Revision: May 1, 2024, 3:47 p.m.
Health and Human Services
May 1, 2024
2024-1727s
05/02
Amendment to HB 1568-FN
Amend the title of the bill by replacing it with the following:
AN ACT relative to reimbursement for ambulance services under the state Medicaid plan.
Amend the bill by replacing all after the enacting clause with the following:
1 New Paragraph; Commissioner of the Department of Health and Human Services; State Medicaid Plan Amendment Regarding Ambulance Services. Amend RSA 126-A:5 by inserting after paragraph XXXIV the following new paragraph:
XXXV. The commissioner shall submit to the Centers for Medicare and Medicaid Services (CMS) an amendment to the state Medicaid plan to provide reimbursement for ambulance services when care is provided in response to an emergency call to a member’s home or on a scene, when an ambulance is dispatched, and treatment is provided to the patient without the patient being transported to another site. Providers shall be eligible for Medicaid reimbursement under this paragraph only when all the following requirements are met:
(a) The response originated through a 9-1-1 call.
(b) The patient consents to evaluation and treatment.
(c) After the evaluation, and when indicated, treatment, the licensed paramedic or emergency medical technician (EMT) and the patient agree there is not a need for transportation by ambulance; this shall include when resuscitation efforts are terminated.
(d) The patient does not request and actively refuses transport to an emergency department for evaluation.
(e) The patient is stable for referral to the patient’s physician, other community resource or is deceased.
(f) The patient has the ability, including mental capacity and transportation resources, to obtain assistance and medically indicated follow-up.
2 Contingency. Section 1 of this act shall take effect on the date the Centers for Medicare and Medicaid Services certifies the approval of the amendment to the state Medicaid plan to the director of legislative services and the secretary of state.
I. Section 1 of this act shall take effect as provided in section 2 of this act.
II. The remainder of this act shall take effect upon its passage.
2024-1727s
AMENDED ANALYSIS
This bill directs the department of health and human services to submit an amendment to the state Medicaid plan regarding reimbursement for ambulance services.