S 4187 New Jersey Senate · 2024-2025 Regular Session

Permits payment of only one co-payment or deductible for follow-up care or treatment after surgery or illness under certain health benefits plans.

This bill (S 4187) requires health insurance plans to allow patients to pay only **one co-payment or deductible** for all follow-up care visits related to surgery, illness, or other covered services within an **180-day period**. It directly affects **patients enrolled in managed care health plans** who need ongoing treatment after an initial procedure or diagnosis. The key provision prevents healthcare providers from charging additional co-pays or deductibles during that 180-day window, regardless of how many follow-up visits occur. The rule applies only if patients follow their plan’s preauthorization rules for in-network care.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 3, 2025 Last action Mar 3, 2025
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Full legislative history

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Total actions
1
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0
Committee
0
Mar 3, 2025
Introduced
Introduced in the Senate, Referred to Senate Commerce Committee
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Benjie Wimberly
Benjie Wimberly
DDemocratic
NJ
35