S 523 New Jersey Senate · 2024-2025 Regular Session

Allows physicians to jointly negotiate with carriers over contractual terms and conditions.

This bill (S 523) allows independent physicians in New Jersey to form groups and jointly negotiate non-fee-related contract terms with health insurance carriers. It directly affects physicians who contract with carriers, enabling them to collectively address issues like medical necessity definitions, drug formulary rules, payment timing, utilization management criteria, and dispute resolution processes. Key provisions permit two or more physicians to select a representative to negotiate these terms, aiming to improve bargaining power currently skewed toward carriers. The bill does not cover fee schedules or payment amounts but focuses on operational and coverage policies impacting patient care access and quality.
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 Commerce Committee
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Jon Bramnick
Jon Bramnick
RRepublican
NJ
21