A 1452 New Jersey General Assembly · 2024-2025 Regular Session

Concerns standards for non-renewal or termination of certain health care professionals from insurance carrier's provider network.

This bill requires New Jersey health insurance carriers offering managed care plans to establish clear policies for removing health care providers (like doctors and nurses) from their networks. It specifically protects providers who have been in a network for five years or more by preventing non-renewal or termination without two key steps: the carrier must provide the provider and the state’s Commissioner of Banking and Insurance with one year’s written notice detailing the reason, and the commissioner must approve that the reason meets "good cause." The commissioner is also required to create regulations within 180 days defining what constitutes "good cause" for such actions. This applies to all managed care plans and aims to provide stability for long-term health care providers while ensuring carriers follow a standardized process.
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 Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
1 primary · 0 co-sponsors

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P
Photo of Robert Karabinchak
Robert Karabinchak
DDemocratic
NJ
18