CHAPTER 376
SB 409-FN - FINAL VERSION
02/08/2024 0408s
2May2024... 1563h
23May2024... 1862h
23May2024... 2026h
06/13/2024 2371EBA
2024 SESSION
24-3045
05/10
SENATE BILL 409-FN
SPONSORS: Sen. Prentiss, Dist 5; Sen. Fenton, Dist 10; Sen. Watters, Dist 4; Sen. Bradley, Dist 3; Sen. Altschiller, Dist 24; Sen. Perkins Kwoka, Dist 21; Sen. Rosenwald, Dist 13; Sen. Whitley, Dist 15; Sen. Gannon, Dist 23; Sen. Innis, Dist 7; Sen. Soucy, Dist 18; Sen. Chandley, Dist 11; Sen. Carson, Dist 14; Sen. D'Allesandro, Dist 20; Rep. Goley, Hills. 21; Rep. S. Pearson, Rock. 13; Rep. Stringham, Graf. 3; Rep. Wolf, Merr. 7
COMMITTEE: Health and Human Services
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AMENDED ANALYSIS
This bill:
I. Directs the department of health and human services to submit an amendment to the state Medicaid plan regarding reimbursement for ambulance services and makes an appropriation to the department for this purpose.
II. Makes an appropriation to the department of health and human services to fund recreational activities for individuals with developmental disabilities.
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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Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
02/08/2024 0408s
2May2024... 1563h
23May2024... 1862h
23May2024... 2026h
06/13/2024 2371EBA 24-3045
05/10
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Twenty Four
Be it Enacted by the Senate and House of Representatives in General Court convened:
376:1 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.
(a) Providers shall be eligible for Medicaid reimbursement when the provider has documented that:
(1) The response originated through an emergency call; and
(2) The patient consents to evaluation and treatment, and one of the following outcomes has occurred:
(A) After the evaluation, and when indicated, treatment, the licensed paramedic or emergency medical technician (EMT) and the patient agree there is no need for transportation by ambulance;
(B) The patient does not request and actively refuses transport to an emergency department for evaluation; or
(C) The patient is stable for referral to the patient's physician, other community resource, and the patient has the ability, including mental capacity and transportation resources, to obtain assistance and medically indicated follow-up.
(b) Providers shall also be eligible for Medicaid reimbursement when the provider has documented that the response originated through an emergency call, resuscitation efforts were terminated, and the patient is deceased.
376:2 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.
376:3 Appropriation; Department of Health and Human Services. The sum of $500,000 for the biennium ending June 30, 2025 is appropriated to the department of health and human services for the purposes of this act. The department may accept and expend any available matching federal funds without the approval of the fiscal committee of the general court. The governor is authorized to draw a warrant for said sum from any money in the treasury not otherwise appropriated.
376:4 Department of Health and Human Services; Individuals with Developmental Disabilities; Funding for Recreational Services.
I. Recreational activities typically provide an opportunity for individuals with developmental disabilities to participate in their community in preferred settings, where individuals are able to work on skill development to aid health, wellness, socialization, and safety goals. However, the department of health and human services has received clarification from the Centers for Medicare and Medicaid Services that supports and services that are recreational in nature are not reimbursable services under the Medicaid program.
II. In order to ensure that costs to access recreational services are covered, and that individuals with developmental disabilities are able to participate in recreational activities within their communities, the sum of $500,000 is appropriated to the department of health and human services for the biennium ending June 30, 2025. This appropriation is in addition to any other funds appropriated to the department of health and human services. The governor is authorized to draw a warrant for said sums out of any money in the treasury not otherwise appropriated. Any unexpended funds shall lapse to the general fund on June 30, 2025.
III. In order to be eligible to receive funds for recreational services under this section, an individual shall have graduated or exited the school system and be receiving services under the 1915(c) developmental disabilities or acquired brain disorder waiver and shall be requesting payment for an activity or service that cannot be covered by the New Hampshire Medicaid state plan or a 1915(c) home and community based waiver.
IV. The department of health and human services shall contract with one or more organizations, such as an area agency as defined in RSA 171-A, to assist in administering these funds. With the approval of the governor, the department may utilize a sole source procurement method to implement recreational services as quickly as possible.
V. Payment for recreational services shall be limited to $600 per individual.
VI. The department of health and human services shall include language in the contracts designated in paragraph IV to prioritize services previously included in individualized budgets.
VII. The department shall issue an interim report to the fiscal committee on or before April 1, 2025. The report shall include data on utilization, including the number of individuals seeking services in accordance with paragraphs I, II and III, the number of individuals provided services, the types of specific services provided, the total cost of the services provided, and other relevant information necessary to enable the legislature to assess the program.
VIII. The department shall issue a final report to the fiscal committee on or before September 30, 2025. The final report shall include all the information listed in paragraph VII.
376:5 Contingency. If SB 554 of the 2024 legislative session becomes law, RSA 126-A:5, XXXV as inserted by section 1 of this act shall be renumbered to read as RSA 126-A:5, XXXVI.
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.
