Bill

Bill > S4067


NJ S4067

Requires health insurance carriers to reimburse health care providers for vaccines at rate no less than CDC cost per dose rate.


summary

Introduced
01/30/2025
In Committee
01/30/2025
Crossed Over
Passed
Dead

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill requires health insurance carriers (including insurance companies, health, hospital, and medical service corporations, and health maintenance organizations) to reimburse a health care provider that provides a vaccine at a rate that is no less than the vaccine's Centers for Disease Control and Prevention (CDC) cost per dose rate pursuant to the CDC vaccine price list. The CDC cost per dose rate is to be the rate in effect on the date the vaccine was provided. The CDC vaccine price list provides the CDC and private sector cost per dose contract prices for vaccines.

AI Summary

This bill requires health insurance carriers (such as insurance companies, health maintenance organizations, and medical service corporations) to reimburse healthcare providers for vaccines at a rate equal to or higher than the Centers for Disease Control and Prevention (CDC) cost per dose rate. Specifically, the reimbursement rate will be based on the CDC vaccine price list's cost per dose at the exact date the vaccine was administered. The bill will take effect on the first day of the 13th month after its enactment and will apply to insurance contracts entered into or renewed after that date. This legislation aims to ensure that healthcare providers are fairly compensated for vaccine administration by using a standardized, government-established pricing benchmark from the CDC, which provides both public and private sector vaccine pricing information.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee (on 01/30/2025)

bill text


bill summary

Loading...

bill summary

Loading...

bill summary

Loading...