A 2063 New Jersey General Assembly · 2024-2025 Regular Session

Requires SHBP and SEHBP to implement referenced based pricing program and bundled payment program.

This bill requires New Jersey's State Health Benefits Program (SHBP) and School Employees' Health Benefits Program (SEHBP) to implement two specific payment models for health care services. It mandates a "referenced based pricing program" that establishes maximum payment amounts for certain elective medical procedures based on external pricing data, and a "bundled payment program" that pays a single global amount for all services provided during a defined episode of care. These changes apply to health care services covered under SHBP and SEHBP for state and school employees, retirees, and their dependents. The bill also includes provisions for expediting the procurement of vendors to implement these payment models.
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 State and Local Government Committee
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Eliana Pintor Marin
Eliana Pintor Marin
DDemocratic
NJ
29