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Bill > A1450
NJ A1450
NJ A1450Concerns carrier networks and health care providers in which carrier has financial interest.
summary
Introduced
01/09/2024
01/09/2024
In Committee
01/09/2024
01/09/2024
Crossed Over
Passed
Dead
Introduced Session
2024-2025 Regular Session
Bill Summary
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.
AI Summary
This bill requires the Commissioner of Banking and Insurance to only approve the network adequacy of a managed care plan if the carrier has demonstrated that the provider network meets all network adequacy requirements without considering any health care provider that the carrier has a financial interest in. "Financial interest" is defined as either holding a management position or owning more than 5% of a business, or the same parent company owning both the carrier and the health care provider.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 01/09/2024)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
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State Bill Page | https://www.njleg.state.nj.us/bill-search/2024/A1450 |
BillText | https://pub.njleg.gov/Bills/2024/A1500/1450_I1.HTM |
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