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Bill > A3771


NJ A3771

NJ A3771
Requires 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
In Committee
10/02/2014
Crossed Over
Passed
Dead
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


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