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NJ S472

NJ S472
Prohibits organized delivery systems from denying participation in network to imaging centers willing to meet terms of contract.


summary

Introduced
In Committee
Crossed Over
Passed
Dead

Introduced Session

2010-2011 Regular Session

Bill Summary

This bill prohibits a certified organized delivery system or a licensed organized delivery system as defined in section 1 of P.L.1999, c.409 (C.17:48H-1), and any carrier that contracts with such an organized delivery system for radiology or imaging services, from denying an imaging center the right to enter into a contract to participate in the organized delivery systems network of health care providers if that imaging center is willing to meet the terms and conditions of the provider contract offered by the organized delivery system to its participating health care providers. The bill defines "imaging center" to mean a health care facility licensed pursuant to P.L.1971, c.136 (C.26:2H-1 et seq.) that maintains an imaging services capability, including, but not limited to, computerized tomography scanning or magnetic resonance imaging. The bill takes effect on the 120th day after enactment, but authorizes the Commissioner of Banking and Insurance to take anticipatory administrative action in advance as necessary for its implementation.

AI Summary

This bill mandates that certified or licensed organized delivery systems (which are networks of healthcare providers that contract with insurance carriers) and any insurance carriers working with them cannot refuse to allow an imaging center to join their network if the imaging center agrees to the same contract terms offered to other providers. An "imaging center" is defined as a licensed healthcare facility that offers services like CT scans or MRIs. The bill will become effective 120 days after it is signed into law, though the Commissioner of Banking and Insurance can take preparatory steps beforehand.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee (on 01/12/2010)

bill text


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bill summary

Document Type Source Location Created
Bill https://www.njleg.state.nj.us/2010/Bills/S0500/472_I1.HTM 05/28/2012
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