Senate Bill 245, introduced in New Hampshire on January 22, 2025, aims to address the growing concern of surprise ambulance billing and establish clear reimbursement guidelines for ground ambulance services. Sponsored by Senator Prentiss, the bill seeks to protect consumers from unexpected charges associated with ambulance services, particularly when they are transported by non-participating providers.

The key provisions of SB 245 prohibit health carriers and providers from balance billing for ambulance services, ensuring that patients are not left with hefty bills after emergency situations. The bill mandates that health carriers reimburse non-participating ground ambulance service providers at rates set by local governmental entities or, in the absence of such rates, at a minimum of 325 percent of the current Medicare rates based on the service's geographic area.

The introduction of this bill comes amid ongoing debates about healthcare costs and transparency. Advocates argue that surprise billing practices can lead to significant financial distress for patients, particularly in emergencies where individuals have little choice in their ambulance provider. Opponents, however, raise concerns about the potential financial impact on ambulance services, especially those that rely on balance billing to cover operational costs.

The implications of SB 245 are significant, as it seeks to create a more predictable financial landscape for patients while also ensuring fair compensation for ambulance providers. Experts suggest that if passed, the bill could lead to a reduction in unexpected medical expenses for consumers, potentially improving access to emergency services without the fear of exorbitant bills.

As the bill moves through the legislative process, stakeholders from both sides are expected to engage in discussions regarding its potential effects on the healthcare system in New Hampshire. The Health and Human Services Committee will play a crucial role in evaluating the bill and addressing any amendments or concerns raised during hearings. The outcome of SB 245 could set a precedent for similar legislation in other states, reflecting a growing trend towards consumer protection in healthcare.