New Jersey 2022-2023 Regular Session

New Jersey Assembly Bill A4670

Introduced
9/29/22  

Caption

Requires certain information to be included in SHBP claims experience data provided to certain public employers.

Impact

The introduction of A4670 is expected to have significant implications for state law and public employment. By requiring more frequent disclosure of claims experience data, the bill seeks to empower public employers with better insights into healthcare costs and utilization patterns, which can lead to improved decision-making regarding health benefits. Moreover, the accessibility of this data to employee representatives enables a more collaborative approach to negotiating health benefits, potentially leading to better outcomes for employees.

Summary

Assembly Bill A4670, known as the Public Health Transparency Act, mandates the State Health Benefits Program (SHBP) to provide comprehensive claims experience data to participating public employers annually, rather than every 24 months as previously required. This bill aims to enhance transparency regarding health benefits and related costs for public employers in New Jersey. Notably, it allows the majority representatives of employees within these public employers to request this information, ensuring that employees have access to vital data that can inform both their healthcare provisions and negotiations for benefits.

Contention

Despite its intentions for increased transparency and employee representation, A4670 may face opposition from those concerned about privacy and the potential misuse of the data provided. The bill includes provisions ensuring that all information released complies with the HIPAA privacy regulations, but critics might argue that even with these protections, sensitive health information could still be at risk. Additionally, there may be debate over the frequency of data requests and whether such transparency is necessary or beneficial to all stakeholders involved.

Companion Bills

NJ S3049

Same As Requires certain information to be included in SHBP and SEHBP claims experience data provided to certain public employers.

Previously Filed As

NJ S1278

Requires certain information to be included in SHBP and SEHBP claims experience data provided to certain public employers.

NJ S3049

Requires certain information to be included in SHBP and SEHBP claims experience data provided to certain public employers.

NJ A2281

Requires certain information to be included in SHBP claims experience data provided to certain public employers.

NJ A5363

Provides SHBP and SEHBP to award contracts for more claims administrators for each program plan; requires claims data and trend reports to be provided to certain persons.

NJ S3756

Permits SHBP and SEHBP to award contracts for more claims administrators for each program plan; requires claims data and trend reports to be provided to certain persons.

NJ SB773

Pharmacy benefit managers; modifying definitions; prohibiting certain circumstances; requiring nonpayment under providing venue for certain court proceeding; allowing Attorney General to obtain certain information. Effective date.

NJ HB1124

Pharmacy benefit managers; require to disclose certain information on rebates and contracts.

NJ SB697

Medical marijuana licenses; establishing certain requirements for license issuance; allowing certain actions by certain licensees; requiring certain information to be documented in certain inventory manifest prior to certain action. Effective date.

NJ A5259

Requires SHBP, SEHBP, Medicaid, and NJ FamilyCare to cover anti-obesity medications.

NJ S2554

Requires SHBP, SEHBP, Medicaid, and NJ FamilyCare to cover anti-obesity medications.

Similar Bills

CA AB2789

Health care practitioners: prescriptions: electronic data transmission.

CA AB852

Health care practitioners: electronic prescriptions.

CA AB149

Controlled substances: prescriptions.

TX HB2246

Relating to certain procedures applicable to electronic prescriptions for Schedule II controlled substances.

TX SB594

Relating to the regulation of prescriptions for controlled substances, including certain procedures applicable to electronic prescriptions for Schedule II controlled substances.

TX HB2766

Relating to electronic and other controlled substance prescriptions under the Texas Controlled Substances Act; authorizing a fee.