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New HampshireSB2452025-2026 Regular SessionSenateWALLET

SB245

Sponsored By: Suzanne M. Prentiss (Democratic)

Became Law

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 3 benefits, 1 costs, 0 mixed.

No surprise bills for ground ambulances

Beginning January 1, 2026, your health plan must pay for covered ground emergency ambulance rides, including 9-1-1 or other unscheduled calls, even if the ambulance is out of network. If a local government set a rate where the ride began, the plan pays that rate; if not, it pays at least 325% of the area’s Medicare rate. That payment counts as full payment, and the ambulance cannot bill you beyond your copay, coinsurance, and deductible. For individual health policies that cover ambulance care, the insurer pays the ambulance company directly. Insurers can still sign contracts with providers; until then, these default payments apply.

No prior approval for emergency ambulance rides

Beginning January 1, 2026, insurers cannot require prior approval for emergency or other unscheduled ground ambulance trips. This covers rides to a hospital, between hospitals, or from a hospital to a nursing home, hospice, or other facility. If local dispatch, a clinician, or a first responder requests the ambulance under local protocols, the trip is treated as medically necessary for coverage.

Faster payments and clearer claim notices

Beginning January 1, 2026, insurers must pay non-participating ground ambulance providers on the state’s prompt-payment schedule. All explanation of benefits notices must clearly say whether the claim is under New Hampshire insurance oversight. This helps you see which protections and complaint paths apply.

Air ambulances not covered by new rules

Beginning January 1, 2026, these ground ambulance protections do not apply to air ambulances. Air ambulance claims are outside these payment and billing rules.

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

  1. V. Remainder Effective 07/31/2025

    7/31/2025Senate

  2. IV. Section 9 Effective 07/01/2027

    7/31/2025Senate

  3. III. Section 7 Effective 06/30/2030

    7/31/2025Senate

  4. II. Sections 3 and 4 and 5 Effective 01/01/2026

    7/31/2025Senate

  5. I. Section 2 Effective 01/01/2028

    7/31/2025Senate

  6. Signed by the Governor on 07/31/2025; Chapter 262

    7/31/2025Senate

  7. Enrolled (in recess of) 06/26/2025 HJ 18 P. 64

    7/18/2025House

  8. Enrolled Adopted, VV, (In recess 06/26/2025); SJ 18

    7/18/2025Senate

  9. Enrolled Bill Amendment # 2025-2915e Adopted, VV, (In recess of 06/26/2025); SJ 18

    7/14/2025Senate

  10. Enrolled Bill Amendment # 2025-2915e: AA VV (in recess of) 06/26/2025 HJ 18 P. 60

    7/8/2025House

  11. Sen. Rochefort Moved to Concur with the House Amendment, MA, VV; 06/12/2025; SJ 16

    6/12/2025Senate

  12. Ought to Pass with Amendment 2025-2458h: MA VV 06/05/2025 HJ 16 P. 5

    6/5/2025House

  13. Amendment # 2025-2458h: AA VV 06/05/2025 HJ 16 P. 5

    6/5/2025House

  14. Committee Report: Ought to Pass with Amendment # 2025-2458h 05/27/2025 (Vote 16-0; CC) HC 27 P. 8

    5/28/2025House

  15. Executive Session: 05/27/2025 01:15 pm LOB 302-304

    5/21/2025House

  16. Subcommittee Work Session: 05/27/2025 10:00 am LOB 302-304

    5/21/2025House

  17. Subcommittee Work Session: 05/21/2025 11:30 am LOB 302-304

    5/20/2025House

  18. ==CANCELLED== Subcommittee Work Session: 05/20/2025 11:00 am LOB 302-304

    5/7/2025House

  19. ==CANCELLED== Subcommittee Work Session: 05/07/2025 10:00 am LOB 302-304

    4/30/2025House

  20. Public Hearing: 05/13/2025 01:15 pm LOB 302-304

    4/30/2025House

  21. Introduced (in recess of) 03/27/2025 and referred to Commerce and Consumer Affairs HJ 11 P. 113

    3/28/2025House

  22. Ought to Pass with Amendment #2025-0775s, MA, VV; OT3rdg; 03/13/2025; SJ 7

    3/13/2025Senate

  23. Committee Amendment # 2025-0775s, AA, VV; 03/13/2025; SJ 7

    3/13/2025Senate

  24. Committee Report: Ought to Pass with Amendment # 2025-0775s, 03/13/2025; Vote 5-0; CC; SC 12

    3/7/2025Senate

  25. Hearing: 02/12/2025, Room 101, LOB, 10:15 am; SC 9

    2/5/2025Senate

Bill Text

  • As Amended

    7/14/2025

    PDF

  • Enrolled

    7/8/2025

    HTML

  • Introduced

    1/23/2025

    PDF

  • CHAPTERED FINAL VERSION

    PDF

  • Version adopted by both bodies

    PDF

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