Bill

Bill > A2063


NJ A2063

NJ A2063
Requires SHBP and SEHBP to implement referenced based pricing program and bundled payment program.


summary

Introduced
01/09/2024
In Committee
01/09/2024
Crossed Over
Passed
Dead
01/12/2026

Introduced Session

2024-2025 Regular Session

Bill Summary

The Governor's Fiscal Year 2022 budget recommendations include the enactment of legislation to require the State Health Benefits Commission and School Employees' Health Benefit Commission to implement a referenced based pricing program for certain elective medical procedures and a bundled payment program. This bill authorizes the commissions to implement both programs.

AI Summary

This bill authorizes the State Health Benefits Commission and the School Employees' Health Benefit Commission to implement a referenced based pricing program for certain elective medical procedures and a bundled payment program. The referenced based pricing program would use a "metric based allowable amount" to set a maximum payment amount for elective procedures, while the bundled payment program would allow the commissions to contract with a healthcare marketplace vendor to negotiate global payments with providers for an episode of care. The bill also provides an expedited procurement process for the healthcare marketplace vendor contract and allows for the adoption of emergency regulations to implement the programs.

Committee Categories

Government Affairs

Sponsors (1)

Last Action

Introduced, Referred to Assembly State and Local Government Committee (on 01/09/2024)

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