Bill
Bill > S2059
NJ S2059
NJ S2059Establishes special enrollment period for individual health plan enrollees and dependents when health care providers become out-of-network.
summary
Introduced
01/13/2026
01/13/2026
In Committee
01/13/2026
01/13/2026
Crossed Over
Passed
Dead
Introduced Session
2026-2027 Regular Session
Bill Summary
This bill establishes a special enrollment period for individual health plan enrollees when their health care providers become out-of-network. Under the bill, the board of the New Jersey Individual Health Coverage Program is required to establish a special enrollment period for a covered person whose health care provider, after participating in the covered person's health benefits plan network, becomes out-of-network during the covered person's policy or contract period. The special enrollment period is to last for a certain period of time to be determined by the board, not to be shorter than 30 days. Finally, the carrier is required to provide information about the enrollment period to affected individuals.
AI Summary
This bill establishes a new special enrollment period for individuals enrolled in individual health plans, meaning health insurance plans purchased directly by individuals rather than through an employer. This special enrollment period will be available if a healthcare provider, who was previously considered "in-network" (meaning their services were covered by the plan at a lower cost), becomes "out-of-network" (meaning their services are no longer covered or are covered at a much higher cost) during the person's current policy year. The New Jersey Individual Health Coverage Program board is responsible for setting the exact duration of this special enrollment period, which must be at least 30 days, and the insurance carrier must inform affected individuals about this enrollment opportunity.
Committee Categories
Business and Industry
Sponsors (2)
Last Action
Introduced in the Senate, Referred to Senate Commerce Committee (on 01/13/2026)
Official Document
bill text
bill summary
Loading...
bill summary
Loading...
bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.njleg.state.nj.us/bill-search/2026/S2059 |
| BillText | https://pub.njleg.gov/Bills/2026/S2500/2059_I1.HTM |
Loading...