relative to reimbursement for ground ambulance services.

HB 316 establishes new reimbursement rules for ground ambulance services in New Hampshire. It directly affects ambulance providers (both public and private) and health insurance carriers by setting specific payment rates. The bill requires health carriers to reimburse participating and "enrolling" ambulance providers at 325% of the Medicare rate for ground ambulance services from 2026-2027, then transitions to a cost-based rate starting in 2028. Nonparticipating providers receive the higher of the carrier's nonparticipating rate or the Medicare rate. The bill also mandates a standardized contract template for future agreements between providers and insurers.