Approved: August 23, 2024
Effective Date:
I. Section 1 effective as provided in section 2
II. Remainder effective August 23, 2024
| Date | Amendment |
|---|---|
| Jan. 31, 2024 | 2024-0408s |
| April 24, 2024 | 2024-1563h |
| May 15, 2024 | 2024-1862h |
| May 22, 2024 | 2024-2026h |
| May 22, 2024 | 2024-2053h |
| July 15, 2024 | 2024-2371EBA |
| Date | Body | Type |
|---|---|---|
| Jan. 10, 2024 | Senate | Hearing |
| Feb. 8, 2024 | Senate | Floor Vote |
| March 21, 2024 | Senate | Floor Vote |
| April 10, 2024 | House | Hearing |
| April 17, 2024 | House | Exec Session |
| April 17, 2024 | House | Exec Session |
| April 24, 2024 | House | Floor Vote |
| May 14, 2024 | House | Exec Session |
| May 15, 2024 | House | Floor Vote |
Aug. 30, 2024: II. Remainder Effective 08/23/2024
Aug. 30, 2024: I. Section 1 of this act shall take effect as provided in Section 2
Aug. 30, 2024: Signed by the Governor on 08/23/2024; Chapter 376
Aug. 27, 2024: II. Remainder Effective 08/23/2024 SJ 18
Aug. 27, 2024: I. Section 1 of this act shall take effect as provided in Section 2 SJ 18
Aug. 27, 2024: Signed by the Governor on 08/23/2024; Chapter 376 SJ 18
July 29, 2024: Enrolled Adopted, VV, (In recess 06/13/2024); SJ 18
July 29, 2024: Enrolled (in recess of) 06/13/2024 HJ 16 P. 56
July 23, 2024: Enrolled Bill Amendment # 2024-2371e: AA VV (in recess of) 06/13/2024 HJ 16
July 15, 2024: Enrolled Bill Amendment # 2024-2371e Adopted, VV, (In recess of 06/13/2024); SJ 18
July 15, 2024: Enrolled Bill Amendment # 2024-2371e Adopted, VV, (In recess of 06/13/2024); SJ 18
July 23, 2024: Enrolled Bill Amendment # 2024-2371e: AA VV (in recess of) 06/13/2024 HJ 16 P. 51
May 30, 2024: Sen. Birdsell Moved to Concur with the House Amendment, MA, VV; 05/30/2024; SJ 16
May 23, 2024: Ought to Pass with Amendment 2024-1862h and 2024-2026h: MA VV 05/23/2024 HJ 14 P. 76
May 23, 2024: FLAM # 2024-2026h (NT) (Rep. Stringham): AA DV 210-152 05/23/2024 HJ 14 P. 76
May 23, 2024: Amendment # 2024-1862h (NT): AA VV 05/23/2024 HJ 14 P. 75
May 15, 2024: Committee Report: Ought to Pass with Amendment # 2024-1862h (NT) 05/15/2024 (Vote 25-0; RC) HC 20 P. 19
May 8, 2024: Executive Session: 05/14/2024 01:00 pm LOB 210-211
May 2, 2024: Division III Work Session: 05/10/2024 10:00 am LOB 210-211
May 2, 2024: Division III Work Session: 05/07/2024 10:00 am LOB 210-211
May 2, 2024: Referred to Finance 05/02/2024 HJ 12 P. 16
May 2, 2024: Ought to Pass with Amendment 2024-1563h: MA VV 05/02/2024 HJ 12 P. 15
May 2, 2024: Amendment # 2024-1563h: AA VV 05/02/2024 HJ 12 P. 15
April 25, 2024: Committee Report: Ought to Pass with Amendment # 2024-1563h 04/24/2024 (Vote 18-2; CC) HC 17 P. 11
April 12, 2024: Executive Session: 04/17/2024 03:00 pm LOB 206-208
April 10, 2024: Executive Session: 04/17/2024 02:30 pm LOB 206-208
April 10, 2024: Full Committee Work Session: 04/17/2024 09:30 am LOB 206-208
April 5, 2024: Public Hearing: 04/10/2024 10:00 am LOB 203
April 2, 2024: Introduced (in recess of) 03/28/2024 and referred to Health, Human Services and Elderly Affairs HJ 10 P. 227
March 21, 2024: Ought to Pass: MA, VV; OT3rdg; 03/21/2024; SJ 7
March 5, 2024: Committee Report: Ought to Pass, 03/21/2024, Vote 7-0; SC 11
Feb. 8, 2024: Ought to Pass with Amendment 2024-0408s, MA, VV; Refer to Finance Rule 4-5; 02/08/2024; SJ 3
Feb. 8, 2024: Committee Amendment # 2024-0408s, AA, VV; 02/08/2024; SJ 3
Feb. 1, 2024: Committee Report: Ought to Pass with Amendment # 2024-0408s, 02/08/2024; Vote 5-0; CC; SC 6
Jan. 4, 2024: Hearing: 01/10/2024, Room 101, LOB, 09:00 am; SC 2
Dec. 12, 2023: To Be Introduced 01/03/2024 and Referred to Health and Human Services; SJ 1