• Views: in the last
  • 26Week
  • 24Month
  • 60Total


  • NJ A4945
  • The "Healthy New Jersey Act;" establishes single-payer health care system.
Introduced
(6/5/2017)
In Committee
(6/5/2017)
Crossed OverPassedSignedDead/Failed/Vetoed
2016-2017 Regular Session
This bill, the "Healthy New Jersey Act," creates the Healthy New Jersey program to provide comprehensive universal single-payer health care coverage and a health care cost control system for the benefit of all residents of the State. The bill, among other things, provides that the program cover a wide range of medical benefits and other services and would incorporate the health care benefits and standards of other existing federal and State provisions, including, but not limited to, Medicaid, NJ FamilyCare, and the federal Medicare program. The bill requires the board to seek all necessary waivers, approvals, and agreements to allow various existing federal health care payments to be paid to the Healthy New Jersey program, which would then assume responsibility for all benefits and services previously paid for with those funds. Under the bill's provisions, every resident of the State is eligible and entitled to enroll as a member under the program. A member is not required to pay any fee, payment, or other charge for enrolling in or being a member under the program. Additionally, a member is not required to pay any premium, copayment, coinsurance, deductible, and any other form of cost sharing for all covered benefits. Covered health care benefits under the program include all medical care determined to be medically appropriate by the member's health care provider. This bill also provides for the participation of health care providers in the program, requires care coordination for members, provides for payment for health care services and care coordination, and specifies program standards. The bill states the intent of the Legislature to enact legislation that would develop a revenue plan, taking into consideration anticipated federal revenue available for the Healthy New Jersey program. The basic structure of the revenue plan is to come from two premiums. One premium is to be a progressively graduated premium on all payroll and self-employed income. The second premium is to be a progressively graduated premium on taxable income, such as interest, dividends, and capital gains, not subject to the payroll premium. The bill creates the Healthy New Jersey Trust Fund in the State Treasury, consisting of any federal and State moneys received for the purposes of the bill. This bill creates the Healthy New Jersey Board to govern the program, made up of nine members with demonstrated and acknowledged expertise in health care, and appointed as provided. The bill provides the board with all the powers and duties necessary to establish the Healthy New Jersey program, including, but not limited to, determining when individuals may start enrolling in the program, employing necessary staff, and negotiating and entering into any necessary contracts. The bill also requires the Commissioner of Health to establish a public advisory committee to advise the board on all matters of policy for the Healthy New Jersey program. This bill prohibits health insurance carriers from offering health benefits or covering any service for which coverage is offered to individuals under the program, except as provided. The bill authorizes health care providers, as defined, to collectively negotiate rates of payment for health care services, rates of payment for prescription and nonprescription drugs, and payment methodologies using a third-party representative, as provided.
Health and Senior Services
Introduced, Referred to Assembly Health and Senior Services Committee  (on 6/5/2017)
 
 
Date Chamber Action Description
6/5/2017 A Introduced, Referred to Assembly Health and Senior Services Committee
Date Motion Yea Nay Other
None specified