Granite State Lawmakers Reach Compromise on Ambulance Billing
Concord, NH – New Hampshire lawmakers have successfully brokered a compromise to establish ambulance service rates, effectively ending the contentious practice of “balance billing” known for leaving patients with unexpected bills. After months of disagreement between the House and Senate, a temporary rate structure has been established to provide clarity and stability.
The compromise was announced during a recent meeting of the House Commerce and Consumer Affairs Committee. It stipulates that ambulance companies will operate under a tiered system for the next two years: an in-network rate set at 325 percent of the Medicare rate, while out-of-network services will be reimbursed at 100 percent of Medicare. This structure arises from conflicting proposals, with the House advocating for a rate of 202 percent and the Senate supporting higher compensation levels favored by ambulance providers.
New Hampshire Insurance Commissioner D.J. Bettencourt praised the agreement, noting that it eliminates "balance billing," a significant concern for patients outside Medicare or Medicaid. He emphasized that the compromise will alleviate annual legislative debates regarding ambulance service rates.
Despite the optimism, some legislators are concerned this two-year fix may merely be a temporary solution. They stress that ambulance providers need to find efficiencies and innovate to minimize costs before the permanent rate structure is reviewed based on a forthcoming cost study.
Chris Stawasz, regional director for American Medical Response, applauded the resolution, acknowledging the ongoing financial challenges facing emergency medical services, particularly in rural areas. Derick Aumann, president of the New Hampshire Ambulance Association, expressed confidence that this compromise would resolve the ongoing issues associated with surprise billing, ultimately benefiting families across the state.
As stakeholders adapt to the new framework, the focus will remain on ensuring that ambulance services are both affordable and sustainable for New Hampshire residents.
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