A 5218 New Jersey General Assembly · 2024-2025 Regular Session

Establishes additional health insurance carrier network adequacy standards with respect to certain physician specialists.

This bill requires New Jersey health insurance carriers offering managed care plans to ensure consumers have reasonable and timely access to specific physician specialists at in-network hospitals and facilities. It directly affects insurance companies and their members by mandating new regulations for network adequacy, specifically covering anesthesiologists, radiologists, pathologists, emergency medicine physicians, and their supervisory services. The key mechanism is requiring the Commissioner of Banking and Insurance to adopt rules establishing these access standards as part of network adequacy requirements. The policy change focuses on improving access to critical specialty care within existing insurance networks.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 23, 2025 Last action Jan 23, 2025
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Jan 23, 2025
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
Photo of Roy Freiman
Roy Freiman
DDemocratic
NJ
16