A 1873 New Jersey General Assembly · 2024-2025 Regular Session

Requires health insurance carriers to provide adequate network of physicians.

New Jersey's A1873 requires health insurance carriers to ensure all covered residents can access sufficient in-network physicians within specific travel times: within a 20-minute drive or 10 miles (whichever is shorter) to three primary care physicians per specialty type, and within a 30-minute drive or 15 miles (whichever is shorter) to three office-based medical specialists per specialty. The bill mandates carriers to submit plain-language network descriptions to regulators annually, display these descriptions publicly on their websites, and establish a system for consumers to file network adequacy complaints. It explicitly states that telehealth services and non-physician providers (like nurse practitioners) cannot count toward meeting these geographic access requirements. This applies to all health insurance plans sold in New Jersey, including Medicaid managed care and self-funded employer plans that choose to comply.
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
0 primary · 0 co-sponsors

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