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
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
1
Key actions
0
Committee
0
Jan 9, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
0 primary · 0 co-sponsors
Sponsors
No sponsor information available.
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