A 2281 New Jersey General Assembly · 2024-2025 Regular Session

Requires certain information to be included in SHBP claims experience data provided to certain public employers.

This bill requires the New Jersey State Health Benefits Program (SHBP) to provide public employers (non-State entities participating in SHBP) with detailed claims data upon written request. It mandates inclusion of 26 specific data points, including prescription utilization reports (top 50 drugs by volume/cost), medical claims summaries by diagnosis, and provider information, while maintaining HIPAA-compliant privacy safeguards. Public employers may request this data once per calendar year (reducing the prior 24-month limit), and employee majority representatives can also access it within 15 days of a public employer’s request. The bill directly affects public employers and their employees by increasing transparency into health plan spending and utilization patterns.
Sub-Topics: Insurance
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 State and Local Government Committee
lower
3 primary · 4 co-sponsors

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