Bill > A4204

Introduced Session

This bill provides that the Commissioner of Banking and Insurance shall only approve the network adequacy of a managed care plan if the carrier has demonstrated, to the commissioner's satisfaction, that the provider network meets all network adequacy requirements without considering any health care provider that the carrier has a financial interest in. As used in the bill, "financial interest" means: (1) holding a position in a business as officer, director, trustee, or partner, or holding any position in management of the business, except that any position-holder in a non-profit organization who is not compensated for holding that position shall not be considered to have a financial interest in the organization; or (2) ownership of more than a five percent interest in a business, or ownership of a carrier and a health care provider by the same parent company.

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Robert Karabinchak (D)*, 

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 06/01/2020)