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
05/10/2024
In Committee
05/10/2024
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)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
---|---|
State Bill Page | https://www.njleg.state.nj.us/bill-search/2024/A4333 |
BillText | https://pub.njleg.gov/Bills/2024/A4500/4333_I1.HTM |
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