Bill

Bill > A4333


NJ A4333

Requires Medicaid and health insurance network contracts to provide participating health care providers with certain notifications.


summary

Introduced
05/10/2024
In Committee
05/10/2024
Crossed Over
Passed
Dead

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill requires a contract between a health care provider and a carrier that offers a managed care plan or the State Medicaid program or FamilyCare Health Coverage Program to require the carrier or program to provide a participating health care provider with notice at least six months in advance of any change in the policy that could result in the denial of coverage for services provided by the provider to a covered person. As used in the bill, "carrier" means an insurance company, health service corporation, hospital service corporation, medical service corporation, or health maintenance organization authorized to issue health benefits plans in this State, and shall include the State Health Benefits Program and the School Employees' Health Benefits Program.

AI Summary

This bill requires Medicaid, FamilyCare, and health insurance carriers in New Jersey to provide participating healthcare providers at least six months' advance notice of any policy changes that could result in the denial of coverage for services provided to covered patients. The term "carrier" includes insurance companies, health service corporations, and health maintenance organizations, as well as the State Health Benefits Program and School Employees' Health Benefits Program. The bill applies to contracts entered into or renewed after the 120th day following enactment.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 05/10/2024)

bill text


bill summary

Loading...

bill summary

Loading...

bill summary

Loading...