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NJ S1032
NJ S1032Establishes additional health insurance carrier network adequacy standards with respect to certain physician specialists.
summary
Introduced
01/13/2026
01/13/2026
In Committee
02/12/2026
02/12/2026
Crossed Over
Passed
Dead
Introduced Session
2026-2027 Regular Session
Bill Summary
This bill establishes additional network adequacy standards for health insurance carriers that offer a managed care plan. Current law requires regulations for those carriers to include standards for the adequacy of the provider network with respect to the scope and type of health care benefits provided by the carrier, the geographic service area covered by the provider network, and access to medical specialists. This bill requires the Commissioner of Banking and Insurance to adopt regulations to ensure that covered persons have reasonable and timely access to physician specialists at in-network hospitals and facilities, including anesthesiologists, radiologists, pathologists, emergency medicine physicians, and services under their supervision.
AI Summary
This bill requires health insurance carriers offering managed care plans to ensure that their members have reasonable and timely access to certain physician specialists within their network of hospitals and facilities, specifically including anesthesiologists, radiologists, pathologists, and emergency medicine physicians, as well as any services they supervise. This adds to existing regulations that already mandate network adequacy based on the types of benefits offered, geographic coverage, and general access to medical specialists. The Commissioner of Banking and Insurance will be responsible for adopting new rules and regulations to implement these enhanced network adequacy standards.
Committee Categories
Business and Industry
Sponsors (3)
Last Action
Reported from Senate Committee, 2nd Reading (on 02/12/2026)
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/2026/S1032 |
| Analysis - Statement SCM 2/12/26 | https://pub.njleg.gov/Bills/2026/S1500/1032_S1.PDF |
| Analysis - Technical Review Of Prefiled Bill | https://pub.njleg.gov/Bills/2026/S1500/1032_T1.PDF |
| BillText | https://pub.njleg.gov/Bills/2026/S1500/1032_I1.HTM |
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