A 3795 New Jersey General Assembly · 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 New Jersey bill limits patient payments for follow-up care after surgery or illness to a single co-payment or deductible within an 180-day period. It applies to in-network providers under managed care health plans, requiring that patients pay only one such fee regardless of how many follow-up visits occur during that time. The rule does not apply if a patient fails to follow the plan’s preauthorization requirements for inpatient care. This change aims to reduce repetitive out-of-pocket costs during recovery while maintaining existing insurance plan structures.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2024
Committee Review
Floor Vote
Governor
Introduced Feb 22, 2024 Last action Feb 22, 2024
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Feb 22, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Verlina Reynolds-Jackson
Verlina Reynolds-Jackson
DDemocratic
NJ
15