# New Hampshire SB245: prohibiting surprise ambulance billing and regulating ground ambulance reimbursement.

New Hampshire SB245, prohibiting surprise ambulance billing and regulating ground ambulance reimbursement., is a 2025-2026 Regular Session Senate bill sponsored by Suzanne M. Prentiss (Democratic); status signed, last action 2025-07-31 (V. Remainder Effective 07/31/2025); PRIA reads it as touching household money (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/NH-SB245-2025-2026
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: New Hampshire SB245
- State: New Hampshire
- Session: 2025-2026 Regular Session
- Title: prohibiting surprise ambulance billing and regulating ground ambulance reimbursement.
- Status: signed
- Chamber: Senate
- Introduced: 2025-01-23
- Last action: 2025-07-31, V. Remainder Effective 07/31/2025
- Sponsor: Suzanne M. Prentiss (Democratic)
- Cosponsors: 0
- Touches household money: yes
- Economic provisions PRIA read: 3

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Patients protected from surprise ambulance bills: benefit, medium. 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 indiv…
- Patients get clearer insurance oversight information: benefit, low. 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: benefit, low. 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-ne…

## Sponsors and cosponsors

- Sponsor: Suzanne M. Prentiss (Democratic), Senate

## Actions (26)

- 2025-07-31: V. Remainder Effective 07/31/2025 (Senate)
- 2025-07-31: IV. Section 9 Effective 07/01/2027 (Senate)
- 2025-07-31: III. Section 7 Effective 06/30/2030 (Senate)
- 2025-07-31: II. Sections 3 and 4 and 5 Effective 01/01/2026 (Senate)
- 2025-07-31: I. Section 2 Effective 01/01/2028 (Senate)
- 2025-07-31: Signed by the Governor on 07/31/2025; Chapter 262 (Senate)
- 2025-07-18: Enrolled (in recess of) 06/26/2025 HJ 18 P. 64 (House)
- 2025-07-18: Enrolled Adopted, VV, (In recess 06/26/2025); SJ 18 (Senate)
- 2025-07-14: Enrolled Bill Amendment # 2025-2915e Adopted, VV, (In recess of 06/26/2025); SJ 18 (Senate)
- 2025-07-08: Enrolled Bill Amendment # 2025-2915e: AA VV (in recess of) 06/26/2025 HJ 18 P. 60 (House)
- 2025-06-12: Sen. Rochefort Moved to Concur with the House Amendment, MA, VV; 06/12/2025; SJ 16 (Senate)
- 2025-06-05: Ought to Pass with Amendment 2025-2458h: MA VV 06/05/2025 HJ 16 P. 5 (House)
- 2025-06-05: Amendment # 2025-2458h: AA VV 06/05/2025 HJ 16 P. 5 (House)
- 2025-05-28: Committee Report: Ought to Pass with Amendment # 2025-2458h 05/27/2025 (Vote 16-0; CC) HC 27 P. 8 (House)
- 2025-05-21: Executive Session: 05/27/2025 01:15 pm LOB 302-304 (House)
- 2025-05-21: Subcommittee Work Session: 05/27/2025 10:00 am LOB 302-304 (House)
- 2025-05-20: Subcommittee Work Session: 05/21/2025 11:30 am LOB 302-304 (House)
- 2025-05-07: ==CANCELLED== Subcommittee Work Session: 05/20/2025 11:00 am LOB 302-304 (House)
- 2025-04-30: ==CANCELLED== Subcommittee Work Session: 05/07/2025 10:00 am LOB 302-304 (House)
- 2025-04-30: Public Hearing: 05/13/2025 01:15 pm LOB 302-304 (House)
- 2025-03-28: Introduced (in recess of) 03/27/2025 and referred to Commerce and Consumer Affairs HJ 11 P. 113 (House)
- 2025-03-13: Ought to Pass with Amendment #2025-0775s, MA, VV; OT3rdg; 03/13/2025; SJ 7 (Senate)
- 2025-03-13: Committee Amendment # 2025-0775s, AA, VV; 03/13/2025; SJ 7 (Senate)
- 2025-03-07: Committee Report: Ought to Pass with Amendment # 2025-0775s, 03/13/2025; Vote 5-0; CC; SC 12 (Senate)
- 2025-02-05: Hearing: 02/12/2025, Room 101, LOB, 10:15 am; SC 9 (Senate)
- 2025-01-23: Introduced 01/09/2025 and Referred to Health and Human Services; SJ 3 (Senate)

## Bill text

- As Amended, 2025-07-14: [PDF](https://gc.nh.gov/bill_status/pdf.aspx?q=billVersion&id=10973)
- Enrolled, 2025-07-08: [HTML](https://gc.nh.gov/bill_status/billinfo.aspx?id=1120&inflession=2025)
- Introduced, 2025-01-23: [PDF](https://gc.nh.gov/bill_status/pdf.aspx?q=billVersion&id=7898)
- CHAPTERED FINAL VERSION: [PDF](https://gc.nh.gov/bill_status/pdf.aspx?q=billVersion&id=16996)
- Version adopted by both bodies: [PDF](https://gc.nh.gov/bill_status/pdf.aspx?q=billVersion&id=16155)

## Related bills

- HB2026: (New Title) relative to the state 10-year transportation improvement plan; relative to toll rate adjustments and periodic toll reviews for the New Hampshire tu… (became law)
- HB1002: repealing the solar energy systems tax exemption. (failed)
- HB1834: relative to the education freedom account enrollment cap. (failed)
- SB101: (Second New Title) authorizing parents to enroll their children in any public school in the state. (failed)
- CACR22: relating to the compensation of the legislature. Providing that the present compensation per elected term for legislators is hereby abolished. (failed)
- HB1786: relative to creating a state assessment on non-homestead luxury second homes to fund statewide housing development programs and address housing shortages and m… (failed)

## Sources
- [As Amended (PDF)](https://gc.nh.gov/bill_status/pdf.aspx?q=billVersion&id=10973)
- [Enrolled (HTML)](https://gc.nh.gov/bill_status/billinfo.aspx?id=1120&inflession=2025)
- [Introduced (PDF)](https://gc.nh.gov/bill_status/pdf.aspx?q=billVersion&id=7898)
- [CHAPTERED FINAL VERSION (PDF)](https://gc.nh.gov/bill_status/pdf.aspx?q=billVersion&id=16996)
- [Version adopted by both bodies (PDF)](https://gc.nh.gov/bill_status/pdf.aspx?q=billVersion&id=16155)

## Related
- [HB2026: (New Title) relative to the state 10-year transportation improvement plan; rela…](https://policyrisk.com/state-bill/NH-HB2026-2025-2026)
- [HB1002: repealing the solar energy systems tax exemption.](https://policyrisk.com/state-bill/NH-HB1002-2025-2026)
- [HB1834: relative to the education freedom account enrollment cap.](https://policyrisk.com/state-bill/NH-HB1834-2025-2026)
- [SB101: (Second New Title) authorizing parents to enroll their children in any public s…](https://policyrisk.com/state-bill/NH-SB101-2025-2026)
- [CACR22: relating to the compensation of the legislature. Providing that the present com…](https://policyrisk.com/state-bill/NH-CACR22-2025-2026)
- [HB1786: relative to creating a state assessment on non-homestead luxury second homes to…](https://policyrisk.com/state-bill/NH-HB1786-2025-2026)
- [New Hampshire bills](https://policyrisk.com/states/new-hampshire/bills)
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Source: PRIA, https://policyrisk.com/state-bill/NH-SB245-2025-2026 (as of 2026-10-17).