New Jersey 2022-2023 Regular Session

New Jersey Assembly Bill A2865

Introduced
2/28/22  

Caption

Establishes process for independent informal dispute resolution hearings in DOH.

Impact

The implementation of A2865 could significantly affect the relationship between state health authorities and regulated facilities. By introducing an independent panel for dispute resolutions, the bill aims to create a more transparent and fair process for resolving conflicts arising from inspection deficiencies. This change holds the potential to improve the quality of compliance and oversight in the healthcare sector, as facilities may feel empowered to contest findings that they believe to be unjust. The independent panel's determinations will be crucial, as they can uphold, modify, or dismiss cited deficiencies, impacting facilities' operations and reputations.

Summary

Bill A2865 establishes a framework for independent informal dispute resolution hearings within the New Jersey Department of Health (DOH). It allows facilities such as nursing homes, assisted living residences, comprehensive personal care homes, residential health care facilities, and dementia care homes to contest deficiencies cited during inspections. The bill requires the DOH to contract with an independent third-party panel, composed of knowledgeable individuals without formal ties to the department or the facility, to adjudicate these disputes. This framework is intended to provide a fair process for facilities to challenge inspection results in a manner that is more objective and independent.

Contention

Notably, the bill does allow for the Commissioner of Health to overrule or modify the panel's decisions, which may raise questions about the true independence of the review process. Critics of the bill might argue that this provision could undermine the panel's authority and create concerns about potential biases. Additionally, if the informal resolution does not resolve the issue, facilities retain the right to pursue contested cases, which could lead to prolonged disputes and bureaucratic challenges. These dynamics highlight the complexities and potential points of contention surrounding the implementation of A2865 as it aims to reform dispute resolution within the healthcare regulatory framework.

Companion Bills

NJ S2178

Same As Establishes process for independent informal dispute resolution hearings in DOH.

Previously Filed As

NJ A2791

Establishes process for independent informal dispute resolution hearings in DOH.

NJ S2178

Establishes process for independent informal dispute resolution hearings in DOH.

NJ HF2051

Independent informal dispute resolution process aligned.

NJ SF2410

Independent informal dispute resolution process alignment

NJ HB371

Establishes an independent dispute resolution process for certain out-of-network health benefit claims

NJ AB2157

Health care coverage: independent dispute resolution process.

NJ SB8

Establishes an independent dispute resolution process for certain health benefit claims. (Item #37)

NJ HB2824

Long-term care; transfer of employees, powers, duties, monies and contractual rights; informal dispute resolution process; effective dates; emergency.

NJ HB2824

Long-term care; transfer of employees, powers, duties, monies and contractual rights; informal dispute resolution process; effective dates; emergency.

NJ SB1148

Establishes provisions relating to alternative dispute resolution processes

Similar Bills

NJ A2791

Establishes process for independent informal dispute resolution hearings in DOH.

NJ S2178

Establishes process for independent informal dispute resolution hearings in DOH.

CA SB238

Health care coverage: independent medical review.

CA SB294

Health care coverage: independent medical review.

RI H7117

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RI S2177

State Department Of Elementary And Secondary Education

RI S0912

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CA SB1201

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