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  • NJ S1164
  • Exempts intraoperative monitoring services rendered during certain neurosurgical, neurological, and neuro-radiological surgical procedures from physician self-referral restrictions.*
In Committee
Crossed Over
Dead/Failed/VetoedVeto Overridden
2016-2017 Regular Session
This bill provides that certain intraoperative monitoring (IOM) services are exempt from the prohibition against physicians referring patients for health care services in which the physician or the physician's family has a financial interest. IOM takes place during surgery and consists of a technician recording and stimulating various nerves and muscles through leads attached to the patient's body. The purpose of IOM is to elicit responses from the nerves and muscles to determine if they are functioning normally, thereby helping reduce the risk of neurological damage during surgery. Current law prohibits physicians from referring patients to health care services in which the physician or the physician's family has a significant financial interest, but provides certain exceptions in cases where: the financial interest was held prior to a certain date and the physician provides the patient with written disclosure of the financial interest; the procedure is performed in the physician's medical office and the patient is billed directly by the physician or the physician's office; the procedure is renal dialysis; or the procedure requires anesthesia and is performed at a surgical practice or ambulatory surgery center, provided certain other conditions are met. This bill provides that, in addition to these exceptions, the prohibition will not apply to medically-necessary IOM services rendered during a surgical procedure that is performed as an inpatient hospital service. It is the sponsor's belief that, because IOM services rendered under these conditions are not likely to result in overuse or abuse, and because of the difficulty some hospitals have experienced in locating and retaining qualified IOM service providers, establishing this exception is an appropriate and necessary measure to help improve the provision of health care in New Jersey.
2nd Reading in the Assembly, 2nd Reading in the Senate, Bills and Joint Resolutions Signed by the Governor, Health, Human Services and Senior Citizens, Passed both Houses, Passed Senate
Approved P.L.2016, c.20.  (on 8/1/2016)
Date Chamber Action Description
8/1/2016 A Approved P.L.2016, c.20.
6/16/2016 A Passed Assembly (Passed Both Houses) (72-3-1)
6/16/2016 A Substituted for A1835 (1R)
5/12/2016 A Received in the Assembly without Reference, 2nd Reading
5/9/2016 S Passed by the Senate (38-0)
3/7/2016 S Reported from Senate Committee with Amendments, 2nd Reading
3/7/2016 Senate Health, Human Services and Senior Citizens Hearing (13:00 3/7/2016 Committee Room 1, First Floor)
2/8/2016 S Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee
Date Motion Yea Nay Other
Detail 6/16/2016 Assembly Floor: Substitute For A1835 Aca (Voice Vote) 0 0 0
Detail 6/16/2016 Assembly Floor: Third Reading - Final Passage 72 3 5
Detail 5/9/2016 Senate Floor: Third Reading - Final Passage 38 0 2
Detail 3/7/2016 Senate Health, Human Services and Senior Citizens Committee: Reported with Amendments 8 0 1