S 1278 New Jersey Senate · 2024-2025 Regular Session

Requires certain information to be included in SHBP and SEHBP claims experience data provided to certain public employers.

This bill (S 1278) requires New Jersey's State Health Benefits Program (SHBP) and School Employees' Health Benefits Program (SEHBP) to provide public employers (like municipalities or school districts) with detailed health plan data upon request. It changes the frequency from "once every 24 months" to "once per calendar year" and allows employee representatives to access the data if the employer requests it. The data must include specific medical and prescription information, such as top prescribed drugs by volume and cost, utilization reports, and aggregated claims summaries, while strictly complying with HIPAA privacy rules to protect individual identities. This directly affects public employers participating in SHBP/SEHBP and their employees through transparency about health plan costs and usage.
Sub-Topics: Insurance
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2024
Committee Review
Floor Vote
Governor
Introduced Jan 9, 2024 Last action Jan 9, 2024
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Jan 9, 2024
Introduced
Introduced in the Senate, Referred to Senate State Government, Wagering, Tourism & Historic Preservation Committee
upper
2 primary · 4 co-sponsors

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