Bill

Bill > A5658


NJ A5658

NJ A5658
Allows for credit against contract cost for primary care services managed by health care provider for public employees and their dependents; allows referrals to other providers that have contractual relationship with such health care provider.


summary

Introduced
06/26/2023
In Committee
12/18/2023
Crossed Over
Passed
Dead
01/08/2024

Introduced Session

2022-2023 Regular Session

Bill Summary

Allows for credit against contract cost for primary care services managed by health care provider for public employees and their dependents; allows referrals to other providers that have contractual relationship with such health care provider.

AI Summary

This bill allows health care providers that are managing a medical home for public employees and their dependents under a contract with a public employer to provide a credit to the public employer towards the cost of the contract. It also allows the health care provider to refer public employees and their dependents who receive services through the medical home model to other providers with whom the health care provider has a contractual relationship. The bill requires that the health care provider retain an independent, third-party accounting firm to conduct an annual audit of the financial records related to billing and receipt of payments, and that public employers in the State Health Benefits Program or School Employees' Health Benefits Program receive approval from the appropriate commission before entering into a new contract or an extension or renewal of an existing contract covered by this section.

Committee Categories

Budget and Finance, Business and Industry

Sponsors (5)

Last Action

Substituted by S3969 (1R) (on 12/21/2023)

bill text


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