Position Papers
Position Papers on Pending Legislation - Click on link to view PDF
A4440
December 19, 2011: Exempts individuals with certain types of military service from certain fees and continuing education and professional competency requirements.
A4416
December 12, 2011: Requires hearing and approval of premium changes for individual and small employer health benefits.
S-3112 / A4299
November 28, 2011: Requires hearing and approval of premium changes for individual and small employer health benefits plans; and expands jurisdiction of Division of Rate Counsel
S-1834
November 17, 2011: Requires fully insured individual and group health insurance plans including the State Health Benefits and State Employees Plans to cover oral cancer drugs and related support drugs on the same basis as intravenous cancer medications and related support drugs.
A3378
November 26, 2010: Clarifies out-of-network payment responsibilities under health benefits plans; requires certain coverage and procedure disclosures to consumers; revises procedures for changes to managed care plan contracts.
A2882
July 26, 2010: Requires certain health plans to include coverage for treatment at ambulatory surgical centers and surgical practices, and to provide those benefits to the same extent as provided at other health care facilities.
A2711
May 27, 2010: Allows physicians to jointly negotiate with carriers over contractual tems and conditions.
A2672
May 27, 2010: Requires health care professionals to notify patients of end of health care benefits coverage during course of treatment in certain circumstances.
S1743
May 27, 2010: Establishes waiver, rebate or payment of insured's deductible, copayment, or coinsurance by health care practitioner as a form of insurance fraud subject to criminal and civil penalties.
S1742
May 27, 2010: Requires health care provider participating in carrier network to give notice to covered person of provider's referral to non-network provider.
S358
May 27, 2010: Provides in newtwork benefits to a patient with disability for services provided by a non-network provider under certain circumstances.
S1507
March 6, 2010: Prohibits insurers and affiliated entities offering managed care plans from denying participation in network to health care providers willing to meet terms of contract.
S1528
March 3, 2010: Requires health insurance coverage by health insurers, SHBP and SEHBP for expenses incurred in connection with prophylactic mastectomies and other mastectomy-related procedures.
S1502
March 2, 2010: Establishes up to a four-month extension for expiring carrier contracts with acute care hospitals while parties engage in contract renegotiation.
A1988
February 27, 2010: Requires health insurers to cover costs of tobacco use cessation services.
A1970
February 27, 2010: Requires managed care plans to cover treatment of overweight and obesity in adults on a fee-for-servce basis.
A1926
February 27, 2010: Requires health insurers to cover medically neccesary expenses for preventing infertility in women undergoing chemotherapy or radiation therapy.
S89
February 22, 2010: Requires licensed health care professionals and facilities to bill Medicare within 60 days of providing care.
A4245
December 13, 2009: Revises approval process for rate changes applicable to medical malpractice liability insurance.
A4161
November 14, 2009: Increases loss ratio reporting and disclosure requirements for carriers offering individual and group health insurance plans.
A2238 – S1651
June 22, 2009: This bill requires health insurance coverage for therapies for treatments of Autism disorders when determined to be medically necessary.
S2742
April 13, 2009: Requires the commissioner to conduct an annual quality assurance audit to measure the performance of each payer’s records specific to claims processing procedures.
A-3832/S-2566
March 14, 2009: "Breann's Law" requires health insurers, the State Health Benefits Program and NJ FamilyCare to provide "out of network" coverage for children with catastrophic illnesses.
A3667
January 26, 2009: Concerns calculation of certain HMO loss ratios;
makes various changes to individual and small employer health benefits programs, charity care and NJ FamilyCare programs.
A3664
January 26, 2009: Requires health insurers and the State Health Benefits Plan to provide mental health benefits for eating disorders under BBMI which pays under the same terms and conditions as for other illnesses and diseases.
A-3371
October 24, 2008: Prohibits hospitals from charging patient or third party payer for
costs associated with certain hospital-acquired conditions.
A-3211
October 18, 2008: Makes reforms to the “Health Care Quality Act” in the form of supplements to the existing consumer safeguards.
S-2236 (re-introduced 2008, formerly A-3239)
October 15, 2008: Permits person covered by managed care plan to receive covered services from in-network provider without obtaining referral from primary care physician.
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