S 1373 New Jersey Senate · 2026-2027 Regular Session

Requires medical fee schedule by automobile insurers to provide for reimbursement of certain services provided by ambulatory surgical center at rate of 300 percent of Medicare payment rate.

This bill requires New Jersey automobile insurers to reimburse ambulatory surgical centers (ASCs) for certain services at 300% of the Medicare Part B payment rate - instead of current rates - if the service isn't already listed in the state's medical fee schedule. It also mandates that unlisted medical supplies used with these services be reimbursed at invoice cost plus 20%. The policy directly affects ASCs and insurers by establishing a standardized, higher reimbursement rate for uncovered ASC services, aligning with Medicare guidelines. This change aims to ensure ASCs receive fair compensation for services not previously covered under insurer fee schedules.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 13, 2026 Last action Jan 13, 2026
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Jan 13, 2026
Introduced
Introduced in the Senate, Referred to Senate Commerce Committee
upper
2 primary · 0 co-sponsors

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