S 1479 New Jersey Senate · 2024-2025 Regular Session

Authorizes health care providers to negotiate with carriers regarding fee- and non-fee-related matters.

S 1479 allows independent health care providers (like doctors and dentists) in New Jersey to jointly negotiate with insurance carriers on non-payment issues affecting patient care. The bill authorizes groups of providers to collectively discuss matters such as medical necessity definitions, referral standards, drug formulary rules, and utilization management policies - without addressing payment rates directly. This aims to balance negotiating power between providers and insurers, which the bill states is currently skewed toward insurers. The legislation is still pending, having been introduced in January 2024 and referred to the Senate Commerce Committee. It does not change how insurance companies set reimbursement rates but focuses on improving access to care and provider autonomy.
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 Commerce Committee
upper
2 primary · 0 co-sponsors

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