A 1450 New Jersey General Assembly · 2024-2025 Regular Session

Concerns carrier networks and health care providers in which carrier has financial interest.

This bill requires New Jersey health insurance carriers to prove their provider networks meet state adequacy standards without counting doctors or hospitals they financially benefit from. It defines "financial interest" as owning over 5% of a provider, holding management roles (except unpaid non-profit positions), or having parent companies that own both the insurer and provider. The Commissioner of Banking and Insurance must verify this before approving network adequacy for managed care plans. The law directly affects all health insurance carriers operating in New Jersey that manage provider networks.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2024
Committee Review
Floor Vote
Governor
Introduced Jan 9, 2024 Last action Jan 9, 2024
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Jan 9, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Robert Karabinchak
Robert Karabinchak
DDemocratic
NJ
18