A 6208 New Jersey General Assembly · 2024-2025 Regular Session

Establishes arbitration and notification process for health insurance carriers and provider networks when dispute arises over maintaining providers as in-network.

This bill creates a binding arbitration process for disputes between health insurance companies (carriers) and healthcare providers over pricing and payment terms when negotiations fail. If a dispute isn't resolved 60 days before a provider network contract expires, arbitration is automatically triggered. Both parties must submit final offers before arbitration, and the arbitrator must choose one of those offers - making the decision binding. Patients receive 30 days' notice before providers become out-of-network for the next plan year, and coverage remains unchanged until the new plan year begins. The Department of Banking and Insurance administers the process.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 8, 2025 Last action Dec 8, 2025
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Dec 8, 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