Establishes Commission on Insurance Reimbursement.
This bill creates the Commission on Insurance Reimbursement within New Jersey's Department of Banking and Insurance. The commission reviews and approves or denies applications from health insurance carriers seeking to reduce payment rates for specific medical procedures (identified by CPT codes). Carriers must submit detailed justifications for proposed rate cuts, and the commission evaluates whether such cuts would interfere with patient access to care, destabilize the healthcare system, or harm licensed providers or facilities. The commission must issue a written decision within 60 days and annually report its findings and recommendations to the Governor and Legislature. This directly affects insurance carriers, healthcare providers, and patients by adding a review step before rate reductions take effect.
Bill status
in committee
1 of 4 stages cleared
Introduction
Feb 2024
Committee Review
Floor Vote
Governor
Introduced Feb 8, 2024
Last action Feb 8, 2024
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Full legislative history
Actions timeline
Total actions
1
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0
Committee
0
Feb 8, 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
Sterley Stanley
DDemocratic
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