Bill
Bill > A3771
NJ A3771
NJ A3771Requires health care provider participating in carrier network to give notice to covered person of provider's referral to out-of-network provider.
summary
Introduced
10/02/2014
10/02/2014
In Committee
10/02/2014
10/02/2014
Crossed Over
Passed
Dead
01/11/2016
01/11/2016
Introduced Session
2014-2015 Regular Session
Bill Summary
Requires health care provider participating in carrier network to give notice to covered person of provider's referral to out-of-network provider.
AI Summary
This bill requires healthcare providers who are part of a health insurance carrier's network, and who are referring a patient to another provider under a managed care plan that covers both in-network and out-of-network services, to provide the patient with a written notice whenever the referral is to an out-of-network provider. This notice must explain the patient's potential out-of-pocket costs, such as deductibles, copayments, and coinsurance, for receiving care from an out-of-network provider and compare it to their costs for in-network care. Additionally, the notice must include a list of available in-network providers in the same geographic area who offer the same services. This new requirement will take effect four months after the bill is enacted.
Committee Categories
Business and Industry
Sponsors (3)
Last Action
Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 10/02/2014)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| BillText | https://www.njleg.state.nj.us/2014/Bills/A4000/3771_I1.HTM |
| Bill | https://www.njleg.state.nj.us/2014/Bills/A4000/3771_I1.PDF |
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