Bill

Bill > S4299


NJ S4299

NJ S4299
Creates Health Care Cost Containment and Price Transparency Commission, Office of Healthcare Affordability and Transparency, and hospital price transparency regulations; appropriates $5 million.


summary

Introduced
03/24/2025
In Committee
03/24/2025
Crossed Over
Passed
Dead

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill creates the Health Care Cost Containment and Price Transparency Commission (commission), the Office of Healthcare Affordability and Transparency (office), and hospital price transparency regulations. Under the bill, the purpose of the office is to provide support, staffing, infrastructure, and expertise to the commission, and to comprehensively address health care cost growth while also establishing data analytics and public reporting mechanisms to ensure healthcare affordability, informed policymaking, and access for future generations. The office is to establish guidelines for health care entities to submit necessary data for the yearly evaluation of total health care expenditures, their incremental growth, pricing information, pricing incremental growth, the formulation of the healthcare cost growth benchmark and the hospital price benchmark, and for publishing relevant data publicly. Under the bill, the purpose of the 18 member commission is to: monitor, analyze, and contain health care prices by identifying drivers of health care cost growth including hospital price growth; establishing and adopting a health care cost growth benchmark and a hospital price growth benchmark; identifying health care entities that exceed the benchmark or benchmarks; and addressing increases in excess of the benchmark or benchmarks through public transparency, opportunities for remediation, and other actions, including civil penalties. The commission is to set a cost growth benchmark for health care entities. The commission is to impose civil penalties, pursuant to the "Penalty Enforcement Law of 1999," P.L.1999, c.274 (C.2A:58-10 et seq.), on health care entities that either fail to respond to the commission's request to submit a corrective action plan or comply with the requirements of a corrective action plan. The bill provides that the Department of Health is to require hospitals to be in compliance with federal hospital price transparency requirements and provide a written warning notice to or request a corrective action plan from any hospital that is not in compliance with these federal requirements. A hospital is to be prohibited from attempting to collect a medical debt from a patient if the hospital is not, at the time of providing medical services to the patient, in compliance with the provisions of this bill. A hospital that fails to act in accordance with the provisions of this bill is to be liable to a civil penalty of $10 per day per hospital bed for each offense, pursuant to the "Penalty Enforcement Law of 1999," P.L.1999, c.274 (C.2A:58-10 et seq.). The bill appropriates to the office such sums as may be necessary to effectuate the purposes of this bill, as determined by the Commissioner of Health, but in no case is this amount to exceed $5,000,000.

AI Summary

This bill establishes the Office of Healthcare Affordability and Transparency and the Health Care Cost Containment and Price Transparency Commission to address rising healthcare costs in New Jersey. The office, located within the Department of Health, will be responsible for collecting and analyzing healthcare pricing data, prioritizing existing data sources, and working to reduce healthcare spending growth. The 18-member commission will monitor healthcare prices, set cost growth benchmarks for healthcare entities, and take enforcement actions against entities that exceed these benchmarks. Hospitals will be required to comply with federal price transparency requirements, and can face penalties of $10 per day per hospital bed for non-compliance. Importantly, hospitals that are not in compliance with transparency requirements will be prohibited from collecting medical debt from patients. The bill appropriates up to $5 million to support these efforts, with the goal of creating a more transparent and affordable healthcare system by identifying cost drivers, promoting public reporting, and implementing mechanisms to control healthcare pricing. The new office and commission will have the authority to conduct studies, publish reports, and develop strategies to lower consumer healthcare spending while maintaining access to high-quality care.

Committee Categories

Health and Social Services

Sponsors (8)

Last Action

Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee (on 03/24/2025)

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