S 1976 New Jersey Senate · 2024-2025 Regular Session

Requires study and implementation of reference-based pricing for SHBP and SEHBP.

This bill requires New Jersey's State Health Benefits Commission and School Employees’ Health Benefits Commission to study and implement reference-based pricing for state and school employee health insurance programs. It directs them to evaluate costs, impacts on medical services (like imaging and surgeries), and existing models in other states, with a final report due within 180 days. If approved, the commissions must implement reimbursement limits tied to Medicare rates for new insurance contracts within one year, requiring written documentation of how rates were set and expected savings. This directly affects state and school employees covered under these health benefit programs by changing how healthcare providers are paid.
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 Senate, Referred to Senate Health, Human Services and Senior Citizens Committee
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Joe Vitale
Joe Vitale
DDemocratic
NJ
19