Revises credentialing process for physicians attempting to enter a health insurance carrier's provider network.
This bill revises New Jersey's process for health insurance carriers to credential physicians seeking to join their provider networks. It requires carriers to notify applicants within 30 days if an application is incomplete (or deem it complete if no notice is given) and to review complete applications within 30 days. The bill mandates carriers to use a standardized universal application form, post clear process details online - including required documents and timelines - and reimburse physicians for services provided during the credentialing wait period if approved. It also prohibits carriers from requiring physicians to resubmit applications solely due to changing employers within the state, and gives the Department of Banking and Insurance authority to enforce these rules and handle complaints.
Bill status
in committee
1 of 4 stages cleared
Introduction
Nov 2024
Committee Review
Floor Vote
Governor
Introduced Nov 14, 2024
Last action Nov 14, 2024
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
1
Key actions
0
Committee
0
Nov 14, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
3 primary · 14 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Clinton Calabrese
DDemocratic
P
Cody Miller
DDemocratic
P
Shanique Speight
DDemocratic
Co
Claire Swift
RRepublican
Co
Cleopatra Tucker
DDemocratic
Co
Dawn Fantasia
RRepublican
Co
Ellen Park
DDemocratic
Co
Gerry Scharfenberger
RRepublican
Co
John Allen
DDemocratic
Co
John Azzariti
RRepublican
Co
Linda Carter
DDemocratic
Co
Michele Matsikoudis
RRepublican
Co
Shama Haider
DDemocratic
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