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  • NJ A909
  • Establishes Behavioral Health Insurance Claims Advocacy Program.
Introduced
(1/27/2016)
In Committee
(2/27/2017)
Crossed Over
(2/15/2017)
PassedSignedDead/Failed/Vetoed
2016-2017 Regular Session
This bill establishes the Behavioral Health Insurance Claims Advocacy Program within the Department of Banking and Insurance. The bill creates the program to advocate for people with behavioral health problems in helping them to navigate the health insurance bureaucracy. The bill creates the program to: (1) Maintain and provide an Internet website and a toll-free telephone number for consumers to call for information and assistance. (2) Respond to inquiries pertaining to behavioral health from covered persons, including, but not limited to, those regarding policy provisions pertaining to behavioral health care services; (3) Advocate for covered persons seeking benefits for behavioral health care services through their carriers, including providing support for filing appeals through the carriers' internal appeal system; and (4) Where appropriate, assist persons in filing appeals related to behavioral health insurance claims through the Independent Health Care Appeals Program, established pursuant to section 11 of P.L.1997, c.192 (C.26:2S-11). Under the bill, in order to meet its objectives, the program has access to: (1) the medical and other records of a covered person maintained by a carrier, upon the specific written authorization of the covered person or that covered person's legal representative; (2) the administrative records, policies, and documents of carriers to which individuals or the general public have access; and (3) all licensing, certification, and data reporting records maintained by the State or reported to the federal government by the State that are not proprietary information or otherwise protected by law, with copies thereof to be supplied to the program by the State upon the request of the program. Under the bill, the program must take such actions as are necessary to protect the identity and confidentiality of any complainant or other individual with respect to whom the program maintains files or records.
Commerce, 2nd Reading in the Assembly, Financial Institutions and Insurance, Passed Assembly
Received in the Senate, Referred to Senate Commerce Committee  (on 2/27/2017)
 
 

Date Chamber Action Description
2/27/2017 S Received in the Senate, Referred to Senate Commerce Committee
2/15/2017 A Passed by the Assembly (66-1-3)
2/22/2016 A Reported out of Assembly Committee, 2nd Reading
2/22/2016 Assembly Financial Institutions and Insurance Hearing (10:00 2/22/2016 Committee Room 16, Fourth Floor)
1/27/2016 A Introduced, Referred to Assembly Financial Institutions and Insurance Committee
Date Motion Yea Nay Other
Detail 2/15/2017 Assembly Floor: Third Reading - Final Passage 66 1 13
Detail 2/22/2016 Assembly Financial Institutions and Insurance Committee: Reported Favorably 11 0 2