hospitals, between hospitals, and from hospitals to nursing homes, hospice facilities, or other health care facilities. Out-of-network ground emergency ambulance services count as medically necessary when requested by a medical clinician or first responder under local dispatch rules. These rules do not apply to air ambulances.
Sponsors & Cosponsors
Sponsor
Suzanne M. Prentiss
Democratic • Senate
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
No roll call votes available for this bill.
Actions Timeline
V. Remainder Effective 07/31/2025
7/31/2025SenateIV. Section 9 Effective 07/01/2027
7/31/2025SenateIII. Section 7 Effective 06/30/2030
7/31/2025SenateII. Sections 3 and 4 and 5 Effective 01/01/2026
7/31/2025SenateI. Section 2 Effective 01/01/2028
7/31/2025SenateSigned by the Governor on 07/31/2025; Chapter 262
7/31/2025SenateEnrolled (in recess of) 06/26/2025 HJ 18 P. 64
7/18/2025HouseEnrolled Adopted, VV, (In recess 06/26/2025); SJ 18
7/18/2025SenateEnrolled Bill Amendment # 2025-2915e Adopted, VV, (In recess of 06/26/2025); SJ 18
7/14/2025SenateEnrolled Bill Amendment # 2025-2915e: AA VV (in recess of) 06/26/2025 HJ 18 P. 60
7/8/2025HouseSen. Rochefort Moved to Concur with the House Amendment, MA, VV; 06/12/2025; SJ 16
6/12/2025SenateOught to Pass with Amendment 2025-2458h: MA VV 06/05/2025 HJ 16 P. 5
6/5/2025HouseAmendment # 2025-2458h: AA VV 06/05/2025 HJ 16 P. 5
6/5/2025HouseCommittee Report: Ought to Pass with Amendment # 2025-2458h 05/27/2025 (Vote 16-0; CC) HC 27 P. 8
5/28/2025HouseExecutive Session: 05/27/2025 01:15 pm LOB 302-304
5/21/2025HouseSubcommittee Work Session: 05/27/2025 10:00 am LOB 302-304
5/21/2025HouseSubcommittee Work Session: 05/21/2025 11:30 am LOB 302-304
5/20/2025House==CANCELLED== Subcommittee Work Session: 05/20/2025 11:00 am LOB 302-304
5/7/2025House==CANCELLED== Subcommittee Work Session: 05/07/2025 10:00 am LOB 302-304
4/30/2025HousePublic Hearing: 05/13/2025 01:15 pm LOB 302-304
4/30/2025HouseIntroduced (in recess of) 03/27/2025 and referred to Commerce and Consumer Affairs HJ 11 P. 113
3/28/2025HouseOught to Pass with Amendment #2025-0775s, MA, VV; OT3rdg; 03/13/2025; SJ 7
3/13/2025SenateCommittee Amendment # 2025-0775s, AA, VV; 03/13/2025; SJ 7
3/13/2025SenateCommittee Report: Ought to Pass with Amendment # 2025-0775s, 03/13/2025; Vote 5-0; CC; SC 12
3/7/2025SenateHearing: 02/12/2025, Room 101, LOB, 10:15 am; SC 9
2/5/2025Senate
Bill Text
As Amended
7/14/2025
Enrolled
7/8/2025
Introduced
1/23/2025
CHAPTERED FINAL VERSION
Version adopted by both bodies
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