NH · last verified 2026-05-12
New Hampshire — NSA dispute pathway
Ground-ambulance balance-billing law
STATE LAW APPLIES
N.H. Rev. Stat. Ann. §358-T:5 (SB 245, 2025 Ch. 262)
State IDR pathway
[VERIFY PENDING]
Federal IDR (45 CFR §149.510)
ERISA self-funded plans
STATE DOI HAS NO JURISDICTION
Self-funded plans always route to Federal IDR + DOL/EBSA enforcement, regardless of state.
How New Hampshire fits the NSA picture
New Hampshire SB 245 (2025 Chapter 262) prohibits balance-billing by non-participating ground-ambulance providers. Carrier reimbursement floor is the local-government rate or 325% of Medicare. Effective 2026-01-01.
State DOI consumer-protection entry ↗Statute: N.H. Rev. Stat. Ann. §358-T:5 (SB 245, 2025 Ch. 262)
Free first step — CMS No Surprises Help Desk
The CMS-administered consumer complaint pathway. Free, federal, and the recommended first action for any balance-billed insured patient. You have 90 calendar days from when you knew or should have known of the NSA violation to file.