Bill

Bill > S3896


NJ S3896

Imposes certain rate filing requirements concerning certain health benefits plans available on State-based exchange.


summary

Introduced
05/22/2023
In Committee
05/22/2023
Crossed Over
Passed
Dead
01/08/2024

Introduced Session

2022-2023 Regular Session

Bill Summary

Imposes certain rate filing requirements concerning certain health benefits plans available on State-based exchange.

AI Summary

This bill imposes certain rate filing requirements on individual and small employer health benefits plans available on the State-based exchange. It requires the Commissioner of Banking and Insurance to adopt regulations addressing factors such as risk pooling, plan design, and cost-sharing reduction variants. The bill also specifies rules for basing silver-level plan prices on the distribution of enrollees among cost-sharing reduction variants and allows carriers to offer different plan designs by rating area and provide network access beyond the geographic rating area, while also requiring carriers to offer plans at both the gold and silver levels in a geographic area. The bill seeks federal funding to cover the cost of reviewing rates and allows carriers to transfer members from silver-level to gold-level plans under certain conditions.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee (on 05/22/2023)

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