A 4333 New Jersey General Assembly · 2024-2025 Regular Session

Requires Medicaid and health insurance network contracts to provide participating health care providers with certain notifications.

This bill requires health insurance plans (including Medicaid and FamilyCare) to notify healthcare providers at least six months in advance of any policy changes that could lead to denial of coverage for services the provider offers. It directly affects doctors, clinics, and other healthcare providers who contract with insurers or state Medicaid programs. The key provision mandates written notice before changes that might stop coverage for specific patient services, giving providers time to adjust. The law applies to all managed care contracts entered into or renewed after its effective date (120 days post-enactment).
Bill status in committee 1 of 4 stages cleared
Introduction
May 2024
Committee Review
Floor Vote
Governor
Introduced May 10, 2024 Last action May 10, 2024
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May 10, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
2 primary · 0 co-sponsors

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