New Jersey 2024-2025 Regular Session

New Jersey Senate Bill S776

Introduced
1/9/24  
Refer
1/9/24  
Chaptered
1/9/24  

Caption

Requires carriers to offer health care providers more than one method of payment for reimbursement.

Impact

The bill stipulates that any network agreement made after its enactment must not enforce a singular form of payment. This change is expected to pave the way for better financial interaction between insurers and health care providers, ensuring that decisions made by health care providers are not swayed by their preferred payment methods. This provision enhances the negotiation power of health care providers and could lead to improved fiscal conditions for those accepting payments for their services.

Summary

Senate Bill S776 addresses the payment methods utilized by carriers in their agreements with health care providers for the reimbursement of health or dental services. The primary aim of this bill is to ensure that health care providers are not restricted to only one method of payment, such as credit cards or electronic funds transfer, which could create unnecessary barriers in receiving payments. By mandating that multiple payment methods are available, the bill seeks to enhance the flexibility and options for providers, ultimately benefiting the providers and their patients.

Contention

Notably, the bill contains strict enforcement measures related to non-compliance. Any violation of this act can lead to civil penalties administered by the Department of Banking and Insurance. This could potentially lead to contention as carriers may feel this imposes additional financial and administrative burdens on their operations. Advocates of the bill argue it is essential for transparency and fairness in the reimbursement process, while opponents may be concerned about the regulatory impacts on carriers and the possible increase in administrative costs associated with compliance.

Companion Bills

NJ S3133

Carry Over Requires carriers to offer health care providers more than one method of payment for reimbursement.

NJ A4913

Carry Over Requires carriers to offer health care providers more than one method of payment for reimbursement.

Previously Filed As

NJ S3133

Requires carriers to offer health care providers more than one method of payment for reimbursement.

NJ A1877

Requires carriers to offer health care providers more than one method of payment for reimbursement.

NJ A4913

Requires carriers to offer health care providers more than one method of payment for reimbursement.

NJ S3996

Requires availability of electronic fund transfers by health insurance carriers to reimburse covered persons.

NJ A5188

Requires availability of electronic fund transfers by health insurance carriers to reimburse covered persons.

NJ SB204

Health care provider panels; vertically integrated carriers, reimbursements to providers.

NJ HB1075

Health care provider panels; vertically integrated carriers, reimbursements to providers.

NJ HB1075

Health care provider panels; vertically integrated carriers, reimbursements to providers.

NJ SB925

Health insurance; carrier business practices, method of payment for claims.

NJ HB2085

Health insurance; carrier business practices, method of payment for claims.

Similar Bills

CT HB06589

An Act Concerning Third-party Access To Participating Dental Provider Contracts.

NJ A1877

Requires carriers to offer health care providers more than one method of payment for reimbursement.

NJ S2875

Makes certain changes to calculation of minimum loss ratio requirements for health benefits plans in individual and small employer markets.

NJ A3972

Makes certain changes to calculation of minimum loss ratio requirements for health benefits plans in individual and small employer markets.

IL HB3796

INSURANCE-PROVIDER PANELS

IL HB5580

INSURANCE-PROVIDER PANELS

NJ S4418

Establishes 60-day special enrollment period to initiate when provider in carrier's network of providers is leaving carrier's network.

TX SB1322

Relating to the provision of durable medical equipment and home health care services through informal and voluntary networks in the workers' compensation system; providing penalties.