1 Individual Health Insurance; Ambulance Service Provider Reimbursement; Direct Payment. Amend RSA 415:6-q to read as follows:

415:6-q Reimbursement for Ambulance Service Providers.

Each insurer that issues or renews any individual policy, plan, or contract of accident or health insurance that constitutes health coverage under RSA 420-G:2, IX, and that provides benefits for medically necessary ambulance services shall reimburse the ambulance service provider directly subject to the terms and conditions of the policy, plan, or contract.

Nothing in this section shall preclude an insurer from negotiating with and subsequently entering into a contract with a non-participating ambulance provider that establishes rates of reimbursement for emergency medical services.

2 Group Insurance Ambulance Service Provider Reimbursement; Direct Payment. Amend RSA 415:18-v to read as follows:

415:18-v Reimbursement for Ambulance Service Providers.

Each insurer that issues or renews any policy of group or blanket accident or health insurance that constitutes health coverage under RSA 420-G:2, IX, and that provides benefits for medically necessary ambulance services shall reimburse the ambulance service provider directly subject to the terms and conditions of the policy, plan, or contract.

Nothing in this section shall preclude an insurer from negotiating with and subsequently entering into a contract with a non-participating ambulance provider that establishes rates of reimbursement for emergency medical services.

3 Effective Date. This act shall take effect 60 days after its passage.

1 Individual Health Insurance; Ambulance Service Provider Reimbursement; Direct Payment. Amend RSA 415:6-q to read as follows:

415:6-q Reimbursement for Ambulance Service Providers.

I. Each insurer that issues or renews any individual policy, plan, or contract of accident or health insurance that constitutes health coverage under RSA 420-G:2, IX, and that provides benefits for medically necessary ambulance services shall reimburse the ambulance service provider directly . An insurer shall provide reimbursement for ambulance services at rates negotiated between the insurer and the ambulance service provider. In the absence of agreed upon rates, an insurer shall pay the amount billed by the ambulance service provider for the service, subject to review by the insurance department in the event of a dispute regarding whether the charge is reasonable. The provisions of this section shall not apply to policies that do not include coverage for ambulance services.

II. Nothing in this section shall preclude an insurer from negotiating with and subsequently entering into a contract with a non-participating ambulance provider that establishes rates of reimbursement for emergency medical services.

2 Group Insurance Ambulance Service Provider Reimbursement; Direct Payment. Amend RSA 415:18-v to read as follows:

415:18-v Reimbursement for Ambulance Service Providers.

I. Each insurer that issues or renews any policy of group or blanket accident or health insurance that constitutes health coverage under RSA 420-G:2, IX, and that provides benefits for medically necessary ambulance services shall reimburse the ambulance service provider directly . An insurer shall provide reimbursement for ambulance services at rates negotiated between the insurer and the ambulance service provider. In the absence of agreed upon rates, an insurer shall pay the amount billed by the ambulance service provider for the service, subject to review by the insurance department in the event of a dispute regarding whether the charge is reasonable. The provisions of this section shall not apply to policies that do not include coverage for ambulance services.

II. Nothing in this section shall preclude an insurer from negotiating with and subsequently entering into a contract with a non-participating ambulance provider that establishes rates of reimbursement for emergency medical services.

3 Effective Date. This act shall take effect 60 days after its passage.