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  • NJ A3996
  • Transfers regulatory authority over managed care plans from DOBI to DOH.
Introduced
(6/30/2016)
In Committee
(6/30/2016)
Crossed OverPassedSignedDead/Failed/Vetoed
2016-2017 Regular Session
This bill would transfer authority to implement the "Health Care Quality Act," which concerns managed care functions of health insurance plans, from the Department of Banking and Insurance to the Department of Health. When it was signed into law in 1997, the "Health Care Quality Act" granted responsibility for regulating managed care to the Department of Health. That function, along with other functions related to health insurance, was shifted to the Department of Banking and Insurance in 2005 under Executive Reorganization Plan No. 005-2005. Since that time, the Department of Banking and Insurance has been responsible for regulating health insurance plans with respect to both their financial adequacy and their role in the health care system. This bill would separate these two regulatory functions: the Department of Banking and Insurance would continue to license health insurers and would be responsible for ensuring they are able to pay claims. The Department of Health would oversee managed care functions, which include but are not limited to: requiring certain disclosures by carriers to subscribers; establishing rules for adding and removing providers from carriers' networks and other aspects of the contractual relationship between a carrier and a provider; operating the Independent Health Care Appeals Program; and operating the Managed Health Care Consumer Assistance Program.
Financial Institutions and Insurance
Introduced, Referred to Assembly Financial Institutions and Insurance Committee  (on 6/30/2016)
 
 

Date Chamber Action Description
6/30/2016 A Introduced, Referred to Assembly Financial Institutions and Insurance Committee
Date Motion Yea Nay Other
None specified