HB 1568-FN - AS INTRODUCED
2024 SESSION
24-2108
05/08
HOUSE BILL 1568-FN
AN ACT relative to Medicaid reimbursement for non-transport emergency medical services calls.
SPONSORS: Rep. Sellers, Graf. 18; Rep. McGough, Hills. 12; Sen. Innis, Dist 7
COMMITTEE: Health, Human Services and Elderly Affairs
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ANALYSIS
This bill requires Medicaid reimbursement for non-transport emergency medical services calls.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
24-2108
05/08
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Four
AN ACT relative to Medicaid reimbursement for non-transport emergency medical services calls.
Be it Enacted by the Senate and House of Representatives in General Court convened:
1 New Section; Emergency Medical and Trauma Services; Medicaid Reimbursement for Non-transport Emergency Medical Services Calls. Amend RSA 153-A by inserting after section 20-a the following new section:
153-A:20-b Non-transport Emergency Medical Services Calls. The state Medicaid plan shall include coverage for non-transport emergency medical services calls. Reimbursement for such services shall not be denied solely because the patient did not require transport or refused to be transported by ambulance or other emergency medical services vehicle.
2 Effective Date. This act shall take effect 60 days after its passage.
24-2108
Revised 1/31/24
HB 1568-FN- FISCAL NOTE
AS INTRODUCED
AN ACT relative to Medicaid reimbursement for non-transport emergency medical services calls.
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
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Estimated State Impact - Increase / (Decrease) | ||||||
| FY 2024 | FY 2025 | FY 2026 | FY 2027 | ||
Revenue | $0 | $0 | $0 | $0 | ||
Revenue Fund(s) | None | |||||
Expenditures | $0 | $1 million+ general funds; $1 million+ federal funds | $1 million+ general funds; $1 million+ federal funds | $1 million+ general funds; $1 million+ federal funds | ||
Funding Source(s) | General Fund Matching federal funds | |||||
Appropriations | $0 | $0 | $0 | $0 | ||
Funding Source(s) | None | |||||
• Does this bill provide sufficient funding to cover estimated expenditures? [X] No • Does this bill authorize new positions to implement this bill? [X] No | ||||||
METHODOLOGY:
This bill requires the state Medicaid program to reimburse for non-transport emergency medical services calls. The Department states that it does not maintain data on ambulance calls which do not result in transportation, and is therefore unable to provide a cost estimate based on actual data. However, the Department notes that in recent years it has expended approximately $11.2 million (total funds) annually on all ambulance services, with approximately $4.2 million (total funds) being attributed to services involving basic life support with either emergency or non-emergency transport. Subtracting the costs of transportation, the Department anticipates that the bill will result in an additional increase of at least $2 million in total funds, of which $1 million will be state general funds and $1 million will be matching federal funds.
As the bill's effective date is 60 days after passage, it is assumed there will be no impact until FY25.
AGENCIES CONTACTED:
Department of Health and Human Services
| Date | Amendment |
|---|---|
| May 1, 2024 | 2024-1727s |
| Date | Body | Type |
|---|---|---|
| Jan. 31, 2024 | House | Hearing |
| Jan. 31, 2024 | House | Hearing |
| Feb. 14, 2024 | House | Exec Session |
| March 6, 2024 | House | Exec Session |
| March 20, 2024 | House | Exec Session |
| March 20, 2024 | House | Floor Vote |
| April 10, 2024 | Senate | Hearing |
April 4, 2024: Hearing: 04/10/2024, Room 101, LOB, 09:30 am; SC 14
April 2, 2024: Introduced 03/21/2024 and Referred to Health and Human Services; SJ 8
March 28, 2024: Ought to Pass: MA DV 237-136 03/28/2024 HJ 10
March 20, 2024: Committee Report: Without Recommendation 03/20/2024 (Vote 10-10; RC) HC 12 P. 33
March 7, 2024: Executive Session: 03/20/2024 09:30 am LOB 203
Feb. 28, 2024: ==RECESSED== Executive Session: 03/06/2024 10:00 am LOB 203
Feb. 7, 2024: Executive Session: 02/14/2024 09:30 am LOB 210-211
Jan. 25, 2024: Public Hearing: 01/31/2024 02:00 pm LOB 210-211
Jan. 19, 2024: Public Hearing: 01/31/2024 02:30 pm LOB 210-211
Dec. 15, 2023: Introduced 01/03/2024 and referred to Health, Human Services and Elderly Affairs HJ 1