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Bill > A3596
NJ A3596
NJ A3596Establishes special enrollment period for covered persons whose in-network health care provider leaves network of health benefits plan.
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 covered persons whose in-network health care provider leaves a carrier's network during the covered person's policy period. Under the bill, the Department of Banking and Insurance will establish a special enrollment period for a covered person whose health care provider, after participating in the covered person's health benefits plan network, decides to no longer participate in the health benefits plan network during the covered person's policy or contract period. The special enrollment period established will last for a certain period of time to be determined by the department, which will not be shorter than 30 days. Finally, the carrier will be required to provide information about the enrollment period to the public and affected individuals.
AI Summary
This bill establishes a special enrollment period for individuals covered by a health benefits plan when their in-network healthcare provider leaves that plan's network during their policy or contract term. The Department of Banking and Insurance will set the duration of this special enrollment period, ensuring it is at least 30 days, and the health insurance carrier will be responsible for informing affected individuals about this opportunity. This measure aims to provide continuity of care for patients who might otherwise lose access to their chosen doctors due to network changes.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 01/13/2026)
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/A3596 |
| BillText | https://pub.njleg.gov/Bills/2026/A4000/3596_I1.HTM |
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